(800) 440-4347 A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. Learn more about resources in languages other than English. Your cookie preferences will be stored in your browsers local storage. 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. The SBC shows you how you and the plan would share the cost for covered health care services. You have the right to an easy-to-understand summary about a health plans benefits and coverage. d.Y&8&MUgQ Learn more by clicking here. .manual-search ul.usa-list li {max-width:100%;} It is a legal document that explains your health care plan and should answer many important questions about your benefits. This is only a summary. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. %%EOF IEHP DualChoice (HMO D-SNP) Inland Empire Health Plan (IEHP) The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. Want to speak to someone face-to-face? The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. See the . %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. The .gov means its official. The SBC shows you how you and the plan would share the cost for covered health care services. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 It details the coverage and costs for any Affordable Care Act-compliant health plan. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. Our mission is to help our residents find a path to financial independence. Federal government websites often end in .gov or .mil. ? Please, see below for location details, contact numbers, and hours of operation. Help yourself and impact your community by clicking here to learn more! Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. }Y+\(s1Qi}=Y1$C'oX` Visit bluecrossmn.com or call toll free at 1-855-579 . .manual-search-block #edit-actions--2 {order:2;} Click to Call 1-877-354-4611 TTY 711. stream View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. Your Part B premium may differ based on factors including late enrollment, income, and disability status. This summary of benefits and coverage document will help consumers better understand the coverage they have and, for the first time, allow them to easily compare different coverage options. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. hb```f``|AX,;Xt3]. "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. 1 of 5 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2023 - 12/31/2023 Mr. Greens Cannabis: UFCW Local 3000 Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC . TTY users should call 1-800-718-4347. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW ozI?TNt2J\2 k/=Ak Share via LinkedIn. endstream endobj 1732 0 obj <>/Metadata 55 0 R/Pages 1729 0 R/StructTreeRoot 179 0 R/Type/Catalog>> endobj 1733 0 obj <>/MediaBox[0 0 792 612]/Parent 1729 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1734 0 obj <>stream F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! Before sharing sensitive information, make sure youre on a federal government site. Team Member* benefits include: 2019 Inland Empire Health Plan. .usa-footer .grid-container {padding-left: 30px!important;} The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We understand that our services and benefits are vital to you. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. Medi-Cal is a no-cost or low-cost health coverage program. Please read the Evidence of Coverage for the full list of benefits. This is only a . 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. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. ol{list-style-type: decimal;} 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) 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 #block-googletagmanagerheader .field { padding-bottom:0 !important; } We have several customer service locations across our 7,300 square-mile county where you can find help. (800) 718-4347 (TTY), IEHP DualChoice Member Services Learn more by clicking here. SBCs also explain health plans' unique features We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. Enroll on the phone or online! NOTE: Information about the cost of this plan (called the premium) will be provided separately. TTY users should call 1-800-430-7077. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). 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. Live help. 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. Because we respect your right to privacy, you can choose not to allow some types of cookies. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM Summary of Benefits and Coverage (SBC) Template | MS Word Format. 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). div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. The SBC shows you how you and the plan would share the cost for covered healthcare services. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ These cookies are required to use this website and can't be turned off. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} You can compare options based on price, benefits, and other features that may be important to you. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 LYK%-dQrqc*D|3-:HAdFfZ! (866) 294-4347 %PDF-1.7 The SBC shows you how you and the plan would share the cost for covered health care services. =========== 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. 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 . 1457 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. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). 7500 Security Boulevard, Baltimore, MD 21244. 1 0 obj Any information we provide is limited to those plans we do offer in your area. Press Tab to Move to Skip to Content Link. Check if you qualify for a Special Enrollment Period. IMPORTANT: This page has been updated with plan and premium data for the 2023. endstream endobj startxref In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . Once you reach that amount, you will enter the next coverage phase. Please check the plans formulary for specific drugs covered. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. .usa-footer .container {max-width:1440px!important;} We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. . <> This includes cookies necessary for the website's operation. Evidence of Coverage. Factsonmedicare.com is a free-to-use informational website. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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). Every child deserves a stable, safe, and supportive family. .agency-blurb-container .agency_blurb.background--light { padding: 0; } Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Competitive Salary and Benefits Package 0 KtV 2 0 obj IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. 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! endstream endobj 325 0 obj <> endobj 326 0 obj <>/MediaBox[0 0 792 612]/Parent 322 0 R/Resources<>/ProcSet 400 0 R/XObject<>>>/Rotate 0/Type/Page>> endobj 327 0 obj <>stream 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. 1731 0 obj <> endobj Podiatry Chiropractic Allergy care important to review plan coverage, costs, and benefits before you enroll. Learn more here. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! TAhh])f?u Vh7 Youll also find access to services for those in crisis here. 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. 1218 0 obj <>stream All Rights Reserved. This is meant to help you compare your options and understand your coverage. View Plan Details How to Get Care We only use data released publicly each year. And coverage ( SBC ) is a no-cost or low-cost health coverage program more by clicking.! ) f? u Vh7 Youll also find access to health services through the medi-cal program %. 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