Medi-Cal Dental Coverage . 1 0 obj for details. Consider or children in need. important to review plan coverage, costs, and benefits before you enroll. Visit bluecrossmn.com or call toll free at 1-855-579 . B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM This is only a summary. Every child deserves a stable, safe, and supportive family. For more information , visit www.iehp.org. Here you can find access to Family Resource Centers and crisis prevention services. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW Other languages can be selected below. You can compare options based on price, benefits, and other features that may be important to you. Sample Completed SBC | MS Word Format. Your cookie preferences will be stored in your browsers local storage. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. This is only a summary. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. Contact a plan for a Summary of Benefits. Learn more here, including how to apply. We work with community partners and the courts to bring families together. provide individuals a "summary of benefits and coverage" that "accurately describes the benefits and coverage under the plan." The SBC is a snapshot of a health plan's costs, benefits, covered health care services, and other features that are important to consumers. Share via LinkedIn. Inland . Insurance companies and job-based health plans must provide you with: A short, plain-language Summary of Benefits and Coverage (SBC) A Uniform Glossary of terms used in health coverage and medical care This information helps you make "apples-to-apples" comparisons when you're looking at plans. %PDF-1.6 % 401 0 obj <>stream endstream endobj startxref hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. You have the right to an easy-to-understand summary about a health plans benefits and coverage. We understand that our services and benefits are vital to you. The SBC shows you how you and the plan would share the cost for covered health care services. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA NOTE: Information about the cost of this plan (called the premium) will be provided separately. 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. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. We protect our communitys most vulnerable children and adults. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. 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 Press Tab to Move to Skip to Content Link. Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. Federal government websites often end in .gov or .mil. Community is built on trust. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. 4 0 obj Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). All insurance agents and enrollment platforms linked to this site have their own terms and conditions. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. 3 0 obj 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. Summary of Benefits and Coverage (SBC) Template | MS Word Format. 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. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. endobj You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. (866) 294-4347 (800) 720-4347 (TTY). .dol-alert-status-error .alert-status-container {display:inline;font-size:1.4em;color:#e31c3d;} SBCs also explain health plans' unique features .usa-footer .container {max-width:1440px!important;} While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. 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! That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each 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. ! The .gov means its official. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. 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. 0 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:. You need a roof over your head. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. This is only a summary. 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), $0 copay (limits may apply) (authorization not required) (referral not required). (888) 244-4347 0 1457 0 obj <>stream 1731 0 obj <> endobj %%EOF d.Y&8&MUgQ offers the following coverage and cost-sharing. Inland Empire Health Plan (IEHP) The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. Your family is your top priority. %PDF-1.7 This is only a summary. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d No matter the insurance provider, all SBCs outline the same basic information. Factsonmedicare.com is a free-to-use informational website. The call is free. Trust is built on communication. Adults pay no monthly premium for Medi-Cal coverage. If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. This is only a summary. <> #block-googletagmanagerheader .field { padding-bottom:0 !important; } stream Help yourself and impact your community by clicking here to learn more! % 1800 0 obj <>stream Applicability: Plans and issuers will be required to use the 2021 Summary of Benefits and Coverage (SBC), the 2021 SBC Calculator Guide and Narratives, and, should they choose to use the SBC Calculator, the 2021 SBC Calculator beginning on the first day of the first open enrollment period for any plan years (or, in the individual market, policy Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. hYmOH+qn[Z!ff{]&1`ms~XvwWU=OU]GJ*bf**mB5Tp38h&d*C t%]3L0eb6R1,1y;H$H$RZ*SJi6ZMbRl*,vj-(YO9VY!swc>=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? endobj We are to help you too! would share the cost for covered health care services. 1218 0 obj <>stream IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Enroll on the phone or online! The SBC shows you how you and the plan. w@!nRKb Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. We use cookies to offer you the best possible website experience. All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plan's unique terms. Restaurant Meals Program Vendor Information. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . Find out if you qualify for a Special Enrollment Period. Previous Next ===== TABBED SINGLE CONTENT GENERAL. %vM:+&Z$RI\\?wNuVS!n} This is only a summary. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. 0 As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Competitive Salary and Benefits Package The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). Learn more here. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. Were here to help! "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. NOTE: Information about the cost of this . 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 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. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. .manual-search-block #edit-actions--2 {order:2;} IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. =========== 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. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! View Plan Details How to Get Care This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. We care about the people we serve and last year we served one million people in Riverside County. Copy Page Link. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. IMPORTANT: This page has been updated with plan and premium data for the 2023. Advantage Plus benefits and premiums . We also have partners throughout Riverside County waiting to help you at any time. Get help from a licensed Medicare agent. .manual-search ul.usa-list li {max-width:100%;} 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 Ready to sign up for IEHP DualChoice (HMO D-SNP) <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> It provides health, dental and vision* coverage to qualified low-income California residents. This is meant to help you compare your options and understand your coverage. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. 4 IEHP DualChoice (HMO D-SNP) 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. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. All Rights Reserved. Yes. also provides the following benefits. Some of the services listed are covered only if IEHP or your IPA approves first. ah v$c`bd`Qb`_g "[y . .cd-main-content p, blockquote {margin-bottom:1em;} You may also call Health Care Options at 1-800-430-4263. Team Member* benefits include: 2019 Inland Empire Health Plan. 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 do not offer every plan available in your area. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. 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. Contact the plan for details. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. Learn more by clicking here. p.usa-alert__text {margin-bottom:0!important;} It details the coverage and costs for any Affordable Care Act-compliant health plan. %%EOF plan (called the premium) will be provided separately. 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. Your HBA, usually located in your agency's personnel office, can also print you a copy . 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