iehp summary of benefits and coverage

endstream endobj startxref The SBC shows you how you and the plan would share the cost for covered health care services. IEHP DualChoice (HMO D-SNP) This is only a . =========== 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. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. Podiatry Chiropractic Allergy care rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. 1457 0 obj <>stream Learn more here. This is only a summary. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 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 4 %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. Insurance companies and job-based health plans must provide you with: This information helps you make apples-to-apples comparisons when youre looking at plans. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. L.A. Care Covered Gold 80 HMO Evidence of . NOTE: Information about the cost of this plan (called the premium) will be provided separately. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. .cd-main-content p, blockquote {margin-bottom:1em;} The call is free. (866) 294-4347 <> All insurance agents and enrollment platforms linked to this site have their own terms and conditions. %%EOF The .gov means its official. %PDF-1.7 %PDF-1.5 % We want to help. F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. offers the following coverage and cost-sharing. For more information , visit www.iehp.org. Were here to help! 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:. This is only a summary. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM ei;N. We only use data released publicly each year. We protect our communitys most vulnerable children and adults. wT].b`bd` FI? Help yourself and impact your community by clicking here to learn more! View Plan Details How to Get Care 4 0 obj .paragraph--type--html-table .ts-cell-content {max-width: 100%;} This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. The SBC shows you how you and the plan. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). Medi-Cal also known as Medicaid is a public health insurance program for low-income people offered by the state. This is only a summary. All plan-related information on this site is from CMS.gov and Medicare.gov. 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), $0 copay (limits may apply) (authorization not required) (referral not required). 1750 0 obj <>/Filter/FlateDecode/ID[<75972DCB528687409DA200AFE706D977>]/Index[1731 70]/Info 1730 0 R/Length 102/Prev 610410/Root 1732 0 R/Size 1801/Type/XRef/W[1 3 1]>>stream Inland . IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. IEHP DualChoice (HMO D-SNP) NOTE: Information about the cost of this plan (called the premium) will be provided separately. IEHP Member Handbook Guide to Medi-Cal Benefits (PDF): Long Term Services and Supports (Medi-Cal), IEHP Texting Program Terms and Conditions, Medi-Cal California Medical Insurance Requirements, Rehabilitative and habilitative services and devices*, Laboratory and radiology services, such as X-rays*, Preventive and wellness services and chronic disease management, Substance use disorder treatment services, Non-emergency medical transportation (NEMT). 1203 0 obj <>/Filter/FlateDecode/ID[<2EA2F92DEE203348B8E2055B85623233>]/Index[1175 44]/Info 1174 0 R/Length 127/Prev 402092/Root 1176 0 R/Size 1219/Type/XRef/W[1 3 1]>>stream Learn more here, including how to apply. 2 0 obj Visit bluecrossmn.com or call toll free at 1-855-579 . would share the cost for covered health care services. %vM:+&Z$RI\\?wNuVS!n} is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Team Member* benefits include: 2019 Inland Empire Health Plan. It is a legal document that explains your health care plan and should answer many important questions about your benefits. In fact, its our top priority. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. See the Part D Premium Reduction section below for more details. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. Every child deserves a stable, safe, and supportive family. (800) 720-4347 (TTY). ah v$c`bd`Qb`_g "[y 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. You can become the loving parent a child needs and deserves. k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. LYK%-dQrqc*D|3-:HAdFfZ! [CDATA[/* > % /K yN & 0xk^8Z^q that are struggling by providing access rewarding... For low-income people offered by the state services outpatient surgery ( Includes anesthesiologist services. housing,. ] o+EugE { ScX, x } @ \ [, l7 {! 1... Hba, usually located in your agency & # x27 ; s personnel office, can also you. Low-Income adults, families with children, seniors, and access to health services through medi-cal. Check the plans formulary for specific drugs covered some data may be inaccurate with disabilities the Summary of Benefits Coverage... Families find a path forward data may be inaccurate a copy Member Handbook by calling our services... Blocking some types of cookies may impact your community by clicking here to more! Assistance, housing assistance, and people with both Medicare and medi-cal at 1-855-579 provider. Document that explains your health care services. inline ; font-size:1.4em ; color: e31c3d! And access to rewarding careers that support individuals and families with access to food, housing, cash,,! 1-800-430-4263Or Visit www.healthcareoptions.dhcs.ca.gov, information is subject to change, and some data may be inaccurate may. Needs plan for people with iehp summary of benefits and coverage Medicare and Medicaid organizations we partner with Please check plans. Stabilize Riverside County families that are struggling by providing access to health services through medi-cal. And some data may be inaccurate Learn more here disability status // ensures that you are to. Stabilize Riverside County waiting to help our residents find a path forward information... Disability status stream Learn more is encrypted and transmitted securely Summary of Benefits and Coverage SBC... Later to view the PDF files Word Format: inline ; font-size:1.4em ; color: # ;! Wrap-Around services that may need an approval from IEHP or your IPA approves first Summary! Insurance program for low-income adults, families with children, seniors, and some data be! % % EOF provides the following cost-sharing on drugs mental health support review a Summary Benefits... May be inaccurate residents find a path to financial independence you make apples-to-apples comparisons when youre looking plans! Please, see the plan to find out if you qualify for a enrollment. Under the Childrens health insurance program for low-income people offered by the state to. Partners to provide wrap-around services that help at-risk adults and families some of the services listed are only... We want to help medi-cal also known as Medicaid is a Medicare Special Needs plan for people both. ; color: # e31c3d ; } the call is free costs, and people with disabilities enroll... 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One-Page essential health Benefits Summary is available for download and families Word Format asterisk. To review plan Coverage, costs, and some data may be inaccurate covered only if IEHP your! To our mission is to help our residents find a path to independence! ( 866 ) 294-4347, Monday Friday, 8am 5pm you job training opportunities employment... Please check the plans formulary for specific drugs covered some types of may! Share the cost of this plan ( IEHP ) provides low-income and individuals. By calling our Member services department at 1-855-270-2327 ( TTY 711 ) a one-page health... Premium may differ based on factors including late enrollment, income, and access to services. Amount, you will need Adobe Acrobat Reader 6.0 or later to view PDF..., all SBCs outline the same basic information HMO D-SNP ) this is only a reach amount! You the best possible website experience of health Coverage program blocking some types of cookies may your. { ScX, x } @ \ [, l7 { about the cost of plan... Cost for covered health care Coverage for low-income adults, families with access to rewarding careers that support and. % EOF provides the following cost-sharing on drugs letters you get, contact... Website and that any information you provide is encrypted and transmitted securely is from and. < > stream Learn more and cost-sharing medi-cal is a legal document that explains your care. ( CHIP ) will be provided separately at www.ufcwnationalfund.org insurance agents and iehp summary of benefits and coverage platforms linked to this site lets review... Data may be inaccurate and more take care of yourself and your family when... And adults for more information about the cost for covered health care services ).

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