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2023 Inland Empire Health Plan All Rights Reserved. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. This is meant to help you compare your options and understand your coverage. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Every child deserves a stable, safe, and supportive family. These cookies are required to use this website and can't be turned off. 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. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z
,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! We offer cash and housing assistance, such as access to hotel/motel vouchers. Restaurant Meals Program Vendor Information. Adults pay no monthly premium for Medi-Cal coverage. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Live help. This is only a summary. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X %
See the . IMPORTANT: This page has been updated with plan and premium data for the 2023. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. This includes cookies necessary for the website's operation. Your family is your top priority. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. hYioH+
3"> >Ivg@K, 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. (866) 294-4347 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. L.A. Care Covered Gold 80 HMO Evidence of . %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . See the Part D Premium Reduction section below for more details. 1457 0 obj
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rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. IEHP DualChoice (HMO D-SNP) A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. TAhh])f?u Vh7 endstream
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We do not offer every plan available in your area. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. Share via LinkedIn. This is only a summary. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} This is a summary of health services covered by IEHP DualChoice (HMO D-SNP), a Medicare Medi-Cal Plan, for January 1, 2023 through December 31, 2023. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. 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. hb```f``Z pA2,Nh0b The SBC shows you how you and the plan would share the cost for covered healthcare services. Factsonmedicare.com is a free-to-use informational website. ;+ "
BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA Enroll on the phone or online! Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Share via Facebook. .manual-search-block #edit-actions--2 {order:2;} When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. Click to Call 1-877-354-4611 TTY 711. 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). 324 0 obj
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Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. We also have partners throughout Riverside County waiting to help you at any time. Competitive Salary and Benefits Package Click here to learn more. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. endobj
TTY users should call (800) 720-4347. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. would share the cost for covered health care services. In fact, its our top priority. 4 0 obj
The site is secure. The call is free. 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. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. 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. IEHP DualChoice (HMO D-SNP) You may also qualify for Extra Help on drug costs. Medi-Cal Dental Coverage . 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). Learn more about how your agency or business can join our the team that strengthens individuals and communities. KtV (800) 440-4347 1 0 obj
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YJya%XL Here you can find access to Family Resource Centers and crisis prevention services. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= 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. Consider or children in need. Please check the plans formulary for specific drugs covered. You need a roof over your head. We partner with agencies and organizations that share our mission to help and protect those most in need. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. stream
This is only a summary. We believe in helping YOU take care of yourself and your family. LYK%-dQrqc*D|3-:HAdFfZ! 401 0 obj
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Other languages can be selected below. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services Previous Next ===== TABBED SINGLE CONTENT GENERAL. It provides health, dental and vision* coverage to qualified low-income California residents. Our mission is to help our residents find a path to financial independence. [CDATA[/* >/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>>
is offered in the following locations. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7
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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. Help yourself and impact your community by clicking here to learn more! k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. important to review plan coverage, costs, and benefits before you enroll. ei;N. We have several customer service locations across our 7,300 square-mile county where you can find help. 1203 0 obj
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It is a legal document that explains your health care plan and should answer many important questions about your benefits. Learn more about resources in languages other than English. 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). Become a foster or adoptive parent. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. Yes. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. 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 We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! The SBC shows you how you and the plan would share the cost for covered health care services. You can compare options based on price, benefits, and other features that may be important to you. Podiatry Chiropractic Allergy care Youll also find access to services for those in crisis here. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. Some of the services listed are covered only if IEHP or your IPA approves first. SBCs also explain health plans' unique features See how they can help you, your family, and your community! NOTE: Information about the cost of this . 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. also provides the following benefits. An official website of the United States government. endstream
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While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. . #block-googletagmanagerfooter .field { padding-bottom:0 !important; } Please read the Evidence of Coverage for the full list of benefits. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. Summary of Benefits and Coverage (SBC) Template | MS Word Format. hbbd``b` + b, DqA@BT$-P/c`%
Learn more by clicking here. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. 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. offers the following coverage and cost-sharing. 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. NOTE: Information about the cost of this plan (called the premium) will be provided separately. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. 1750 0 obj
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We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. Medi-Cal is a no-cost or low-cost health coverage program. Plan Overview. Federal government websites often end in .gov or .mil. #block-googletagmanagerheader .field { padding-bottom:0 !important; } d.Y&8&MUgQ Find out if you qualify for a Special Enrollment Period. endobj
.paragraph--type--html-table .ts-cell-content {max-width: 100%;} (800) 718-4347 (TTY), IEHP DualChoice Member Services .cd-main-content p, blockquote {margin-bottom:1em;} You may also call Health Care Options at 1-800-430-4263. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d JQua/V7 25O,G RlJ
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