%PDF-1.6 % Share via Email. The .gov means its official. 1731 0 obj <> endobj .usa-footer .grid-container {padding-left: 30px!important;} You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. .h1 {font-family:'Merriweather';font-weight:700;} hb```f``Z pA2,Nh0b 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. (800) 720-4347 (TTY). Plan Overview. ol{list-style-type: decimal;} 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 $4,660.00. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Become a foster or adoptive parent. important to review plan coverage, costs, and benefits before you enroll. 2023 Inland Empire Health Plan All Rights Reserved. We use the following session cookies, which are all required to enable the website to function: Anthem Blue Cross HMO, traditional PPO, or high deductible PPO with HSA, Life, short-term, and long-term disability options, Flexible Spending Account- Healthcare/Childcare, "careerSiteCompanyId" is used to send the request to the correct data center, "JSESSIONID" is placed on the visitor's device during the session so the server can identify the visitor, "Load balancer cookie" (actual cookie name may vary) prevents a visitor from bouncing from one instance to another. Medi-Cal is a no-cost or low-cost health coverage program. Trust is built on communication. endobj Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. ? 7500 Security Boulevard, Baltimore, MD 21244. 4 While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. .usa-footer .container {max-width:1440px!important;} %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. 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 ? Share via LinkedIn. 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 . 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! It details the coverage and costs for any Affordable Care Act-compliant health plan. 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. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. Copy Page Link. Learn more by clicking here. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. All Rights Reserved. endobj Click here to learn more. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Other languages can be selected below. Evidence of Coverage. We also have partners throughout Riverside County waiting to help you at any time. for details. NOTE: Information about the cost of this . This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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. .agency-blurb-container .agency_blurb.background--light { padding: 0; } rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. Any information we provide is limited to those plans we do offer in your area. IEHP DualChoice (HMO D-SNP) NOTE: Information about the cost of this plan (called the premium) will be provided separately. H8894 001 0 available in Riverside and San Bernardino Counties. Yes. endstream endobj startxref For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. %%EOF 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. <> Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Once you reach that amount, you will enter the next coverage phase. Medicare has neither approved nor endorsed any information on this site. 1175 0 obj <> endobj At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. Want to speak to someone face-to-face? Check if you qualify for a Special Enrollment Period. We do not directly sell health insurance or offer professional legal, medical, or financial advice. Your cookie preferences will be stored in your browsers local storage. ozI?TNt2J\2 k/=Ak All rights reserved | About | Contact | Legal and Privacy. 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. We use cookies to offer you the best possible website experience. %%EOF Contact a plan for a Summary of Benefits. provide individuals a "summary of benefits and coverage" that "accurately describes the benefits and coverage under the plan." The SBC is a snapshot of a health plan's costs, benefits, covered health care services, and other features that are important to consumers. endobj This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. hZ]o+EugE {ScX,x}@\[,l7{. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. Your family is your top priority. 1203 0 obj <>/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 Some of the services listed are covered only if IEHP or your IPA approves first. 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. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! Because we respect your right to privacy, you can choose not to allow some types of cookies. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). All insurance agents and enrollment platforms linked to this site have their own terms and conditions. 4 0 obj 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. Previous Next ===== TABBED SINGLE CONTENT GENERAL. Inland . Learn more about how your agency or business can join our the team that strengthens individuals and communities. ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL Contact the plan for details. .manual-search ul.usa-list li {max-width:100%;} It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. We believe in the power of partnerships. 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. 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 %vM:+&Z$RI\\?wNuVS!n} % .manual-search ul.usa-list li {max-width:100%;} For more information , visit www.iehp.org. Before sharing sensitive information, make sure youre on a federal government site. This is only a summary. This is only a summary. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. hbbd``b` + b, DqA@BT$-P/c`% Restaurant Meals Program Vendor Information. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X 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! See the Part D Premium Reduction section below for more details. endstream endobj startxref Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Every child deserves a stable, safe, and supportive family. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. hb```f``|AX,;Xt3]. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 wT].b`bd` FI? This is only a summary. You can become the loving parent a child needs and deserves. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. d.Y&8&MUgQ 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 We offer cash and housing assistance, such as access to hotel/motel vouchers. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Ready to sign up for IEHP DualChoice (HMO D-SNP) NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. Team Member* benefits include: 2019 Inland Empire Health Plan. %PDF-1.5 % ! We are to help you too! w@!nRKb 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). The SBC shows you how you and the plan. )9& Fs?I_oD!0sF##H062* gFDh\J:*&n=cQ9G&3 Sd;Fb(LE/Ebd) *FJ>DVtQpQ3 oc$C#$3T.Y6N',FLX8O*aHaL9 Ma]\L)k)B\)6&BO_ZNp0,/.~9# div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} An official website of the United States government. 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 We only use data released publicly each year. endstream endobj startxref Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. With our. 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 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. stream Our mission is to help our residents find a path to financial independence. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. Enroll on the phone or online! Adults pay no monthly premium for Medi-Cal coverage. ei;N. We partner with agencies and organizations that share our mission to help and protect those most in need. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. This is only a . Look on the Extra Help letters you get, or contact the plan to find out your exact costs. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. Click to Call 1-877-354-4611 TTY 711. The site is secure. also provides the following benefits. Medi-Cal Dental Coverage . 1218 0 obj <>stream -l Factsonmedicare.com is a free-to-use informational website. =========== 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. TTY users should call (800) 720-4347. .table thead th {background-color:#f1f1f1;color:#222;} Learn more about resources in languages other than English. The call is free. 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 $7,400.00. (877) 273-4347 F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! We do not offer every plan available in your area. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). L.A. Care Covered Gold 80 HMO Evidence of . Learn more by clicking here. It is a legal document that explains your health care plan and should answer many important questions about your benefits. The SBC shows you how you and the plan would share the cost for covered health care services. 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. The SBC shows you how you and the plan would share the cost for covered health care services. ah v$c`bd`Qb`_g "[y 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. Were here to help! IEHP DualChoice (HMO D-SNP) Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. No matter the insurance provider, all SBCs outline the same basic information. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. /Metadata 2580 0 R/ViewerPreferences 2581 0 R>> 401 0 obj <>stream You can connect here with some of the organizations we partner with! 1800 0 obj <>stream Competitive Salary and Benefits Package 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. would share the cost for covered health care services. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Consider or children in need. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . You may be able to get the SBC and Uniform Glossary in a language other than English upon request. The SBC shows you how you and the plan would share the cost for covered health care services. Live help. All plan-related information on this site is from CMS.gov and Medicare.gov. 0 Share via Facebook. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. 2 0 obj The SBC shows you how you and the plan would share the cost for covered healthcare services. 340 0 obj <>/Filter/FlateDecode/ID[<7683F4A8D47BF441B51CA1406C79AE5A>]/Index[324 78]/Info 323 0 R/Length 83/Prev 576238/Root 325 0 R/Size 402/Type/XRef/W[1 2 1]>>stream 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. 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. #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;} The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. /*-->

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