]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. 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. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. %PDF-1.6 % Youll also find access to services for those in crisis here. Adults pay no monthly premium for Medi-Cal coverage. Your HBA, usually located in your agency's personnel office, can also print you a copy . 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. is a Medicare Advantage (Part C) Special Needs Plan by IEHP DualChoice. 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. /*-->stream You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. Help yourself and impact your community by clicking here to learn more! Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. 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! The SBC shows you how you and the plan would share the cost for covered healthcare services. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. 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 . We believe in the power of partnerships. We want to help. The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). 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. Every child deserves a stable, safe, and supportive family. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. You may also qualify for Extra Help on drug costs. plan (called the premium) will be provided separately. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. 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. Look on the Extra Help letters you get, or contact the plan to find out your exact costs. (866) 294-4347 This is only a summary. Your Part B premium may differ based on factors including late enrollment, income, and disability status. 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. It is a legal document that explains your health care plan and should answer many important questions about your benefits. =========== 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. ozI?TNt2J\2 k/=Ak While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Sample Completed SBC | MS Word Format. This is only a summary. You may be able to get the SBC and Uniform Glossary in a language other than English upon request. We partner with agencies and organizations that share our mission to help and protect those most in need. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. ! JQua/V7 25O,G RlJ E7j{ That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. All plan-related information on this site is from CMS.gov and Medicare.gov. .cd-main-content p, blockquote {margin-bottom:1em;} The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. (800) 720-4347 (TTY). This is only a summary. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. %%EOF B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Learn more by clicking here. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. See how they can help you, your family, and your community! Washington, DC 202101-866-4-USA-DOL, Employee Benefits Security Administration, Mental Health and Substance Use Disorder Benefits, Children's Health Insurance Program Reauthorization Act (CHIPRA), Special Financial Assistance - Multiemployer Plans, Delinquent Filer Voluntary Compliance Program (DFVCP), State All Payer Claims Databases Advisory Committee (SAPCDAC), Summary of Benefits and Coverage and Uniform Glossary, Notice Agency Information Collection Activities, Solicitation of comments Templates, Instructions, and Related Materials, Culturally and Linguistically Appropriate Services (CLAS) County Data, Summary of Benefits and Coverage (SBC) Template, Instructions for Completing the SBC - Group Health Plan Coverage, Instructions for Completing the SBC - Individual Health Insurance Coverage, Why This Matters language for "Yes" Answers, Why This Matters language for "No" Answers, HHS Information For Simulating Coverage Examples, HHS Coverage Example Calculator and Related Information, List of anchors for SBC Uniform Glossary terms, Uniform Glossary of Coverage and Medical Terms, SBC and Uniform Glossary Translations - Chinese, Spanish, Tagalog, and Navajo, Instructions for Completing the SBC Group Health Plan Coverage, Instructions for Completing the SBC Individual Health Insurance Coverage. Yes. %%EOF You may request a printed copy of the Member Handbook by calling our Member Services department at 1-855-270-2327 (TTY 711 ). TTY users should call (800) 720-4347. IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan. H8894 001 0 available in Riverside and San Bernardino Counties. ah v$c`bd`Qb`_g "[y We protect our communitys most vulnerable children and adults. IEHP DualChoice (HMO D-SNP) TAhh])f?u Vh7 2 0 obj An official website of the United States government. LYK%-dQrqc*D|3-:HAdFfZ! .h1 {font-family:'Merriweather';font-weight:700;} <>/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>> We do not offer every plan available in your area. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. #block-googletagmanagerheader .field { padding-bottom:0 !important; } Visit bluecrossmn.com or call toll free at 1-855-579 . .0$ga0Q.K*x~Q\],.t1dIajsV(@^|A(d!nmYm:9?DdqZ ],"J),EUzJ~9'$}`:yH qHmBQ#WF?828_ endstream endobj startxref The SBC shows you how you and the plan would share the cost for covered health care services. hb```f``: Ab@cj[_d9^7'g\gW-]i.jgW=`);,:L::;:X3:::::;$PEGv+1[X %vM:+&Z$RI\\?wNuVS!n} NOTE: Information about the cost of this plan (called the premium) will be provided separately. 1175 0 obj <> endobj The site is secure. IEHP DualChoice (HMO D-SNP) 324 0 obj <> endobj We also have services to protect adults from abuse and neglect. stream Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. 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), $0 copay (limits may apply) (authorization not required) (referral not required). hYmOH+qn[Z!ff{]&1`ms~XvwWU=OU]GJ*bf**mB5Tp38h&d*C t%]3L0eb6R1,1y;H$H$RZ*SJi6ZMbRl*,vj-(YO9VY!swc>=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. For more information , visit www.iehp.org. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). Share via Facebook. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. Medicare has neither approved nor endorsed any information on this site. (=eVXPjZ=klnA0` 9bI1TE!~ZScs3$! This is only a summary. .manual-search ul.usa-list li {max-width:100%;} .paragraph--type--html-table .ts-cell-content {max-width: 100%;} If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. Federal government websites often end in .gov or .mil. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} Children with Medi-Cal coverage under the Childrens Health Insurance Program (CHIP) will have a low monthly premium. -l IEHP DualChoice (HMO D-SNP) Call the IEHP Enrollment Advisors at (866) 294-4347, Monday Friday, 8am 5pm. We are to help you too! 4 0 obj We want the best for our communities, so we are eager to collaborate with innovative partners who share our dedication to improving the health, safety, and wellbeing of individuals and families! .manual-search ul.usa-list li {max-width:100%;} Apply here and learn more about benefits. This is only a . Inland . It details the coverage and costs for any Affordable Care Act-compliant health plan. Learn more here. . Before sharing sensitive information, make sure youre on a federal government site. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. Become a foster or adoptive parent. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. These cookies are required to use this website and can't be turned off. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. Plan Overview. You can connect here with some of the organizations we partner with! Press Tab to Move to Skip to Content Link. View Plan Details How to Get Care SBCs also explain health plans' unique features See the Part D Premium Reduction section below for more details. 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;}} [CDATA[/* >