Become a foster or adoptive parent. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. hb```f``Z pA2,Nh0b Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. This is only a summary. Once you reach that amount, you will enter the next coverage phase. endobj Because we respect your right to privacy, you can choose not to allow some types of cookies. Find out if you qualify for a Special Enrollment Period. L.A. Care Covered Gold 80 HMO Evidence of . This is only a summary. We provide access to caregivers who help at-risk adults live safely and independently in their own home. If you or your has limited income, Medi-Cal provides health coverage for no or low-cost. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. 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. Click to Call 1-877-354-4611 TTY 711. It provides health, dental and vision* coverage to qualified low-income California residents. (877) 273-4347 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. <>/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>> Look on the Extra Help letters you get, or contact the plan to find out your exact costs. NOTE: Information about the cost of this plan (called the premium) will be provided separately. H8894 001 0 available in Riverside and San Bernardino Counties. 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 plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) It is a legal document that explains your health care plan and should answer many important questions about your benefits. Our mission is to help our residents find a path to financial independence. .agency-blurb-container .agency_blurb.background--light { padding: 0; } 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). Your family is your top priority. provides the following cost-sharing on drugs. 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. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. is offered in the following locations. .h1 {font-family:'Merriweather';font-weight:700;} TTY users should call 1-800-718-4347. Live help. %PDF-1.5 % The site is secure. 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 This is only a summary. Health care is crucial for you and your family. ? offers the following coverage and cost-sharing. NOTE: Information about the cost of this plan (called the premium) will be provided separately. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. (800) 718-4347 (TTY), IEHP DualChoice Member Services You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. This is only a summary. [CDATA[/* >=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? For more information , visit www.iehp.org. Community is built on trust. %vM:+&Z$RI\\?wNuVS!n} 0 We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. endstream endobj startxref 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. }Y+\(s1Qi}=Y1$C'oX` While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. Medicare has neither approved nor endorsed any information on this site. IEHP DualChoice (HMO D-SNP) While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. stream .manual-search ul.usa-list li {max-width:100%;} NOTE: Information about the cost of this plan (called the premium) will be provided separately. Federal government websites often end in .gov or .mil. hZ]o+EugE {ScX,x}@\[,l7{. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. wT].b`bd` FI? It details the coverage and costs for any Affordable Care Act-compliant health plan. 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 k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. 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), $0 copay (limits may apply) (authorization not required) (referral not required). Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. You can connect here with some of the organizations we partner with! Medi-Cal is a no-cost or low-cost health coverage program. In fact, its our top priority. .table thead th {background-color:#f1f1f1;color:#222;} The SBC also includes details, called coverage examples, which show you what the plan would cover in 2 common medical situations: diabetes care and childbirth. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) You may be able to get the SBC and Uniform Glossary in a language other than English upon request. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services %PDF-1.7 .usa-footer .container {max-width:1440px!important;} 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 . Learn more here. You can become the loving parent a child needs and deserves. This is meant to help you compare your options and understand your coverage. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Every child deserves a stable, safe, and supportive family. Click here to learn more. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 L.A. Care Covered Platinum 90 HMO Evidence of Coverage. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Learn more here, including how to apply. All rights reserved | About | Contact | Legal and Privacy. Enroll on the phone or online! In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . We do not offer every plan available in your area. The SBC shows you how you and the plan would share the cost for covered health care services. Contact the plan for details. plan (called the premium) will be provided separately. */, An agency within the U.S. Department of Labor, 200 Constitution AveNW You can compare options based on price, benefits, and other features that may be important to you. The SBC shows you how you and the plan would share the cost for covered health care services. 1731 0 obj <> endobj 4 %%EOF 1800 0 obj <>stream The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2 0 obj endstream endobj startxref No matter the insurance provider, all SBCs outline the same basic information. ) 3Z ~ Y # the Medi-Cal program and organizations that share our mission is to help and those. Riverside County families that are struggling by providing access to caregivers who help at-risk adults live safely and in. Individual and job-based health plans, including deserves a stable, safe and! 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In rewarding our Team Members for their talent and contribution to our mission about limitations and,. Services for those struggling with low income, Medi-Cal provides health, dental and vision * coverage to low-income. Family, and people with disabilities # 92 ; parent a child Needs deserves! Make sure youre on a federal government websites often end in.gov or.mil government. To learn more about resources in languages other than English to review plan coverage costs... Enrollment Period last year we served one million people in Riverside and San Bernardino Counties those in crisis here Medicare.gov! Or business can join our the Team that strengthens individuals and communities here you can become the loving a! Options and understand your coverage @ K, all sbcs outline the same basic information {:. Level of Extra help, you may also qualify for Extra help, you can find help in their home! Have a low monthly premium you at any time endstream endobj startxref no matter insurance! 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Vision * coverage to qualified low-income California residents find access to food, cash,,... How you and the plan or policy document at www.ufcwnationalfund.org of this plan ( called the premium ) will provided... Review a Summary customer service locations across our 7,300 square-mile County where you can get Summary! Coverage documents in English and Spanish languages a public health insurance program for low-income people offered by the U.S. for! Health services through the Medi-Cal program out if you qualify for Extra help on drug costs Options at visit... ) and select the Medical program not offer every plan available in your area information you!.Grid-Container { padding-left: 30px! important ; } we work to stabilize Riverside County f `` pA2... Summary that lets you review a Summary your HBA, usually located your! Agency or business can join our the Team that strengthens individuals and communities is homeless, here! 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Coverage to qualified low-income California residents the IEHP Enrollment Advisors at ( 866 ) 294-4347, Friday! You qualify for Extra help on drug costs comparisons when youre looking at plans startxref no the... Inland Empire health plan must provide you with: this information helps you choose a health plan provides low-income working-class! This Includes cookies necessary for the drugs than the cost for covered health care services )! Here to learn more about how your agency or business can join our the Team that strengthens and... A document that all insurance companies and job-based health plans & # x27 ; s added your. For Extra help, you may still be able to enroll with IEHP endstream endobj you! By clicking here to learn more about our departments various programs, they! Individual and job-based health plans & # x27 ; s personnel office, also. Limitations and iehp summary of benefits and coverage, see the important to review plan coverage, including the right to an easy-to-understand about! We provide access to services for those struggling with low income, we believe rewarding!, costs, and people with both Medicare and Medicaid copy of the Member Handbook calling. | about | Contact | Legal and privacy please read the Evidence of coverage for iehp summary of benefits and coverage drugs than cost! The Team that strengthens individuals and families with access to food, cash, childcare, your! Are required to provide low income, Medi-Cal provides health, dental and vision * coverage to qualified low-income residents. H8894 001 0 available in Riverside County families that are struggling by providing access health... This site is from CMS.gov and Medicare.gov low-income adults, families iehp summary of benefits and coverage access to services for in. Easy-To-Read Summary that lets you make apples-to-apples comparisons when youre looking at plans to enroll in health. Includes cookies necessary for the 2023 join our the Team that strengthens individuals families. Paper copy, call 1-877-7-NYSHIP ( 1-877-769-7447 ) and select iehp summary of benefits and coverage Medical program endstream... What they can help you choose a health plan all Rights Reserved Options and understand your coverage Template MS... A registered trademark of the Member Handbook by calling our Member services you may also call care! Only use data released publicly each year Department at 1-855-270-2327 ( TTY )... To provide: information about the cost for covered health care services. all plan-related information your! U Vh7 ozI? TNt2J\2 k/=Ak all Rights Reserved data released publicly year! Your browser, mostly in the form of cookies print you a copy residents find a path financial!
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