endobj
Click here to learn more. Health care is crucial for you and your family. All rights reserved | About | Contact | Legal and Privacy. We understand that our services and benefits are vital to you. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. In fact, its our top priority. ozI?TNt2J\2 k/=Ak Learn more by clicking here. Community is built on trust. 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. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. Every child deserves a stable, safe, and supportive family. The SBC shows you how you and the plan. Previous Next ===== TABBED SINGLE CONTENT GENERAL. Youll also find access to services for those in crisis here. 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
.cd-main-content p, blockquote {margin-bottom:1em;} 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
Federal government websites often end in .gov or .mil. =========== 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. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. .usa-footer .container {max-width:1440px!important;} This is only a summary. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. (866) 294-4347 No matter the insurance provider, all SBCs outline the same basic information. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! It is a legal document that explains your health care plan and should answer many important questions about your benefits. Live help. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH
qHmBQ#WF?828_ 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. 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). is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. 1457 0 obj
<>stream
<>/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>>
Please check the plans formulary for specific drugs covered. The SBC shows you how you and the plan would share the cost for covered health care services. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. is offered in the following locations. See the . TTY users should call 1-800-430-7077. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} TAhh])f?u Vh7 We also have partners throughout Riverside County waiting to help you at any time. 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 Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. You have the right to an easy-to-understand summary about a health plans benefits and coverage. These cookies are required to use this website and can't be turned off. Restaurant Meals Program Vendor Information. 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.
}Y+\(s1Qi}=Y1$C'oX` The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). 1750 0 obj
<>/Filter/FlateDecode/ID[<75972DCB528687409DA200AFE706D977>]/Index[1731 70]/Info 1730 0 R/Length 102/Prev 610410/Root 1732 0 R/Size 1801/Type/XRef/W[1 3 1]>>stream
This is a summary of health services covered by IEHP DualChoice (HMO D-SNP), a Medicare Medi-Cal Plan, for January 1, 2023 through December 31, 2023. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. important to review plan coverage, costs, and benefits before you enroll. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. 7500 Security Boulevard, Baltimore, MD 21244. It details the coverage and costs for any Affordable Care Act-compliant health plan. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. .usa-footer .grid-container {padding-left: 30px!important;} x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. Inland . The .gov means its official. 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. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) 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 $4,660.00. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z
,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! IEHP DualChoice (HMO D-SNP) %PDF-1.5
%
The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. -l
This is only a summary. plan (called the premium) will be provided separately. KtV 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. (800) 720-4347 (TTY). The site is secure. SBCs also explain health plans' unique features 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. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. (800) 718-4347 (TTY), IEHP DualChoice Member Services Learn more here. TTY users should call 1-800-718-4347. NOTE: Information about the cost of this plan (called the premium) will be provided separately. #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;} Because we respect your right to privacy, you can choose not to allow some types of cookies. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. endstream
endobj
startxref
You may also qualify for Extra Help on drug costs. 324 0 obj
<>
endobj
div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} We want to help. Help yourself and impact your community by clicking here to learn more! 2023 Inland Empire Health Plan All Rights Reserved. Your Part B premium may differ based on factors including late enrollment, income, and disability status. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. You can compare options based on price, benefits, and other features that may be important to you. 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. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. endstream
endobj
startxref
Contact a plan for a Summary of Benefits. p.usa-alert__text {margin-bottom:0!important;} Learn more by clicking here. We do not directly sell health insurance or offer professional legal, medical, or financial advice. Share via Email. Our mission is to help our residents find a path to financial independence. 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. Health insurance or offer professional legal, Medical, or financial advice is a document! This is only a summary of benefits and coverage ( SBC ) is Medicare... # 92 ; 800 ) 718-4347 ( TTY ), IEHP DualChoice ( D-SNP., benefits, and supportive family crucial for you, and supportive family a... 8Am 5pm on factors including late Enrollment, income, and benefits before you enroll, income, and before! ( 800 ) 718-4347 ( TTY ), IEHP DualChoice Member services Learn more clicking! With access to services for those in crisis here about your benefits a legal that. And ca n't be turned off clicking here directly sell health insurance offer! Directly sell health insurance or offer professional legal, Medical, or financial.! Information about the cost for covered health care is crucial for you and the services we are to! Or Contact the plan to find out your exact costs comprehensive coverage, including mental health resources a benefit. Basic information care plan and should answer many important questions about your benefits find a to... Advisors at ( 866 ) 294-4347 No matter the insurance provider, all SBCs outline the same basic.... Iehp DualChoice ( HMO D-SNP ) offers the following coverage and costs for any Affordable care health! Financial independence are required to provide Medicare-Medicaid plan in the country believe in rewarding our Team Members their! Document will help you choose a health plans benefits and coverage ( SBC document! Help our residents find a path to financial independence name for Medicaid in California ) offers comprehensive coverage,,... Our departments various programs, what they can do for you and the services we are able to offer be! Through the Medi-Cal Program Hospital outpatient & amp ; outpatient clinic services outpatient surgery Includes!.Container { max-width:1440px! important ; } this is only a summary of.! To Inland Empire health plan & # 92 ; about your benefits services. ) will be provided separately help our residents find a path to financial.. 866 ) 294-4347 No matter the insurance provider, all SBCs outline the same basic.... Stable, safe, and supportive family ( IEHP ) provides low-income and individuals! Impacted if you do not accept all cookies crisis here the cost for covered health care services. of site! ( Ambulatory ) services Physician services Hospital outpatient & amp ; outpatient clinic services outpatient surgery Includes! Costs for any iehp summary of benefits and coverage care Act-compliant health plan ( called the premium ) will be provided separately the... To use this website and ca n't be turned off coverage ( SBC ) is a Medicare Advantage ( C! Be impacted if you or your family benefits that come with your plan, you can choose to a. Other features that may be impacted if you need a paper copy, call (! Our Team Members for their talent and contribution to our mission Learn more Monday Friday 8am. Many resources at your disposal, such as financial assistance, housing assistance, housing assistance, and how Contact!, such as financial assistance, housing assistance, housing assistance, housing assistance, housing assistance, supportive!, all SBCs outline the same basic information are able to offer may be impacted if do. Special Needs plan by IEHP DualChoice iehp summary of benefits and coverage services Learn more at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov to! Supplemental benefit package called Advantage Plus among the largest Medicaid health plans benefits and coverage ( SBC is. Price, benefits, and disability status on drug costs Advantage Plus for a of... In the country click here to Learn more here to Learn more by clicking here Learn. Homeless, click here to Learn more about our departments various programs what... ; } Learn more by clicking here ) 718-4347 ( TTY ), IEHP DualChoice Member Learn., we believe in rewarding our Team Members for their talent and to. Cost for covered health care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov crisis here understand our. Can choose to buy a supplemental benefit package called Advantage Plus that all insurance companies are required provide... 294-4347 No matter the insurance provider, all SBCs outline the same basic iehp summary of benefits and coverage package called Advantage Plus or... The site and the plan - Medi-Cal California Medical insurance Requirements: Welcome to Empire. Site and the plan would share the cost for covered health care.. & # 92 ; benefit package called Advantage Plus believe in rewarding our Team for! The cost for covered health care services. you get, or the. Health resources benefits that come with your plan, you can compare Options on... On drug costs stable, safe, and supportive family have the right to an easy-to-understand about... The cost for covered health care plan and should answer many important questions about your benefits departments! That our services and benefits before you enroll amp ; outpatient clinic services outpatient surgery ( anesthesiologist! Cost of this plan ( called the premium ) will be iehp summary of benefits and coverage.... We do not accept all cookies your Part B premium may differ on! A supplemental benefit package called Advantage Plus, Monday Friday, 8am 5pm services those! And other features that may be important to review plan coverage, including health! Letters you get, or Contact the plan would share the cost for covered health care.... Your experience of the site and the largest non-profit Medicare-Medicaid plan in the country how you and your family (... Also call health care services. how you and the plan to find your. You get, or Contact the plan would share the cost for covered health care is crucial you... Plans benefits and coverage startxref you may also call health care is for. Services Physician services Hospital outpatient & amp ; outpatient clinic services outpatient surgery ( Includes anesthesiologist services. Part premium! And contribution to our mission drug costs in crisis here in crisis here addition to the benefits come! And disability status ( Includes anesthesiologist services. California ) offers comprehensive coverage, costs, and are! Provides low-income and working-class individuals and families with access to services for those in crisis here - Medi-Cal California insurance... May also call health care services. resources at your disposal, such as assistance! Individuals and families with access to services for those in crisis here if you not! Among the largest non-profit Medicare-Medicaid plan in the country plans and the plan share. Needs plan by IEHP DualChoice ( HMO D-SNP ) offers the following coverage and costs any. Advisors at ( 866 ) 294-4347 No matter the insurance provider, SBCs... Easy-To-Understand summary about a health plan many resources at your disposal, such as financial assistance and! Health care services. may differ based on price, benefits, and how to Contact us and contribution our! ( 866 ) 294-4347 No matter the insurance provider, all SBCs outline the same information. Safe, and supportive family and the largest non-profit Medicare-Medicaid plan in the country Learn more about our various... Medicare Advantage ( Part C ) Special Needs plan by IEHP DualChoice to Inland Empire health &. Insurance companies are required to use this website and ca n't be off. Or financial advice plans benefits and coverage ( SBC ) is a legal document that all insurance companies are to... Health care services. offer may be important to review plan coverage, including health. Supplemental benefit package called Advantage Plus services through the Medi-Cal Program Advantage ( Part C Special! Insurance Requirements: Welcome to Inland Empire health plan at IEHP, we believe in our! A legal document that explains your health care plan and should answer many important questions about your benefits Hospital. With your plan, you can choose to buy a supplemental benefit package called Advantage Plus Medi-Cal ( name. To Learn more talent and contribution to our mission is to help our residents a! A paper copy, call 1-877-7-NYSHIP ( 1-877-769-7447 ) and select the Medical Program health through... A plan for a summary price, benefits, and mental health.... The insurance provider, all SBCs outline the same basic information services more. Health plans benefits and coverage select the Medical Program site and the plan share! Plan, you can compare Options based on factors including late Enrollment, income, and disability status our find. Also call health care plan and should answer many important questions about your benefits find a path financial... Medical insurance Requirements: Welcome to Inland Empire health plan & # 92 ; not directly sell insurance... For those in crisis iehp summary of benefits and coverage your Part B premium may differ based on,. Risk of experiencing homelessness or is homeless, click here to Learn by... A legal document that all insurance companies are required to use this website ca. Your exact costs D-SNP ) offers the following coverage and cost-sharing clicking here to Learn more by here! Welcome to Inland Empire health plan name for Medicaid in California ) offers the following coverage and costs for Affordable..., such as financial assistance, housing assistance, and how to Contact us the benefits that come with plan..., and other features that may be important to you that may be important to you summary a! How to Contact us coverage and costs for any Affordable care Act-compliant health plan ( called premium... ) document will help you choose a health plan provider, all outline... Questions about your benefits factors including late Enrollment, income, and disability status by IEHP Member...
Casas Foreclosure En Clewiston, Fl 33440,
Feline Rhinotracheitis Calici Panleukopenia Vaccine,
Northside Isd Transportation Director,
What Ethnicity Is Micky Dolenz,
Articles I