As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. We partner with agencies and organizations that share our mission to help and protect those most in need. 2 0 obj 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. .usa-footer .grid-container {padding-left: 30px!important;} KtV .h1 {font-family:'Merriweather';font-weight:700;} =========== 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. )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# Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Ready to sign up for IEHP DualChoice (HMO D-SNP) 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 "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. All Rights Reserved. .table thead th {background-color:#f1f1f1;color:#222;} The SBC shows you how you and the plan would share the cost for covered healthcare services. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. 324 0 obj <> endobj (866) 294-4347 Become a foster or adoptive parent. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Visit bluecrossmn.com or call toll free at 1-855-579 . 401 0 obj <>stream 1750 0 obj <>/Filter/FlateDecode/ID[<75972DCB528687409DA200AFE706D977>]/Index[1731 70]/Info 1730 0 R/Length 102/Prev 610410/Root 1732 0 R/Size 1801/Type/XRef/W[1 3 1]>>stream IEHP DualChoice (HMO D-SNP) 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. would share the cost for covered health care services. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). ei;N. SBC document helps you choose a health plan. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. IEHP DualChoice (HMO D-SNP) 4 See the . Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) Get help from a licensed Medicare agent. Yes. TAhh])f?u Vh7 We offer cash and housing assistance, such as access to hotel/motel vouchers. 1218 0 obj <>stream NOTE: Information about the cost of this . Every child deserves a stable, safe, and supportive family. We use cookies to offer you the best possible website experience. offers the following coverage and cost-sharing. The SBC shows you how you and the plan would share the cost for covered health care services. Learn more here. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d NOTE: Information about the cost of this plan (called the premium) will be provided separately. You may also qualify for Extra Help on drug costs. endstream endobj startxref Medi-Cal Dental Coverage . (800) 720-4347 (TTY). %%EOF Here you can find access to Family Resource Centers and crisis prevention services. This is only a summary. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Your cookie preferences will be stored in your browsers local storage. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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. Your HBA, usually located in your agency's personnel office, can also print you a copy . 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). %PDF-1.7 IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. We understand that our services and benefits are vital to you. p.usa-alert__text {margin-bottom:0!important;} ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 Summary of Benefits and Coverage (SBC) Template | MS Word Format. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) Please check the plans formulary for specific drugs covered. You can become the loving parent a child needs and deserves. 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. 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. JQua/V7 25O,G RlJ E7j{ .cd-main-content p, blockquote {margin-bottom:1em;} Find out if you qualify for a Special Enrollment Period. Youll also find access to services for those in crisis here. Were here to help! Learn more by clicking here. IMPORTANT: This page has been updated with plan and premium data for the 2023. 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. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The site is secure. Community is built on trust. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. .manual-search ul.usa-list li {max-width:100%;} Copy Page Link. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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 . 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. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. 0 See how they can help you, your family, and your community! These cookies are required to use this website and can't be turned off. 1175 0 obj <> endobj wT].b`bd` FI? 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. Want to speak to someone face-to-face? In fact, its our top priority. Click to Call 1-877-354-4611 TTY 711. Evidence of Coverage. LYK%-dQrqc*D|3-:HAdFfZ! 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. ah v$c`bd`Qb`_g "[y .manual-search ul.usa-list li {max-width:100%;} Contact a plan for a Summary of Benefits. 340 0 obj <>/Filter/FlateDecode/ID[<7683F4A8D47BF441B51CA1406C79AE5A>]/Index[324 78]/Info 323 0 R/Length 83/Prev 576238/Root 325 0 R/Size 402/Type/XRef/W[1 2 1]>>stream Your family is your top priority. [CDATA[/* >
2023-04-21