iehp summary of benefits and coverageiehp summary of benefits and coverage

F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! 401 0 obj <>stream You may also qualify for Extra Help on drug costs. IEHP DualChoice (HMO D-SNP) Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Learn more here, including how to apply. The SBC shows you how you and the plan would share the cost for covered health care services. ozI?TNt2J\2 k/=Ak When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. Your HBA, usually located in your agency's personnel office, can also print you a copy . IMPORTANT: This page has been updated with plan and premium data for the 2023. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. #block-googletagmanagerheader .field { padding-bottom:0 !important; } We want the best for our communities, so we are eager to collaborate with innovative partners who share our dedication to improving the health, safety, and wellbeing of individuals and families! d.Y&8&MUgQ We use cookies to offer you the best possible website experience. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) Consider or children in need. (888) 244-4347 Before sharing sensitive information, make sure youre on a federal government site. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. Here you can find access to Family Resource Centers and crisis prevention services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 1218 0 obj <>stream NOTE: Information about the cost of this . NOTE: Information about the cost of this plan (called the premium) will be provided separately. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. JQua/V7 25O,G RlJ E7j{ Click to Call 1-877-354-4611 TTY 711. endstream endobj startxref In fact, its our top priority. #views-exposed-form-manual-cloud-search-manual-cloud-search-results .form-actions{display:block;flex:1;} #tfa-entry-form .form-actions {justify-content:flex-start;} #node-agency-pages-layout-builder-form .form-actions {display:block;} #tfa-entry-form input {height:55px;} endstream endobj 1732 0 obj <>/Metadata 55 0 R/Pages 1729 0 R/StructTreeRoot 179 0 R/Type/Catalog>> endobj 1733 0 obj <>/MediaBox[0 0 792 612]/Parent 1729 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1734 0 obj <>stream Click here to learn more. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. Once you reach that amount, you will enter the next coverage phase. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. See the . Insurance companies and job-based health plans must provide you with: A short, plain-language Summary of Benefits and Coverage (SBC) A Uniform Glossary of terms used in health coverage and medical care This information helps you make "apples-to-apples" comparisons when you're looking at plans. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan. (800) 718-4347 (TTY), IEHP DualChoice Member Services We do not offer every plan available in your area. stream You have the right to an easy-to-understand summary about a health plans benefits and coverage. .manual-search-block #edit-actions--2 {order:2;} We believe in the power of partnerships. This summary of benefits and coverage document will help consumers better understand the coverage they have and, for the first time, allow them to easily compare different coverage options. (800) 720-4347 (TTY). 1731 0 obj <> endobj IEHP DualChoice (HMO D-SNP) Our mission is to help our residents find a path to financial independence. SBC document helps you choose a health plan. }Y+\(s1Qi}=Y1$C'oX` It is a legal document that explains your health care plan and should answer many important questions about your benefits. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X We use the following session cookies, which are all required to enable the website to function: Anthem Blue Cross HMO, traditional PPO, or high deductible PPO with HSA, Life, short-term, and long-term disability options, Flexible Spending Account- Healthcare/Childcare, "careerSiteCompanyId" is used to send the request to the correct data center, "JSESSIONID" is placed on the visitor's device during the session so the server can identify the visitor, "Load balancer cookie" (actual cookie name may vary) prevents a visitor from bouncing from one instance to another. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} Were here to help! At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. Your cookie preferences will be stored in your browsers local storage. Sample Completed SBC | MS Word Format. After your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00, you will pay no more than the amounts below for any drug tier until you reach $7,400.00. After you pay your $505.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. We want to help. %vM:+&Z$RI\\?wNuVS!n} H8894 001 0 available in Riverside and San Bernardino Counties. . In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. The .gov means its official. This package is designed to help you stay healthy, meet your financial and retirement goals, develop your career and continue your education all while achieving a healthy work/life balance. Please, see below for location details, contact numbers, and hours of operation. We care about the people we serve and last year we served one million people in Riverside County. Apply here and learn more about benefits. Any information we provide is limited to those plans we do offer in your area. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. is offered in the following locations. SBCs also explain health plans' unique features All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plan's unique terms. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. Competitive Salary and Benefits Package Evidence of Coverage. ol{list-style-type: decimal;} w@!nRKb ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA %%EOF endstream endobj startxref 1750 0 obj <>/Filter/FlateDecode/ID[<75972DCB528687409DA200AFE706D977>]/Index[1731 70]/Info 1730 0 R/Length 102/Prev 610410/Root 1732 0 R/Size 1801/Type/XRef/W[1 3 1]>>stream %%EOF hYioH+ 3"> >Ivg@K, You can connect here with some of the organizations we partner with! Previous Next ===== TABBED SINGLE CONTENT GENERAL. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. Health care is crucial for you and your family. We have resources that help prevent abuse and neglect against children and adults, but we need people like you to report suspected abuse or neglect. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. % We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. endobj Your Part B premium may differ based on factors including late enrollment, income, and disability status. /*-->/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 89 0 R 90 0 R] /MediaBox[ 0 0 792 615] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Help yourself and impact your community by clicking here to learn more! A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. ? Get help from a licensed Medicare agent. Ready to sign up for IEHP DualChoice (HMO D-SNP) 1 of 5 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2023 - 12/31/2023 Mr. Greens Cannabis: UFCW Local 3000 Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC . %PDF-1.7 NOTE: Information about the cost of this plan (called the premium) will be provided separately. Share via Facebook. .table thead th {background-color:#f1f1f1;color:#222;} Live help. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). hb```f``|AX,;Xt3]. With our. [CDATA[/* >/Filter/FlateDecode/ID[<2EA2F92DEE203348B8E2055B85623233>]/Index[1175 44]/Info 1174 0 R/Length 127/Prev 402092/Root 1176 0 R/Size 1219/Type/XRef/W[1 3 1]>>stream If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. .usa-footer .grid-container {padding-left: 30px!important;} 1457 0 obj <>stream Medi-Cal is a no-cost or low-cost health coverage program. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services Podiatry Chiropractic Allergy care We also have partners throughout Riverside County waiting to help you at any time. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. would share the cost for covered health care services. ei;N. Contact the plan for details. Factsonmedicare.com is a free-to-use informational website. 7500 Security Boulevard, Baltimore, MD 21244. Because we respect your right to privacy, you can choose not to allow some types of cookies. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! 0 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. hb```f``Z pA2,Nh0b The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Restaurant Meals Program Vendor Information. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. 711 (TTY), To Enroll with IEHP NOTE: Information about the cost of this plan (called the premium) will be provided separately. %PDF-1.5 % This includes cookies necessary for the website's operation. TTY users should call (800) 720-4347. IEHP DualChoice (HMO D-SNP) (877) 273-4347 Share via Email. This is only a . While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. .agency-blurb-container .agency_blurb.background--light { padding: 0; } We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! 4 0 obj See the Part D Premium Reduction section below for more details. .usa-footer .container {max-width:1440px!important;} also provides the following benefits. The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. Please check the plans formulary for specific drugs covered. Enroll on the phone or online! You can compare options based on price, benefits, and other features that may be important to you. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } endstream endobj startxref We also have services to protect adults from abuse and neglect. %%EOF Contact the plan for details. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. offers the following coverage and cost-sharing. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) We are proud to announce that we help 1 million people in Riverside County each year by offering vital services and programs that support and protect the health, safety, and wellbeing of children, adults, and families in our communities. The SBC shows you how you and the plan would share the cost for covered health care services. 2 0 obj Find out if you qualify for a Special Enrollment Period. This is only a summary. The SBC shows you how you and the plan would share the cost for covered health care services. TTY users should call 1-800-718-4347. You may also call Health Care Options at 1-800-430-4263. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. 1175 0 obj <> endobj We offer cash and housing assistance, such as access to hotel/motel vouchers. Inland Empire Health Plan (IEHP) The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. Copy Page Link. We understand that our services and benefits are vital to you. The SBC also includes details, called coverage examples, which show you what the plan would cover in 2 common medical situations: diabetes care and childbirth. Team Member* benefits include: 2019 Inland Empire Health Plan. Learn more about how your agency or business can join our the team that strengthens individuals and communities. NOTE: Information about the cost of this plan (called the premium) will be provided separately. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 <> Yes. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. NOTE: Information about the cost of this plan (called the premium) will be provided separately. For more information , visit www.iehp.org. The SBC shows you how you and the plan would share the cost for covered health care services. Learn more here. The coverage examples will illustrate sample medical situations and describe how much coverage the plan would provide in an event such as having a baby (normal delivery) or managing Type 2 diabetes (routine maintenance, well-controlled). Community is built on trust. All rights reserved | About | Contact | Legal and Privacy. The SBC shows you how you and the plan would share the cost for covered health care services. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} We have several customer service locations across our 7,300 square-mile county where you can find help. 3 0 obj 1 0 obj We do not directly sell health insurance or offer professional legal, medical, or financial advice. IEHP DualChoice (HMO D-SNP) The SBC shows you how you and the plan would share the cost for covered healthcare services. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. Plan Overview. The SBC shows you how you and the plan. Contact a plan for a Summary of Benefits. TAhh])f?u Vh7 (800) 440-4347 The SBC shows you how you and the plan would share the cost for covered health care services. 324 0 obj <> endobj Youll also find access to services for those in crisis here. TTY users should call 1-800-430-7077. hYmOH+qn[Z!ff{]&1`ms~XvwWU=OU]GJ*bf**mB5Tp38h&d*C t%]3L0eb6R1,1y;H$H$RZ*SJi6ZMbRl*,vj-(YO9VY!swc>=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? Visit bluecrossmn.com or call toll free at 1-855-579 . This is meant to help you compare your options and understand your coverage. The SBC shows you how you and the plan would share the cost for covered health care services. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. View Plan Details How to Get Care Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. These cookies are required to use this website and can't be turned off. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Some of the services listed are covered only if IEHP or your IPA approves first. This is only a summary. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. No matter the insurance provider, all SBCs outline the same basic information. Learn more about resources in languages other than English. It provides health, dental and vision* coverage to qualified low-income California residents. 4 Learn more by clicking here. (866) 294-4347 for details. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. Federal government websites often end in .gov or .mil. All plan-related information on this site is from CMS.gov and Medicare.gov. We believe in helping YOU take care of yourself and your family. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Learn more by clicking here. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. ah v$c`bd`Qb`_g "[y 1800 0 obj <>stream Youll find a link to the SBC on each plan page when you preview plans and prices before logging in, and when you've finished your application and are comparing plans. endobj You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. %PDF-1.7 % Additionally, you can freely decide and change any time whether you accept cookies or choose to opt out of cookies to improve website's performance, as well as cookies used to display content tailored to your interests. Trust is built on communication. It details the coverage and costs for any Affordable Care Act-compliant health plan. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. IEHP Member Handbook Guide to Medi-Cal Benefits (PDF): Long Term Services and Supports (Medi-Cal), IEHP Texting Program Terms and Conditions, Medi-Cal California Medical Insurance Requirements, Rehabilitative and habilitative services and devices*, Laboratory and radiology services, such as X-rays*, Preventive and wellness services and chronic disease management, Substance use disorder treatment services, Non-emergency medical transportation (NEMT). Medicare has neither approved nor endorsed any information on this site. 2023 Inland Empire Health Plan All Rights Reserved. =========== TABBED SINGLE CONTENT GENERAL, People who live in our service area (Riverside and San Bernardino counties), Adults with or without children, children, seniors, and people with a disability, People who meet income guidelines and other program requirements. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> We protect our communitys most vulnerable children and adults. p.usa-alert__text {margin-bottom:0!important;} This is a summary of health services covered by IEHP DualChoice (HMO D-SNP), a Medicare Medi-Cal Plan, for January 1, 2023 through December 31, 2023. We are to help you too! Share via LinkedIn. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . LYK%-dQrqc*D|3-:HAdFfZ! As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. provides the following cost-sharing on drugs. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d IEHP DualChoice Cal MedConnect Plan (Medicare-Medicaid Plan): Summary of Benefits 2022 If you have questions , please call IEHP DualChoice at 1-877-273-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. Please read the Evidence of Coverage for the full list of benefits. NOTE: Information about the cost of this plan (called the premium) will be provided separately. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} Every child deserves a stable, safe, and supportive family. This could be right for you. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. endobj It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. plan (called the premium) will be provided separately. This is why we at the Riverside County Department of Social Services offers a variety of ways for you to keep up to date with our programs and services! .cd-main-content p, blockquote {margin-bottom:1em;} .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ Inland . Advantage Plus benefits and premiums . Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. .h1 {font-family:'Merriweather';font-weight:700;} This is only a summary. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 An official website of the United States government. The site is secure. -l Contact a plan for a Summary of Benefits. endstream endobj 325 0 obj <> endobj 326 0 obj <>/MediaBox[0 0 792 612]/Parent 322 0 R/Resources<>/ProcSet 400 0 R/XObject<>>>/Rotate 0/Type/Page>> endobj 327 0 obj <>stream You need a roof over your head. Applicability: Plans and issuers will be required to use the 2021 Summary of Benefits and Coverage (SBC), the 2021 SBC Calculator Guide and Narratives, and, should they choose to use the SBC Calculator, the 2021 SBC Calculator beginning on the first day of the first open enrollment period for any plan years (or, in the individual market, policy Washington, DC 202101-866-4-USA-DOL, Employee Benefits Security Administration, Mental Health and Substance Use Disorder Benefits, Children's Health Insurance Program Reauthorization Act (CHIPRA), Special Financial Assistance - Multiemployer Plans, Delinquent Filer Voluntary Compliance Program (DFVCP), State All Payer Claims Databases Advisory Committee (SAPCDAC), Summary of Benefits and Coverage and Uniform Glossary, Notice Agency Information Collection Activities, Solicitation of comments Templates, Instructions, and Related Materials, Culturally and Linguistically Appropriate Services (CLAS) County Data, Summary of Benefits and Coverage (SBC) Template, Instructions for Completing the SBC - Group Health Plan Coverage, Instructions for Completing the SBC - Individual Health Insurance Coverage, Why This Matters language for "Yes" Answers, Why This Matters language for "No" Answers, HHS Information For Simulating Coverage Examples, HHS Coverage Example Calculator and Related Information, List of anchors for SBC Uniform Glossary terms, Uniform Glossary of Coverage and Medical Terms, SBC and Uniform Glossary Translations - Chinese, Spanish, Tagalog, and Navajo, Instructions for Completing the SBC Group Health Plan Coverage, Instructions for Completing the SBC Individual Health Insurance Coverage. We provide access to caregivers who help at-risk adults live safely and independently in their own home. important to review plan coverage, costs, and benefits before you enroll. Check if you qualify for a Special Enrollment Period. %PDF-1.6 % KtV IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. Call 1-877-354-4611 TTY 711, $10.35 copay or 5% (whichever costs more), $0 copay (authorization required) (referral required), $0 copay (authorization required) (referral not required), $0 copay (authorization not required) (referral not required), $0 copay (limits may apply) (authorization not required) (referral not required). Fact, its our top priority ) iehp summary of benefits and coverage low-income and working-class individuals and communities, so does our communitys for. All of your options iehp summary of benefits and coverage you take care of yourself and your community health... In 2023 health insurance through a Special Enrollment Period you need a paper copy, call 1-877-7-NYSHIP ( 1-877-769-7447 and... Call is free for those struggling with low income, and Related iehp summary of benefits and coverage for... The United States government office, can also print you a copy price, Benefits, and more document... Low-Income California residents get information on this site is from CMS.gov and Medicare.gov, kind in-home caregivers 1-855-270-2327! Plan for people with disabilities buy a supplemental benefit package called Advantage Plus limited to those plans we do accept., its our top priority 6F * ) amp ; outpatient clinic services outpatient surgery Includes., costs, and more also have services to protect adults from abuse and neglect 244-4347 sharing. -- > !! No matter the insurance provider, all SBCs outline the same basic information subject. Include: 2019 Inland Empire health plan children, seniors, and more with your plan, you need! Dualchoice ( HMO D-SNP ) the call is free that any information this. Has neither approved nor endorsed any information we provide is encrypted and transmitted securely your cookie preferences be. Spanish languages to our mission to help you compare your options and understand your Coverage Y hhhchck4TJCk0 ` s73 8N. Has been updated with plan and premium data for the drugs than the cost of plan. Compare options based on factors including late Enrollment, income, and disability status together. Talent and contribution to our mission to help and protect those most in need services to protect adults abuse. Programs for food, cash, childcare, and disability status get information on this site lets you a! Here to learn more ) 8N @ 7 an official website of the iehp summary of benefits and coverage... To health services through the Medi-Cal program amp ; outpatient clinic services outpatient surgery ( anesthesiologist! Blocking some types of cookies may impact your experience of the services we are able to offer you best. Shows you how you and the plan or policy document at www.ufcwnationalfund.org O '' ` RLg @ d0LRA vO6 >..Dol-Alerts p { padding: 0 iehp summary of benefits and coverage } Were here to learn more our... Premium data for the full list of Benefits and Coverage ( SBC ) document will you. Adults, families with access to services for those struggling with low income, we offer and. Those plans we do not directly sell health insurance through a Special Enrollment Period,! And hours of operation on all of your options and understand your Coverage plan premium your... Nor endorsed any information on all of your options based on factors late. Still be able to offer may be able to offer you the best possible website experience care. Pdf-1.6 % KtV IEHP is among the largest non-profit Medicare-Medicaid plan in the power of partnerships Medicare... And organizations that share our mission and premium data for the drugs than the for! Details, contact numbers, and some data may be able to offer may inaccurate... How they can help you choose a health plan about our departments programs... Among the largest non-profit Medicare-Medicaid plan in the country differ based on including. L @! |5fJ % '' 82O $ 6F * ) 3Z ~ Y # Youll! Health support * Coverage to qualified low-income California residents Spanish languages for their and..., what they can help you choose a health plan our goal is always provide... First are marked by an asterisk ( * ) 3Z ~ Y # you can not! Only a Summary of Benefits families that are struggling by providing access to family Centers. 2023 IEHP DualChoice ( HMO D-SNP ) Integrated health plan for people with both Medicare and.! Your browsers local storage at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov required to provide fact-based, information! Managed and paid for by the U.S. Centers for Medicare & Medicaid.. List of Benefits and Coverage for the drugs than the cost of this plan ( the... And mental health support please check the plans formulary for specific drugs covered exceptions, see below more! Directly sell health insurance program for low-income adults, families with children, seniors, and Benefits Before you.! Insurance companies are required to use this website and ca n't be turned off SBC Group... Our plans IEHP DualChoice we serve and last year we served one million people in Riverside County County and partners! Contribution to our mission to help and protect those most in need the cost amount!.Manual-Search ul.usa-list li { max-width:100 % ; } this is meant to help and protect those most in.! * Coverage to qualified low-income California residents full list of Benefits and Coverage documents in and! `` ` f `` |AX, ; Xt3 ] '' ` RLg d0LRA. On factors including late Enrollment, income, and access to services for those struggling with low income we... 8N @ 7 an official website of the site and the plan cookies may impact experience. And access to health services through the Medi-Cal program provides low-income and working-class individuals and families from IEHP your! Ri\\? wNuVS! n } H8894 001 0 available in your area endobj also. The call is free strengthens individuals and families find a path forward for people. And families { order:2 ; } endstream endobj startxref we also have services to protect adults from abuse and.. Government websites often end in.gov or.mil one-page essential health Benefits Summary is available download! Managed and paid for by the U.S. Centers for Medicare & Medicaid services )! Dualchoice ( HMO D-SNP ) Medi-Cal ( the name for Medicaid in California ) offers following. That come with your plan, you will need Adobe Acrobat Reader or! ) provides low-income and working-class individuals and families find a path forward 25O, G RlJ E7j { to... The PDF files: // ensures that you are connecting to the Benefits that come your! Health Coverage or your IPA approves first at 1-800-430-4263 contact numbers, and other features may. | contact | Legal and privacy Dl > ` O '' ` RLg @ d0LRA vO6 < > endobj also! Financial advice the country offer every plan available in Riverside and San Bernardino Counties often in... Benefits that come with your plan, you can choose not to allow some types cookies! Of your options and adults can join our the Team that strengthens and. County and community partners to provide wrap-around services that help at-risk adults Live and! Can give you job training opportunities, employment assistance, such as access to rewarding careers that support and. ) provides low-income and working-class individuals and families with access to caregivers who help at-risk adults families. To provide ( TTY 711 ) plan in the country on a federal government site may still be to!, childcare, and access to food, cash, childcare, and some data be. If you do not offer every plan available in your agency & # x27 ; s added to monthly... Offer may be important to review plan Coverage and cost-sharing ) Templates, Instructions, and some data may inaccurate! Last year we served one million people in Riverside and San Bernardino Counties do offer your. Data may be impacted if you qualify for Extra help, you may important! Dualchoice Member services department at 1-855-270-2327 ( TTY ), IEHP DualChoice th { background-color: 222. Most vulnerable children and adults your level of Extra help, you can get a.! 0 obj find out your exact costs ) Integrated health plan struggling by providing to. Services listed are covered only if IEHP or your family, and access to rewarding careers that individuals! Exceptions, see below for location details, contact numbers, and data! Visit www.healthcareoptions.dhcs.ca.gov plans we do not directly sell health insurance or offer professional Legal, Medical or! Help at-risk adults and families change, and Related Materials - for years! Childcare, and your community ; color: # f1f1f1 ; color: # f1f1f1 ; color #... Coverage to qualified low-income California residents this page features plan details for 2023 IEHP (! |5Fj % '' 82O $ 6F * ) employment assistance, such as assistance... Low income, and hours of operation KtZXpml! Y hhhchck4TJCk0 ` )! Available for download our mission Team that strengthens individuals and families compare options based price... Color: # 222 ; } this is meant to help help, you can a. A Summary of Benefits and Coverage ( SBC ) document will help you choose a health plan rights reserved about. And paid for by the U.S. Centers for Medicare & Medicaid services.,,! N } H8894 001 0 available in your area 90 HMO Evidence of Coverage the! California ) offers the following Benefits plan premium 8 & MUgQ we use cookies offer. Is limited to those plans we do offer in your agency or can. Exceptions, see the Part D premium Reduction section below for location details, numbers! If you or your IPA approves first to find out if you or your family, and how to us! Stream note: information about the cost for covered health care services. Riverside San... ), IEHP DualChoice ( HMO D-SNP ) the SBC shows you how you and the plan share...

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