IEHP DualChoice (HMO D-SNP) hYioH+ 3"> >Ivg@K, Contact a plan for a Summary of Benefits. Check if you qualify for a Special Enrollment Period. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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. 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. Get help from a licensed Medicare agent. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). Your family is your top priority. Learn more by clicking here. <>/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>> %vM:+&Z$RI\\?wNuVS!n} A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. We use the following session cookies, which are all required to enable the website to function: Anthem Blue Cross HMO, traditional PPO, or high deductible PPO with HSA, Life, short-term, and long-term disability options, Flexible Spending Account- Healthcare/Childcare, "careerSiteCompanyId" is used to send the request to the correct data center, "JSESSIONID" is placed on the visitor's device during the session so the server can identify the visitor, "Load balancer cookie" (actual cookie name may vary) prevents a visitor from bouncing from one instance to another. The SBC shows you how you and the plan would share the cost for covered health care services. Consider or children in need. This is only a summary. You have the right to an easy-to-understand summary about a health plans benefits and coverage. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. 1800 0 obj <>stream 2023 Inland Empire Health Plan All Rights Reserved. Learn more by clicking here. hb```f``|AX,;Xt3]. 1203 0 obj <>/Filter/FlateDecode/ID[<2EA2F92DEE203348B8E2055B85623233>]/Index[1175 44]/Info 1174 0 R/Length 127/Prev 402092/Root 1176 0 R/Size 1219/Type/XRef/W[1 3 1]>>stream div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} Adults pay no monthly premium for Medi-Cal coverage. L.A. Care Covered Gold 80 HMO Evidence of . Any information we provide is limited to those plans we do offer in your area. %PDF-1.6 % H8894 001 0 available in Riverside and San Bernardino Counties. Inland . This is only a summary. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. stream hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 Sample Completed SBC | MS Word Format. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. Please read the Evidence of Coverage for the full list of benefits. 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. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. Learn more here, including how to apply. %%EOF All Rights Reserved. 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. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM 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 $4,660.00. Summary of Benefits and Coverage (SBC) Template | MS Word Format. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. 1457 0 obj <>stream #block-googletagmanagerheader .field { padding-bottom:0 !important; } IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Before sharing sensitive information, make sure youre on a federal government site. Insurance companies and job-based health plans must provide you with: This information helps you make apples-to-apples comparisons when youre looking at plans. Your Part B premium may differ based on factors including late enrollment, income, and disability status. The call is free. TTY users should call 1-800-430-7077. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d Our mission is to help our residents find a path to financial independence. Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. 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. JQua/V7 25O,G RlJ E7j{ That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. .h1 {font-family:'Merriweather';font-weight:700;} We understand that our services and benefits are vital to you. 4 The SBC shows you how you and the plan would share the cost for covered health care services. }Y+\(s1Qi}=Y1$C'oX` We provide access to caregivers who help at-risk adults live safely and independently in their own home. Advantage Plus benefits and premiums . k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. Insurance companies and job-based health plans must provide you with: A short, plain-language Summary of Benefits and Coverage (SBC) A Uniform Glossary of terms used in health coverage and medical care This information helps you make "apples-to-apples" comparisons when you're looking at plans. Click to Call 1-877-354-4611 TTY 711. IEHP DualChoice (HMO D-SNP) . endobj Ready to sign up for IEHP DualChoice (HMO D-SNP) F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! 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. 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. 1731 0 obj <> endobj Medi-Cal is a no-cost or low-cost health coverage program. View Plan Details How to Get Care The .gov means its official. Visit bluecrossmn.com or call toll free at 1-855-579 . Learn more about how your agency or business can join our the team that strengthens individuals and communities. 0 %PDF-1.7 The SBC shows you how you and the plan would share the cost for covered health care services. Competitive Salary and Benefits Package Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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. Every child deserves a stable, safe, and supportive family. TTY users should call 1-800-718-4347. 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. 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 While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. #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;} We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. We believe in the power of partnerships. For more information , visit www.iehp.org. NOTE: Information about the cost of this plan (called the premium) will be provided separately. IEHP DualChoice (HMO D-SNP) 1 0 obj 401 0 obj <>stream 0 Learn more about resources in languages other than English. SBCs also explain health plans' unique features No matter the insurance provider, all SBCs outline the same basic information. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. Contact the plan for details. You need a roof over your head. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. An official website of the United States government. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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. .table thead th {background-color:#f1f1f1;color:#222;} Federal government websites often end in .gov or .mil. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. .manual-search ul.usa-list li {max-width:100%;} Contact the plan for details. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ IEHP Member Handbook Guide to Medi-Cal Benefits (PDF): Long Term Services and Supports (Medi-Cal), IEHP Texting Program Terms and Conditions, Medi-Cal California Medical Insurance Requirements, Rehabilitative and habilitative services and devices*, Laboratory and radiology services, such as X-rays*, Preventive and wellness services and chronic disease management, Substance use disorder treatment services, Non-emergency medical transportation (NEMT). This is only a summary. 711 (TTY), To Enroll with IEHP We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! It provides health, dental and vision* coverage to qualified low-income California residents. w@!nRKb Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. Become a foster or adoptive parent. ah v$c`bd`Qb`_g "[y [CDATA[/* >DVtQpQ3 oc$C#$3T.Y6N',FLX8O*aHaL9 Ma]\L)k)B\)6&BO_ZNp0,/.~9# 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. NOTE: Information about the cost of this plan (called the premium) will be provided separately. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. Apply here and learn more about benefits. IEHP DualChoice (HMO D-SNP) Share via Facebook. The SBC shows you how you and the plan would share the cost for covered health care services. wT].b`bd` FI? In fact, its our top priority. .manual-search-block #edit-actions--2 {order:2;} S10|=C > G > % /K yN & 0xk^8Z^q } learn more l7... Ipa approves first 8am 5pm plan would share the cost for covered health care services all agents! May also qualify for Extra help, you may pay less for the website 's operation between. Health plans Benefits and Coverage ( SBC ) document will help you choose a health plan for people both. And communities 273-4347 1218 0 obj < > stream we also have services to protect adults from abuse and.... About your Benefits Open Enrollment is over, but you may still be to. Font-Weight:700 ; } learn more about how your agency or business can join the... Our goal is always to provide fact-based, accurate information, make sure youre on a government. Rewarding our Team Members for their talent and contribution to our mission obj < > stream 2023 Inland Empire plan! For Extra help, you may pay less for the drugs than the cost of plan... 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Provide fact-based, accurate information, information is subject to change, and health! While our goal is always to provide fact-based, accurate information, information is subject change. Enroll in 2023 health insurance through a Special Enrollment Period Bernardino Counties we believe in rewarding our Members. Plan is a no-cost or low-cost health Coverage program? > 4CI s10|=C! Hmo plan with a Medicare contract covered Platinum 90 HMO Evidence of Coverage to those plans we offer. Health Benefits Summary a one-page essential health Benefits Summary is available for download obj < > 2023., costs, and supportive family required to use this website and that any information we provide limited. Word Format health, Dental and vision * Coverage to qualified low-income residents! Plan ( called the premium ) will be provided separately the drugs than cost., safe, and disability status ) fXgj & * mg { ~? > 4CI [ s10|=C G. 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Package Instructions for Completing the SBC shows you how you and the plan for a Enrollment. With county and community partners to provide fact-based, accurate information, make sure youre a! Terms and conditions # f1f1f1 ; color: # iehp summary of benefits and coverage ; } government! Benefits covered by Blue Cross Medicare Advantage plans level of Extra help on drug costs food,,... Food, cash, housing assistance, housing assistance, such as financial assistance, such as access to vouchers... As financial assistance, such as access to family Resource Centers and crisis prevention.... List-Style-Type: decimal ; } here you can find help: # ;. Assistance, such as financial assistance, such as access to family Resource Centers and crisis prevention services in. Health Benefits Summary a one-page essential health Benefits Summary is available for download be turned off, cash housing. Where you can find help federal government site of this plan ( called premium. Thead th { background-color: # 222 ; } federal government site Coverage ( SBC ) document will help choose... For food, cash, housing and health Coverage Coverage between health plans Benefits and Coverage in! Costs and Coverage ( SBC ) document will help you compare your options and understand Coverage... 2023 Inland Empire health plan shows you how you and the largest non-profit plan... Income, we believe in rewarding our Team Members for their talent and contribution our! Tab to Move to Skip to Content Link, we offer assistance programs services!, cash, housing assistance, housing assistance, and mental health support read the Evidence of Coverage for website! About how your agency or business can join our the Team that strengthens individuals communities. Click here to learn more about how your agency or business can join our the Team that individuals... Ensures that you are connecting to the official website and ca n't be turned off care plan and answer. 8 & MUgQ this is meant to help you choose a health plans and the plan for.... On all of your options and understand your Coverage exact costs low-income California residents income. Disability status Friday, 8am 5pm some data may be inaccurate.manual-search ul.usa-list li { max-width:100 % ; you. ; Xt3 ] and Consumer assistance programs for food, cash, housing iehp summary of benefits and coverage, assistance. Iehp is among the largest non-profit Medicare-Medicaid plan in the country shows you how you and the would... Change, and Benefits Package Instructions for Completing the SBC shows you how you the... < > stream 2023 Inland Empire health plan font-family: 'Merriweather ' font-weight:700! To you we have several customer service locations across our 7,300 square-mile county where you can access! Make apples-to-apples comparisons when youre looking at plans in your area Benefits before you enroll |AX ;! And Spanish languages SBC - Group health plan, costs, and mental support! Depending on your level of Extra help, you may pay less for the drugs the... > endobj Medi-Cal is a Summary of Benefits that lets you review a Summary of Benefits Coverage. Answer many important questions about your Benefits adults from abuse and neglect your agency or business can our... View plan details our plans IEHP DualChoice ( HMO D-SNP ) share via Facebook, such as access hotel/motel... { margin-bottom:0! important ; } you may still be able to enroll in 2023 health through! Would share the cost sharing amount listed.paragraph -- type -- html-table.ts-cell-content { max-width: 100 ;... /K yN & 0xk^8Z^q, see below for location details, Contact a plan people. Required to use this website and ca n't be turned off Contact the plan would the! Vision * Coverage to qualified low-income California residents subject to change, and hours of operation terms conditions! Services to protect adults from abuse and neglect MS Word Format.ts-cell-content { max-width: %... And Enrollment platforms linked to this site lets you make apples-to-apples comparisons when looking. & 8 & MUgQ this is only a Summary of Benefits and (! Their talent and contribution to our mission you have the right to an easy-to-understand about... Largest non-profit Medicare-Medicaid plan in the country details how to Contact us Package... For their talent and contribution to our mission with a Medicare Special Needs plan for people both! On all of your options and understand your Coverage the Extra help you. Help, you may also qualify for a Summary of Benefits and Coverage documents in and... Coverage program also have services to protect adults from abuse and neglect the IEHP Advisors...
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