See how they can help you, your family, and your community! Find out if you qualify for a Special Enrollment Period. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA Restaurant Meals Program Vendor Information. ah v$c`bd`Qb`_g "[y You may be able to get the SBC and Uniform Glossary in a language other than English upon request. Become a foster or adoptive parent. Learn more here, including how to apply. 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! A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. p.usa-alert__text {margin-bottom:0!important;} (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) 7500 Security Boulevard, Baltimore, MD 21244. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Every child deserves a stable, safe, and supportive family. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. hb```f``Z pA2,Nh0b .manual-search ul.usa-list li {max-width:100%;} 324 0 obj <> endobj We care about the people we serve and last year we served one million people in Riverside County. All Rights Reserved. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. 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. An official website of the United States government. We believe in the power of partnerships. 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. Share via Email. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. Please, see below for location details, contact numbers, and hours of operation. Get help from a licensed Medicare agent. Factsonmedicare.com is a free-to-use informational website. IEHP DualChoice (HMO D-SNP) 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. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. We believe in helping YOU take care of yourself and your family. Some of the services listed are covered only if IEHP or your IPA approves first. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. No matter the insurance provider, all SBCs outline the same basic information. wT].b`bd` FI? 1731 0 obj <> endobj 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. Enroll on the phone or online! For more information , visit www.iehp.org. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} ? .cd-main-content p, blockquote {margin-bottom:1em;} Contact a plan for a Summary of Benefits. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 3 0 obj Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. It provides health, dental and vision* coverage to qualified low-income California residents. Visit bluecrossmn.com or call toll free at 1-855-579 . 1 0 obj IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. Were here to help! 1175 0 obj <> endobj Please read the Evidence of Coverage for the full list of benefits. We partner with agencies and organizations that share our mission to help and protect those most in need. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> Your cookie preferences will be stored in your browsers local storage. 4 IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. =========== 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. With our. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 0 Any information we provide is limited to those plans we do offer in your area. Podiatry Chiropractic Allergy care Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. All rights reserved | About | Contact | Legal and Privacy. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. We have resources that help prevent abuse and neglect against children and adults, but we need people like you to report suspected abuse or neglect. -l NOTE: Information about the cost of this . We use cookies to offer you the best possible website experience. NOTE: Information about the cost of this plan (called the premium) will be provided separately. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW hYmOH+qn[Z!ff{]&1`ms~XvwWU=OU]GJ*bf**mB5Tp38h&d*C t%]3L0eb6R1,1y;H$H$RZ*SJi6ZMbRl*,vj-(YO9VY!swc>=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? You have the right to an easy-to-understand summary about a health plans benefits and coverage. (877) 273-4347 In fact, its our top priority. 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). When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. Learn more by clicking here. 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 $4,660.00. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. Before sharing sensitive information, make sure youre on a federal government site. Want to speak to someone face-to-face? 1800 0 obj <>stream hbbd```b`` "A$ri " %f=X$L0i&u@d{:d NOTE: Information about the cost of this plan (called the premium) will be provided separately. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. 1218 0 obj <>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. This is only a summary. 4 0 obj 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. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services IEHP DualChoice (HMO D-SNP) This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) We offer cash and housing assistance, such as access to hotel/motel vouchers. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. 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. 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. Please check the plans formulary for specific drugs covered. Team Member* benefits include: 2019 Inland Empire Health Plan. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. H8894 001 0 available in Riverside and San Bernardino Counties. The SBC shows you how you and the plan would share the cost for covered healthcare services. Copy Page Link. SBCs also explain health plans' unique features If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. Advantage Plus benefits and premiums . You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. 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. offers the following coverage and cost-sharing. We also have partners throughout Riverside County waiting to help you at any time. You can connect here with some of the organizations we partner with! Previous Next ===== TABBED SINGLE CONTENT GENERAL. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. 2 0 obj ol{list-style-type: decimal;} This is only a summary. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. hbbd``b` + b, DqA@BT$-P/c`% Check if you qualify for a Special Enrollment Period. The SBC shows you how you and the plan would share the cost for covered health care services. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! This is only a summary. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. These cookies are required to use this website and can't be turned off. This is only a summary. endobj 0 KtV This is meant to help you compare your options and understand your coverage. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. You may also call Health Care Options at 1-800-430-4263. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. 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). Click here to learn more. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. Your family is your top priority. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} The call is free. Federal government websites often end in .gov or .mil. Medi-Cal Dental Coverage . %PDF-1.6 % (888) 244-4347 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). %PDF-1.7 % endstream endobj startxref 1457 0 obj <>stream NOTE: Information about the cost of this plan (called the premium) will be provided separately. hZ]o+EugE {ScX,x}@\[,l7{. ! This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. TTY users should call 1-800-718-4347. We do not offer every plan available in your area. L.A. Care Covered Gold 80 HMO Evidence of . At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. The site is secure. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. w@!nRKb We want to help. Share via LinkedIn. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 0 NOTE: Information about the cost of this plan (called the premium) will be provided separately. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Ready to sign up for IEHP DualChoice (HMO D-SNP) The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. ozI?TNt2J\2 k/=Ak would share the cost for covered health care services. Your HBA, usually located in your agency's personnel office, can also print you a copy . 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