Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. 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: 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. 711 (TTY), To Enroll with IEHP See how they can help you, your family, and your community! 1800 0 obj <>stream 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. Want to speak to someone face-to-face? NOTE: Information about the cost of this . Learn more here. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. wT].b`bd` FI? This is meant to help you compare your options and understand your coverage. Copy Page Link. Restaurant Meals Program Vendor Information. Ready to sign up for IEHP DualChoice (HMO D-SNP) NOTE: Information about the cost of this plan (called the premium) will be provided separately. The SBC shows you how you and the plan would share the cost for covered health care services. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) We protect our communitys most vulnerable children and adults. Your family is your top priority. You can compare options based on price, benefits, and other features that may be important to you. This is only a summary. 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. SBC document helps you choose a health plan. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. Your Part B premium may differ based on factors including late enrollment, income, and disability status. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. TTY users should call 1-800-430-7077. Learn more about how your agency or business can join our the team that strengthens individuals and communities. Previous Next ===== TABBED SINGLE CONTENT GENERAL. Evidence of Coverage. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW You can become the loving parent a child needs and deserves. See the Part D Premium Reduction section below for more details. (866) 294-4347 Learn more by clicking here. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! endstream endobj startxref While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. endstream endobj startxref This is only a summary. (800) 720-4347 (TTY). Enroll on the phone or online! The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. hZ]o+EugE {ScX,x}@\[,l7{. The coverage examples will illustrate sample medical situations and describe how much coverage the plan would provide in an event such as having a baby (normal delivery) or managing Type 2 diabetes (routine maintenance, well-controlled). Federal government websites often end in .gov or .mil. This is only a summary. All Rights Reserved. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. Advantage Plus benefits and premiums . 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. 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). 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 $7,400.00. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 The SBC shows you how you and the plan would share the cost for covered health care services. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. Find out if you qualify for a Special Enrollment Period. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} .manual-search-block #edit-actions--2 {order:2;} Because we respect your right to privacy, you can choose not to allow some types of cookies. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X All insurance agents and enrollment platforms linked to this site have their own terms and conditions. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} <> 4 0 obj Share via Email. 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 It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. Youll also find access to services for those in crisis here. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. 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. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) Learn more by clicking here. NOTE: Information about the cost of this plan (called the premium) will be provided separately. .table thead th {background-color:#f1f1f1;color:#222;} You may also qualify for Extra Help on drug costs. important to review plan coverage, costs, and benefits before you enroll. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services 3 0 obj 1218 0 obj <>stream (888) 244-4347 It details the coverage and costs for any Affordable Care Act-compliant health plan. 2023 Inland Empire Health Plan All Rights Reserved. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. 401 0 obj <>stream The SBC shows you how you and the plan would share the cost for covered health care services. See the . Consider or children in need. provides the following cost-sharing on drugs. SBCs also explain health plans' unique features Your cookie preferences will be stored in your browsers local storage. You need a roof over your head. endobj It is a legal document that explains your health care plan and should answer many important questions about your benefits. 4 Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. Apply here and learn more about benefits. %%EOF 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 It provides health, dental and vision* coverage to qualified low-income California residents. 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:. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Before sharing sensitive information, make sure youre on a federal government site. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. (800) 440-4347 We also have services to protect adults from abuse and neglect. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. IEHP DualChoice (HMO D-SNP) rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. would share the cost for covered health care services. plan (called the premium) will be provided separately. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> Other languages can be selected below. Once you reach that amount, you will enter the next coverage phase. The SBC shows you how you and the plan would share the cost for covered healthcare services. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. 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. is offered in the following locations. TTY users should call 1-800-718-4347. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. Contact the plan for details. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. (877) 273-4347 Our mission is to help our residents find a path to financial independence. Some of the services listed are covered only if IEHP or your IPA approves first. Contact a plan for a Summary of Benefits. Please check the plans formulary for specific drugs covered. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. 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. 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 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. ? Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. With our. %vM:+&Z$RI\\?wNuVS!n} hb```f``|AX,;Xt3]. 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. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. 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. View Plan Details How to Get Care IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 hb```f``Z pA2,Nh0b LYK%-dQrqc*D|3-:HAdFfZ! You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. This is only a . Yes. 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