.usa-footer .grid-container {padding-left: 30px!important;} hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X See how they can help you, your family, and your community! NOTE: Information about the cost of this plan (called the premium) will be provided separately. IEHP DualChoice (HMO D-SNP) 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. 1218 0 obj <>stream Medicare has neither approved nor endorsed any information on this site. View Plan Details How to Get Care Please check the plans formulary for specific drugs covered. The SBC shows you how you and the plan would share the cost for covered health care services. 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. You may also call Health Care Options at 1-800-430-4263. 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 -l Live help. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} wT].b`bd` FI? 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. No matter the insurance provider, all SBCs outline the same basic information. Podiatry Chiropractic Allergy care The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services We understand that our services and benefits are vital to you. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. We partner with agencies and organizations that share our mission to help and protect those most in need. Our mission is to help our residents find a path to financial independence. for details. hb```f``|AX,;Xt3]. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. Check if you qualify for a Special Enrollment Period. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. NOTE: Information about the cost of this plan (called the premium) will be provided separately. JQua/V7 25O,G RlJ E7j{ 1731 0 obj <> endobj Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Competitive Salary and Benefits Package %%EOF hYioH+ 3"> >Ivg@K, That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. endobj All Rights Reserved. You can compare options based on price, benefits, and other features that may be important to you. 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. TTY users should call 1-800-718-4347. 2 0 obj ol{list-style-type: decimal;} Contact a plan for a Summary of Benefits. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). TTY users should call 1-800-430-7077. Sample Completed SBC | MS Word Format. This is only a summary. Your HBA, usually located in your agency's personnel office, can also print you a copy . endobj Health care is crucial for you and your family. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. p.usa-alert__text {margin-bottom:0!important;} Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. Plan Overview. Learn more here, including how to apply. d.Y&8&MUgQ ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL 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. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. 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), $0 copay (limits may apply) (authorization not required) (referral not required). We only use data released publicly each year. .manual-search ul.usa-list li {max-width:100%;} %PDF-1.6 % (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) We care about the people we serve and last year we served one million people in Riverside County. 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. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. provide individuals a "summary of benefits and coverage" that "accurately describes the benefits and coverage under the plan." The SBC is a snapshot of a health plan's costs, benefits, covered health care services, and other features that are important to consumers. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! Share via Email. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. .h1 {font-family:'Merriweather';font-weight:700;} Any information we provide is limited to those plans we do offer in your area. This is only a summary. You can connect here with some of the organizations we partner with! B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM Learn more about resources in languages other than English. 4 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). ei;N. Click to Call 1-877-354-4611 TTY 711. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Were here to help! Contact the plan for details. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } (877) 273-4347 A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. Evidence of Coverage. With our. SBCs also explain health plans' unique features Restaurant Meals Program Vendor Information. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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. The SBC shows you how you and the plan would share the cost for covered healthcare services. (800) 718-4347 (TTY), IEHP DualChoice Member Services It provides health, dental and vision* coverage to qualified low-income California residents. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). .table thead th {background-color:#f1f1f1;color:#222;} This includes cookies necessary for the website's operation. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> 4 0 obj We provide access to caregivers who help at-risk adults live safely and independently in their own home. 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. 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. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. 1175 0 obj <> endobj 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. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. 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! View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. ! .cd-main-content p, blockquote {margin-bottom:1em;} endstream endobj startxref 2023 Inland Empire Health Plan All Rights Reserved. .usa-footer .container {max-width:1440px!important;} You have the right to an easy-to-understand summary about a health plans benefits and coverage. The .gov means its official. stream This is only a . /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 work with community partners and the courts to bring families together. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! hZ]o+EugE {ScX,x}@\[,l7{. is offered in the following locations. IEHP DualChoice (HMO D-SNP) You can become the loving parent a child needs and deserves. Want to speak to someone face-to-face? The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. 0 In fact, its our top priority. 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