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. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. 0 We offer cash and housing assistance, such as access to hotel/motel vouchers. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} Apply here and learn more about benefits. NOTE: Information about the cost of this plan (called the premium) will be provided separately. %%EOF View Plan Details How to Get Care All insurance agents and enrollment platforms linked to this site have their own terms and conditions. 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). endstream endobj startxref ozI?TNt2J\2 k/=Ak w@!nRKb The SBC shows you how you and the plan would share the cost for covered health care services. Once you reach that amount, you will enter the next coverage phase. 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 We have several customer service locations across our 7,300 square-mile county where you can find help. Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. Contact a plan for a Summary of Benefits. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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! Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). 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. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. (800) 440-4347 Learn more here, including how to apply. Learn more here. The SBC shows you how you and the plan would share the cost for covered health care services. Community is built on trust. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. Medicare has neither approved nor endorsed any information on this site. Share via Email. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. See the . Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. We also have partners throughout Riverside County waiting to help you at any time. The .gov means its official. The SBC shows you how you and the plan would share the cost for covered health care services. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. .table thead th {background-color:#f1f1f1;color:#222;} TTY users should call 1-800-430-7077. We do not directly sell health insurance or offer professional legal, medical, or financial advice. hbbd``b` + b, DqA@BT$-P/c`% <> ah v$c`bd`Qb`_g "[y 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 $7,400.00. This is only a summary. Insurance companies and job-based health plans must provide you with: This information helps you make apples-to-apples comparisons when youre looking at plans. This is only a summary. Please, see below for location details, contact numbers, and hours of operation. .manual-search-block #edit-actions--2 {order:2;} TTY users should call 1-800-718-4347. . wT].b`bd` FI? hbbd```b`` "A$ri " %f=X$L0i&u@d{:d also provides the following benefits. endobj Your cookie preferences will be stored in your browsers local storage. We only use data released publicly each year. Podiatry Chiropractic Allergy care hYmOH+qn[Z!ff{]&1`ms~XvwWU=OU]GJ*bf**mB5Tp38h&d*C t%]3L0eb6R1,1y;H$H$RZ*SJi6ZMbRl*,vj-(YO9VY!swc>=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? 4 @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. This is meant to help you compare your options and understand your coverage. The SBC shows you how you and the plan would share the cost for covered health care services. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 NOTE: Information about the cost of this plan (called the premium) will be provided separately. for details. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. Federal government websites often end in .gov or .mil. Health care is crucial for you and your family. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. We understand that our services and benefits are vital to you. %PDF-1.7 % Any information we provide is limited to those plans we do offer in your area. Restaurant Meals Program Vendor Information. 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. Your family is your top priority. 2023 Inland Empire Health Plan All Rights Reserved. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} This is only a summary. An official website of the United States government. You may also call Health Care Options at 1-800-430-4263. You may be able to get the SBC and Uniform Glossary in a language other than English upon request. hb```f``|AX,;Xt3]. hb```f``Z pA2,Nh0b %PDF-1.6 % We want to help. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) (800) 720-4347 (TTY). If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. 3 0 obj IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. stream The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). This is only a summary. Learn more by clicking here. KtV Get help from a licensed Medicare agent. (866) 294-4347 Yes. 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. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Inland . %PDF-1.7 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 . <>/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>> Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. important to review plan coverage, costs, and benefits before you enroll. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 1175 0 obj <> endobj Youll also find access to services for those in crisis here. k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. With our. Contact a plan for a Summary of Benefits. IEHP DualChoice (HMO D-SNP) is offered in the following locations. We believe in the power of partnerships. You have the right to an easy-to-understand summary about a health plans benefits and coverage. hYioH+ 3"> >Ivg@K, View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We partner with agencies and organizations that share our mission to help and protect those most in need. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM Competitive Salary and Benefits Package For more information , visit www.iehp.org. TTY users should call (800) 720-4347. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. This is only a summary. This is only a . At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. .h1 {font-family:'Merriweather';font-weight:700;} A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. [CDATA[/* >/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 These cookies are required to use this website and can't be turned off. Learn more about how your agency or business can join our the team that strengthens individuals and communities. Visit bluecrossmn.com or call toll free at 1-855-579 . 1218 0 obj <>stream Adults pay no monthly premium for Medi-Cal coverage. NOTE: Information about the cost of this . 711 (TTY), To Enroll with IEHP The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. It provides health, dental and vision* coverage to qualified low-income California residents. endstream endobj startxref Because we respect your right to privacy, you can choose not to allow some types of cookies. Team Member* benefits include: 2019 Inland Empire Health Plan. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) 1457 0 obj <>stream 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. Here you can find access to Family Resource Centers and crisis prevention services. p.usa-alert__text {margin-bottom:0!important;} You may also qualify for Extra Help on drug costs. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. Factsonmedicare.com is a free-to-use informational website. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. All Rights Reserved. Every child deserves a stable, safe, and supportive family. 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). Trust is built on communication. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. =========== 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. IMPORTANT: This page has been updated with plan and premium data for the 2023. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. 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