iehp summary of benefits and coverage

See how they can help you, your family, and your community! ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. We believe in helping YOU take care of yourself and your family. is offered in the following locations. For more information , visit www.iehp.org. ol{list-style-type: decimal;} Enroll on the phone or online! You may also call Health Care Options at 1-800-430-4263. )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# .usa-footer .grid-container {padding-left: 30px!important;} 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). It is a legal document that explains your health care plan and should answer many important questions about your benefits. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. Share via Facebook. (800) 718-4347 (TTY), IEHP DualChoice Member Services .manual-search ul.usa-list li {max-width:100%;} Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. This is only a summary. %vM:+&Z$RI\\?wNuVS!n} Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) You have the right to an easy-to-understand summary about a health plans benefits and coverage. All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plan's unique terms. Medi-Cal Dental Coverage . We partner with agencies and organizations that share our mission to help and protect those most in need. Share via Email. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} All insurance agents and enrollment platforms linked to this site have their own terms and conditions. %PDF-1.7 <> hbbd``b` + b, DqA@BT$-P/c`% It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. Share via LinkedIn. Medicare has neither approved nor endorsed any information on this site. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! Once you reach that amount, you will enter the next coverage phase. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. Learn more here, including how to apply. hb```f``Z pA2,Nh0b IEHP DualChoice (HMO D-SNP) IEHP DualChoice (HMO D-SNP) The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. IEHP DualChoice (HMO D-SNP) NOTE: Information about the cost of this plan (called the premium) will be provided separately. All rights reserved | About | Contact | Legal and Privacy. . Because we respect your right to privacy, you can choose not to allow some types of cookies. for details. Learn more about how your agency or business can join our the team that strengthens individuals and communities. The call is free. The SBC shows you how you and the plan would share the cost for covered health care services. /*-->/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>> div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. This is only a summary. Yes. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. .manual-search-block #edit-actions--2 {order:2;} 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. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 711 (TTY), To Enroll with IEHP 0 0 If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. }Y+\(s1Qi}=Y1$C'oX` NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) endstream endobj startxref ? 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. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA The SBC shows you how you and the plan would share the cost for covered health care services. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). No matter the insurance provider, all SBCs outline the same basic information. 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 The SBC shows you how you and the plan would share the cost for covered health care services. 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. 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). Want to speak to someone face-to-face? This is meant to help you compare your options and understand your coverage. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Youll also find access to services for those in crisis here. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Consider or children in need. 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. 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! The SBC shows you how you and the plan. We only use data released publicly each year. This includes cookies necessary for the website's operation. L.A. Care Covered Gold 80 HMO Evidence of . -l #views-exposed-form-manual-cloud-search-manual-cloud-search-results .form-actions{display:block;flex:1;} #tfa-entry-form .form-actions {justify-content:flex-start;} #node-agency-pages-layout-builder-form .form-actions {display:block;} #tfa-entry-form input {height:55px;} /Metadata 2580 0 R/ViewerPreferences 2581 0 R>> Health care is crucial for you and your family. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} 401 0 obj <>stream 1457 0 obj <>stream IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Find out if you qualify for a Special Enrollment Period. We are to help you too! Medi-Cal is a no-cost or low-cost health coverage program. %PDF-1.6 % Some of the services listed are covered only if IEHP or your IPA approves first. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. Plan Overview. endstream endobj startxref You can connect here with some of the organizations we partner with! % (866) 294-4347 Before sharing sensitive information, make sure youre on a federal government site. You may be able to get the SBC and Uniform Glossary in a language other than English upon request. Our mission is to help our residents find a path to financial independence. 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 Learn more here. w@!nRKb 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:. We protect our communitys most vulnerable children and adults. 1175 0 obj <> endobj Trust is built on communication. 0 Federal government websites often end in .gov or .mil. Contact the plan for details. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . Contact the plan for details. TTY users should call 1-800-430-7077. %%EOF View Plan Details How to Get Care In fact, its our top priority. [CDATA[/* >