The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The .gov means its official. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. You may be able to get the SBC and Uniform Glossary in a language other than English upon request. You have the right to an easy-to-understand summary about a health plans benefits and coverage. All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plan's unique terms. is offered in the following locations. offers the following coverage and cost-sharing. Consider or children in need. ```x@H?KtZXpml!y hhhchck4TJCk0`s73)8N@ 7 .h1 {font-family:'Merriweather';font-weight:700;} Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services Contact the plan for details. Share via Facebook. 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). 1175 0 obj <> endobj -l 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 $7,400.00. Please, see below for location details, contact numbers, and hours of operation. This package is designed to help you stay healthy, meet your financial and retirement goals, develop your career and continue your education all while achieving a healthy work/life balance. endobj 326 0 obj <>/MediaBox[0 0 792 612]/Parent 322 0 R/Resources<>/ProcSet 400 0 R/XObject<>>>/Rotate 0/Type/Page>> endobj 327 0 obj <>stream endstream endobj startxref Medi-Cal Dental Coverage . hbbd```b`` "A$ri " %f=X$L0i&u@d{:d The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered healthcare services. We are to help you too! Health care is crucial for you and your family. %H_iuaVU%]{Wr68~&=}\F7\&Ec\bY]0f"=_]1Y/;h\Mph\32$H#db:aSV7f. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. .agency-blurb-container .agency_blurb.background--light { padding: 0; } The SBC shows you how you and the plan would share the cost for covered health care services. 4 %PDF-1.5 % The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. See the . 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. /*-->