The SBC shows you how you and the plan. 3 0 obj The site is secure. Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Your cookie preferences will be stored in your browsers local storage. ah v$c`bd`Qb`_g "[y Restaurant Meals Program Vendor Information. #block-googletagmanagerheader .field { padding-bottom:0 !important; } Welcome to Summary of Benefits and Coverage (SBC) document posting site for Medical and Dental documents. Contact a plan for a Summary of Benefits. 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. Ready to sign up for IEHP DualChoice (HMO D-SNP) The call is free. Other languages can be selected below. 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. %PDF-1.7 % The SBC shows you how you and the plan would share the cost for covered health care services. 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). In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . A summary of benefits and coverage (SBC) is a document that all insurance companies are required to provide. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} Advantage Plus benefits and premiums . Competitive Salary and Benefits Package We provide access to caregivers who help at-risk adults live safely and independently in their own home. =;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? 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. 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. The coverage examples will illustrate sample medical situations and describe how much coverage the plan would provide in an event such as having a baby (normal delivery) or managing Type 2 diabetes (routine maintenance, well-controlled). Please read the Evidence of Coverage for the full list of benefits. 1800 0 obj <>stream wT].b`bd` FI? 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 =========== 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. IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. It details the coverage and costs for any Affordable Care Act-compliant health plan. 1218 0 obj <>stream is offered in the following locations. plan (called the premium) will be provided separately. See how they can help you, your family, and your community! L.A. Care Covered Platinum 90 HMO Evidence of Coverage. offers the following coverage and cost-sharing. See the Part D Premium Reduction section below for more details. The .gov means its official. Live help. We partner with agencies and organizations that share our mission to help and protect those most in need. We believe in the power of partnerships. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. (866) 294-4347 IEHP - Medi-Cal California Medical Insurance Requirements : Welcome to Inland Empire Health Plan \. This is only a . hbbd``b` + b, DqA@BT$-P/c`% 0 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. This is only a summary. 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. [CDATA[/* >