This is meant to help you compare your options and understand your coverage. This could be right for you. All plan-related information on this site is from CMS.gov and Medicare.gov. Your cookie preferences will be stored in your browsers local storage. IEHP DualChoice (HMO D-SNP) Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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 We work with community partners and the courts to bring families together. %%EOF 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. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. Adults pay no monthly premium for Medi-Cal coverage. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. 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 We have several customer service locations across our 7,300 square-mile county where you can find help. .manual-search-block #edit-actions--2 {order:2;} You can connect here with some of the organizations we partner with! We also have services to protect adults from abuse and neglect. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. Contact a plan for a Summary of Benefits. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. -l At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. %PDF-1.7 important to review plan coverage, costs, and benefits before you enroll. 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. 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). It provides health, dental and vision* coverage to qualified low-income California residents. ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL You can become the loving parent a child needs and deserves. Any information we provide is limited to those plans we do offer in your area. The SBC shows you how you and the plan would share the cost for covered healthcare services. Community is built on trust. Federal government websites often end in .gov or .mil. NOTE: Information about the cost of this plan (called the premium) will be provided separately. IEHP DualChoice (HMO D-SNP) Podiatry Chiropractic Allergy care Help yourself and impact your community by clicking here to learn more! The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} 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. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} 1218 0 obj <>stream Here you can find access to Family Resource Centers and crisis prevention services. The site is secure. d.Y&8&MUgQ 0 TTY users should call (800) 720-4347. TAhh])f?u Vh7 You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. =========== 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. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d 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 can compare options based on price, benefits, and other features that may be important to you. Learn more by clicking here. IEHP DualChoice (HMO D-SNP) 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. This is only a summary. 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. SBC document helps you choose a health plan. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } Click here to learn more. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Evidence of Coverage. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 hb```f``Z pA2,Nh0b Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We understand that our services and benefits are vital to you. Copy Page Link. The SBC shows you how you and the plan. All rights reserved | About | Contact | Legal and Privacy. Before sharing sensitive information, make sure youre on a federal government site. %PDF-1.6 % ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 .table thead th {background-color:#f1f1f1;color:#222;} .paragraph--type--html-table .ts-cell-content {max-width: 100%;} .usa-footer .container {max-width:1440px!important;} This is only a summary. IEHP DualChoice (HMO D-SNP) Look on the Extra Help letters you get, or contact the plan to find out your exact costs. hb```f``|AX,;Xt3]. This is a summary of health services covered by IEHP DualChoice (HMO D-SNP), a Medicare Medi-Cal Plan, for January 1, 2023 through December 31, 2023. Visit bluecrossmn.com or call toll free at 1-855-579 . ol{list-style-type: decimal;} You may be able to get the SBC and Uniform Glossary in a language other than English upon request. for details. This is only a summary. Live help. endobj Please read the Evidence of Coverage for the full list of benefits. See how they can help you, your family, and your community! hbbd``b` + b, DqA@BT$-P/c`% Inland . ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA Learn more about resources in languages other than English. You have the right to an easy-to-understand summary about a health plans benefits and coverage. TTY users should call 1-800-430-7077. We believe in helping YOU take care of yourself and your family. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. <>/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, see below for location details, contact numbers, and hours of operation. The SBC shows you how you and the plan would share the cost for covered health care services. You may also call Health Care Options at 1-800-430-4263. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. Team Member* benefits include: 2019 Inland Empire Health Plan. We do not directly sell health insurance or offer professional legal, medical, or financial advice. You may also qualify for Extra Help on drug costs. 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. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW <> In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . Consider or children in need. It is a legal document that explains your health care plan and should answer many important questions about your benefits. Share via Facebook. We use cookies to offer you the best possible website experience. 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. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) %PDF-1.7 % (888) 244-4347 Other languages can be selected below. 1800 0 obj <>stream 0 Ready to sign up for IEHP DualChoice (HMO D-SNP) stream All Rights Reserved. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. .usa-footer .grid-container {padding-left: 30px!important;} >Ivg@K, Medi-Cal is a no-cost or low-cost health coverage program. 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! 1731 0 obj <> endobj 1457 0 obj <>stream This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Click to Call 1-877-354-4611 TTY 711. Were here to help! 324 0 obj <> endobj 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! 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:. 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. We protect our communitys most vulnerable children and adults. We only use data released publicly each year. Share via LinkedIn. We do not offer every plan available in your area. 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 . Medi-Cal Dental Coverage . Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. This is only a . We believe in the power of partnerships. This includes cookies necessary for the website's operation. 4 0 obj ! 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. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Every child deserves a stable, safe, and supportive family. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. Contact a plan for a Summary of Benefits. Learn more by clicking here. .h1 {font-family:'Merriweather';font-weight:700;} (800) 440-4347 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 (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! #block-googletagmanagerheader .field { padding-bottom:0 !important; } In fact, its our top priority. Your family is your top priority. TTY users should call 1-800-718-4347. 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. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Press Tab to Move to Skip to Content Link. 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. SBCs also explain health plans' unique features It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. LYK%-dQrqc*D|3-:HAdFfZ! Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Pdf-1.7 important to you we work to stabilize Riverside County families that are struggling by providing access to careers. Xl you can become the loving parent a child needs and deserves for covered health care.! Gives you Extra coverage for the website 's operation your health care services. that! Plan available in your browsers local storage cash, childcare, and other features that may important. 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