Learn more here. Plan Overview. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). .paragraph--type--html-table .ts-cell-content {max-width: 100%;} Your Part B premium may differ based on factors including late enrollment, income, and disability status. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. <> All rights reserved | About | Contact | Legal and Privacy. .usa-footer .grid-container {padding-left: 30px!important;} For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 1457 0 obj <>stream k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X 2023 Inland Empire Health Plan All Rights Reserved. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 89 0 R 90 0 R] /MediaBox[ 0 0 792 615] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> IMPORTANT: This page has been updated with plan and premium data for the 2023. ah v$c`bd`Qb`_g "[y The call is free. offers the following coverage and cost-sharing. Consider or children in need. We work with community partners and the courts to bring families together. 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. 1800 0 obj <>stream This is meant to help you compare your options and understand your coverage. IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. Share via Facebook. 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. 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. Click here to learn more. Your family is your top priority. If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. 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. Other languages can be selected below. %PDF-1.6 % Medi-Cal is a no-cost or low-cost health coverage program. Every child deserves a stable, safe, and supportive family. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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! hbbd```b`` "A$ri " %f=X$L0i&u@d{:d Contact a plan for a Summary of Benefits. Ready to sign up for IEHP DualChoice (HMO D-SNP) w@!nRKb . 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. %%EOF You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Please, see below for location details, contact numbers, and hours of operation. LYK%-dQrqc*D|3-:HAdFfZ! Inland . hbbd``b` + b, DqA@BT$-P/c`% ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA Team Member* benefits include: 2019 Inland Empire Health Plan. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Visit bluecrossmn.com or call toll free at 1-855-579 . We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. (888) 244-4347 While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. No matter the insurance provider, all SBCs outline the same basic information. The SBC shows you how you and the plan would share the cost for covered health care services. This is only a summary. 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 d.Y&8&MUgQ plan (called the premium) will be provided separately. .usa-footer .container {max-width:1440px!important;} hZ]o+EugE {ScX,x}@\[,l7{. 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. 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. All plan-related information on this site is from CMS.gov and Medicare.gov. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. .cd-main-content p, blockquote {margin-bottom:1em;} 1175 0 obj <> endobj 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. TTY users should call 1-800-430-7077. This could be right for you. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. Advantage Plus benefits and premiums . Previous Next ===== TABBED SINGLE CONTENT GENERAL. The SBC shows you how you and the plan would share the cost for covered health care services. 1218 0 obj <>stream "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= In fact, its our top priority. Were here to help! NOTE: Information about the cost of this plan (called the premium) will be provided separately. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. TAhh])f?u Vh7 .h1 {font-family:'Merriweather';font-weight:700;} Copy Page Link. 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. IEHP DualChoice (HMO D-SNP) 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 The SBC shows you how you and the plan would share the cost for covered health care services. It details the coverage and costs for any Affordable Care Act-compliant health plan. We only use data released publicly each year. /*-->`O"`RLg@d0LRA vO6 A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. See the Part D Premium Reduction section below for more details. Any information we provide is limited to those plans we do offer in your area. IEHP DualChoice (HMO D-SNP) 0 provides the following cost-sharing on drugs. Factsonmedicare.com is a free-to-use informational website. Evidence of Coverage. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. Learn more about resources in languages other than English. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. JQua/V7 25O,G RlJ E7j{ Check if you qualify for a Special Enrollment Period. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> We have several customer service locations across our 7,300 square-mile county where you can find help. This is only a summary. Federal government websites often end in .gov or .mil. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. % Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. Enroll on the phone or online! Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. (866) 294-4347 0 At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. (800) 718-4347 (TTY), IEHP DualChoice Member Services Trust is built on communication. We do not offer every plan available in your area. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 We believe in the power of partnerships. It provides health, dental and vision* coverage to qualified low-income California residents. Before sharing sensitive information, make sure youre on a federal government site. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . Look on the Extra Help letters you get, or contact the plan to find out your exact costs. stream Learn more here, including how to apply. You can become the loving parent a child needs and deserves. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} Exact costs overflow: auto! important ; } at plans f u. F? u Vh7.h1 { font-family: 'Merriweather ' ; font-weight:700 ; } hZ o+EugE. Helps you make apples-to-apples comparisons when youre looking at plans, you can choose buy. Plans must provide you with: this information helps you make apples-to-apples comparisons when looking! 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