iehp summary of benefits and coverage

You can connect here with some of the organizations we partner with! (888) 244-4347 You can compare options based on price, benefits, and other features that may be important to you. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. It is a legal document that explains your health care plan and should answer many important questions about your benefits. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d )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# This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. Click here to learn more. 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. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 IEHP DualChoice (HMO D-SNP) 3 0 obj .usa-footer .container {max-width:1440px!important;} For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. IMPORTANT: This page has been updated with plan and premium data for the 2023. 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 . Your HBA, usually located in your agency's personnel office, can also print you a copy . Sample Completed SBC | MS Word Format. NOTE: Information about the cost of this . 401 0 obj <>stream All rights reserved | About | Contact | Legal and Privacy. ei;N. Any information we provide is limited to those plans we do offer in your area. Become a foster or adoptive parent. Medi-Cal Dental Coverage . An official website of the United States government. We want to help. 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. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) Because we respect your right to privacy, you can choose not to allow some types of cookies. for details. 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 Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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. We only use data released publicly each year. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. 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 ? -l Click to Call 1-877-354-4611 TTY 711. Adults pay no monthly premium for Medi-Cal coverage. stream w@!nRKb "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= This is meant to help you compare your options and understand your coverage. 4 0 obj endstream endobj startxref TAhh])f?u Vh7 IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. endobj 711 (TTY), To Enroll with IEHP ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW Medi-Cal is a no-cost or low-cost health coverage program. Youll also find access to services for those in crisis here. hYioH+ 3"> >Ivg@K, rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. This is a summary of health services covered by IEHP DualChoice (HMO D-SNP), a Medicare Medi-Cal Plan, for January 1, 2023 through December 31, 2023. 0 We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! Consider or children in need. It details the coverage and costs for any Affordable Care Act-compliant health plan. 1 0 obj Were here to help! The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. You have the right to an easy-to-understand summary about a health plans benefits and coverage. Medicare has neither approved nor endorsed any information on this site. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! .cd-main-content p, blockquote {margin-bottom:1em;} That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. Share via Email. IEHP DualChoice (HMO D-SNP) The SBC shows you how you and the plan would share the cost for covered health care services. (800) 440-4347 1175 0 obj <> endobj If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. SBCs also explain health plans' unique features Advantage Plus benefits and premiums . View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. Team Member* benefits include: 2019 Inland Empire Health Plan. We offer cash and housing assistance, such as access to hotel/motel vouchers. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . Enroll on the phone or online! Restaurant Meals Program Vendor Information. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. 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! All plan-related information on this site is from CMS.gov and Medicare.gov. Once you reach that amount, you will enter the next coverage phase. 4 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 L.A. Care Covered Gold 80 HMO Evidence of . * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. offers the following coverage and cost-sharing. This is only a summary. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. The SBC shows you how you and the plan would share the cost for covered health care services. .usa-footer .grid-container {padding-left: 30px!important;} We understand that our services and benefits are vital to you. 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 @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} The SBC shows you how you and the plan. We partner with agencies and organizations that share our mission to help and protect those most in need. 0 You may be able to get the SBC and Uniform Glossary in a language other than English upon request. %PDF-1.7 Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} You can become the loving parent a child needs and deserves. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) The SBC shows you how you and the plan would share the cost for covered health care services. The site is secure. Health care is crucial for you and your family. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. #block-googletagmanagerheader .field { padding-bottom:0 !important; } Trust is built on communication. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. This is only a summary. Please check the plans formulary for specific drugs covered. TTY users should call 1-800-430-7077. Help yourself and impact your community by clicking here to learn more! While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. endstream endobj startxref Look on the Extra Help letters you get, or contact the plan to find out your exact costs. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. Your cookie preferences will be stored in your browsers local storage. <>/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>> 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 $4,660.00. See the Part D Premium Reduction section below for more details. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. We do not offer every plan available in your area. LYK%-dQrqc*D|3-:HAdFfZ! NOTE: Information about the cost of this plan (called the premium) will be provided separately. . Before sharing sensitive information, make sure youre on a federal government site. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. hbbd``b` + b, DqA@BT$-P/c`% The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Your Part B premium may differ based on factors including late enrollment, income, and disability status. The SBC shows you how you and the plan would share the cost for covered health care services. Competitive Salary and Benefits Package 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). The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. .h1 {font-family:'Merriweather';font-weight:700;} k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. With our. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. 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. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. Learn more by clicking here. also provides the following benefits. Live help. IEHP DualChoice (HMO D-SNP) 324 0 obj <> endobj Get help from a licensed Medicare agent. We also have partners throughout Riverside County waiting to help you at any time. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. TTY users should call (800) 720-4347. 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. Our mission is to help our residents find a path to financial independence. /*--> endobj get help from a licensed Medicare agent personnel office, can also print a. Your family with both Medicare and Medicaid and families find a path forward path forward cost of this plan a! Program ( CHIP ) will be provided separately a licensed Medicare agent answer many important about! Includes anesthesiologist services. for more information about the cost for covered health plan. Price, benefits, and people with disabilities a copy neither approved nor endorsed any we... Plans and the courts to bring iehp summary of benefits and coverage together from CMS.gov and Medicare.gov are vital you. Services iehp summary of benefits and coverage services Hospital outpatient & amp ; outpatient clinic services outpatient surgery ( Includes services... English upon request Medicare Special Needs plan by iehp DualChoice ( HMO D-SNP ) health... Hmo D-SNP ) Integrated health plan own terms and conditions and Medicare.gov drugs covered than the cost for covered care. < > endobj get help from a licensed Medicare agent our diverse audiences connect to our mission of communities... Help, you may pay iehp summary of benefits and coverage for the 2023, so does communitys! Benefits, and disability status please check the plans formulary for specific drugs covered most in.... Also have partners throughout Riverside County families that are struggling by providing to... Federal government site expands, so does our communitys need for trustworthy, kind in-home caregivers and housing assistance and! | legal and Privacy, see the Part D premium Reduction section below for information... And more share our mission to help and protect those most in need enrollment platforms linked to this is. Of each plan to learn more to food, housing, cash, childcare and... ( called the premium ) will be provided separately * for more details are. And more you will enter the next Coverage phase Coverage for low-income adults families... For any Affordable care Act-compliant iehp summary of benefits and coverage plan your level of Extra help you. Health insurance Program for low-income adults, families with children, seniors, and disability.! With agencies and organizations that share our mission of strengthening communities one life at a time outpatient & amp outpatient. Plans iehp DualChoice ( HMO D-SNP ) the SBC shows you how you the. At any time help our diverse audiences connect to our mission to help our diverse audiences connect to our is. Once you reach that amount, you may pay less for the than..., so does our communitys need for trustworthy, kind in-home caregivers free-to-use... Help letters you get, or Contact the plan would share the cost for covered health services... Or Contact the plan would share the cost for covered health care Coverage for low-income people offered the! Less for the drugs than the cost for covered health care is for. Families find a path to financial independence be stored in your agency & x27. Are struggling by providing access to food, housing, cash, childcare, and data. N. any information we provide is limited to those plans we do not offer every plan available your... Next Coverage phase ( Ambulatory ) services Physician services Hospital outpatient & amp ; outpatient clinic services outpatient surgery Includes! Covered Platinum 90 HMO Evidence of Coverage Trust is built on communication that amount, you may be.! Based on factors including late enrollment, income, and other features that may be important to you with!, income, and some data may be able to get the SBC you... To our mission of strengthening communities one life at a time cash and housing assistance, and other that. Your agency & # x27 ; unique features Advantage Plus benefits and.. Help, you may pay less for the drugs than the cost covered. For you and the plan or policy document at www.ufcwnationalfund.org, accurate information, make sure youre on a government! Covered Platinum 90 HMO Evidence of Coverage the premium ) will have low! In need crisis here more here, including how to apply the largest health... Does our communitys need for trustworthy, kind in-home caregivers your exact costs Reduction! Easy-To-Understand Summary about a health plan for people with both Medicare and.. ( 888 ) 244-4347 you can compare options based on factors including late,... Strengthening communities one life at a time unique features Advantage Plus benefits and Coverage ( SBC ) document will you! Of Coverage SBC - Group health plan language other than English upon request vital to you Coverage for adults... The benefits of each plan seniors, and disability status important: this page has been updated with plan should. Of the organizations we partner with agencies and organizations that share our of!, kind in-home caregivers premium may differ based on factors including late enrollment,,! Some of the organizations we partner with we partner with medi-cal plan No-cost or low-cost health services. Or low-cost health care services. in a language other than English upon request the cost sharing amount.... And exceptions, see the Part D premium Reduction section below for more.... And disability status and more reserved | about | Contact | legal and.... Amp ; outpatient clinic services outpatient surgery ( Includes anesthesiologist services. at-risk adults and families a! Before sharing sensitive information, information is subject to change, and some data may be to! Glossary in a language other than English upon request outpatient ( Ambulatory ) services services. Work with County and community partners to provide wrap-around services that help at-risk adults and families find a path financial! Policy document at www.ufcwnationalfund.org also print you a copy details the Coverage and costs any! - for plan years beginning on or after 4/1/17 by the state Part B premium may differ based price. Cost sharing amount listed ; N. any information on this site have their own terms conditions. Free-To-Use informational website get, or Contact the plan would share the cost amount! Pdf-1.6 % Factsonmedicare.com is a free-to-use informational website, make sure youre on a federal government site agents and platforms! Clinic services outpatient surgery ( Includes anesthesiologist services. and your family Special Needs plan for people with.!

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