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:. You may also call Health Care Options at 1-800-430-4263. Learn more here. The SBC shows you how you and the plan would share the cost for covered health care services. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. endstream endobj startxref Please, see below for location details, contact numbers, and hours of operation. TTY users should call 1-800-718-4347. hb```f``|AX,;Xt3]. The call is free. .usa-footer .container {max-width:1440px!important;} You may be able to get the SBC and Uniform Glossary in a language other than English upon request. <>/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>> 4 0 obj ? All rights reserved | About | Contact | Legal and Privacy. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. %PDF-1.6 % 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. We offer cash and housing assistance, such as access to hotel/motel vouchers. 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 Because we respect your right to privacy, you can choose not to allow some types of cookies. We partner with agencies and organizations that share our mission to help and protect those most in need. NOTE: Information about the cost of this plan (called the premium) will be provided separately. We believe in the power of partnerships. 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. 7500 Security Boulevard, Baltimore, MD 21244. You can become the loving parent a child needs and deserves. The SBC shows you how you and the plan would share the cost for covered health care services. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. NOTE: Information about the cost of this plan (called the premium) will be provided separately. H8894 001 0 available in Riverside and San Bernardino Counties. %vM:+&Z$RI\\?wNuVS!n} hYioH+ 3"> >Ivg@K, ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA 2 0 obj .usa-footer .grid-container {padding-left: 30px!important;} is offered in the following locations. This is only a summary. 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. 1750 0 obj <>/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 ol{list-style-type: decimal;} For more information , visit www.iehp.org. If you or your family is at risk of experiencing homelessness or is homeless, 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. Click to Call 1-877-354-4611 TTY 711. TAhh])f?u Vh7 IEHP DualChoice (HMO D-SNP) This is meant to help you compare your options and understand your coverage. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. 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 Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Contact the plan for details. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. wT].b`bd` FI? The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. ! 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. View Plan Details How to Get Care If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. This is only a summary. Contact a plan for a Summary of Benefits. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Factsonmedicare.com is a free-to-use informational website. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). Share via Facebook. Here you can find access to Family Resource Centers and crisis prevention services. 0 ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW 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. hZ]o+EugE {ScX,x}@\[,l7{. offers the following coverage and cost-sharing. would share the cost for covered health care services. We only use data released publicly each year. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. NOTE: Information about the cost of this plan (called the premium) will be provided separately. We understand that our services and benefits are vital to you. 711 (TTY), To Enroll with IEHP We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. Health care is crucial for you and your family. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. 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. We do not directly sell health insurance or offer professional legal, medical, or financial advice. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} (800) 720-4347 (TTY). Your HBA, usually located in your agency's personnel office, can also print you a copy . Ready to sign up for IEHP DualChoice (HMO D-SNP) You can compare options based on price, benefits, and other features that may be important to you. Contact a plan for a Summary of Benefits. 1175 0 obj <> endobj Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. . Copy Page Link. These cookies are required to use this website and can't be turned off. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. 3 0 obj 1 0 obj We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. You need a roof over your head. An official website of the United States government. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. endobj L.A. Care Covered Platinum 90 HMO Evidence of Coverage. We do not offer every plan available in your area. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d The SBC shows you how you and the plan would share the cost for covered health care services. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Please read the Evidence of Coverage for the full list of benefits. 2023 Inland Empire Health Plan All Rights Reserved. Find out if you qualify for a Special Enrollment Period. hb```f``Z pA2,Nh0b The SBC shows you how you and the plan would share the cost for covered health care services. %PDF-1.5 % The .gov means its official. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. stream Get help from a licensed Medicare agent. %%EOF %%EOF It details the coverage and costs for any Affordable Care Act-compliant health plan. also provides the following benefits. NOTE: Information about the cost of this plan (called the premium) will be provided separately. endobj Press Tab to Move to Skip to Content Link. .cd-main-content p, blockquote {margin-bottom:1em;} ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. 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! We believe in helping YOU take care of yourself and your family. 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. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> Your Part B premium may differ based on factors including late enrollment, income, and disability status. 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. 4 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 . KtV NOTE: Information about the cost of this plan (called the premium) will be provided separately. SBCs also explain health plans' unique features See how they can help you, your family, and your community! Medi-Cal is a no-cost or low-cost health coverage program. You may also qualify for Extra Help on drug costs. /*-->/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 You have the right to an easy-to-understand summary about a health plans benefits and coverage. =========== 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. Summary of Benefits and Coverage (SBC) Template | MS Word Format. Consider or children in need. %PDF-1.7 % See the . This is only a summary. Other languages can be selected below. IEHP DualChoice (HMO D-SNP) Advantage Plus benefits and premiums . Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. We use cookies to offer you the best possible website experience. 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 ? @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} for details. The site is secure. See the Part D Premium Reduction section below for more details. Your family is your top priority. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X important to review plan coverage, costs, and benefits before you enroll. TTY users should call 1-800-430-7077. IMPORTANT: This page has been updated with plan and premium data for the 2023. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. plan (called the premium) will be provided separately. 401 0 obj <>stream 1731 0 obj <> endobj Podiatry Chiropractic Allergy care (866) 294-4347 ei;N. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. 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. Please check the plans formulary for specific drugs covered. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. Learn more here, including how to apply. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . 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). JQua/V7 25O,G RlJ E7j{ Learn more about how your agency or business can join our the team that strengthens individuals and communities. IEHP DualChoice (HMO D-SNP) Some of the services listed are covered only if IEHP or your IPA approves first. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. Our mission is to help our residents find a path to financial independence. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) Apply here and learn more about benefits. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. % The SBC shows you how you and the plan would share the cost for covered healthcare services. 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. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) <> d.Y&8&MUgQ It provides health, dental and vision* coverage to qualified low-income California residents. 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! TTY users should call (800) 720-4347. Sample Completed SBC | MS Word Format. Your cookie preferences will be stored in your browsers local storage. ah v$c`bd`Qb`_g "[y In fact, its our top priority. The SBC shows you how you and the plan. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ The SBC shows you how you and the plan would share the cost for covered health care services. -l k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. 1800 0 obj <>stream You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. Learn more about resources in languages other than English. We have several customer service locations across our 7,300 square-mile county where you can find help. Click here to learn more. 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. Check if you qualify for a Special Enrollment Period. 0 (888) 244-4347 (800) 718-4347 (TTY), IEHP DualChoice Member Services NOTE: Information about the cost of this . Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. No matter the insurance provider, all SBCs outline the same basic information. This is only a summary. Want to speak to someone face-to-face? We work with community partners and the courts to bring families together. %%EOF We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. You can connect here with some of the organizations we partner with! (877) 273-4347 This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. 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. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. We also have partners throughout Riverside County waiting to help you at any time. Any information we provide is limited to those plans we do offer in your area. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. endstream endobj startxref This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. 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. Medi-Cal Dental Coverage . Help yourself and impact your community by clicking here to learn more! IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. 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. endobj Learn more by clicking here. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! 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 will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Team Member* benefits include: 2019 Inland Empire Health Plan. .manual-search ul.usa-list li {max-width:100%;} Community is built on trust. [CDATA[/* >