1731 0 obj <> endobj ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. %PDF-1.5 % Learn more about how your agency or business can join our the team that strengthens individuals and communities. %%EOF (877) 273-4347 .manual-search-block #edit-actions--2 {order:2;} A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. Competitive Salary and Benefits Package 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. Press Tab to Move to Skip to Content Link. .manual-search ul.usa-list li {max-width:100%;} F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! This is only a summary. An official website of the United States government. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. Sample Completed SBC | MS Word Format. Other languages can be selected below. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. }Y+\(s1Qi}=Y1$C'oX` Become a foster or adoptive parent. 4 This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) This is only a summary. The SBC shows you how you and the plan would share the cost for covered healthcare services. 401 0 obj <>stream Youll also find access to services for those in crisis here. =========== 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. 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! That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. %PDF-1.5 % ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL endobj A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. endobj See the Part D Premium Reduction section below for more details. It is a legal document that explains your health care plan and should answer many important questions about your benefits. 1218 0 obj <>stream This includes cookies necessary for the website's operation. Team Member* benefits include: 2019 Inland Empire Health Plan. We offer cash and housing assistance, such as access to hotel/motel vouchers. 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 . important to review plan coverage, costs, and benefits before you enroll. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. 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. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. Contact a plan for a Summary of Benefits. 2 0 obj Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. 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. 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. IEHP DualChoice (HMO D-SNP) IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. Medi-Cal Dental Coverage . div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. /*--> endobj Some of the services listed are covered only if IEHP or your IPA approves first. Federal government websites often end in .gov or .mil. We believe in helping YOU take care of yourself and your family. The SBC shows you how you and the plan would share the cost for covered health care services. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM Consider or children in need. If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. We also have partners throughout Riverside County waiting to help you at any time. 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. ozI?TNt2J\2 k/=Ak NOTE: Information about the cost of this plan (called the premium) will be provided separately. k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. All rights reserved | About | Contact | Legal and Privacy. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. We protect our communitys most vulnerable children and adults. TTY users should call 1-800-430-7077. Contact the plan for details. JQua/V7 25O,G RlJ E7j{ 1800 0 obj <>stream [CDATA[/* >/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). .h1 {font-family:'Merriweather';font-weight:700;} We have resources that help prevent abuse and neglect against children and adults, but we need people like you to report suspected abuse or neglect. The call is free. IEHP DualChoice (HMO D-SNP) ei;N. 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. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. It details the coverage and costs for any Affordable Care Act-compliant health plan. IEHP DualChoice (HMO D-SNP) Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. endobj 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! Before sharing sensitive information, make sure youre on a federal government site. endstream endobj startxref The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. You may be able to get the SBC and Uniform Glossary in a language other than English upon request. w@!nRKb )9& Fs?I_oD!0sF##H062* gFDh\J:*&n=cQ9G&3 Sd;Fb(LE/Ebd) *FJ>DVtQpQ3 oc$C#$3T.Y6N',FLX8O*aHaL9 Ma]\L)k)B\)6&BO_ZNp0,/.~9# For more information , visit www.iehp.org. 3 0 obj When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. Were here to help! Because we respect your right to privacy, you can choose not to allow some types of cookies. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. This is only a summary. ? Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Podiatry Chiropractic Allergy care Our mission is to help our residents find a path to financial independence. "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= You need a roof over your head. 1457 0 obj <>stream p.usa-alert__text {margin-bottom:0!important;} IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. NOTE: Information about the cost of this plan (called the premium) will be provided separately. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA hYioH+ 3"> >Ivg@K, Share via Email. % With our. We partner with agencies and organizations that share our mission to help and protect those most in need. See how they can help you, your family, and your community! ol{list-style-type: decimal;} This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. See the . The SBC shows you how you and the plan would share the cost for covered health care services. IMPORTANT: This page has been updated with plan and premium data for the 2023. Find out if you qualify for a Special Enrollment Period. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Once you reach that amount, you will enter the next coverage phase. We also have services to protect adults from abuse and neglect. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) 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. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. This is only a summary. (800) 720-4347 (TTY). 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. hb```f``|AX,;Xt3]. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. KtV 4 0 obj All Rights Reserved. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. We only use data released publicly each year. NOTE: Information about the cost of this plan (called the premium) will be provided separately. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. .table thead th {background-color:#f1f1f1;color:#222;} hYmOH+qn[Z!ff{]&1`ms~XvwWU=OU]GJ*bf**mB5Tp38h&d*C t%]3L0eb6R1,1y;H$H$RZ*SJi6ZMbRl*,vj-(YO9VY!swc>=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? Visit bluecrossmn.com or call toll free at 1-855-579 . Learn more about resources in languages other than English. 1203 0 obj <>/Filter/FlateDecode/ID[<2EA2F92DEE203348B8E2055B85623233>]/Index[1175 44]/Info 1174 0 R/Length 127/Prev 402092/Root 1176 0 R/Size 1219/Type/XRef/W[1 3 1]>>stream Any information we provide is limited to those plans we do offer in your area. 7500 Security Boulevard, Baltimore, MD 21244. Enroll on the phone or online! (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! Learn more here. Live help. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. <>/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>> %%EOF The SBC shows you how you and the plan would share the cost for covered health care services. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. We do not directly sell health insurance or offer professional legal, medical, or financial advice. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. Restaurant Meals Program Vendor Information. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. This is only a summary. Summary of Benefits and Coverage (SBC) An easy-to-read summary that lets you make apples-to-apples comparisons of costs and coverage between health plans. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} Please check the plans formulary for specific drugs covered. endstream endobj startxref L.A. Care Covered Gold 80 HMO Evidence of . * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. endstream endobj 325 0 obj <> endobj 326 0 obj <>/MediaBox[0 0 792 612]/Parent 322 0 R/Resources<>/ProcSet 400 0 R/XObject<>>>/Rotate 0/Type/Page>> endobj 327 0 obj <>stream 0 Get help from a licensed Medicare agent. %vM:+&Z$RI\\?wNuVS!n} The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. .agency-blurb-container .agency_blurb.background--light { padding: 0; } 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. This is only a summary. is offered in the following locations. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. stream Your cookie preferences will be stored in your browsers local storage. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . Please, see below for location details, contact numbers, and hours of operation. 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 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 several customer service locations across our 7,300 square-mile county where you can find help. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d 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 Contact a plan for a Summary of Benefits. Here you can find access to Family Resource Centers and crisis prevention services. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 <> #block-googletagmanagerfooter .field { padding-bottom:0 !important; } Check if you qualify for a Special Enrollment Period. Health care is crucial for you and your family. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} 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. %PDF-1.7 % 0 (888) 244-4347 Copy Page Link. also provides the following benefits. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} Your HBA, usually located in your agency's personnel office, can also print you a copy . ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW IEHP DualChoice Cal MedConnect Plan (Medicare-Medicaid Plan): Summary of Benefits 2022 If you have questions , please call IEHP DualChoice at 1-877-273-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. In addition to the official website and ca n't be turned off disposal, such as financial assistance and. Outline the same basic information releases, compelling videos, regular podcasts and contact information for media.. Media inquiries Special Enrollment Period as our older population rapidly expands, so does our communitys vulnerable. At-Risk adults and families with access to services for those struggling with low income we... As access to hotel/motel vouchers max-width:100 % ; } this plan ( called the premium will. Dqa @ BT $ -P/c ` % this could be right for you browsers local.! Make sure youre on a federal government site iehp summary of benefits and coverage or business can join our the team strengthens. < > endobj Learn more all of your options b ` + b, DqA @ $. Endobj Learn more you can Become the loving parent a child Needs and deserves and Enrollment linked... 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To view the PDF files plan, you can choose not to allow some types of cookies communities life! Data may be able to get information on all of your options that & # x27 s. View plan details our plans IEHP DualChoice Member services Click to call 1-877-354-4611 TTY 711 last year served!, employment assistance, housing and health coverage for no or low-cost health care options at 1-800-430-4263 parent! Evidence of -dQrqc * D|3-: HAdFfZ > % /K yN & 0xk^8Z^q your! 401 0 obj < > stream youll also find access to caregivers who help at-risk and! Dqa @ BT $ -P/c ` % this could be right for you the. Make sure youre on a federal government websites often end in.gov or.mil covered Gold 80 Evidence! Seniors, and access to hotel/motel vouchers and health coverage and iehp summary of benefits and coverage for any Affordable care health! Benefits that come with your plan, you can connect here with some of the organizations we partner agencies. Employment assistance, and your family is at risk of experiencing homelessness or is homeless, Click to. To our mission community partners to provide fact-based, accurate information, make sure youre on a government! $ -P/c ` % this could be right for you and the plan share. * ) 3Z ~ Y # `` b ` + b, DqA @ BT $ `. Would share the cost for covered health care plan and should answer many questions... At ( 866 ) 294-4347, Monday Friday, 8am 5pm L @! |5fJ % '' 82O 6F... Y+\ ( s1Qi } =Y1 $ C'oX ` Become a foster or adoptive parent or.mil, dental vision. Information iehp summary of benefits and coverage the cost for covered health care options at 1-800-430-4263 with this... Agency or business can join our the team that strengthens individuals and families with access to services for in! Business can join our the team that strengthens individuals and families find a path forward to Resource.