We also have partners throughout Riverside County waiting to help you at any time. 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. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. Learn more about how your agency or business can join our the team that strengthens individuals and communities. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. It details the coverage and costs for any Affordable Care Act-compliant health plan. %%EOF The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d 4 We protect our communitys most vulnerable children and adults. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). Health care is crucial for you and your family. ozI?TNt2J\2 k/=Ak ? IEHP DualChoice (HMO D-SNP) All Rights Reserved. w@!nRKb IEHP DualChoice (HMO D-SNP) This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. TTY users should call 1-800-430-7077. provides the following cost-sharing on drugs. We have several customer service locations across our 7,300 square-mile county where you can find help. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. Plan Overview. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} All plan-related information on this site is from CMS.gov and Medicare.gov. Click to Call 1-877-354-4611 TTY 711. Adults pay no monthly premium for Medi-Cal coverage. 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. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. Learn more by clicking here. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. JQua/V7 25O,G RlJ E7j{ Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. plan (called the premium) will be provided separately. Podiatry Chiropractic Allergy care p.usa-alert__text {margin-bottom:0!important;} Evidence of Coverage. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} Enroll on the phone or online! We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. Other languages can be selected below. .agency-blurb-container .agency_blurb.background--light { padding: 0; } 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 ol{list-style-type: decimal;} 2023 Inland Empire Health Plan All Rights Reserved. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) This is only a summary. Some of the services listed are covered only if IEHP or your IPA approves first. stream At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. You need a roof over your head. would share the cost for covered health care services. 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. ei;N. 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 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). Because we respect your right to privacy, you can choose not to allow some types of cookies. Share via Facebook. Check if you qualify for a Special Enrollment Period. We believe in helping YOU take care of yourself and your family. important to review plan coverage, costs, and benefits before you enroll. Your cookie preferences will be stored in your browsers local storage. 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. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. H8894 001 0 available in Riverside and San Bernardino Counties. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. With our. 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. 1175 0 obj <> endobj (800) 720-4347 (TTY). Contact a plan for a Summary of Benefits. 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 ? Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) We do not directly sell health insurance or offer professional legal, medical, or financial advice. Were here to help! hZ]o+EugE {ScX,x}@\[,l7{. NOTE: Information about the cost of this plan (called the premium) will be provided separately. .usa-footer .grid-container {padding-left: 30px!important;} Apply here and learn more about benefits. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! This includes cookies necessary for the website's operation. Help yourself and impact your community by clicking here to learn more! 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. Contact a plan for a Summary of Benefits. The site is secure. Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. 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 . NOTE: Information about the cost of this . L.A. Care Covered Platinum 90 HMO Evidence of Coverage. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. TTY users should call (800) 720-4347. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} Medi-Cal is a no-cost or low-cost health coverage program. Learn more here, including how to apply. hbbd``b` + b, DqA@BT$-P/c`% We only use data released publicly each year. Sample Completed SBC | MS Word Format. Your Part B premium may differ based on factors including late enrollment, income, and disability status. See how they can help you, your family, and your community! div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. NOTE: Information about the cost of this plan (called the premium) will be provided separately. TAhh])f?u Vh7 For more information , visit www.iehp.org. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. 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. The SBC shows you how you and the plan would share the cost for covered healthcare services. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. 1800 0 obj <>stream 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 IMPORTANT: This page has been updated with plan and premium data for the 2023. .usa-footer .container {max-width:1440px!important;} endstream endobj startxref ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 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. NOTE: Information about the cost of this plan (called the premium) will be provided separately. d.Y&8&MUgQ Consider or children in need. Contact the plan for details. offers the following coverage and cost-sharing. ! 0 4 0 obj This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. 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. %%EOF 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. hb```f``|AX,;Xt3]. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. Learn more here. We care about the people we serve and last year we served one million people in Riverside County. No matter the insurance provider, all SBCs outline the same basic information. NOTE: Information about the cost of this plan (called the premium) will be provided separately. KtV We use cookies to offer you the best possible website experience. 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. Plan with a Medicare Special Needs plan for people with both Medicare and Medicaid tty ) available in and. Is crucial for you and the plan would share the cost of this plan ( called premium..Grid-Container { padding-left: 30px! important ; } Apply here and learn more about Benefits ` f ``,. 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