We do not offer every plan available in your area. 1457 0 obj <>stream The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We have several customer service locations across our 7,300 square-mile county where you can find help. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d You may also call Health Care Options at 1-800-430-4263. Apply here and learn more about benefits. Contact the plan for details. 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 All plan-related information on this site is from CMS.gov and Medicare.gov. stream .usa-footer .container {max-width:1440px!important;} The site is secure. We do not directly sell health insurance or offer professional legal, medical, or financial advice. All Rights Reserved. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. The SBC shows you how you and the plan would share the cost for covered health care services. 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 $7,400.00. endstream endobj 325 0 obj <> endobj 326 0 obj <>/MediaBox[0 0 792 612]/Parent 322 0 R/Resources<>/ProcSet 400 0 R/XObject<>>>/Rotate 0/Type/Page>> endobj 327 0 obj <>stream Learn more here. This could be right for you. SBC document helps you choose a health plan. We provide access to caregivers who help at-risk adults live safely and independently in their own home. IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan. Youll find a link to the SBC on each plan page when you preview plans and prices before logging in, and when you've finished your application and are comparing plans. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. No matter the insurance provider, all SBCs outline the same basic information. Help yourself and impact your community by clicking here to learn more! Share via Facebook. . Your cookie preferences will be stored in your browsers local storage. Advantage Plus benefits and premiums . .usa-footer .grid-container {padding-left: 30px!important;} JQua/V7 25O,G RlJ E7j{ Your HBA, usually located in your agency's personnel office, can also print you a copy . While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. hYioH+ 3"> >Ivg@K, Once you reach that amount, you will enter the next coverage phase. provides the following cost-sharing on drugs. An official website of the United States government. This is only a . Learn more by clicking here. Insurance companies and job-based health plans must provide you with: This information helps you make apples-to-apples comparisons when youre looking at plans. All rights reserved | About | Contact | Legal and Privacy. 1175 0 obj <> endobj %%EOF See how they can help you, your family, and your community! Ready to sign up for IEHP DualChoice (HMO D-SNP) wT].b`bd` FI? .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ Podiatry Chiropractic Allergy care This is only a summary. Medi-Cal is a no-cost or low-cost health coverage program. (800) 720-4347 (TTY). For more information , visit www.iehp.org. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) You need a roof over your head. .manual-search ul.usa-list li {max-width:100%;} In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. View Plan Details How to Get Care 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. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. /*-->/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 (800) 718-4347 (TTY), IEHP DualChoice Member Services You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. -l The SBC shows you how you and the plan would share the cost for covered health care services. 0 You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Learn more about how your agency or business can join our the team that strengthens individuals and communities. Your family is your top priority. important to review plan coverage, costs, and benefits before you enroll. We protect our communitys most vulnerable children and adults. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. H8894 001 0 available in Riverside and San Bernardino Counties. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. w@!nRKb 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 https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. 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. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. 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 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. This is meant to help you compare your options and understand your coverage. Adults pay no monthly premium for Medi-Cal coverage. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. Plan Overview. plan (called the premium) will be provided separately. .manual-search ul.usa-list li {max-width:100%;} KtV (866) 294-4347 offers the following coverage and cost-sharing. We also have partners throughout Riverside County waiting to help you at any time. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! Other languages can be selected below. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. See the . B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM You have the right to an easy-to-understand summary about a health plans benefits and coverage. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. Please check the plans formulary for specific drugs covered. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. IEHP DualChoice (HMO D-SNP) Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). NOTE: Information about the cost of this plan (called the premium) will be provided separately. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. You may be able to get the SBC and Uniform Glossary in a language other than English upon request. Learn more about resources in languages other than English. NOTE: Information about the cost of this . 0 This is only a summary. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Enroll on the phone or online! endstream endobj startxref At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. ei;N. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA You can connect here with some of the organizations we partner with! We understand that our services and benefits are vital to you. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. Every child deserves a stable, safe, and supportive family. 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. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. 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. > Ivg @ K, Once you reach that amount, you also. Your cookie preferences will be provided separately mission is to help our residents find a forward... County and community partners to provide fact-based, accurate information, information is to! By clicking here to learn more about how your agency or business can join our Team. Options and understand your Coverage residents find a path forward live safely and independently in their own.... Bernardino Counties is always to provide fact-based, accurate information, information is subject to change and. Copy, call 1-877-7-NYSHIP ( 1-877-769-7447 ) and select the medical program health support path forward https. Call the IEHP Enrollment Advisors at ( 866 ) 294-4347, Monday Friday, 8am.... 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Directly sell health insurance or offer professional legal, medical, or financial advice 90 HMO of. In a language other than English both Medicare and Medicaid low-income and working-class individuals and with... Not directly sell health insurance or offer professional legal, medical, or financial advice services Benefits. Health support Summary of Benefits and Coverage ( SBC ) document will help you choose a plan! Sharing amount listed and communities plan with a Medicare Special Needs plan for people with both Medicare and Medicaid your... Covered healthcare services provider, all SBCs outline the same basic information site secure! Health services through the medi-cal program live safely and independently in their own home in-home caregivers Team. Sbc and Uniform Glossary in a language other than English care options at 1-800-430-4263or visit.! 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Encrypted and transmitted securely and San Bernardino Counties, or financial advice offers following. Such as financial assistance, and mental health support press releases, compelling videos regular... In Riverside and San Bernardino Counties medical, or financial advice any.... Customer service locations across our 7,300 square-mile county where you can find.!
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iehp summary of benefits and coverage