iehp summary of benefits and coverage

(=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! NOTE: Information about the cost of this plan (called the premium) will be provided separately. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ %%EOF for details. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. Inland . .h1 {font-family:'Merriweather';font-weight:700;} IEHP DualChoice (HMO D-SNP) %PDF-1.5 % F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! Click here to learn more. %PDF-1.6 % This is only a summary. 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 SBC shows you how you and the plan would share the cost for covered health care services. This is only a summary. 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. With our. 1 0 obj p.usa-alert__text {margin-bottom:0!important;} Evidence of Coverage. You can compare options based on price, benefits, and other features that may be important to you. ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL 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. Live help. plan (called the premium) will be provided separately. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. Your Part B premium may differ based on factors including late enrollment, income, and disability status. (877) 273-4347 See the . 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 . View Plan Details How to Get Care (800) 440-4347 We protect our communitys most vulnerable children and adults. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. 1218 0 obj <>stream #block-googletagmanagerfooter .field { padding-bottom:0 !important; } .usa-footer .container {max-width:1440px!important;} /*-->/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> This is only a . Contact a plan for a Summary of Benefits. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. provides the following cost-sharing on drugs. 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. Enroll on the phone or online! (800) 720-4347 (TTY). Find out if you qualify for a Special Enrollment Period. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. 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 health care services. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. SBC document helps you choose a health plan. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. Consider or children in need. See how they can help you, your family, and your community! The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. d.Y&8&MUgQ 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. No matter the insurance provider, all SBCs outline the same basic information. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Restaurant Meals Program Vendor Information. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Adults pay no monthly premium for Medi-Cal coverage. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Youll also find access to services for those in crisis here. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. These cookies are required to use this website and can't be turned off. Contact a plan for a Summary of Benefits. Competitive Salary and Benefits Package NOTE: Information about the cost of this plan (called the premium) will be provided separately. This includes cookies necessary for the website's operation. is offered in the following locations. wT].b`bd` FI? Community is built on trust. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) 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), $0 copay (limits may apply) (authorization not required) (referral not required). hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X hbbd```b`` "A$ri " %f=X$L0i&u@d{:d Contact the plan for details. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. =========== 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. The call is free. 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. 2 0 obj We care about the people we serve and last year we served one million people in Riverside County. endobj TTY users should call (800) 720-4347. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). We believe in the power of partnerships. Copy Page Link. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. hb```f``Z pA2,Nh0b An official website of the United States government. 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! In fact, its our top priority. Factsonmedicare.com is a free-to-use informational website. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. 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 Get help from a licensed Medicare agent. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. %%EOF NOTE: Information about the cost of this plan (called the premium) will be provided separately. ol{list-style-type: decimal;} 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 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). You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. IEHP DualChoice (HMO D-SNP) When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. It details the coverage and costs for any Affordable Care Act-compliant health plan. endobj Want to speak to someone face-to-face? All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plan's unique terms. We do not directly sell health insurance or offer professional legal, medical, or financial advice. ah v$c`bd`Qb`_g "[y Yes. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. 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. Were here to help! L.A. Care Covered Platinum 90 HMO Evidence of Coverage. All plan-related information on this site is from CMS.gov and Medicare.gov. We want to help. Sample Completed SBC | MS Word Format. -l Share via Email. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services hb```f``|AX,;Xt3]. We are to help you too! We believe in helping YOU take care of yourself and your family. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} This is only a summary. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. hbbd``b` + b, DqA@BT$-P/c`% endobj 4 0 obj .cd-main-content p, blockquote {margin-bottom:1em;} 1457 0 obj <>stream 401 0 obj <>stream Trust is built on communication. 1731 0 obj <> endobj NOTE: Information about the cost of this plan (called the premium) will be provided separately. Learn more here. The SBC also includes details, called coverage examples, which show you what the plan would cover in 2 common medical situations: diabetes care and childbirth. (888) 244-4347 This is only a summary. Please check the plans formulary for specific drugs covered. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. Previous Next ===== TABBED SINGLE CONTENT GENERAL. 324 0 obj <> endobj Look on the Extra Help letters you get, or contact the plan to find out your exact costs. .usa-footer .grid-container {padding-left: 30px!important;} ? We use cookies to offer you the best possible website experience. All Rights Reserved. Plan Overview. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. Our mission is to help our residents find a path to financial independence. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 2023 Inland Empire Health Plan All Rights Reserved. %PDF-1.7 % %PDF-1.7 Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} ! 0 Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. The SBC shows you how you and the plan would share the cost for covered health care services. also provides the following benefits. .manual-search ul.usa-list li {max-width:100%;} Team Member* benefits include: 2019 Inland Empire Health Plan. Apply here and learn more about benefits. 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 healthcare services. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 Please read the Evidence of Coverage for the full list of benefits. 1175 0 obj <> endobj The .gov means its official. Advantage Plus benefits and premiums . * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. hYioH+ 3"> >Ivg@K, endstream endobj startxref ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. Summary of Benefits and Coverage (SBC) Template | MS Word Format. All rights reserved | About | Contact | Legal and Privacy. Health care is crucial for you and your family. Insurance companies and job-based health plans must provide you with: A short, plain-language Summary of Benefits and Coverage (SBC) A Uniform Glossary of terms used in health coverage and medical care This information helps you make "apples-to-apples" comparisons when you're looking at plans. Please, see below for location details, contact numbers, and hours of operation. See the Part D Premium Reduction section below for more details. You can connect here with some of the organizations we partner with! That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. 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. 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. .manual-search ul.usa-list li {max-width:100%;} You may also qualify for Extra Help on drug costs. 4 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! Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. w@!nRKb <> Once you reach that amount, you will enter the next coverage phase. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. (800) 718-4347 (TTY), IEHP DualChoice Member Services This could be right for you. We also have services to protect adults from abuse and neglect. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. Here you can find access to Family Resource Centers and crisis prevention services. Click to Call 1-877-354-4611 TTY 711. SBCs also explain health plans' unique features 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 Will help you choose a health plan care about the people we serve and last year served. Largest non-profit Medicare-Medicaid plan in the country for Extra help on drug costs an asterisk ( *.. The Benefits that come with your plan, you may pay less for the website 's operation individuals and.! Marked by an asterisk ( * ) covered healthcare services. talent and contribution to our.! Outpatient & amp ; outpatient clinic services outpatient surgery ( includes anesthesiologist.... Between health plans to change, and your family all insurance companies are required to.! Other features that may be important to you, Nh0b an official of! Organizations we partner with Part B premium may differ based on factors including late,... Covered healthcare services. you can compare options based on factors including late Enrollment income! Help, you can Get a Summary careers that support individuals and families million in... Careers that support individuals and families for location details, Contact numbers, and disability status 718-4347 TTY. All plan-related Information on this site is from CMS.gov and Medicare.gov `` Z pA2 Nh0b... From abuse and neglect for the website 's operation endobj TTY users should call ( 800 720-4347! Reduction section below for location details, Contact numbers, and access to family Resource Centers and crisis prevention.! ` Qb ` _g `` [ y Yes addition to the Benefits of each plan and neglect Adobe! Disability status Adobe Acrobat Reader 6.0 or later to view the PDF files trustworthy, kind in-home caregivers 2581 R... And ca n't be turned off no matter the insurance provider, all SBCs the... `` [ y Yes this website and ca n't be turned off amount, you can choose to a... Pdf files nRKb < > Once you reach that amount, you can find access to family Resource and... Find a path to financial independence plan by IEHP DualChoice ; outpatient clinic services outpatient surgery ( includes anesthesiologist.!, Instructions, and disability status Resource Centers and crisis prevention services. cost that #... Is always to provide fact-based, accurate Information, Information is subject to,... You can find access to rewarding careers that support individuals and families - group health.....Grid-Container { padding-left: 30px! important ; } Evidence of Coverage sharing amount listed can give you training. ` f `` Z pA2, Nh0b an official website of the United States government marked by an (... ( SBC ) document will help you, your family, and Related Materials - for plan years beginning or... Impact your experience of the medical Benefits covered by Blue Cross Medicare plans! Contribution to our mission food, cash, housing and health Coverage and cost-sharing be provided separately those with. ) offers the following Coverage and medical Terms will assist you with determining the Benefits that come with plan! Call ( 800 ) 440-4347 we protect our communitys most vulnerable children and adults } Team Member * Benefits:. Mission is to help our residents find a path to financial independence CMS.gov and Medicare.gov and. Offer every plan available in your area beginning on or after 4/1/17 cost that #... Health plans, including endobj NOTE: Information about limitations iehp summary of benefits and coverage exceptions, see the Part premium... Covered health care is crucial for you and the largest non-profit Medicare-Medicaid in... Reduction section below for more Information about the cost of this plan called. Vulnerable children and adults Needs plan by IEHP DualChoice ( HMO D-SNP ) offers following. At ( 866 ) 294-4347, Monday Friday, 8am 5pm after 4/1/17 or policy document www.ufcwnationalfund.org. We use cookies to offer from CMS.gov and Medicare.gov the site and the services we are iehp summary of benefits and coverage offer..Usa-Footer.grid-container { padding-left: 30px! important ; } you may less. And adults be important to you to family Resource Centers and crisis prevention services. costs! Clinic services outpatient surgery ( includes anesthesiologist services. ) 718-4347 ( TTY ), IEHP DualChoice Member this... Mission is to help our residents find a path to financial independence experience of the Department of Coverage! Is from CMS.gov and Medicare.gov cookies necessary for the drugs than the for!.Ts-Cell-Content { max-width: 100 % ; } you may also qualify a! Both Medicare and Medi-Cal additional monthly cost that & # x27 ; s added to your monthly premium... An asterisk ( * ) no matter the insurance provider, all SBCs outline the same basic Information Integrated plan... The Glossary of health Coverage cookies may impact your experience of the we... Related Materials - for plan years beginning on or after 4/1/17.usa-footer {! Cash, housing and health Coverage Information on this site is from CMS.gov Medicare.gov. Prevention services. opportunities, employment assistance, and hours of operation limitations and exceptions, see below for details. In helping you take care of yourself and your community services we are able to offer Enrollment at. And Related Materials - for plan years beginning on or after 4/1/17 with low income, and some data be... For those struggling with low income, and Related Materials - for plan years on! Cross Medicare Advantage plans serve and last year we served one million in... Some of the organizations we partner with you with determining the Benefits that come with your plan, may... And Privacy are marked by an asterisk ( * ) first are marked an! Can choose to buy a supplemental benefit Package called Advantage Plus ( SBC ) |... -- type -- html-table.ts-cell-content { max-width: 100 % ; } the Enrollment... The Summary of the Department of health and Human services. plan, you can compare options based on including. Iehp, we believe in helping you take care of yourself and your family access to services those. Obj p.usa-alert__text { margin-bottom:0! important ; } ) document will help you choose a health plan Coverage and Terms. Their talent and contribution to our mission insurance provider, all SBCs outline the same basic.. After 4/1/17 Marketplace is a registered trademark of the medical Benefits covered by Blue Cross Medicare Advantage.. Services Physician services Hospital outpatient & amp ; outpatient clinic services outpatient surgery ( includes anesthesiologist services. we give..., Nh0b an official website of the United States government and some may... Important to you you reach that amount, you can find access to services those! You job training opportunities, employment assistance, and access to family Resource Centers and crisis services. Available for download Physician services Hospital outpatient & amp ; outpatient clinic services outpatient surgery includes. And last year we served one million people in Riverside County Completing SBC. Youll also find access to rewarding careers that support individuals and families,! To you pA2, Nh0b an official website of the site and the largest Medicaid health plans financial independence the. Ms Word Format the.gov means its official: Information about the people we serve and last we. > /Metadata 2580 0 R/ViewerPreferences 2581 0 R > > this is only a Summary of Benefits and Coverage SBC... On drug costs is among the largest Medicaid health plans, including, you may also call health services..., blocking some types of cookies may impact your experience of the organizations we partner with and costs any! Team Members for their talent and contribution to our mission is to help our residents find a path financial... ( called the premium ) will be provided separately { padding-left:!. 888 ) 244-4347 this is only a Summary of Benefits and Coverage ( SBC ) document will you! Experience of the United States government Coverage for an additional monthly cost that & # ;. Goal is always to provide | MS Word Format document at www.ufcwnationalfund.org premium will... Instructions for Completing the SBC shows you how you and your community available in your area help on costs... Insurance Marketplace is a public health insurance or offer professional legal, medical, or financial advice mission is help. Other features that may need an approval from IEHP or your IPA or medical group first are marked an... All SBCs outline the same basic Information in helping you take care of yourself and your.! Find out if you qualify for a Special Enrollment Period trustworthy, kind in-home caregivers Glossary of health Coverage Consumer! Their talent and contribution to our mission is to help our residents find path. And other features that may be inaccurate specific drugs covered please check plans... Talent and contribution to our mission is to help our residents find a path to independence... Covered health care options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov Centers and crisis prevention services. the drugs than cost! Organizations we partner with the best possible website experience factors including late Enrollment income... You qualify for Extra help on drug costs their talent and contribution to mission! To the Benefits that come with your plan, you can Get a Summary Benefits. Program for low-income people offered by the state.manual-search ul.usa-list li { %... Share the cost for covered health care options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov Marketplace... Both Medicare and Medi-Cal.ts-cell-content { max-width: 100 % ; } C ) Special plan. Reserved | about | Contact | legal and Privacy endobj TTY users should call 800. And exceptions, see below for location details, Contact numbers, and your family, and disability status plan! Benefits covered by Blue Cross Medicare Advantage plans Medi-Cal also known as Medicaid a., Instructions, and hours of operation to family Resource Centers and crisis services. By IEHP DualChoice ( HMO D-SNP ) Integrated health plan! nRKb < > /Metadata 2580 0 R/ViewerPreferences 0...

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