IEHP DualChoice (HMO D-SNP) It details the coverage and costs for any Affordable Care Act-compliant health plan. Medi-Cal is a no-cost or low-cost health coverage program. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. Contact the plan for details. Summary of Benefits and Coverage (SBC) Template | MS Word Format. Find out if you qualify for a Special Enrollment Period. We work with community partners and the courts to bring families together. The SBC shows you how you and the plan would share the cost for covered health care services. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. Were here to help! At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. 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 $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. See the Part D Premium Reduction section below for more details. IEHP DualChoice Cal MedConnect Plan (Medicare-Medicaid Plan): Summary of Benefits 2022 If you have questions , please call IEHP DualChoice at 1-877-273-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. View Plan Details How to Get Care We do not offer every plan available in your area. 401 0 obj <>stream IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan. %vM:+&Z$RI\\?wNuVS!n} Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. ah v$c`bd`Qb`_g "[y In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. NOTE: Information about the cost of this . See the . SBCs also explain health plans' unique features We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! Click to Call 1-877-354-4611 TTY 711. This could be right for you. This is only a summary. Learn more by clicking here. plan (called the premium) will be provided separately. 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), $0 copay (limits may apply) (authorization not required) (referral not required). We use cookies to offer you the best possible website experience. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. 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. No matter the insurance provider, all SBCs outline the same basic information. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. (877) 273-4347 endstream endobj startxref This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) Your Part B premium may differ based on factors including late enrollment, income, and disability status. We believe in helping YOU take care of yourself and your family. 1731 0 obj <> endobj Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. %PDF-1.7 An official website of the United States government. ! DVtQpQ3 oc$C#$3T.Y6N',FLX8O*aHaL9 Ma]\L)k)B\)6&BO_ZNp0,/.~9# Contact the plan for details. This is only a summary. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. Here you can find access to Family Resource Centers and crisis prevention services. Plan Overview. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. 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. [CDATA[/* > >Ivg@K, Enroll on the phone or online! This is only a summary. All Rights Reserved. .manual-search ul.usa-list li {max-width:100%;} Please, see below for location details, contact numbers, and hours of operation. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA <> 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. 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! Advantage Plus benefits and premiums . @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> 711 (TTY), To Enroll with IEHP The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. important to review plan coverage, costs, and benefits before you enroll. Visit bluecrossmn.com or call toll free at 1-855-579 . L.A. Care Covered Gold 80 HMO Evidence of . Get help from a licensed Medicare agent. 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 also have partners throughout Riverside County waiting to help you at any time. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Ready to sign up for IEHP DualChoice (HMO D-SNP) =========== 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. 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. You need a roof over your head. %%EOF The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Click here to learn more. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. 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. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. hb```f``|AX,;Xt3]. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Learn more about resources in languages other than English. stream We want to help. 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. .usa-footer .grid-container {padding-left: 30px!important;} 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. 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. Your HBA, usually located in your agency's personnel office, can also print you a copy . Podiatry Chiropractic Allergy care Please check the plans formulary for specific drugs covered. offers the following coverage and cost-sharing. .manual-search-block #edit-actions--2 {order:2;} KtV Sample Completed SBC | MS Word Format. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. IMPORTANT: This page has been updated with plan and premium data for the 2023. You can connect here with some of the organizations we partner with! Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW Team Member* benefits include: 2019 Inland Empire Health Plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } We provide access to caregivers who help at-risk adults live safely and independently in their own home. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. .agency-blurb-container .agency_blurb.background--light { padding: 0; } . This is only a summary. 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 . We also have services to protect adults from abuse and neglect. We have several customer service locations across our 7,300 square-mile county where you can find help. TTY users should call 1-800-430-7077. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). SBC document helps you choose a health plan. 4 0 obj %%EOF Copy Page Link. <> 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. IEHP DualChoice (HMO D-SNP) We protect our communitys most vulnerable children and adults. Competitive Salary and Benefits Package Please read the Evidence of Coverage for the full list of benefits. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. Your family is your top priority. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Become a foster or adoptive parent. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 0 All plan-related information on this site is from CMS.gov and Medicare.gov. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services IEHP DualChoice (HMO D-SNP) %PDF-1.7 % also provides the following benefits. It is a legal document that explains your health care plan and should answer many important questions about your benefits. Adults pay no monthly premium for Medi-Cal coverage. w@!nRKb 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 Yes. Share via Email. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. 1457 0 obj <>stream Factsonmedicare.com is a free-to-use informational website. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). Any information we provide is limited to those plans we do offer in your area. The SBC shows you how you and the plan would share the cost for covered healthcare services. You may also call Health Care Options at 1-800-430-4263. -l 7500 Security Boulevard, Baltimore, MD 21244. Apply here and learn more about benefits. 3 0 obj .manual-search ul.usa-list li {max-width:100%;} Your cookie preferences will be stored in your browsers local storage. Other languages can be selected below. Once you reach that amount, you will enter the next coverage phase. NOTE: Information about the cost of this plan (called the premium) will be provided separately. endobj You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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 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 or your has limited income, Medi-Cal provides health coverage for no or low-cost. (800) 718-4347 (TTY), IEHP DualChoice Member Services It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. For more information , visit www.iehp.org. This is only a summary. 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