NOTE: Information about the cost of this plan (called the premium) will be provided separately. hZ]o+EugE {ScX,x}@\[,l7{. )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# All Rights Reserved. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. Medi-Cal Dental Coverage . Sample Completed SBC | MS Word Format. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. is offered in the following locations. We have several customer service locations across our 7,300 square-mile county where you can find help. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services 0 IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. 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. Check if you qualify for a Special Enrollment Period. 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). 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. Become a foster or adoptive parent. Click here to learn more. Your family is your top priority. H8894 001 0 available in Riverside and San Bernardino Counties. We understand that our services and benefits are vital to you. Adults pay no monthly premium for Medi-Cal coverage. (888) 244-4347 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. Visit bluecrossmn.com or call toll free at 1-855-579 . 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. SBCs also explain health plans' unique features Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Learn more about resources in languages other than English. %PDF-1.5 % Plan Overview. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. 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. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). The SBC shows you how you and the plan would share the cost for covered health care services. Learn more by clicking here. Because we respect your right to privacy, you can choose not to allow some types of cookies. All rights reserved | About | Contact | Legal and Privacy. %PDF-1.7 ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW 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 We use cookies to offer you the best possible website experience. Share via Email. 1457 0 obj <>stream TTY users should call 1-800-718-4347. .manual-search-block #edit-actions--2 {order:2;} Restaurant Meals Program Vendor Information. This is only a summary. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 401 0 obj <>stream Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. Press Tab to Move to Skip to Content Link. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. %%EOF IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. 1203 0 obj <>/Filter/FlateDecode/ID[<2EA2F92DEE203348B8E2055B85623233>]/Index[1175 44]/Info 1174 0 R/Length 127/Prev 402092/Root 1176 0 R/Size 1219/Type/XRef/W[1 3 1]>>stream Inland Empire Health Plan (IEHP) The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. ah v$c`bd`Qb`_g "[y is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. Before sharing sensitive information, make sure youre on a federal government site. .cd-main-content p, blockquote {margin-bottom:1em;} Your cookie preferences will be stored in your browsers local storage. This could be right for you. plan (called the premium) will be provided separately. NOTE: Information about the cost of this plan (called the premium) will be provided separately. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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 $4,660.00. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. Enroll on the phone or online! Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. KtV Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. IEHP DualChoice (HMO D-SNP) Click to Call 1-877-354-4611 TTY 711. An official website of the United States government. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} endobj Contact a plan for a Summary of Benefits. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d %PDF-1.6 % Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. }Y+\(s1Qi}=Y1$C'oX` Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. TAhh])f?u Vh7 endstream endobj startxref We offer cash and housing assistance, such as access to hotel/motel vouchers. Please, see below for location details, contact numbers, and hours of operation. Contact the plan for details. would share the cost for covered health care services. We provide access to caregivers who help at-risk adults live safely and independently in their own home. See the Part D Premium Reduction section below for more details. Find out if you qualify for a Special Enrollment Period. (866) 294-4347 The SBC shows you how you and the plan would share the cost for covered health care services. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. Please read the Evidence of Coverage for the full list of benefits. 7500 Security Boulevard, Baltimore, MD 21244. %PDF-1.5 % endstream endobj 1732 0 obj <>/Metadata 55 0 R/Pages 1729 0 R/StructTreeRoot 179 0 R/Type/Catalog>> endobj 1733 0 obj <>/MediaBox[0 0 792 612]/Parent 1729 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1734 0 obj <>stream You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). endobj All plan-related information on this site is from CMS.gov and Medicare.gov. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. We partner with agencies and organizations that share our mission to help and protect those most in need. ? NOTE: Information about the cost of this plan (called the premium) will be provided separately. L.A. 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