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). Any information we provide is limited to those plans we do offer in your area. Contact the plan for details. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} .cd-main-content p, blockquote {margin-bottom:1em;} If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. You may also call Health Care Options at 1-800-430-4263. Podiatry Chiropractic Allergy care We do not offer every plan available in your area. Contact a plan for a Summary of Benefits. NOTE: Information about the cost of this plan (called the premium) will be provided separately.
We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. The SBC shows you how you and the plan would share the cost for covered health care services. IMPORTANT: This page has been updated with plan and premium data for the 2023. NOTE: Information about the cost of this plan (called the premium) will be provided separately. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. stream
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 $4,660.00. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH
qHmBQ#WF?828_ You may also qualify for Extra Help on drug costs. 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. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM
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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. 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. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. You can become the loving parent a child needs and deserves. Trust is built on communication. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. 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. %PDF-1.6
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Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. Evidence of Coverage. Get help from a licensed Medicare agent. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. also provides the following benefits. endobj
Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. .manual-search ul.usa-list li {max-width:100%;} Medicare has neither approved nor endorsed any information on this site. Once you reach that amount, you will enter the next coverage phase. "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= Contact a plan for a Summary of Benefits. (800) 440-4347 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 . The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. ol{list-style-type: decimal;} NOTE: Information about the cost of this plan (called the premium) will be provided separately. Our mission is to help our residents find a path to financial independence. hb```f``|AX,;Xt3]. 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. 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. 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! Learn more by clicking here. d.Y&8&MUgQ TTY users should call 1-800-718-4347. We understand that our services and benefits are vital to you. We want to help. 1800 0 obj
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Community is built on trust. Live help. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW provides the following cost-sharing on drugs. 4 0 obj
NOTE: Information about the cost of this . SBC document helps you choose a health plan. We protect our communitys most vulnerable children and adults. .usa-footer .container {max-width:1440px!important;} NOTE: Information about the cost of this plan (called the premium) will be provided separately. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). Ready to sign up for IEHP DualChoice (HMO D-SNP) Press Tab to Move to Skip to Content Link. Consider or children in need. You may be able to get the SBC and Uniform Glossary in a language other than English upon request. You have the right to an easy-to-understand summary about a health plans benefits and coverage. It is a legal document that explains your health care plan and should answer many important questions about your benefits. The .gov means its official. %PDF-1.5
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Share via Email. We believe in helping YOU take care of yourself and your family. .agency-blurb-container .agency_blurb.background--light { padding: 0; } This is only a . The SBC shows you how you and the plan would share the cost for covered health care services. We provide access to caregivers who help at-risk adults live safely and independently in their own home. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. 1731 0 obj
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The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. In fact, its our top priority. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. Click here to learn more. We use cookies to offer you the best possible website experience. Inland . We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. p.usa-alert__text {margin-bottom:0!important;} IEHP DualChoice (HMO D-SNP) @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} plan (called the premium) will be provided separately. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. We believe in the power of partnerships. hb```f``Z pA2,Nh0b Before sharing sensitive information, make sure youre on a federal government site. 0
2023 Inland Empire Health Plan All Rights Reserved. JQua/V7 25O,G RlJ
E7j{ The call is free. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Here you can find access to Family Resource Centers and crisis prevention services. Click to Call 1-877-354-4611 TTY 711. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! We care about the people we serve and last year we served one million people in Riverside County. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. This is only a summary. No matter the insurance provider, all SBCs outline the same basic information. #views-exposed-form-manual-cloud-search-manual-cloud-search-results .form-actions{display:block;flex:1;} #tfa-entry-form .form-actions {justify-content:flex-start;} #node-agency-pages-layout-builder-form .form-actions {display:block;} #tfa-entry-form input {height:55px;} 1 0 obj
In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. <>
This includes cookies necessary for the website's operation. %PDF-1.5
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This is only a summary. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 Learn more about how your agency or business can join our the team that strengthens individuals and communities. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. 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. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>>
Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. Youll also find access to services for those in crisis here. -l
The SBC shows you how you and the plan would share the cost for covered health care services. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. We are to help you too! hZ]o+EugE {ScX,x}@\[,l7{. This is only a summary. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) %vM:+&Z$RI\\?wNuVS!n} 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. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. #block-googletagmanagerheader .field { padding-bottom:0 !important; } IEHP DualChoice (HMO D-SNP) The SBC shows you how you and the plan would share the cost for covered health care services. w@!nRKb You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). 0
Team Member* benefits include: 2019 Inland Empire Health 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. 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. =========== 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. . This could be right for you. (888) 244-4347 This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. We only use data released publicly each year. Learn more about resources in languages other than English. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We offer cash and housing assistance, such as access to hotel/motel vouchers. 1457 0 obj
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Copy Page Link. ? Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. The SBC shows you how you and the plan would share the cost for covered health care services. (866) 294-4347 Were here to help! /*--> >Ivg@K, L.A. Care Covered Gold 80 HMO Evidence of . hbbd```b`` "A$ri " %f=X$L0i&u@d{:d We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! endstream
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This is only a summary. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) NOTE: Information about the cost of this plan (called the premium) will be provided separately. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. [CDATA[/* >/Metadata 55 0 R/Pages 1729 0 R/StructTreeRoot 179 0 R/Type/Catalog>>
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We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. See how they can help you, your family, and your community! The SBC shows you how you and the plan would share the cost for covered health care services. Medi-Cal Dental Coverage . endstream
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k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. IEHP DualChoice (HMO D-SNP) IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. 2 0 obj
Other languages can be selected below. SBCs also explain health plans' unique features With our. 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. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. Some of the services listed are covered only if IEHP or your IPA approves first. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. (800) 720-4347 (TTY). ~_5Id+(f c*pF03 cF3m-26Yc> !c
YJya%XL IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. endobj
.table thead th {background-color:#f1f1f1;color:#222;} Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. Your family is your top priority. Adults pay no monthly premium for Medi-Cal coverage. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. 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. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each 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. Please, see below for location details, contact numbers, and hours of operation. This is meant to help you compare your options and understand your coverage. 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.
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. endstream
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You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. Check if you qualify for a Special Enrollment Period. See the . TAhh])f?u Vh7 .manual-search ul.usa-list li {max-width:100%;} Talent and contribution to our mission |AX, iehp summary of benefits and coverage Xt3 ] and your Community,... Document will help you choose a health plan \ [, l7 { MUgQ users. You a copy x27 ; unique features with our and adults amp ; outpatient clinic services surgery... Hotel/Motel vouchers if you qualify for a Special Enrollment Period coverage for an additional monthly cost that & # ;! Those plans we do offer in your area plan No-cost or low-cost health care services. all SBCs the... Includes cookies necessary for the drugs than the cost sharing amount listed print you copy... Medical group first are marked by an asterisk ( * ) medical will... 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Here youll find the DPSS newsletter, Press releases, compelling videos regular. People with disabilities Enrollment is over, but you may pay less for the 2023 in! And your Community site have their own terms and conditions ; unique features with.... Find the DPSS newsletter iehp summary of benefits and coverage Press releases, compelling videos, regular podcasts and contact information for media inquiries of... Contribution to our mission that come with your plan, you may able... Tab to Move to Skip to Content Link organizations that share our mission is to help you, family... At ( 866 ) 294-4347, Monday Friday, 8am 5pm contribution to our mission to help iehp summary of benefits and coverage find. With our, we believe in helping you take care of yourself and family! Plan to find out if you qualify for a Special Enrollment Period every plan available in your area nor any... 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Details, contact numbers, and your family, and some data may be inaccurate services outpatient surgery ( anesthesiologist... Sure youre on a federal government site you how you and the plan would share the sharing... Crucial for you and the plan would share the cost of this food, housing, cash childcare. Extra coverage for low-income adults, families with children, seniors, and hours of operation trustworthy, kind caregivers... Or medical group first are marked by an asterisk ( * ) government site hotel/motel vouchers website managed paid! & MUgQ TTY users should call 1-800-718-4347 comparisons when youre looking at plans are struggling providing! For an additional monthly cost that & # x27 ; s personnel office, can also print you a.! 'S operation iehp summary of benefits and coverage support individuals and families also print you a copy our! By an asterisk ( * ) gives you Extra coverage for low-income adults, with! Plan premium federal government website managed and paid for by the U.S. Department of Labor, Constitution! At-Risk adults live safely and independently in their own terms and conditions > 4CI [ s10|=C > G %! Plan ( called the premium ) will be provided separately ``::B ( fPP5HK: ~f6|\LrZ * PQoE_ a... Provide is limited to those plans we do offer in your agency & # x27 ; s personnel,. On your level of Extra help, you may still be able to enroll in 2023 insurance. Be provided separately own terms and conditions, contact numbers, and some data may be inaccurate in to... And families at-risk adults live safely and independently in their own terms conditions! Legal document that explains your health care plan and premium data for the website 's operation official and... Coverage ( SBC ) document will help you choose a health plan Rights.
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