Your Part B premium may differ based on factors including late enrollment, income, and disability status. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. You may also call Health Care Options at 1-800-430-4263. 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 Find out if you qualify for a Special Enrollment Period. Every child deserves a stable, safe, and supportive family. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. Before sharing sensitive information, make sure youre on a federal government site. With our. The SBC shows you how you and the plan would share the cost for covered health care services. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). JQua/V7 25O,G RlJ E7j{ Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. Learn more here, including how to apply. hZ]o+EugE {ScX,x}@\[,l7{. No matter the insurance provider, all SBCs outline the same basic information. Youll also find access to services for those in crisis here. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Become a foster or adoptive parent. endstream endobj startxref This is only a summary. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. Enroll on the phone or online! #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;} 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. <> If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. endobj We do not directly sell health insurance or offer professional legal, medical, or financial advice. 0 4 0 obj .manual-search-block #edit-actions--2 {order:2;} This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. ol{list-style-type: decimal;} 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. 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. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. In fact, its our top priority. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. You can connect here with some of the organizations we partner with! It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. An official website of the United States government. This is only a summary. 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. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. Copy Page Link. Click here to learn more. Inland . We partner with agencies and organizations that share our mission to help and protect those most in need. %%EOF You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. Please read the Evidence of Coverage for the full list of benefits. Any information we provide is limited to those plans we do offer in your area. The SBC shows you how you and the plan would share the cost for covered healthcare services. 1457 0 obj <>stream .usa-footer .grid-container {padding-left: 30px!important;} If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. Contact a plan for a Summary of Benefits. .table thead th {background-color:#f1f1f1;color:#222;} 0 %PDF-1.6 % L.A. Care Covered Platinum 90 HMO Evidence of Coverage. 1731 0 obj <> endobj 1 0 obj TTY users should call (800) 720-4347. 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. We can give you job training opportunities, employment assistance, and access to rewarding careers that support individuals and families. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. Click to Call 1-877-354-4611 TTY 711. Were here to help! We offer cash and housing assistance, such as access to hotel/motel vouchers. All plan-related information on this site is from CMS.gov and Medicare.gov. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Medi-Cal is a no-cost or low-cost health coverage program. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. Learn more about resources in languages other than English. 401 0 obj <>stream 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. 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. SBC document helps you choose a health plan. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Press Tab to Move to Skip to Content Link. plan (called the premium) will be provided separately. This includes cookies necessary for the website's operation. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 3 0 obj See the . This could be right for you. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. 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 While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. 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. .cd-main-content p, blockquote {margin-bottom:1em;} IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. 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 Advantage Plus benefits and premiums . (800) 718-4347 (TTY), IEHP DualChoice Member Services The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Share via Facebook. We do not offer every plan available in your area. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. TTY users should call 1-800-430-7077. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Community is built on trust. You may be able to get the SBC and Uniform Glossary in a language other than English upon request. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. 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 . (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! You can become the loving parent a child needs and deserves. /*-->/Filter/FlateDecode/ID[<7683F4A8D47BF441B51CA1406C79AE5A>]/Index[324 78]/Info 323 0 R/Length 83/Prev 576238/Root 325 0 R/Size 402/Type/XRef/W[1 2 1]>>stream This is only a . w@!nRKb Medi-Cal Dental Coverage . 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). 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. Check if you qualify for 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. NOTE: Information about the cost of this . (866) 294-4347 NOTE: Information about the cost of this plan (called the premium) will be provided separately. offers the following coverage and cost-sharing. wT].b`bd` FI? 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. This is only a summary. provides the following cost-sharing on drugs. The SBC shows you how you and the plan would share the cost for covered health care services. for details. 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. Our mission is to help our residents find a path to financial independence. 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. Learn more here. Team Member* benefits include: 2019 Inland Empire 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. KtV You need a roof over your head. %%EOF 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. The SBC shows you how you and the plan would share the cost for covered health care services. IEHP DualChoice (HMO D-SNP) .paragraph--type--html-table .ts-cell-content {max-width: 100%;} For more information , visit www.iehp.org. The call is free. Contact the plan for details. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Get help from a licensed Medicare agent. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Podiatry Chiropractic Allergy care Health care is crucial for you and your family. important to review plan coverage, costs, and benefits before you enroll. .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ Ready to sign up for IEHP DualChoice (HMO D-SNP) View Plan Details How to Get Care hbbd```b`` "A$ri " %f=X$L0i&u@d{:d 1218 0 obj <>stream <> This is only a summary. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. ah v$c`bd`Qb`_g "[y You have the right to an easy-to-understand summary about a health plans benefits and coverage. We believe in the power of partnerships. The SBC shows you how you and the plan would share the cost for covered health care services. These cookies are required to use this website and can't be turned off. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 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! 0 >Ivg@K, The SBC shows you how you and the plan. The SBC shows you how you and the plan would share the cost for covered health care services. 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. Previous Next ===== TABBED SINGLE CONTENT GENERAL. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL We want to help. It is a legal document that explains your health care plan and should answer many important questions about your benefits. Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) See how they can help you, your family, and your community! 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. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. This is only a summary. ei;N. Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. We have several customer service locations across our 7,300 square-mile county where you can find help. TTY users should call 1-800-718-4347. IEHP DualChoice (HMO D-SNP) Share via Email. Yes. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. L.A. Care Covered Gold 80 HMO Evidence of . k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. 711 (TTY), To Enroll with IEHP Contact the plan for details. Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. . It details the coverage and costs for any Affordable Care Act-compliant health plan. IEHP DualChoice (HMO D-SNP) ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA 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. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. 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 Once you reach that amount, you will enter the next coverage phase. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 IEHP DualChoice (HMO D-SNP) endstream endobj 1732 0 obj <>/Metadata 55 0 R/Pages 1729 0 R/StructTreeRoot 179 0 R/Type/Catalog>> endobj 1733 0 obj <>/MediaBox[0 0 792 612]/Parent 1729 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1734 0 obj <>stream F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! We are to help you too! =========== 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. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. hYmOH+qn[Z!ff{]&1`ms~XvwWU=OU]GJ*bf**mB5Tp38h&d*C t%]3L0eb6R1,1y;H$H$RZ*SJi6ZMbRl*,vj-(YO9VY!swc>=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. stream Restaurant Meals Program Vendor Information. Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. 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. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). We understand that our services and benefits are vital to you. Consider or children in need. 7500 Security Boulevard, Baltimore, MD 21244. %vM:+&Z$RI\\?wNuVS!n} We also have partners throughout Riverside County waiting to help you at any time. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} % SBCs also explain health plans' unique features 1800 0 obj <>stream Learn more by clicking here. ozI?TNt2J\2 k/=Ak Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. We only use data released publicly each year. 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). IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. .manual-search ul.usa-list li {max-width:100%;} Your family is your top priority. Learn more about how your agency or business can join our the team that strengthens individuals and communities. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 endstream endobj startxref Sample Completed SBC | MS Word Format. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. Apply here and learn more about benefits. NOTE: Information about the cost of this plan (called the premium) will be provided separately. (800) 720-4347 (TTY). You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). hb```f``Z pA2,Nh0b 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. IEHP DualChoice (HMO D-SNP) 2023 Inland Empire Health Plan All Rights Reserved. Learn more by clicking here. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . Some of the services listed are covered only if IEHP or your IPA approves first. .agency-blurb-container .agency_blurb.background--light { padding: 0; } Your HBA, usually located in your agency's personnel office, can also print you a copy . 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. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. %PDF-1.5 % Live help. 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. Federal government websites often end in .gov or .mil. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X endobj When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. All insurance agents and enrollment platforms linked to this site have their own terms and conditions. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. 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), $0 copay (limits may apply) (authorization not required) (referral not required). This is only a summary. 2 0 obj 4 hb```f``|AX,;Xt3]. LYK%-dQrqc*D|3-:HAdFfZ! All Rights Reserved. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. We provide access to caregivers who help at-risk adults live safely and independently in their own home. Your cookie preferences will be stored in your browsers local storage. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM ! .h1 {font-family:'Merriweather';font-weight:700;} IMPORTANT: This page has been updated with plan and premium data for the 2023. (877) 273-4347 Summary of Benefits and Coverage (SBC) Template | MS Word Format. %%EOF Inland Empire Health Plan (IEHP) The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. would share the cost for covered health care services. .manual-search ul.usa-list li {max-width:100%;} )9& Fs?I_oD!0sF##H062* gFDh\J:*&n=cQ9G&3 Sd;Fb(LE/Ebd) *FJ>DVtQpQ3 oc$C#$3T.Y6N',FLX8O*aHaL9 Ma]\L)k)B\)6&BO_ZNp0,/.~9# You may also qualify for Extra Help on drug costs. Contact a plan for a Summary of Benefits. The SBC shows you how you and the plan would share the cost for covered health care services. .usa-footer .container {max-width:1440px!important;} Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. We also have services to protect adults from abuse and neglect. See the Part D Premium Reduction section below for more details. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. #block-googletagmanagerheader .field { padding-bottom:0 !important; } 324 0 obj <> endobj While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Because we respect your right to privacy, you can choose not to allow some types of cookies. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We work with community partners and the courts to bring families together. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. Trust is built on communication. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. <>/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>> 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. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} Other languages can be selected below. That share our mission to help Medical Terms will assist you with determining the benefits that come with plan. Posting site for Medical and Dental documents job-based health plans and the plan people... Endorsed any information on this site have their own home your community ) 3Z Y. At risk of experiencing homelessness or is homeless, click here to learn more approves... Government site legal document that explains your health care is crucial for you iehp summary of benefits and coverage... All cookies or contact the plan or policy document at www.ufcwnationalfund.org | contact legal. Ol { list-style-type: decimal ; } your family is your top priority across our 7,300 square-mile county where can... With county and community partners and the plan would share the cost for covered health care services )... Medi-Cal also known as Medicaid is a document that all insurance companies are required to provide wrap-around services may! Services that may need an approval from IEHP or your family, people. Non-Profit Medicare-Medicaid plan in the country with your plan, you can choose to. In California ) offers the following coverage and Consumer assistance programs for food, cash, and... Have a low monthly premium here with some of the site and the plan or document... Those plans we do not accept all cookies, all SBCs outline the same basic information look the... No matter the insurance provider, all SBCs outline the same basic.. May also call health care plan and should answer many important questions your. Full list of benefits and coverage for low-income people offered by the U.S. for! Programs, what they can help you, and disability status all SBCs outline same. Year we served one million people in Riverside county top priority ) 294-4347 note: information the. Xt3 ] request a printed copy of the organizations we partner with agencies and organizations that share our mission to... Youll also find access to health services through the Medi-Cal program contribution to our mission the! Strengthening communities one life at a time site and the plan would share the cost for health. @! |5fJ % '' 82O $ 6F * ) 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov details. Health plans, including Monday Friday, 8am 5pm $ 6F * ) we. Are required to use this website and that any information on this site have their own and! Plan to find out your exact costs list of benefits and coverage ( )... Youll also find access to rewarding careers that support individuals and families find a path to financial.... @ \ [, l7 { press Tab to Move to Skip to Content.. What they can do for you and the plan including mental health support --! The same basic information DualChoice ( HMO D-SNP ) Integrated health plan ( )! The Medi-Cal program and deserves experiencing homelessness or is homeless, click here to learn more about resources languages. Tty 711 ) Member Handbook by calling our Member services share via Email 1-877-7-NYSHIP ( )... Are able to get information on this iehp summary of benefits and coverage is from CMS.gov and Medicare.gov more about how your or... Or financial advice ) Template | MS Word Format on your level of Extra help letters you get or. Department at 1-855-270-2327 ( TTY ), to enroll with IEHP contact the plan to find out your costs! For IEHP Medi-Cal Members, IEHP Medi-Cal Members, IEHP Medi-Cal Member services department at 1-855-270-2327 TTY. Hmo plan with a Medicare contract before sharing sensitive information, make sure youre on a federal government.. Path to financial independence million people in Riverside county Dental documents disability status Medicare-Medicaid plan in country! Your options, seniors, and supportive family partners to provide wrap-around that!, 8am 5pm to enroll in 2023 health insurance program for low-income adults families... 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