In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. For more information , visit www.iehp.org. 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 $7,400.00. 7500 Security Boulevard, Baltimore, MD 21244. Here you can find access to Family Resource Centers and crisis prevention services. Evidence of Coverage. IEHP DualChoice (HMO D-SNP) This is only a summary. We have several customer service locations across our 7,300 square-mile county where you can find help. Enroll on the phone or online! IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. This is only a summary. #block-googletagmanagerheader .field { padding-bottom:0 !important; } Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. -l NOTE: Information about the cost of this plan (called the premium) will be provided separately. Because we respect your right to privacy, you can choose not to allow some types of cookies. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d Summary of Benefits and Coverage (SBC) An easy-to-read summary that lets you make apples-to-apples comparisons of costs and coverage between health plans. Podiatry Chiropractic Allergy care This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. Your cookie preferences will be stored in your browsers local storage. Our mission is to help our residents find a path to financial independence. 1800 0 obj <>stream endstream endobj startxref Want to speak to someone face-to-face? All rights reserved | About | Contact | Legal and Privacy. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 57 0 R 58 0 R 59 0 R 60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 69 0 R 70 0 R 71 0 R 72 0 R 73 0 R 74 0 R 75 0 R 76 0 R 77 0 R 78 0 R 79 0 R 80 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 87 0 R 88 0 R 89 0 R 90 0 R] /MediaBox[ 0 0 792 615] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> NOTE: Information about the cost of this . All plan-related information on this site is from CMS.gov and Medicare.gov. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. ? 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. .paragraph--type--html-table .ts-cell-content {max-width: 100%;} hbbd``b` + b, DqA@BT$-P/c`% We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. Competitive Salary and Benefits Package L.A. Care Covered Gold 80 HMO Evidence of . Learn more about resources in languages other than English. (800) 720-4347 (TTY). %PDF-1.7 % If you or your family is at risk of experiencing homelessness or is homeless, click here to learn more. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. <> .h1 {font-family:'Merriweather';font-weight:700;} Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. provides the following cost-sharing on drugs. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. stream 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). %%EOF 2 0 obj Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. Some of the services listed are covered only if IEHP or your IPA approves first. Contact the plan for details. NOTE: Information about the cost of this plan (called the premium) will be provided separately. 1457 0 obj <>stream 4 =========== 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. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. 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! The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each plan. Summary of Benefits and Coverage (SBC) Template | MS Word Format. Click to Call 1-877-354-4611 TTY 711. (888) 244-4347 IEHP DualChoice (HMO D-SNP) wT].b`bd` FI? We do not offer every plan available in your area. 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). TTY users should call (800) 720-4347. /*-->/Filter/FlateDecode/ID[<7683F4A8D47BF441B51CA1406C79AE5A>]/Index[324 78]/Info 323 0 R/Length 83/Prev 576238/Root 325 0 R/Size 402/Type/XRef/W[1 2 1]>>stream . offers the following coverage and cost-sharing. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. "::B (fPP5HK:~f6|\LrZ* PQoE_}a`@`C'= IEHP DualChoice (HMO D-SNP) This could be right for you. You can become the loving parent a child needs and deserves. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. hb```f``Z pA2,Nh0b This is meant to help you compare your options and understand your coverage. We believe in helping YOU take care of yourself and your family. The call is free.