TTY users should call (800) 720-4347. Previous Next ===== TABBED SINGLE CONTENT GENERAL. Instructions for Completing the SBC - Group Health Plan Coverage and Consumer Assistance Programs. 1731 0 obj <> endobj Learn more by clicking here. A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. #block-googletagmanagerheader .field { padding-bottom:0 !important; } The SBC shows you how you and the plan would share the cost for covered health care services. 7500 Security Boulevard, Baltimore, MD 21244. Consider or children in need. rQ&RqL_F{M' s+ )L@!|5fJ%"82O$6F*) 3Z ~ Y#. 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. Plan Overview. w@!nRKb While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. We believe in the power of partnerships. Learn more about how your agency or business can join our the team that strengthens individuals and communities. hYioH+ 3"> >Ivg@K, k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. Some of the services listed are covered only if IEHP or your IPA approves first. JQua/V7 25O,G RlJ E7j{ The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. We protect our communitys most vulnerable children and adults. This is only a summary. NOTE: Information about the cost of this plan (called the premium) will be provided separately. (800) 720-4347 (TTY). %vM:+&Z$RI\\?wNuVS!n} .agency-blurb-container .agency_blurb.background--light { padding: 0; } % %%EOF Factsonmedicare.com is a free-to-use informational website. The SBC shows you how you and the plan would share the cost for covered health care services. L.A. Care Covered Platinum 90 HMO Evidence of Coverage. Medi-Cal is a no-cost or low-cost health coverage program. Contact a plan for a Summary of Benefits. Restaurant Meals Program Vendor Information. 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. We work with community partners and the courts to bring families together. Learn more by clicking here. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW %PDF-1.7 IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. TTY users should call 1-800-430-7077. 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. 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. You can get a Summary of Benefits and Coverage for all individual and job-based health plans, including. You can become the loving parent a child needs and deserves. We also have partners throughout Riverside County waiting to help you at any time. <>/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>> * For more information about limitations and exceptions, see the plan or policy document at www.ufcwnationalfund.org. Apply here and learn more about benefits. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. This is only a summary. For more information , visit www.iehp.org. We partner with agencies and organizations that share our mission to help and protect those most in need. 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 endstream endobj startxref It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. #views-exposed-form-manual-cloud-search-manual-cloud-search-results .form-actions{display:block;flex:1;} #tfa-entry-form .form-actions {justify-content:flex-start;} #node-agency-pages-layout-builder-form .form-actions {display:block;} #tfa-entry-form input {height:55px;} Mon-Fri 8am-9pm EST | Sat 8am-8pm EST. ol{list-style-type: decimal;} Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. endobj All Rights Reserved. Your HBA, usually located in your agency's personnel office, can also print you a copy . Live help. We want to help. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! . stream Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Medi-Cal Plan No-cost or low-cost health care coverage for low-income adults, families with children, seniors, and people with disabilities. .usa-footer .container {max-width:1440px!important;} See the Part D Premium Reduction section below for more details. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. Our mission is to help our residents find a path to financial independence. Learn more about resources in languages other than English. 4 The SBC shows you how you and the plan would share the cost for covered health care services. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . endobj 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. Inland . Please check the plans formulary for specific drugs covered. 1800 0 obj <>stream 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. We do not directly sell health insurance or offer professional legal, medical, or financial advice. The SBC shows you how you and the plan would share the cost for covered health care services. 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 Enroll on the phone or online! 2023 Inland Empire Health Plan All Rights Reserved. A short, plain-language Summary of Benefits and Coverage (SBC), A Uniform Glossary of terms used in health coverage and medical care. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) Yes. Find out if you qualify for a Special Enrollment Period. 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). Other languages can be selected below. Essential Health Benefits Summary A one-page Essential Health Benefits Summary is available for download. .cd-main-content p, blockquote {margin-bottom:1em;} Because we respect your right to privacy, you can choose not to allow some types of cookies. We care about the people we serve and last year we served one million people in Riverside County. You may also call Health Care Options at 1-800-430-4263. Health care is crucial for you and your family. @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} Learn more here, including how to apply. Additionally, you can freely decide and change any time whether you accept cookies or choose to opt out of cookies to improve website's performance, as well as cookies used to display content tailored to your interests. 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. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Check if you qualify for a Special Enrollment Period. ;+ " BEXL1|VTs94'6I>gY14eTy3~XU%ytv|`^7eqI8;r`~:EA2F8~]fs:x[`EY#UA .table thead th {background-color:#f1f1f1;color:#222;} You have the right to an easy-to-understand summary about a health plans benefits and coverage. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. It provides health, dental and vision* coverage to qualified low-income California residents. Get help from a licensed Medicare agent.

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