<>/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>> SBCs also explain health plans' unique features Click here to learn more. View Plan Details How to Get Care Learn more by clicking here. For more information , visit www.iehp.org. The SBC shows you how you and the plan would share the cost for covered health care services. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) Contact a plan for a Summary of Benefits. endobj We do not offer every plan available in your area. .usa-footer .grid-container {padding-left: 30px!important;} (800) 718-4347 (TTY), IEHP DualChoice Member Services would share the cost for covered health care services. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. 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. Were here to help! The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. 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. #block-googletagmanagerheader .field { padding-bottom:0 !important; } .paragraph--type--html-table .ts-cell-content {max-width: 100%;} 1218 0 obj <>stream ozI?TNt2J\2 k/=Ak 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. Factsonmedicare.com is a free-to-use informational website. See the Part D Premium Reduction section below for more details. [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 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. 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. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ Because we respect your right to privacy, you can choose not to allow some types of cookies. w@!nRKb This is only a summary. Youll find a link to the SBC on each plan page when you preview plans and prices before logging in, and when you've finished your application and are comparing plans. We understand that our services and benefits are vital to you. Inland Empire Health Plan (IEHP) The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. You may also call Health Care Options at 1-800-430-4263. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } Adults pay no monthly premium for Medi-Cal coverage. . IEHP DualChoice (HMO D-SNP) Insurance companies and job-based health plans must provide you with: This information helps you make apples-to-apples comparisons when youre looking at plans. This is why we at the Riverside County Department of Social Services offers a variety of ways for you to keep up to date with our programs and services! also provides the following benefits. endobj Your Part B premium may differ based on factors including late enrollment, income, and disability status. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage (SBC) Template | MS Word Format. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. (888) 244-4347 F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! Here you can find access to Family Resource Centers and crisis prevention services. The SBC shows you how you and the plan would share the cost for covered health care services. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. Team Member* benefits include: 2019 Inland Empire Health Plan. The SBC shows you how you and the plan would share the cost for covered healthcare services. %PDF-1.7 % IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. 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. Our mission is to help our residents find a path to financial independence. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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. TTY users should call 1-800-718-4347. See how they can help you, your family, and your community! As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. NOTE: Information about the cost of this . NOTE: Information about the cost of this plan (called the premium) will be provided separately. Help yourself and impact your community by clicking here to learn more! Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. Evidence of Coverage. 711 (TTY), To Enroll with IEHP This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. 7500 Security Boulevard, Baltimore, MD 21244. d.Y&8&MUgQ It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA Before sharing sensitive information, make sure youre on a federal government site. Contact the plan for details. We offer cash and housing assistance, such as access to hotel/motel vouchers. }Y+\(s1Qi}=Y1$C'oX` (877) 273-4347 We are to help you too! We want to help. endstream endobj startxref Community is built on trust. .table thead th {background-color:#f1f1f1;color:#222;} This is only a summary. (800) 440-4347 1457 0 obj <>stream <> ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 See the . Find out if you qualify for a Special Enrollment Period. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Learn more here. We only use data released publicly each year. .usa-footer .container {max-width:1440px!important;} for details. hbbd``b` + b, DqA@BT$-P/c`% Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. 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. Press Tab to Move to Skip to Content Link. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. Copy Page Link. #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;} IEHP DualChoice (HMO D-SNP) 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. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. It details the coverage and costs for any Affordable Care Act-compliant health plan. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. Sample Completed SBC | MS Word Format. Visit bluecrossmn.com or call toll free at 1-855-579 . 401 0 obj <>stream <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. % 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. Other languages can be selected below. NOTE: Information about the cost of this plan (called the premium) will be provided separately. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. All plan-related information on this site is from CMS.gov and Medicare.gov. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL All insurance agents and enrollment platforms linked to this site have their own terms and conditions. You may be able to get the SBC and Uniform Glossary in a language other than English upon request. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. 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. TTY users should call 1-800-430-7077. It is a legal document that explains your health care plan and should answer many important questions about your benefits. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. This is only a summary. %vM:+&Z$RI\\?wNuVS!n} We use cookies to offer you the best possible website experience. We care about the people we serve and last year we served one million people in Riverside County. 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. The site is secure. Learn more here, including how to apply. The call is free. Your cookie preferences will be stored in your browsers local storage. You can compare options based on price, benefits, and other features that may be important to you. ? Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. 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 %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. hYioH+ 3"> >Ivg@K, TAhh])f?u Vh7 This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. Medi-Cal is a no-cost or low-cost health coverage program. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. .manual-search-block #edit-actions--2 {order:2;} NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) Share via Facebook. 0 Please check the plans formulary for specific drugs covered. We provide access to caregivers who help at-risk adults live safely and independently in their own home. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We also have services to protect adults from abuse and neglect. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. We protect our communitys most vulnerable children and adults. This is only a . View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= SBC document helps you choose a health plan. plan (called the premium) will be provided separately. KtV These cookies are required to use this website and can't be turned off. 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 You have the right to an easy-to-understand summary about a health plans benefits and coverage. Learn more about how your agency or business can join our the team that strengthens individuals and communities. Ready to sign up for IEHP DualChoice (HMO D-SNP) 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 ? .agency-blurb-container .agency_blurb.background--light { padding: 0; } 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. -l You can become the loving parent a child needs and deserves. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. endstream endobj startxref Medicare has neither approved nor endorsed any information on this site. %%EOF Contact a plan for a Summary of Benefits. IEHP DualChoice (HMO D-SNP) You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. We partner with agencies and organizations that share our mission to help and protect those most in need. DVtQpQ3 oc$C#$3T.Y6N',FLX8O*aHaL9 Ma]\L)k)B\)6&BO_ZNp0,/.~9# Every child deserves a stable, safe, and supportive family. 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 This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. 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:. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. .manual-search ul.usa-list li {max-width:100%;} That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Contact the plan for details. This is only a summary. We work with community partners and the courts to bring families together. (866) 294-4347 In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. 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. 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 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. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We believe in the power of partnerships. Apply here and learn more about benefits. 0 LYK%-dQrqc*D|3-:HAdFfZ! IMPORTANT: This page has been updated with plan and premium data for the 2023. ei;N. All rights reserved | About | Contact | Legal and Privacy. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. It provides health, dental and vision* coverage to qualified low-income California residents. 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. 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. is offered in the following locations. This is only a summary. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. Become a foster or adoptive parent. 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. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This includes cookies necessary for the website's operation. We do not directly sell health insurance or offer professional legal, medical, or financial advice. Learn more by clicking here. 2 0 obj <> 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 $4,660.00. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW 340 0 obj <>/Filter/FlateDecode/ID[<7683F4A8D47BF441B51CA1406C79AE5A>]/Index[324 78]/Info 323 0 R/Length 83/Prev 576238/Root 325 0 R/Size 402/Type/XRef/W[1 2 1]>>stream NOTE: Information about the cost of this plan (called the premium) will be provided separately. You may also qualify for Extra Help on drug costs. 1800 0 obj <>stream Get help from a licensed Medicare agent. You need a roof over your head. Once you reach that amount, you will enter the next coverage phase. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 1 of 5 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2023 - 12/31/2023 Mr. Greens Cannabis: UFCW Local 3000 Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC . Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. Trust is built on communication. 4 0 obj %PDF-1.7 Click to Call 1-877-354-4611 TTY 711. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plan's unique terms. Inland . p.usa-alert__text {margin-bottom:0!important;} IEHP DualChoice (HMO D-SNP) We have several customer service locations across our 7,300 square-mile county where you can find help. The SBC shows you how you and the plan. stream hbbd```b`` "A$ri " %f=X$L0i&u@d{:d endstream endobj 1732 0 obj <>/Metadata 55 0 R/Pages 1729 0 R/StructTreeRoot 179 0 R/Type/Catalog>> endobj 1733 0 obj <>/MediaBox[0 0 792 612]/Parent 1729 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1734 0 obj <>stream Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. This is only a summary. Federal government websites often end in .gov or .mil. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. Learn more about resources in languages other than English. 2023 Inland Empire Health Plan All Rights Reserved. L.A. Care Covered Gold 80 HMO Evidence of . The SBC shows you how you and the plan would share the cost for covered health care services. Podiatry Chiropractic Allergy care hb```f``Z pA2,Nh0b JQua/V7 25O,G RlJ E7j{ 1 0 obj This is meant to help you compare your options and understand your coverage. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. ! We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. All Rights Reserved. You can connect here with some of the organizations we partner with! 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