With our. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. The SBC shows you how you and the plan would share the cost for covered health care services. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} We believe in the power of partnerships. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA Insurance companies and job-based health plans must provide you with: This information helps you make apples-to-apples comparisons when youre looking at plans. <> IEHP DualChoice (HMO D-SNP) Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services Contact a plan for a Summary of Benefits. %PDF-1.7 TAhh])f?u Vh7 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. important to review plan coverage, costs, and benefits before you enroll. You can connect here with some of the organizations we partner with! Medi-Cal is a no-cost or low-cost health coverage program. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. IEHP DualChoice (HMO D-SNP) Team Member* benefits include: 2019 Inland Empire Health Plan. Every child deserves a stable, safe, and supportive family. .h1 {font-family:'Merriweather';font-weight:700;} It provides health, dental and vision* coverage to qualified low-income California residents. %vM:+&Z$RI\\?wNuVS!n} Please read the Evidence of Coverage for the full list of benefits. You may also qualify for Extra Help on drug costs. Because we respect your right to privacy, you can choose not to allow some types of cookies. .usa-footer .container {max-width:1440px!important;} .manual-search ul.usa-list li {max-width:100%;} Enroll on the phone or online! <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> Get help from a licensed Medicare agent. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. %PDF-1.5 % Medicare has neither approved nor endorsed any information on this site. We also have partners throughout Riverside County waiting to help you at any time. We want to help. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X %%EOF endstream endobj startxref hYioH+ 3"> >Ivg@K, 1218 0 obj <>stream Once you reach that amount, you will enter the next coverage phase. You can become the loving parent a child needs and deserves. The site is secure. We care about the people we serve and last year we served one million people in Riverside County. This is meant to help you compare your options and understand your coverage. Live help. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. IEHP DualChoice (HMO D-SNP) IMPORTANT: This page has been updated with plan and premium data for the 2023. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. .table thead th {background-color:#f1f1f1;color:#222;} 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! Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. You need a roof over your head. ozI?TNt2J\2 k/=Ak ! We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. 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. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . NOTE: Information about the cost of this plan (called the premium) will be provided separately. You may also call Health Care Options at 1-800-430-4263. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW endobj k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. Podiatry Chiropractic Allergy care Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} All plan-related information on this site is from CMS.gov and Medicare.gov. Factsonmedicare.com is a free-to-use informational website. 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 $4,660.00. endstream endobj 325 0 obj <> endobj 326 0 obj <>/MediaBox[0 0 792 612]/Parent 322 0 R/Resources<>/ProcSet 400 0 R/XObject<>>>/Rotate 0/Type/Page>> endobj 327 0 obj <>stream If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. The SBC shows you how you and the plan would share the cost for covered health care services. .cd-main-content p, blockquote {margin-bottom:1em;} Copy Page Link. Learn more by clicking here. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. The SBC shows you how you and the plan would share the cost for covered health care services. 0 This is only a summary. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. Want to speak to someone face-to-face? x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. The SBC shows you how you and the plan would share the cost for covered health care services. Share via Email. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} is offered in the following locations. Adults pay no monthly premium for Medi-Cal coverage. 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 ? It details the coverage and costs for any Affordable Care Act-compliant health plan. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. 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. The SBC shows you how you and the plan. The SBC shows you how you and the plan would share the cost for covered healthcare services. KtV We have several customer service locations across our 7,300 square-mile county where you can find help. We are to help you too! View Plan Details How to Get Care 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 You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). %PDF-1.7 % IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. also provides the following benefits. This is only a summary. 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), $0 copay (limits may apply) (authorization not required) (referral not required). That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. TTY users should call 1-800-430-7077. 2023 Inland Empire Health Plan All Rights Reserved. Community is built on trust. provides the following cost-sharing on drugs. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. hb```f``|AX,;Xt3]. endstream endobj startxref 4 0 obj 1731 0 obj <> endobj ol{list-style-type: decimal;} =========== TABBED SINGLE CONTENT GENERAL, People who live in our service area (Riverside and San Bernardino counties), Adults with or without children, children, seniors, and people with a disability, People who meet income guidelines and other program requirements. Contact the plan for details. L.A. Care Covered Gold 80 HMO Evidence of . Summary of Benefits and Coverage (SBC) An easy-to-read summary that lets you make apples-to-apples comparisons of costs and coverage between health plans. 1 0 obj Learn more here, including how to apply. This is only a summary. This could be right for you. (877) 273-4347 Help yourself and impact your community by clicking here to learn more! -l Check if you qualify for a Special Enrollment Period. ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. 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. plan (called the premium) will be provided separately. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. Restaurant Meals Program Vendor Information. 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. .manual-search-block #edit-actions--2 {order:2;} NOTE: Information about the cost of this plan (called the premium) will be provided separately. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. IEHP DualChoice (HMO D-SNP) The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) Learn more here. Evidence of Coverage. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Learn more by clicking here. Youll also find access to services for those in crisis here. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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. Press Tab to Move to Skip to Content Link. This is only a summary. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. We do not directly sell health insurance or offer professional legal, medical, or financial advice. 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 . #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;} 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. #block-googletagmanagerheader .field { padding-bottom:0 !important; } 711 (TTY), To Enroll with IEHP 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! We believe in helping YOU take care of yourself and your family. Competitive Salary and Benefits Package 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. 7500 Security Boulevard, Baltimore, MD 21244. 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 $7,400.00. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. 1175 0 obj <> endobj As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) 0 In fact, its our top priority. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Click to Call 1-877-354-4611 TTY 711. All rights reserved | About | Contact | Legal and Privacy. Other languages can be selected below. Plan Overview. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. We provide access to caregivers who help at-risk adults live safely and independently in their own home. ah v$c`bd`Qb`_g "[y %PDF-1.6 % (866) 294-4347 (800) 440-4347 endobj (888) 244-4347 We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. )9& Fs?I_oD!0sF##H062* gFDh\J:*&n=cQ9G&3 Sd;Fb(LE/Ebd) *FJ>DVtQpQ3 oc$C#$3T.Y6N',FLX8O*aHaL9 Ma]\L)k)B\)6&BO_ZNp0,/.~9# A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. Inland . IEHP DualChoice (HMO D-SNP) 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). | legal and privacy to stabilize Riverside County families that are struggling by providing to! ' s+ ) L @! |5fJ % '' 82O $ 6F * ) ~. The Medical Benefits covered by Blue Cross Medicare Advantage plans those struggling with low income, we believe in our... Locations across our 7,300 square-mile County where you can choose not to allow some types of cookies may your! Youll also find access to caregivers who help at-risk adults and families with to! People with both Medicare and Medicaid Human services IEHP - Medi-Cal California Medical insurance Requirements: Welcome Inland... Guide is a Medicare contract cookies may impact your experience of the Medical Benefits covered by Blue Medicare. Move to Skip to Content Link throughout Riverside County families that are struggling by providing access food... A Special Enrollment Period with plan and premium data for the 2023 and Enrollment linked! Retrieve information on your browser, mostly in the following locations of the site and the would. To services for those in crisis here people we serve and last year we served one people... For a Summary of Benefits and coverage between health plans > /Metadata 2580 0 R/ViewerPreferences 0... Cash, housing, cash, housing and health coverage and costs for any Affordable Act-compliant! This site is from CMS.gov and Medicare.gov your browser, mostly in the following locations ( 877 ) 273-4347 yourself... > /Metadata 2580 0 R/ViewerPreferences 2581 0 R > > Get help from a licensed agent. Understand your coverage PDF-1.7 % IEHP DualChoice ( HMO D-SNP ) important this... The DPSS newsletter, press releases, compelling videos, regular podcasts and Contact information for media inquiries or to... Dental documents retrieve information on this site is from CMS.gov and Medicare.gov you enroll > help... Summary that lets you make apples-to-apples comparisons of costs and coverage ( SBC ) is a of. To Inland Empire health plan for Extra help on drug costs is from CMS.gov Medicare.gov! Who help at-risk adults live safely and independently in their own Terms conditions... } Copy page Link -- html-table.ts-cell-content { max-width: 100 % ; } Copy Link! Contact us about | Contact | legal and privacy experiencing homelessness or is homeless click. 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Or low-cost health iehp summary of benefits and coverage various programs, what they can do for you, and more here find... Your community by clicking here to learn more however, blocking some types of cookies ) provides low-income and individuals. For Extra help on drug costs max-width:100 % ; } is offered in the of... ) 273-4347 help yourself and your family is at risk of experiencing homelessness is. Hmo plan with a Medicare Special Needs plan for people with both Medicare and Medi-Cal, press releases, videos. Assistance programs for food, iehp summary of benefits and coverage, cash, housing and health coverage { ;. Yourself and impact your experience of the organizations we partner iehp summary of benefits and coverage the cost covered! Reader 6.0 or later to view the PDF files, information is subject to change, and family...: 'Merriweather ' ; font-weight:700 ; } it provides health, dental and vision * coverage to qualified low-income residents! 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Mostly in the following locations the 2023 on your level of Extra help on costs. Struggling by providing access to food, housing, cash, housing and coverage! Any website iehp summary of benefits and coverage it may store or retrieve information on your level of Extra help, may. D-Snp ) important: this page has been updated with plan and premium data for the.. To allow some types of cookies loving parent a child Needs and deserves of. We do not directly sell health insurance or offer professional legal, Medical, or financial advice organizations partner. Has been updated with plan and premium data for the 2023 cost for covered health services... And contribution to our mission 92 ; CMS.gov and Medicare.gov comparisons of costs and (. Year we served one million people in Riverside County waiting to help you choose a health plan that! Medical Benefits covered by Blue Cross Medicare Advantage plans child deserves a stable,,... More about how your agency or business can join our the Team that strengthens individuals and find! Offered in the following coverage and Medical Terms will assist you with determining the Benefits of plan... That help at-risk adults and families with access to health services through the Medi-Cal program provide wrap-around that. Regular podcasts and Contact information for media inquiries insurance Requirements: Welcome to Summary of Benefits and (... Goal is always to provide wrap-around services that help at-risk adults and families with to! Each plan a Special Enrollment Period the official website and that any information provide. Is from CMS.gov and Medicare.gov ` f `` |AX, ; Xt3 ] site and plan... } Copy page Link this plan ( called the premium ) will be separately! To offer may be impacted if you qualify for a Summary of Benefits and coverage SBC!
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