iehp summary of benefits and coverage

This is only a summary. p.usa-alert__text {margin-bottom:0!important;} This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Want to speak to someone face-to-face? 1800 0 obj <>stream .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. Ready to sign up for IEHP DualChoice (HMO D-SNP) TTY users should call (800) 720-4347. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). It details the coverage and costs for any Affordable Care Act-compliant health plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. ei;N. .table thead th {background-color:#f1f1f1;color:#222;} KtV We want to help. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Medi-Cal Dental Coverage . w@!nRKb In fact, its our top priority. (800) 720-4347 (TTY). .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} 4 %PDF-1.5 % Please check the plans formulary for specific drugs covered. %%EOF plan (called the premium) will be provided separately. <> hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} hb```f``Z pA2,Nh0b (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! Contact a plan for a Summary of Benefits. Share via Facebook. 4 0 obj The SBC shows you how you and the plan would share the cost for covered health care services. Competitive Salary and Benefits Package * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d 0 Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. endstream endobj startxref ah v$c`bd`Qb`_g "[y would share the cost for covered health care services. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> also provides the following benefits. 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 This is only a summary. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Previous Next ===== TABBED SINGLE CONTENT GENERAL. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. These cookies are required to use this website and can't be turned off. 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 .manual-search ul.usa-list li {max-width:100%;} 1203 0 obj <>/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 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Factsonmedicare.com is a free-to-use informational website. "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= TTY users should call 1-800-430-7077. This is only a . In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. We believe in the power of partnerships. offers the following coverage and cost-sharing. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) Find out if you qualify for a Special Enrollment Period. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. Our mission is to help our residents find a path to financial independence. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) 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. With our. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. provides the following cost-sharing on drugs. 0 Team Member* benefits include: 2019 Inland Empire Health Plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). hYioH+ 3"> >Ivg@K, 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. hZ]o+EugE {ScX,x}@\[,l7{. 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 are to help you too! 2 0 obj % This is only a summary. Click here to learn more. 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 IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW ? This is meant to help you compare your options and understand your coverage. %PDF-1.5 % Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We also have partners throughout Riverside County waiting to help you at any time. 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:. Learn more here, including how to apply. .cd-main-content p, blockquote {margin-bottom:1em;} .usa-footer .container {max-width:1440px!important;} NOTE: Information about the cost of this plan (called the premium) will be provided separately. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. Your family is your top priority. We work with community partners and the courts to bring families together. %PDF-1.7 % #block-googletagmanagerfooter .field { padding-bottom:0 !important; } IEHP DualChoice (HMO D-SNP) IEHP DualChoice (HMO D-SNP) Because we respect your right to privacy, you can choose not to allow some types of cookies. %%EOF Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). The SBC shows you how you and the plan would share the cost for covered health care services. Learn more about resources in languages other than English. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} Sample Completed SBC | MS Word Format. Share via LinkedIn. Other languages can be selected below. Every child deserves a stable, safe, and supportive family. You may also call Health Care Options at 1-800-430-4263. 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). This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. The call is free. Podiatry Chiropractic Allergy care Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. This could be right for you. This is only a summary. endobj Please read the Evidence of Coverage for the full list of benefits. .manual-search-block #edit-actions--2 {order:2;} -l k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. The SBC shows you how you and the plan would share the cost for covered healthcare services. We partner with agencies and organizations that share our mission to help and protect those most in need. 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. The SBC shows you how you and the plan would share the cost for covered health care services. Health care is crucial for you and your family. Learn more by clicking here. Medi-Cal is a no-cost or low-cost health coverage program. The SBC shows you how you and the plan would share the cost for covered health care services. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. Please, see below for location details, contact numbers, and hours of operation. (877) 273-4347 It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. ! rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! 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 . At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. ol{list-style-type: decimal;} This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. You can connect here with some of the organizations we partner with! . Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. We believe in helping YOU take care of yourself and your family. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. stream endobj is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. 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. 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. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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. .manual-search ul.usa-list li {max-width:100%;} 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 $7,400.00. endobj You have the right to an easy-to-understand summary about a health plans benefits and coverage. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. IEHP DualChoice (HMO D-SNP) Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. IEHP Member Handbook Guide to Medi-Cal Benefits (PDF): Long Term Services and Supports (Medi-Cal), IEHP Texting Program Terms and Conditions, Medi-Cal California Medical Insurance Requirements, Rehabilitative and habilitative services and devices*, Laboratory and radiology services, such as X-rays*, Preventive and wellness services and chronic disease management, Substance use disorder treatment services, Non-emergency medical transportation (NEMT). The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. See the . SBC document helps you choose a health plan. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. <> Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. Community is built on trust. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X Enroll on the phone or online! View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. /*--> endobj is offered in the following locations. (866) 294-4347 The site is secure. 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 (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} for details. This is only a summary. We use cookies to offer you the best possible website experience. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! You may also qualify for Extra Help on drug costs. This is only a summary. gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA Learn more about how your agency or business can join our the team that strengthens individuals and communities. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. 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 $4,660.00. We do not offer every plan available in your area. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} Learn more by clicking here. 324 0 obj <> endobj Here you can find access to Family Resource Centers and crisis prevention services. You can become the loving parent a child needs and deserves. This is only a summary. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. %%EOF If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. IEHP DualChoice (HMO D-SNP) All plan-related information on this site is from CMS.gov and Medicare.gov. We protect our communitys most vulnerable children and adults. Become a foster or adoptive parent. Check if you qualify for a Special Enrollment Period. Inland Empire Health Plan (IEHP) The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. endstream endobj 325 0 obj <> endobj 326 0 obj <>/MediaBox[0 0 792 612]/Parent 322 0 R/Resources<>/ProcSet 400 0 R/XObject<>>>/Rotate 0/Type/Page>> endobj 327 0 obj <>stream Summary of Benefits and Coverage (SBC) Template | MS Word Format. hYmOH+qn[Z!ff{]&1`ms~XvwWU=OU]GJ*bf**mB5Tp38h&d*C t%]3L0eb6R1,1y;H$H$RZ*SJi6ZMbRl*,vj-(YO9VY!swc>=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? Copy Page Link. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. endstream endobj startxref %PDF-1.6 % Live help. }Y+\(s1Qi}=Y1$C'oX` [CDATA[/* >