IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. It will summarize the key features of the plan or coverage, such as the covered benefits, cost-sharing provisions, and coverage limitations and exceptions. See the . 0 NOTE: Information about the cost of this plan (called the premium) will be provided separately. It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. Youll also find access to services for those in crisis here. Plan Overview. TTY users should call (800) 720-4347. #block-googletagmanagerheader .field { padding-bottom:0 !important; } Because we respect your right to privacy, you can choose not to allow some types of cookies. hbbd```b``A$~"fGHF-0;Dl>`O"`RLg@d0LRA vO6 You can become the loving parent a child needs and deserves. See the Part D Premium Reduction section below for more details. 1175 0 obj <> endobj @media (max-width: 992px){.usa-js-mobile-nav--active, .usa-mobile_nav-active {overflow: auto!important;}} endstream endobj startxref wT].b`bd` FI? You have the right to an easy-to-understand summary about a health plans benefits and coverage. hYioH+ 3"> >Ivg@K, This could be right for you. Any information we provide is limited to those plans we do offer in your area. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. Youll find a link to the SBC on each plan page when you preview plans and prices before logging in, and when you've finished your application and are comparing plans. Contact the plan for details. The SBC shows you how you and the plan would share the cost for covered health care services. 1750 0 obj <>/Filter/FlateDecode/ID[<75972DCB528687409DA200AFE706D977>]/Index[1731 70]/Info 1730 0 R/Length 102/Prev 610410/Root 1732 0 R/Size 1801/Type/XRef/W[1 3 1]>>stream NOTE: Information about the cost of this plan (called the premium) will be provided separately. The SBC shows you how you and the plan would share the cost for covered healthcare services. B%32/`N`da 1}v 500mZT` pau{@Z!o~Z@ bM A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. IMPORTANT: This page has been updated with plan and premium data for the 2023. )9& Fs?I_oD!0sF##H062* gFDh\J:*&n=cQ9G&3 Sd;Fb(LE/Ebd) *FJ>DVtQpQ3 oc$C#$3T.Y6N',FLX8O*aHaL9 Ma]\L)k)B\)6&BO_ZNp0,/.~9# 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. 401 0 obj <>stream The SBC shows you how you and the plan would share the cost for covered health care services. 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. Were here to help! We want to help our diverse audiences connect to our mission of strengthening communities one life at a time! @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. The SBC shows you how you and the plan. 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. The Glossary of Health Coverage and Medical Terms will assist you with determining the benefits of each 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 We protect our communitys most vulnerable children and adults. We also have partners throughout Riverside County waiting to help you at any time. Click here to learn more. The site is secure. The .gov means its official. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. Share via Email. <> Team Member* benefits include: 2019 Inland Empire Health Plan. .usa-footer .grid-container {padding-left: 30px!important;} Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . /*-->