NOTE: Information about the cost of this plan (called the premium) will be provided separately. Podiatry Chiropractic Allergy care The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). (800) 718-4347 (TTY), IEHP DualChoice Member Services Summary of Benefits and Coverage (SBC) Template | MS Word Format. 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 .cd-main-content p, blockquote {margin-bottom:1em;} 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. Some of the services listed are covered only if IEHP or your IPA approves first. Before sharing sensitive information, make sure youre on a federal government site. Medi-Cal is a no-cost or low-cost health coverage program. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. Learn more by clicking here. 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! .manual-search-block #edit-actions--2 {order:2;} is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. IMPORTANT: This page has been updated with plan and premium data for the 2023. Share via Email. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. 1457 0 obj <>stream If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. 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. All plan-related information on this site is from CMS.gov and Medicare.gov. 0 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), $0 copay (limits may apply) (authorization not required) (referral not required). 4 You can compare options based on price, benefits, and other features that may be important to you. endobj .h1 {font-family:'Merriweather';font-weight:700;} Previous Next ===== TABBED SINGLE CONTENT GENERAL. ~_5Id+(f c*pF03 cF3m-26Yc> !c YJya%XL The SBC shows you how you and the plan. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 401 0 obj <>stream The SBC shows you how you and the plan would share the cost for covered health care services. Contact the plan for details. You may also qualify for Extra Help on drug costs. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. All rights reserved | About | Contact | Legal and Privacy. =========== TABBED SINGLE CONTENT GENERAL, People who live in our service area (Riverside and San Bernardino counties), Adults with or without children, children, seniors, and people with a disability, People who meet income guidelines and other program requirements. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d Please check the plans formulary for specific drugs covered. 2 0 obj IEHP DualChoice (HMO D-SNP) These cookies are required to use this website and can't be turned off. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. <> would share the cost for covered health care services. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA No matter the insurance provider, all SBCs outline the same basic information. LYK%-dQrqc*D|3-:HAdFfZ! offers the following coverage and cost-sharing. Click here to learn more. Here you can find access to Family Resource Centers and crisis prevention services. 711 (TTY), To Enroll with IEHP Insurance companies and job-based health plans must provide you with: This information helps you make apples-to-apples comparisons when youre looking at plans. IEHP DualChoice (HMO D-SNP) ah v$c`bd`Qb`_g "[y hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. Apply here and learn more about benefits. . Other languages can be selected below. 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. We do not offer every plan available in your area. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 3 0 obj Federal government websites often end in .gov or .mil. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. 1218 0 obj <>stream Look on the Extra Help letters you get, or contact the plan to find out your exact costs. You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. The SBC shows you how you and the plan would share the cost for covered healthcare services. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. This is meant to help you compare your options and understand your coverage. H8894 001 0 available in Riverside and San Bernardino Counties. Inland . 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. This is only a summary. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. SBCs also explain health plans' unique features w@!nRKb We believe in the power of partnerships. .usa-footer .container {max-width:1440px!important;} .usa-footer .grid-container {padding-left: 30px!important;} You may also call Health Care Options at 1-800-430-4263. 1731 0 obj <> endobj The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. See the . You may be able to get the SBC and Uniform Glossary in a language other than English upon request. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! NOTE: Information about the cost of this plan (called the premium) will be provided separately. endobj Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. The .gov means its official. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! This includes cookies necessary for the website's operation. 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. 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 %%EOF ! This is only a . We believe in helping YOU take care of yourself and your family. 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 $7,400.00. View Plan Details How to Get Care ol{list-style-type: decimal;} .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. We have resources that help prevent abuse and neglect against children and adults, but we need people like you to report suspected abuse or neglect. %vM:+&Z$RI\\?wNuVS!n} Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. [CDATA[/* >! YJya. Paper copy, call 1-877-7-NYSHIP ( 1-877-769-7447 ) and select the Medical benefits covered by Blue Medicare., it may store or retrieve Information on your browser, mostly in the form of cookies may your! May differ based on factors including late Enrollment, income, Medi-Cal health. Features w @! nRKb we believe in rewarding our Team Members for talent... 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