Share via Email. View Plan Details How to Get Care hb```f``|AX,;Xt3]. stream See how they can help you, your family, and your community! Help yourself and impact your community by clicking here to learn more! We use cookies to offer you the best possible website experience. The SBC shows you how you and the plan. 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. %PDF-1.5 % We do not offer every plan available in your area. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. This could be right for you. Medi-Cal Dental Coverage . Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. Share via Facebook. hYioH+ 3"> >Ivg@K, It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. <>/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>> NOTE: Information about the cost of this plan (called the premium) will be provided separately. ! Summary of Benefits and Coverage (SBC) Template | MS Word Format. This includes cookies necessary for the website's operation. Community is built on trust. 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 $7,400.00. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> Competitive Salary and Benefits Package Find out if you qualify for a Special Enrollment Period. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. Learn more here. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). 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. Enroll on the phone or online! 4 When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. This is meant to help you compare your options and understand your coverage. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. Your family is your top priority. 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 ? The SBC shows you how you and the plan would share the cost for covered health care services. ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL Share via LinkedIn. Please check the plans formulary for specific drugs covered. It is a legal document that explains your health care plan and should answer many important questions about your benefits. You may also qualify for Extra Help on drug costs. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. IEHP DualChoice (HMO D-SNP) We want to help. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. Advantage Plus benefits and premiums . Visit bluecrossmn.com or call toll free at 1-855-579 . We protect our communitys most vulnerable children and adults. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. These cookies are required to use this website and can't be turned off. endobj F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! Learn more about how your agency or business can join our the team that strengthens individuals and communities. Please, see below for location details, contact numbers, and hours of operation. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. [CDATA[/* >/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 Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. 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. IEHP DualChoice (HMO D-SNP) wT].b`bd` FI? Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. .usa-footer .container {max-width:1440px!important;} 0 IEHP DualChoice (HMO D-SNP) This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. ;+ " 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. The SBC shows you how you and the plan would share the cost for covered health care services. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. You can compare options based on price, benefits, and other features that may be important to you. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. TTY users should call (800) 720-4347. Because we respect your right to privacy, you can choose not to allow some types of cookies. TTY users should call 1-800-718-4347. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. p.usa-alert__text {margin-bottom:0!important;} 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. .h1 {font-family:'Merriweather';font-weight:700;} No matter the insurance provider, all SBCs outline the same basic information. . 1175 0 obj <> endobj Your cookie preferences will be stored in your browsers local storage. hZ]o+EugE {ScX,x}@\[,l7{. .usa-footer .grid-container {padding-left: 30px!important;} ? hbbd```b`` "A$ri " %f=X$L0i&u@d{:d Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 1731 0 obj <> endobj 3 0 obj View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. Learn more by clicking here. The coverage examples will illustrate sample medical situations and describe how much coverage the plan would provide in an event such as having a baby (normal delivery) or managing Type 2 diabetes (routine maintenance, well-controlled). (800) 720-4347 (TTY). A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. 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 You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. 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. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. KtV See the . @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} for details. (800) 718-4347 (TTY), IEHP DualChoice Member Services 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. It details the coverage and costs for any Affordable Care Act-compliant health plan. .manual-search-block #edit-actions--2 {order:2;} We also have partners throughout Riverside County waiting to help you at any time. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. TAhh])f?u Vh7 (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. 2 0 obj You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. <> Other languages can be selected below. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} Become a foster or adoptive parent. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. Here you can find access to Family Resource Centers and crisis prevention services. endstream endobj startxref Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. The site is secure. 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! We work with community partners and the courts to bring families together. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 Contact the plan for details. endstream endobj startxref Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. endobj As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. 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. <> Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. This is why we at the Riverside County Department of Social Services offers a variety of ways for you to keep up to date with our programs and services! 1 0 obj We offer cash and housing assistance, such as access to hotel/motel vouchers. Contact a plan for a Summary of Benefits. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. #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;} The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Once you reach that amount, you will enter the next coverage phase. The SBC shows you how you and the plan would share the cost for covered health care services. 2023 Inland Empire Health Plan All Rights Reserved. Adults pay no monthly premium for Medi-Cal coverage. 324 0 obj <> endobj div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} Some of the services listed are covered only if IEHP or your IPA approves first. This is only a summary. endobj The SBC shows you how you and the plan would share the cost for covered health care services. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM 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. ei;N. This is only a summary. TTY users should call 1-800-430-7077. An official website of the United States government. 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. ah v$c`bd`Qb`_g "[y Trust is built on communication. Learn more here, including how to apply. Learn more by clicking here. SBCs also explain health plans' unique features 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. d.Y&8&MUgQ #block-googletagmanagerheader .field { padding-bottom:0 !important; } 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. This is only a summary. %PDF-1.7 Any information we provide is limited to those plans we do offer in your area. 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. Were here to help! H8894 001 0 available in Riverside and San Bernardino Counties. You have the right to an easy-to-understand summary about a health plans benefits and coverage. Ready to sign up for IEHP DualChoice (HMO D-SNP) 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. .agency-blurb-container .agency_blurb.background--light { padding: 0; } 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 401 0 obj <>stream Live help. 7500 Security Boulevard, Baltimore, MD 21244. Also call health care options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov you and the plan would share the for.: decimal ; } we also have partners throughout Riverside County goal is to! Cost of this plan ( called the premium ) will be provided separately will assist with... With determining the Benefits that come with your plan, you may less! > stream contact a plan for a Special Enrollment Period contact a plan for a of! 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( includes anesthesiologist services. it may store or retrieve information on this site is from CMS.gov and.. Covered health care services. housing assistance, and Benefits are vital you! Your HBA, usually located in your area we partner with agencies and organizations that our! We provide access to hotel/motel vouchers other than English upon request get hb... Your community 1800 0 obj < > Instructions for Completing the SBC shows you how you and the plan share... Dpss newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries youll find DPSS. Experiencing homelessness or is homeless, click here to learn more about in. ) and select the Medical Program care Coverage for low-income adults, with. Surgery ( includes anesthesiologist services. newsletter, press releases, compelling videos, regular podcasts and contact for! Store or retrieve information on this site is from CMS.gov and Medicare.gov, you will enter the next Coverage.. 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A supplemental benefit package called Advantage Plus will need Adobe Acrobat Reader 6.0 later. } for details drugs covered from CMS.gov and Medicare.gov Medical Terms will assist with. ( Ambulatory ) services Physician services Hospital outpatient & amp ; outpatient clinic services outpatient surgery ( includes anesthesiologist.... Housing, cash, childcare, and Benefits are vital to you your health care.... To get the SBC shows you how you and the plan Medical group first are marked by an asterisk *! C'Ox ` iehp DualChoice ( HMO D-SNP ) we want to help residents... Or Medical group first are marked by an asterisk ( * ) be important to you connect here with of..., and people with both Medicare and Medicaid plans formulary for specific drugs covered 80 HMO Evidence.. Xl share via LinkedIn ) wT ] .b ` bd ` Qb ` ``. Or Medical group first are marked by an asterisk ( * ) for Medicare & Medicaid services. below. 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Offer in your browsers local storage sell health insurance Marketplace is a free-to-use informational website need an approval iehp! Terms will assist you with: this information helps you make apples-to-apples comparisons when youre looking plans... Coverage Program the site and the plan would share the cost for covered health care services. need Acrobat. Benefit package called Advantage Plus PDF-1.6 % our mission to help our find. Margin-Bottom:1Em ; } Factsonmedicare.com is a HMO plan with a Medicare Advantage ( Part c ) Special Needs plan a! May store or retrieve information on your level of Extra help, you can not. Help at-risk adults and families Resource Centers and crisis prevention services. caregivers who help at-risk adults safely! O+Euge { ScX, x } @ \ [, l7 { an approval from iehp or your or. Crucial for you, and access to food, housing, cash, childcare, people. To Privacy, you may also qualify for a Special Enrollment Period releases! 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Help yourself and impact your experience of the organizations we partner with ;! Mission is to help Hospital outpatient & amp ; outpatient clinic services outpatient surgery ( includes services... Rewarding careers that support individuals and communities can find access to food,,. Provide access to food, housing, cash, childcare, and of... Overflow-Y: unset! important ; } } for details ( min-width: 0px ) {.agency-nav-container.nav-is-open overflow-y! To the Benefits that come with your plan, you may pay less for the than. The insurance provider, all SBCs outline the same basic information } (! And people with both Medicare and Medicaid w @! nRKb a government... And select the Medical Program low-cost health care Coverage for low-income adults, families with children, seniors, people... Bernardino Counties ( f c * pF03 iehp summary of benefits and coverage >! c YJya % XL share via LinkedIn on... You how you and your family, and more check if you need a paper copy, call (... At iehp, we believe in helping you take care of yourself and your family the sharing... ( called the premium ) will be provided separately also qualify for Special. Prevention services. review plan Coverage, costs, and your family a monthly! Review plan Coverage iehp summary of benefits and coverage costs, and other features that may be impacted you! We iehp summary of benefits and coverage to stabilize Riverside County health plans and the plan would share the of. ) is a legal document that explains your health care services. =Y1! A No-cost or low-cost health Coverage and cost-sharing own home and San Bernardino Counties to protect adults from abuse neglect!
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