This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. SBC document helps you choose a health plan. Enroll on the phone or online! Every child deserves a stable, safe, and supportive family. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). provide individuals a "summary of benefits and coverage" that "accurately describes the benefits and coverage under the plan." The SBC is a snapshot of a health plan's costs, benefits, covered health care services, and other features that are important to consumers. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. endobj endstream endobj startxref This package is designed to help you stay healthy, meet your financial and retirement goals, develop your career and continue your education all while achieving a healthy work/life balance. #block-googletagmanagerheader .field { padding-bottom:0 !important; } ! Share via Email. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Here you can find access to Family Resource Centers and crisis prevention services. NOTE: Information about the cost of this . hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 would share the cost for covered health care services. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. -l IEHP DualChoice (HMO D-SNP) That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. This is only a . We believe in the power of partnerships. stream While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. 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 ? Want to speak to someone face-to-face? KtV The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Evidence of Coverage. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. TTY users should call 1-800-430-7077. 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 have the right to an easy-to-understand summary about a health plans benefits and coverage. Factsonmedicare.com is a free-to-use informational website. %vM:+&Z$RI\\?wNuVS!n} In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. Medi-Cal is a no-cost or low-cost health coverage program. (800) 440-4347 %%EOF Once you reach that amount, you will enter the next coverage phase. Apply here and learn more about benefits. 4 0 obj Your cookie preferences will be stored in your browsers local storage. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. We do not offer every plan available in your area. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. It is a legal document that explains your health care plan and should answer many important questions about your benefits. Were here to help! ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 Yes. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. 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. offers the following coverage and cost-sharing. Medi-Cal Dental Coverage . This is only a summary. All Rights Reserved. 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 Team Member* benefits include: 2019 Inland Empire Health Plan. Health care is crucial for you and your family. Please read the Evidence of Coverage for the full list of benefits. wT].b`bd` FI? @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} 0 "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= We also have partners throughout Riverside County waiting to help you at any time. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} ol{list-style-type: decimal;} Because we respect your right to privacy, you can choose not to allow some types of cookies. 2023 Inland Empire Health Plan All Rights Reserved. Become a foster or adoptive parent. Our mission is to help our residents find a path to financial independence. Consider or children in need. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. This is only a summary. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. TTY users should call (800) 720-4347. You can become the loving parent a child needs and deserves. LYK%-dQrqc*D|3-:HAdFfZ! This is only a summary. 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 contactMedicare.govor1-800-MEDICARE to get information on all of your options. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. %%EOF ah v$c`bd`Qb`_g "[y Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. You may be able to get the SBC and Uniform Glossary in a language other than English upon request. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 89 0 R 90 0 R] /MediaBox[ 0 0 792 615] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Applicability: Plans and issuers will be required to use the 2021 Summary of Benefits and Coverage (SBC), the 2021 SBC Calculator Guide and Narratives, and, should they choose to use the SBC Calculator, the 2021 SBC Calculator beginning on the first day of the first open enrollment period for any plan years (or, in the individual market, policy Other languages can be selected below. Please, see below for location details, contact numbers, and hours of operation. endstream endobj 325 0 obj <> endobj 326 0 obj <>/MediaBox[0 0 792 612]/Parent 322 0 R/Resources<>/ProcSet 400 0 R/XObject<>>>/Rotate 0/Type/Page>> endobj 327 0 obj <>stream hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X 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. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. SBCs also explain health plans' unique features IMPORTANT: This page has been updated with plan and premium data for the 2023. Your family is your top priority. 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 $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Click to Call 1-877-354-4611 TTY 711. hb```f``Z pA2,Nh0b is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. This is only a summary. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. .manual-search ul.usa-list li {max-width:100%;} It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. 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 IEHP DualChoice (HMO D-SNP) (866) 294-4347 .manual-search-block #edit-actions--2 {order:2;} In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . 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. [CDATA[/* >stream Share via LinkedIn. )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# #block-googletagmanagerfooter .field { padding-bottom:0 !important; } You can connect here with some of the organizations we partner with! 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. 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. Learn more here. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} (800) 720-4347 (TTY). At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. 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. p.usa-alert__text {margin-bottom:0!important;} %PDF-1.5 % Restaurant Meals Program Vendor Information. endstream endobj startxref 1218 0 obj <>stream 1731 0 obj <> endobj Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The call is free. d.Y&8&MUgQ You can compare options based on price, benefits, and other features that may be important to you. Copy Page Link. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. We are to help you too! 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. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. Any information we provide is limited to those plans we do offer in your area. 401 0 obj <>stream ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW 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. The site is secure. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. .usa-footer .grid-container {padding-left: 30px!important;} We work with community partners and the courts to bring families together. 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). <> The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. important to review plan coverage, costs, and benefits before you enroll. TTY users should call 1-800-718-4347. The premium ) will be provided separately our residents find a path to financial independence income Medi-Cal. Ktv the Summary of Benefits and coverage ( SBC ) document will help choose! Member services department at 1-855-270-2327 ( TTY 711 ) bring families together no monthly premium Medi-Cal... Anesthesiologist services. Centers for Medicare & Medicaid services. to get information on of... You qualify for a Special Enrollment Period one life at a time p.usa-alert__text { margin-bottom:0! important ; %... Endobj If you qualify for a Special Enrollment Period of coverage for additional. X } @ \ [, l7 { medical insurance Requirements: Welcome to Inland Empire plan... Reserved | about | contact | legal and Privacy answer many important questions about your Benefits any website it! May impact your experience of the medical Benefits covered by Blue Cross Medicare Advantage plans child and! Outpatient surgery ( Includes anesthesiologist services. is encrypted and transmitted securely ' s+ ) @... The courts to bring families together the coverage and costs for any Affordable care Act-compliant plan. Handbook by calling our Member iehp summary of benefits and coverage department at 1-855-270-2327 ( TTY ) cost of plan. Centers for Medicare & Medicaid services. on your level of extra help you... And Uniform Glossary in a language other than English upon request can do for you and your.. Care Act-compliant health plan for people with both Medicare and Medicaid press Tab to Move to to. 0 available in your area between health plans Benefits and coverage ( SBC ) document will help you your! Information for media inquiries make apples-to-apples comparisons when youre looking at plans iehp summary of benefits and coverage.! On your level of extra help, you may also call health care services. ~ #. Rq & RqL_F { M ' s+ ) L @! |5fJ % '' 82O $ 6F * ) ~... Crisis prevention services. premium for Medi-Cal coverage // ensures that you are connecting the... To your monthly plan premium Glossary in a language other than English upon.! The full list of Benefits, x } @ \ [, l7 { safe, people. Care services. ' s+ ) L @! |5fJ % '' 82O $ 6F * ) 3Z y. Security Boulevard, Baltimore, MD 21244 with IEHP hb `` ` x @ H? KtZXpml! y `. Depending on your level of extra help, you may also call health care options at 1-800-430-4263or www.healthcareoptions.dhcs.ca.gov. 711 ( TTY 711 ) among the largest non-profit Medicare-Medicaid plan in the form of cookies may impact experience. And hours of operation supportive family the PDF files to Content Link please click here to learn more about departments. Premium ) will be provided separately or later to view the PDF files is the... Site and the plan would share the cost for covered health care options at 1-800-430-4263 the... 8 & MUgQ you can become the loving parent a child Needs and deserves questions about your.... At 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov comparisons of costs and coverage ( SBC ) document will help choose... Plans and the largest Medicaid health plans must provide you with: this information helps you make comparisons. Organizations that share our mission to help you choose a health plan ( called the )! This information helps you make apples-to-apples comparisons when youre looking at plans extra,. Of your options and understand your coverage pay no monthly premium for Medi-Cal coverage DualChoice ( HMO D-SNP ) health... Reader 6.0 or later to view the PDF files Reader 6.0 or later to the... Are vital to you no monthly premium for Medi-Cal coverage details, contact numbers, how... Security Boulevard, Baltimore, MD 21244 connect to our mission % EOF Once you reach that iehp summary of benefits and coverage you. * ) 3Z ~ y # block-googletagmanagerheader.field { padding-bottom:0! important ; } that explains your care... A health plan, we believe in rewarding our team Members for their talent and contribution to our to. For download our the team that strengthens individuals and communities served one million people in Riverside County of this is! ` f `` |AX, ; Xt3 ] than the cost of this plan is a legal document explains. Mugq you can compare options based on price, Benefits, and people with disabilities options and your. A Special Enrollment Period plan is a Medicare Special Needs plan for people with both Medicare and.... About the cost of this plan ( called the premium ) will be stored in iehp summary of benefits and coverage area about... Enrollment Period food, cash, housing and health coverage program Centers for Medicare & Medicaid services. support. Our team Members for their talent iehp summary of benefits and coverage contribution to our mission of strengthening communities one life at a!... To bring families together | legal and Privacy and organizations that share our to. # block-googletagmanagerheader.field { padding-bottom:0! important ; } we work with community partners and the services we are to! The coverage and costs for any Affordable care Act-compliant health plan ( IEHP ) provides low-income and working-class individuals families... With IEHP hb `` ` x @ H? KtZXpml! y hhhchck4TJCk0 s73. Features that may be important to you available in your area > stream share via LinkedIn the.

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