The .gov means its official. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. %PDF-1.5 % ol{list-style-type: decimal;} Previous Next ===== TABBED SINGLE CONTENT GENERAL. <> IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. 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 (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. We care about the people we serve and last year we served one million people in Riverside County. [CDATA[/* >=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? 1175 0 obj <> endobj This could be right for you. Please check the plans formulary for specific drugs covered. The SBC shows you how you and the plan would share the cost for covered health care services. LYK%-dQrqc*D|3-:HAdFfZ! You can connect here with some of the organizations we partner with! You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. 0 for details. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. plan (called the premium) will be provided separately. Share via Facebook. Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) Share via LinkedIn. This is only a summary. This is only a summary. endobj is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. Some of the services listed are covered only if IEHP or your IPA approves first. Podiatry Chiropractic Allergy care The SBC shows you how you and the plan would share the cost for covered health care services. It is a legal document that explains your health care plan and should answer many important questions about your benefits. It provides health, dental and vision* coverage to qualified low-income California residents. 0 Your experience of the site and the services we are able to offer may be impacted if you do not accept all cookies. See the Part D Premium Reduction section below for more details. "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= Factsonmedicare.com is a free-to-use informational website. ! 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. 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 believe in the power of partnerships. Because we respect your right to privacy, you can choose not to allow some types of cookies. NOTE: Information about the cost of this plan (called the premium) will be provided separately. #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;} Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. 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. Your family is your top priority. The SBC also includes details, called coverage examples, which show you what the plan would cover in 2 common medical situations: diabetes care and childbirth. stream %%EOF would share the cost for covered health care services. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> Learn more by clicking here. (800) 718-4347 (TTY), IEHP DualChoice Member Services You can compare options based on price, benefits, and other features that may be important to you. We believe in helping YOU take care of yourself and your family. #block-googletagmanagerfooter .field { padding-bottom:0 !important; } Your HBA, usually located in your agency's personnel office, can also print you a copy . Learn more about resources in languages other than English. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. is offered in the following locations. Help yourself and impact your community by clicking here to learn more! 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. 7500 Security Boulevard, Baltimore, MD 21244. Contact a plan for a Summary of Benefits. .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} 1218 0 obj <>stream Plan Overview. This includes cookies necessary for the website's operation. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. The SBC shows you how you and the plan would share the cost for covered health care services. After your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00, you will pay no more than the amounts below for any drug tier until you reach $7,400.00. An official website of the United States government. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. Check if you qualify for a Special Enrollment Period. Were here to help! NOTE: Information about the cost of this . 1203 0 obj <>/Filter/FlateDecode/ID[<2EA2F92DEE203348B8E2055B85623233>]/Index[1175 44]/Info 1174 0 R/Length 127/Prev 402092/Root 1176 0 R/Size 1219/Type/XRef/W[1 3 1]>>stream hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 (877) 273-4347 With our. .usa-footer .container {max-width:1440px!important;} You need a roof over your head. Press Tab to Move to Skip to Content Link. Evidence of Coverage. This is meant to help you compare your options and understand your coverage. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Insurance companies and job-based health plans must provide you with: This information helps you make apples-to-apples comparisons when youre looking at plans. -l Your Part B premium may differ based on factors including late enrollment, income, and disability status. For more information , visit www.iehp.org. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. Health care is crucial for you and your family. endobj . Copy Page Link. (800) 720-4347 (TTY). All Rights Reserved. %%EOF endstream endobj startxref F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! 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. 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