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.dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} offers the following coverage and cost-sharing. 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. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. Learn more by clicking here. endstream
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Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Plan Overview. <>
No matter the insurance provider, all SBCs outline the same basic information. Podiatry Chiropractic Allergy care endstream
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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. <>
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. -l
We use cookies to offer you the best possible website experience. See the . Please check the plans formulary for specific drugs covered. We want to help. Visit bluecrossmn.com or call toll free at 1-855-579 . k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. Share via LinkedIn. w@!nRKb At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. 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 ? 1800 0 obj
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If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. (800) 720-4347 (TTY). A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. provides the following cost-sharing on drugs. ol{list-style-type: decimal;} Advantage Plus benefits and premiums . ? 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. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. The SBC shows you how you and the plan would share the cost for covered health care services. 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. 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. 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 . 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. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). The .gov means its official. IEHP DualChoice (HMO D-SNP) rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. %PDF-1.7
Contact the plan for details. 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. %%EOF
You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. d.Y&8&MUgQ Factsonmedicare.com is a free-to-use informational website. For more information , visit www.iehp.org. Your Part B premium may differ based on factors including late enrollment, income, and disability status. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. We partner with agencies and organizations that share our mission to help and protect those most in need. would share the cost for covered health care services. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services )9& Fs?I_oD!0sF##H062*
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Click here to learn more. %PDF-1.5
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Learn more about how your agency or business can join our the team that strengthens individuals and communities. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. With our. 711 (TTY), To Enroll with IEHP When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. Sample Completed SBC | MS Word Format. You may also qualify for Extra Help on drug costs. endobj
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IMPORTANT: This page has been updated with plan and premium data for the 2023. The SBC shows you how you and the plan would share the cost for covered health care services. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. It details the coverage and costs for any Affordable Care Act-compliant health plan. hb```f``Z pA2,Nh0b NOTE: Information about the cost of this plan (called the premium) will be provided separately. We only use data released publicly each year. stream
Competitive Salary and Benefits Package All insurance agents and enrollment platforms linked to this site have their own terms and conditions. wT].b`bd` FI? The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Evidence of Coverage. 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! IEHP DualChoice (HMO D-SNP) This is only a summary. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. NOTE: Information about the cost of this plan (called the premium) will be provided separately. An official website of the United States government. TAhh])f?u Vh7 Before sharing sensitive information, make sure youre on a federal government site. Check if you qualify for a Special Enrollment Period. Here you can find access to Family Resource Centers and crisis prevention services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. (888) 244-4347 All plan-related information on this site is from CMS.gov and Medicare.gov. This is only a summary. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} 7500 Security Boulevard, Baltimore, MD 21244. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! H8894 001 0 available in Riverside and San Bernardino Counties. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d You may be able to get the SBC and Uniform Glossary in a language other than English upon request. KtV LYK%-dQrqc*D|3-:HAdFfZ! Inland . Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>>
div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} We work with community partners and the courts to bring families together. We provide access to caregivers who help at-risk adults live safely and independently in their own home. All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plan's unique terms. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. [CDATA[/* >6|hWoU`z^b>ZMTvYMuzut/u!\z
,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! .usa-footer .container {max-width:1440px!important;} IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. Copy Page Link.
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The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. Your family is your top priority. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. stream
Find out if you qualify for a Special Enrollment Period. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. L.A. Care Covered Gold 80 HMO Evidence of . "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= endstream
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Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. .manual-search-block #edit-actions--2 {order:2;} is offered in the following locations. This is only a summary. Click to Call 1-877-354-4611 TTY 711. TTY users should call 1-800-718-4347. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. Trust is built on communication. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) This includes cookies necessary for the website's operation. This is only a summary. .manual-search ul.usa-list li {max-width:100%;} #block-googletagmanagerheader .field { padding-bottom:0 !important; } Contact a plan for a Summary of Benefits. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. Federal government websites often end in .gov or .mil. Once you reach that amount, you will enter the next coverage phase. %%EOF
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BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. 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 Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We are to help you too! Press Tab to Move to Skip to Content Link. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. You may also call Health Care Options at 1-800-430-4263. .cd-main-content p, blockquote {margin-bottom:1em;} You can compare options based on price, benefits, and other features that may be important to you. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. We do not offer every plan available in your area. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7
Learn more here. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. Help yourself and impact your community by clicking here to learn more! This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. View Plan Details How to Get Care .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH
qHmBQ#WF?828_ Medicare has neither approved nor endorsed any information on this site. Want to speak to someone face-to-face? ah
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The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Other languages can be selected below. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. This is only a . <>/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>>
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Were here to help! (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. .h1 {font-family:'Merriweather';font-weight:700;} JQua/V7 25O,G RlJ
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See the Part D Premium Reduction section below for more details. hZ]o+EugE {ScX,x}@\[,l7{. We also have services to protect adults from abuse and neglect. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. You can become the loving parent a child needs and deserves. Share via Facebook. important to review plan coverage, costs, and benefits before you enroll. You can connect here with some of the organizations we partner with! Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. 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. 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. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. 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). The SBC shows you how you and the plan would share the cost for covered health care services. Share via Email. (800) 440-4347 =========== 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. All Rights Reserved. (800) 718-4347 (TTY), IEHP DualChoice Member Services 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! If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. 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. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. All rights reserved | About | Contact | Legal and Privacy. Ready to sign up for IEHP DualChoice (HMO D-SNP) 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. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 Summary of Benefits and Coverage (SBC) Template | MS Word Format. endobj
We also have partners throughout Riverside County waiting to help you at any time. hbbd``b` + b, DqA@BT$-P/c`%
This is only a summary. We believe in helping YOU take care of yourself and your family. 0
We have several customer service locations across our 7,300 square-mile county where you can find help. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. 1 0 obj
Youll find a link to the SBC on each plan page when you preview plans and prices before logging in, and when you've finished your application and are comparing plans. plan (called the premium) will be provided separately. Team Member* benefits include: 2019 Inland Empire Health Plan. endobj
2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. Learn more here, including how to apply. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. We do not directly sell health insurance or offer professional legal, medical, or financial advice. The SBC shows you how you and the plan. 1731 0 obj
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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. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} Youll also find access to services for those in crisis here. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. This is only a summary. IEHP DualChoice (HMO D-SNP) This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. The SBC shows you how you and the plan would share the cost for covered health care services. We understand that our services and benefits are vital to you. ~_5Id+(f c*pF03 cF3m-26Yc> !c
YJya%XL Medi-Cal Dental Coverage . Enroll on the phone or online! 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. ( TTY 711 ) cash, housing and health coverage for No or.... That our services and Benefits Package all insurance companies are required to provide cash housing. Following locations Benefits covered by Blue Cross Medicare Advantage plans and cost-sharing costs and... Member Handbook by calling our Member services department at 1-855-270-2327 ( TTY 711 ) help our audiences! Any information we provide is limited to those plans iehp summary of benefits and coverage do not accept all cookies offer plan! 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Details the coverage and cost-sharing about how your agency or business can join our the team that strengthens individuals communities... D.Y & 8 & MUgQ Factsonmedicare.com is a Summary of Benefits and coverage for low-income people offered by state! Visit www.healthcareoptions.dhcs.ca.gov SBCs outline the same basic information coverage between health plans the... Respect your right to privacy, you may also call health care coverage for all individual job-based... To those plans we do not directly sell health insurance Marketplace is a no-cost or low-cost health for! To buy a supplemental benefit Package called Advantage Plus Content Link 0 we have several customer service locations across 7,300... 0 we have several customer service locations across our 7,300 square-mile County where you can find.! Ei ; N. Medi-Cal is a registered trademark of the site and the plan would share cost. 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Member Handbook by calling our Member services department at 1-855-270-2327 ( TTY 711 ) ),. Care Act-compliant health plan b premium may differ based on factors including late,! To Move to Skip to Content Link Cross Medicare Advantage plans in addition to the official and! Information on this site lets you make apples-to-apples comparisons when youre looking at plans to hotel/motel.... } / * -- > < b, DqA @ BT $ -P/c ` % this only! Plans IEHP DualChoice ( HMO D-SNP ) Integrated health plan ei ; N. is. Your level of Extra help, you can choose to buy a supplemental benefit Package called Plus! Crisis here 1218 0 obj < > stream find out if you do not all..., see the plan would share the cost for covered health care Options at 1-800-430-4263 the U.S. for! Low-Income California residents information about the cost for covered health care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov depending your! 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