The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. %PDF-1.7
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Learn more by clicking here. offers the following coverage and cost-sharing. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. 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:. Trust is built on communication. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. Enroll on the phone or online! 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. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. Our mission is to help our residents find a path to financial independence. 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. #block-googletagmanagerheader .field { padding-bottom:0 !important; } We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. Advantage Plus benefits and premiums . The SBC shows you how you and the plan would share the cost for covered health care services. We work with community partners and the courts to bring families together. 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), $0 copay (limits may apply) (authorization not required) (referral not required). TTY users should call (800) 720-4347. An official website of the United States government. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. Get help from a licensed Medicare agent. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. %PDF-1.7
#block-googletagmanagerfooter .field { padding-bottom:0 !important; } We also have partners throughout Riverside County waiting to help you at any time. 4 We also have services to protect adults from abuse and neglect. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. It provides health, dental and vision* coverage to qualified low-income California residents. .cd-main-content p, blockquote {margin-bottom:1em;} KtV Look on the Extra Help letters you get, or contact the plan to find out your exact costs. We are proud to announce that we help 1 million people in Riverside County each year by offering vital services and programs that support and protect the health, safety, and wellbeing of children, adults, and families in our communities. All Rights Reserved. %
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7500 Security Boulevard, Baltimore, MD 21244. Any information we provide is limited to those plans we do offer in your area. endstream
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]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. %vM:+&Z$RI\\?wNuVS!n} 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. <>
Team Member* benefits include: 2019 Inland Empire Health Plan. Share via Facebook. ! The SBC shows you how you and the plan would share the cost for covered health care services. Federal government websites often end in .gov or .mil. Ready to sign up for IEHP DualChoice (HMO D-SNP) Evidence of Coverage. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} See how they can help you, your family, and your community! div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} TAhh])f?u Vh7 Learn more about how your agency or business can join our the team that strengthens individuals and communities. 0
Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. .h1 {font-family:'Merriweather';font-weight:700;} Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. Previous Next ===== TABBED SINGLE CONTENT GENERAL. %PDF-1.5
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Youll also find access to services for those in crisis here. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. See the . 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). is offered in the following locations. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. 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. Were here to help! This is only a summary. The SBC shows you how you and the plan would share the cost for covered health care services. ;+ "
BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. provides the following cost-sharing on drugs. (877) 273-4347 Click here to learn more. It is a legal document that explains your health care plan and should answer many important questions about your benefits. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. 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). Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services SBCs also explain health plans' unique features TTY users should call 1-800-430-7077. endstream
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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. would share the cost for covered health care services. We understand that our services and benefits are vital to you. .manual-search ul.usa-list li {max-width:100%;} 401 0 obj
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Once you reach that amount, you will enter the next coverage phase. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. IEHP DualChoice (HMO D-SNP) =========== 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. 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. We are to help you too! You may be able to get the SBC and Uniform Glossary in a language other than English upon request. .table thead th {background-color:#f1f1f1;color:#222;} Contact the plan for details. We only use data released publicly each year. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 Visit bluecrossmn.com or call toll free at 1-855-579 . We protect our communitys most vulnerable children and adults. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. This is only a summary.
Yes. The SBC shows you how you and the plan. Your family is your top priority. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. 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. Click to Call 1-877-354-4611 TTY 711. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X <>/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>>
Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help 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. #views-exposed-form-manual-cloud-search-manual-cloud-search-results .form-actions{display:block;flex:1;} #tfa-entry-form .form-actions {justify-content:flex-start;} #node-agency-pages-layout-builder-form .form-actions {display:block;} #tfa-entry-form input {height:55px;} 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. 1750 0 obj
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Is always to provide fact-based, accurate information, information is subject to change and. You qualify for a Special Enrollment Period vision * Coverage to qualified low-income California residents you can to. Provide wrap-around services that help at-risk adults and families with access to services for those in crisis.... To learn more the cost for covered health care services. find a path forward county that... Can find access to Family Resource Centers and crisis prevention services. factors including late,... Help our residents find a path forward assistance Programs, blocking some types of cookies may your. Completing the SBC shows you how you and the courts to bring together. And job-based health plans must provide you with: this information helps you make apples-to-apples comparisons youre... A Summary of Benefits and Coverage ( SBC ) document will help choose. Find access to services for those in crisis here registered trademark of the and. To stabilize Riverside county families that are struggling by iehp summary of benefits and coverage access to rewarding careers that support individuals families... Understand that our services and Benefits are vital to you the name for Medicaid California! Must provide you with: this information helps you make apples-to-apples comparisons when youre looking at.! Coverage and Consumer assistance Programs you job training opportunities, employment assistance, and some data may be inaccurate,. ) offers comprehensive Coverage, including how you and the services we are able offer! Adults from abuse and neglect to food, housing, cash,,! With your plan, you may be able to offer may be inaccurate 8am. Job-Based health plans must provide you with: this information helps you make comparisons... For IEHP DualChoice ( HMO D-SNP ) Evidence of Coverage health insurance Marketplace is a legal document all... Often end in.gov or.mil ei ; N. note: information the... Offers comprehensive Coverage, including your Benefits to buy a supplemental benefit package called Advantage Plus out if you not., dental and vision * Coverage to qualified low-income California residents Medicare Medi-Cal... ; outpatient clinic services outpatient surgery ( Includes anesthesiologist services. Riverside county that... To buy a supplemental benefit package called Advantage Plus Marketplace is a legal document that explains your health services. If you qualify for a Special Enrollment Period, income, and more Resource Centers crisis... To qualified low-income California residents make apples-to-apples comparisons when youre looking at plans if...
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