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Medi-Cal Dental Coverage Insurance Information - Medi-Cal Dental Coverage Insurance Information
ms can start in our mouths, that's why Medi-Cal dental coverage is so vital to California residents. Medi-Cal is the name for the California Medi-Cal Assistance Program, the regions Medicaid program. Medi-Cal provides health and medical dental insurance coverage for qualified families and individuals in California. Does Medi-Cal Cover Dental? Yes, Medi-Cal covers a wide range of dental services through their Medi-Cal Dental Program. This benefit is included with your Medi-Cal coverage at little to no cost to you. To access Medi-Cal's dental services, you can visit a Medi-Cal dental provider. They will let you know what the best form of treatment is under your Medi-Cal dental coverage. If you have any questions or need help finding a Medi-Cal dental provider, call the Medi-Cal Dental Customer Service Line at 1-800-322-6384, or visit www.smilecalifornia.org. What Does Medi-Cal Cover for Dental? Medi-Cal dental coverage includes the following: Diagnostic and preventive dental hygiene (e.g., examinations, x-rays, and teeth cleanings) Emergency services for pain control Tooth extractions Fillings Root canal treatments (anterior/posterior) Crowns (prefabricated/laboratory) Scaling and root planing Periodontal maintenance Complete and partial dentures; and Orthodontics for kids who qualify Does Medi-Cal cover root canals? Yes, Medi-Cal dental will cover both anterior and posterior root canals. Does Medi-Cal cover braces? Orthodontics are only covered for kids who qualify for this type of specialist treatment under Medi-Cal's dental services. Why You Need Dental Insurance It is a fact that your mouth can give a clear sign of your overall health. This is because dental health and hygiene link to other areas of the body, including the heart. It is vital to visit the dentist on a regular basis, to make sure your oral health is not causing you any problems. That said, dental work can be costly. Even more costly as we get older, and our teeth and gums start to weaken. Medi-Cal dental helps all Medi-Cal members save money on preventative and restorative dental work. Here are some reasons why dental health insurance is so important: Insurance pays for expensive dental care. For some people, dental care means two visits a year for checkups and teeth cleaning. For others, it means thousands of dollars in restorative surgery bills. Whether you brush your teeth three times a day or not, dental problems can come without notice. To prevent paying expensive dental bills apply for Medi-Cal coverage and visit a Medi-Cal registered dentist. Medi-Cal will pay some or all of the costs of your dental procedures. Keep great oral health and hygiene. The best way to save money on dental health bills (besides applying for Medi-Cal coverage) is to keep up to date on the overall health of your mouth. Regular dental checkups will help to make sure that your oral health is checked. Medi-Cal dental will cover *routine checkups. Give your kids a head start. According to the Pew Center on the States, about 20% of a child's healthcare expenses come from dental costs. Tooth decay is one of the most common and preventable childhood diseases. It's five times more common than asthma and seven times more prevalent than fever in U.S kids. Twenty percent of kids 0-5 do not get yearly dental checkups. Kids with oral health problems have a hard time learning in school. The U.S Department of Health and Human Services estimates that kids lose over 51 million school hours per year due to dental issues. How to Apply for Medi-Cal Dental Coverage If you have Medi-Cal, you will be able to use your dental benefits at any Medi-Cal Dental provider in California. All you need to do is make an appointment and show your Medi-Cal card when you visit the dentist. To apply to Medi-Cal, call our professional Enrollment Advisors at (866) 294-4347, Monday – Friday, 8am – 5pm. TTY users should call (800) 720-4347. You can also call Health Care Options at 1-800-430-4263 or visit www.healthcareoptions.dhcs.ca.gov. TTY users should call 1-800-430-7077. At IEHP, we are happy to answer any questions you may have regarding Medi-Cal dental coverage. We can also help you apply for Medi-Cal online. *For more information on guidelines and coverage for Medi-Cal Dental age groups, please visit the covered services section on the Smile California website.
Report an Issue - Report Fraud and HIPAA Privacy Issues
ay have. To ensure that our Members receive the best care, we need them to report any issues. Issues can be, witnessing any type of fraud, or if a Member feels that their personal and private information has been misused. How Do I Report an Issue? To report fraud the following resources are available: waste or abuse, privacy issues, and other compliance issues. Compliance Hotline: (866) 355-9038 Fax: (909) 477-8536 E-mail: firstname.lastname@example.org Mail: IEHP Compliance Officer P.O. Box 1800 Rancho Cucamonga, CA 91729-1800 Click Report a Compliance Issue to report online. What is the Privacy Incident/Breach? IEHP has established a HIPAA Privacy Program to ensure that Member’s health information is properly protected, while allowing the flow of health information needed to provide and promote high-quality health care. What is a privacy breach? An unauthorized acquisition, access, use, or disclosure of protected health information (PHI) which puts at risk the security or privacy of such information. PHI is health information that relates to a Member’s past, present or future physical or mental health or condition. This includes the services of his/her health care, or payment for that care and contains personally identifiable information (PII) such as name, SSN, DOB, Member ID, address, or any other unique identifier related to the Member. This generally means that a breach occurs when PHI is accessed, used, or disclosed to an individual or entity that does not have a business reason to know that information. The law does allow information to be accessed, used, or disclosed when it is related to treatment, payment, or healthcare operations directly associated with the work that we do at IEHP on behalf of our Members. Click Report a Privacy Incident/Breach to report online. What is the Fraud, Waste, and Abuse (FWA) Program? IEHP has established a fraud, waste, and abuse program to detect, correct, and prevent fraud, waste, and abuse on part of IEHP Employees, IEHP Members, Providers, Vendors, delegated entities and any other entity doing business with IEHP. What is Fraud? Fraud is knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program, or to obtain, by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody or control of, any health care benefit program. Examples include: The use of someone else's identification or insurance card to obtain services. Falsifying income or location to obtain insurance. Selling of prescription medication or medical equipment obtained through IEHP. What is Waste? Waste includes overuse of services, or other practices that, directly or indirectly, result in unnecessary costs. Waste is generally not considered to be caused by actions of criminal neglect but rather by the misuse of resources. Examples include: Frequent visits to the ER or Urgent care for standard doctor visits. Visiting multiple doctors or hospitals to obtain controlled medications. What is Abuse? Abuse includes actions that may, directly or indirectly, result in unnecessary costs and improper payment or services. Abuse involves payment for items or services when there is no legal entitlement to that payment and the provider has not knowingly and/or intentionally misrepresented facts to obtain payment. Examples include: Use of transportation benefits for non-medical purposes. Click Report Fraud/Waste/Abuse to report online.
Coronavirus (COVID-19) Announcements
of Phase 1A of its vaccination roadmap, vaccines will be distributed to caregivers with In-Home Support Services (IHSS), intermediate care centers, and public and community health centers, including facilities for mental health. Click here to learn more. 1/12/21: San Bernardino County introduces a coronavirus quarantine and isolation calculator. This tool allows people to determine how long they should self-isolate after testing positive for COVID-19, being sick with COVID-19, or being exposed to someone with COVID-19. Click here for more info. 12/7/20: The governor announced a stay at home order for Southern California regions, including Riverside and San Bernardino County, for a minimum of three weeks. This order is in response to a rapid growth in COVID-19 cases and a substantial increase in hospitalizations and ICU admissions. Click here to learn more. 9/11/20: To continue to help slow the spread of COVID-19, Riverside County is urging residents to get tested. In addition, increased testing will help the county move into the next level of the state’s reopening plan. For testing locations, visit gettested.ruhealth.org. 8/21/20: Health officials urge Riverside County residents to get tested for COVID-19, whether or not they are experiencing symptoms. For testing locations, visit gettested.ruhealth.org. 8/21/20: To stop the spread of COVID-19, San Bernardino County Public Health Director urges all residents to get tested. Watch this video to learn more. 7/24/20: Fraud reports have increased due to uncertainty surrounding COVID-19, leaving many San Bernardino residents unsure how to avoid scams or report them to authorities. Scams include fake at-home COVID-19 testing kits or vaccinations, IRS impersonators, illegal robocalls and fake charities. For more information visit the San Bernardino County Public Website. 6/29/20: San Bernardino County is encouraging all residents, including those who have not experienced symptoms of COVID-19, to be testing for the Coronavirus. Click here for testing locations. 6/19/20: Governor Newsom requires California residents to wear face coverings while in public. Click here to learn more. For information on how to wear a proper face covering, watch this short video. 6/12/20: A COVID-19 testing site returns to Blythe. Testing started on June 10th and will continue for two weeks. In addition, a testing site opens at the Edgemont Women’s Club in Moreno Valley and will operate June 17 through June 19th. Click here for more information. 5/29/20: Cooling Centers open throughout Riverside County, offering residents an escape from extreme heat and are open to the public at no cost. The centers will be available through October. Click here for more information. 5/29/20: New COVID-19 testing sites open in San Bernardino County. They are scheduled to run through June with appointment registrations opening weekly. For a complete list of testing locations click here: Click here for a complete list of testing locations. 5/27/20: A drive up COVID-19 testing site will be opened at the old Sears parking lot in Riverside, replacing the testing location at Harvest Christian Fellowship that is closing. Click here for a complete list of testing. 5/22/20: Riverside County added three new COVID-19 testing sites in Corona, San Jacinto and Temecula. Click here for a complete list of testing locations. 4/30/20: Riverside County’s Public Health Officer is extending his order requiring residents to wear face coverings when outside and to continue practicing social distancing through June 19. Residents are still required to remain in their primary residence under Governor Newsom’s existing “stay at home” order unless they are engaged in an essential business or activity, such as grocery shopping or visiting the doctor. Click here for more information. 4/28/20: San Bernardino County opens up criteria for COVID-19 testing. Beginning April 30th, residents 65 and older, healthcare workers, emergency responders, and law enforcement can get tested without displaying symptoms of COVID-19. For testing information, visit the San Bernardino County website. 4/24/20: In response to an increasing number of requests for resources, Riverside County released an online map to connect residents to local food resources. Resources include senior meal sites, school district meal sites and food pantries. Click here to find food resources. 4/20/20: Testing for COVID-19 has been expanded to all Riverside County residents, including those who do not have any COVID-19 symptoms. In addition, a fifth COVID-19 testing site will be established at the Blythe Fairgrounds on April 22nd. All residents interested in testing must call 800-945-6171 for an appointment. Click here for more information. 4/13/20: A fourth drive-up COVID-19 testing site opens in Riverside County on Tuesday, April 14th. The site has been established at the Perris Fairgrounds, located at 18700 Lake Perris Drive. Perris, California. Residents who want to get tested must have symptoms to make an appointment, symptoms include fever, cough, sore throat, runny nose or cough. Residents must call 800-945-6171 to make an appointment. For more information on testing locations, visit the Riverside County Public Health website. 4/13/20: San Bernardino County Public Health will conduct a community drive-through event for COVID-19 testing in Montclair on Tuesday, April 14. This event is open to San Bernardino County residents by appointment only. Residents can make an appointment online at http://wp.sbcounty.gov/dph/coronavirus/ at 2 p.m. on Monday, April 13 or by calling (909) 387-3911. Additional community drive-through events are scheduled throughout this month in Yucaipa, Big Bear Lake, Joshua Tree, and Rancho Cucamonga, California. For more information visit the San Bernardino County website. 4/8/20: Arrowhead Regional Medical Center will begin a COVID-19 drive-thru testing site on Thursday, April 9th. Appointments are required. To make an appointment call 855-422-8029. For more information visit Arrowhead Regional Medical Center. 4/7/20: CalWORKs and CalFresh renewals and SAR 7 status reports do not need to be submitted for March, April or May. This does not apply to Transitional CalFresh or Transitional Nutrition benefits. To access your benefits, visit: c4youself.com or call 877-410-8829 (San Bernardino County) 877-410-8827 (Riverside County). 4/7/20: The San Bernardino County’s Acting Health Officer ordered everyone in San Bernardino County to wear face coverings when leaving home and interacting with other people. Face coverings may include homemade cloth ear loop covers, bandannas and handkerchiefs, and neck gaiters. Also, orders all religious services to be done electronically, including upcoming Easter celebrations.Click here for more information. 4/4/20: The Riverside County Public Health Officer orders the public to stay home and cover their face when leaving and interacting with other people, including essential workers. Face coverings can be bandanas, scarves, neck gaiters or other clothing that does not have visible holes. Click here to learn more. 4/4/20: The Small Business Association (SBA) is offering forgivable loans that help businesses keep their workforce employed during the Coronavirus (COVID-19) crisis. The Paycheck Protection Program is a loan designed to provide a direct incentive for small businesses to keep their workers on the payroll. The loan application period opens on Friday, April 3, 2020. For more information visit the SBA website. 3/31/20: San Bernardino County will conduct a drive-thru sample collection event for COVID-19 in the High Desert on April 2nd. This event is open to San Bernardino County residents only. Residents can request an appointment online at sbcovid19.com or by calling (909) 387-3911. For more information on this event visit: http://www.sbcounty.gov/main/default.aspx 3/30/20 – A third drive-up COVID-19 testing site opens in Riverside County on April 1st. The site has been established at Harvest Christian Fellowship church in Riverside. Residents must have symptoms to make an appointment, which include fever, cough, sore throat, runny nose or cough. Residents must call 800-945-6171 to make an appointment. For more information on testing locations, visit the Riverside County Public Health website. 3/30/20 – A COVID-19 testing site in Indian Wells will be relocated to the Riverside County Fairgrounds in Indio. The first day of testing at the fairgrounds is Tuesday (March 31). Residents must have symptoms to make an appointment, which include fever, cough, sore throat, runny nose or cough. Appointments must be scheduled by calling 800-945-6171. For more information on testing locations, visit the Riverside County Public Health website. 3/27/20: San Bernardino County Public Health will conduct a drive-thru specimen collection for COVID-19 on Friday, March 27. The specimen collection for COVID-19 testing will be available for the public by appointment only. Appointment sign-up and details will be available on the county website. 3/25/20: COVID-19 testing for IEHP Members is now available at SAC Health Systems in San Bernardino. IEHP Members must call (909) 771-2911 to schedule a telephone appointment with a Doctor. The Doctor will evaluate the Member and determine if they need COVID-19 testing and will provide details on how to obtain testing. 3/20/2020: Gov Gavin Newsom announces a California statewide order for residents to “stay at home,” excluding essential entities which include grocery stores, take-out and delivery and health care organizations. IEHP is an essential entity and will continue operations to support our Members and Providers through telephonic contact only. OUR BUILDINGS ARE CLOSED TO NON-EMPLOYEES. We highly encourage you (our Members and Providers) to call us if you need any services or have any questions. Continue to visit our website for frequent updates and news from Gov Gavin Newsom. 3/19/2020: IEHP Chief Medical Officer, Dr. Hansberger, has an important message for our Members in the Coachella Valley region about the COVID-19 situation and ways for them to protect their health. Click here. 3/18/2020: To help our IEHP Members stay home and avoid public places, we encourage Members to use mail order delivery service for both new and refill prescriptions. By using this service, Members can get medicines mailed to their home at no cost by using standard shipping. 3/13/2020: We are requesting when you (including Members, Providers, Community Partners, Vendors, and all Visitors) need IEHP services, please call IEHP or your IEHP contact directly to get the help you need. If you must visit IEHP in person, please ensure that you do not have a fever, cough or breathing problem. 3/13/2020: All classes and events at IEHP’s Community Resource Centers are canceled until further notice for the protection and safety of our community during the Coronavirus (COVID-19) situation. We apologize for any inconvenience and expect to resume classes as soon as possible.
Testimonials - Jean
ely a part of that village. She first signed up with the health plan when she became pregnant with her daughter, Sophia. Regular prenatal check-ups lead to the discovery that Jean had gestational diabetes. But the diabetes didn’t go away after Sophia was born. As a new mom, Jean was hesitant to take medications. So she asked her Doctors if she could try to control her diabetes with lifestyle and diet changes instead. They agreed and set her up with a nutritionist and a company that mails glucose testing strips directly to her home. “My Doctors actually listened to my concerns and were very supportive,” the 41-year-old Rancho Cucamonga resident said. “It meant a lot to me because it showed they weren’t just treating my condition, they were treating me – the person.” When Jean struggled with behavioral health issues, her Doctors listened to her again. IEHP approved referrals for a therapist and continues to approve them as needed. Jean said she noticed a huge difference after attending sessions regularly. “If you’re not okay emotionally, then you can’t be okay physically,” she explained. And Jean added that Sophia’s Doctors are just as amazing as hers. Getting immunizations, check-ups and medicines for her 5-year-old are never an issue. And that goes a long way toward keeping both mom and daughter healthy and happy. “They know us by name whenever we go into the office for an appointment,” she said. “They’ve seen my daughter grow up and it’s like they’re part of our family now. Everyone there and at IEHP are taking very good care of us.”
Testimonials - Jason Lohr
es a huge impact on quality. “Our partnership with IEHP means that our patients can get the care they need, when they need it,” said Dr. Lohr, who specializes in Family Medicine and is the CEO of SAC Health System. SAC Health System has five sites in both Riverside and San Bernardino counties and sees about 12,000 visits per month – 90 percent of which are covered under IEHP. Specialists are housed under the same roof which results in more efficient referrals, quicker follow-up appointments and limits unnecessary testing. Unless, a Member can’t get there at all. “We had a patient, a man in his mid-thirties, who was completely blind and living with uncontrolled diabetes. Although we would schedule appointments for him, he had a very high no-show rate,” Dr. Lohr explained. Further investigation into his case revealed that this IEHP Member had problems with transportation and literacy, coupled with some behavioral health and depression issues. Dr. Lohr knew that his health would not improve unless the other barriers to care were addressed as well. “He was at the point where he was basically giving up on his health. It was just too hard,” he said. That’s when the IEHP Member was referred to the Health Homes program. “The Behavioral Health team provided wellness coaching to help him with his depression, a nurse educated him on how to control his sugars and social workers connected him with transportation assistance,” he said. “His diabetes is now controlled for the first time. He’s a great testament to the team’s care. Even he will tell you that the way he feels now is the difference between night and day.” While Dr. Lohr appreciates IEHP’s innovative programs like Health Homes, he also believes the basic day-to-day responsiveness by IEHP also makes a huge impact on how he and other Providers deliver quality care. “When you get answers back in a timely manner, then care doesn’t have to be delayed. That’s important when it comes to keeping the trust of our patients. That makes a difference,” he said.
technologies for individuals with disabilities by generating content that conforms to the Web Content Accessibility Guidelines (WCAG) 2.0, and Section 508 of the Rehabilitation Act meeting the requirements within the Americans with Disabilities Act. As part of the development process and ongoing website maintenance, IEHP tests the site using assistive technologies, including screen readers, screen magnifiers, speech recognition software and text-only browsers. IEHP uses tools, such as the W3C HTML. Validator, WAVE by WebAIM and the Color Contrast Analyzer, to ensure the best experience possible for all visitors. Should you have any feedback or concerns related to the accessibility of this webpage and resources contained within it, please contact us via email at email@example.com If applicable, please include the web address, brief description of the issue encountered and your contact information.
Special Programs - Baby-N-Me
ne of 2018. This free app provides expectant mothers with clinically approved information and access to exclusive content based on their due date. IEHP Members can download this app in Google Play or Apple App stores. Flyers for Members: 2021 Baby-N-Me App - English (PDF) 2021 Baby-N-Me App - Spanish (PDF) You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
Special Programs - My Path Palliative Care
centered care that optimizes quality of life by anticipating, preventing, and treating suffering. My Path addresses the Member’s needs, including physical, emotional, and spiritual, while facilitating Member autonomy, access to information, and choice. The My Path program consists of: a palliative care assessment and consultation; advanced care planning; individualized written plan of care; pain and symptom management; mental health and medical social services; care coordination; and a palliative care team. My Path Program Brochure (PDF) My Path Program - Pediatric Brochure (PDF) My Path Program Guidelines (PDF) My Path Program FAQs (PDF) My Path - A Palliative Care Approach (PDF) Certification of Advanced Disease (PDF) You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
COVID-19 - Jaime Camil Video Series
much of California is returning to some sense of normalcy after more than a year and a half of battling COVID-19, it’s important to recognize that the pandemic is not over. In fact, the number of cases and hospitalizations have been rising since the state reopened in mid-June, with the contagious Delta variant of the coronavirus spreading quickly. Many Californians have put off annual check-ups, vaccinations, and preventive medicine during the pandemic to avoid the virus. In an effort to ensure our combined 3.8 million members and communities are getting vaccinated and resuming their routine wellness care, we've teamed up with L.A. Care Health Plan to launch a multi-pronged educational campaign with the help of award-winning actor Jaime Camil. Check out clips from the series below! Actor Jaime Camil and Ernesto Campos debunk COVID-19 myths. Jaime Camil discusses with Dr. Ernesto Campos where YOU can get vaccinated. Jaime Camil and Dr. Ernesto Campos talk about how COVID-19 affects the unvaccinated. Jaime Camil and Dr. Ernesto Campos discuss how COVID-19 is still a contagious disease. Debunking COVID-19 myths such as magnetism. Debunking COVID-19 myths Jaime Camil and Dr. Ernesto Campos talk about the efficacy of the COVID vaccine. Jaime Camil and Dr. Ernesto Campos talk about the importance of the COVID vaccines.
COVID-19 - Resources
19. Below you will find resources and information on how to protect yourself and your loved ones during this time. How vaccines build immunity While the COVID-19 vaccines are relatively new - the technology and science behind the vaccines have been in development for decades. In the video below, we demonstrate how years of vaccine research and advanced technology allowed researchers and scientists worldwide to be prepared to develop an mRNA vaccine that could help fight the spread of a global infectious disease. COVID-19: Home isolation tips If you or someone in your household has been diagnosed with COVID-19, there are necessary steps you can take to reduce the risk of it spreading to those you live with. COVID-19: What to do when you're sick IEHP Chief Medical Officer, Dr. Karen Hansberger, is here to discuss what you need to do if you find yourself sick from COVID-19. Face Mask Resources Proper use of face coverings (CDC) How to make a homemade mask How to make your own face mask (whether or not you know how to sew) Refer to the following resources for information on self isolation during COVID-19. Riverside County COVID-19 Self Isolation Recommendations For IEHP DualChoice Members A healthcare fraud alert has been issued in relation to COVID-19 complaints. Scammers are giving COVID-19 tests to Medicare Members in trade for personal details. They are reaching out to Medicare Members by sales calls, social media platforms, and door to door visits. The personal details taken may be used to falsely bill Federal health care programs and the COVID-19 test kits may cause harm to Members. If you suspect COVID-19 fraud, call IEHP right away at: Compliance Hotline: (866) 355-9038 Fax: (909) 477-8536 E-mail: firstname.lastname@example.org Mail: IEHP Compliance Officer P.O. Box 1800 Rancho Cucamonga, CA 91729-1800 Click here to report a compliance issue online. Refer to the following websites/resources for more information on coronavirus (COVID-19). Centers for Disease Control and Prevention (CDC) Riverside County Public Health San Bernardino Public Health State of California Coronavirus (COVID-19) Updates CA COVID-19 Rent Relief Portal California Workplace Rights Immigrant Eligibility for Public Programs during COVID-19 Protections for Housing and Utility Shutoff Order ConnectIE Below you will find resources and information on local food pantries in your area. Riverside County Pantries: A list of food pantries in Riverside County San Bernardino County Pantries: A list of food pantries in San Bernardino County Connect IE: A free website that provides community resources 24/7. It can connect you to housing services, job training's, food pantries and more. High Desert Food Distribution:The High Desert is hosting a food distribution on the last Thursday of every month.
San Bernardino County Medi-Cal
of Americans. About nine percent of San Bernardino County residents under the age of 65 were uninsured based on the last count of the US Census. That is why Inland Empire Health Plan (IEHP) provides coverage to millions of Members in San Bernardino and Riverside counties. Discover the health plan that puts its members at the center of their universe. IEHP will not rest until our communities enjoy optimal care and vibrant health. Keep reading to learn more about IEHP and the benefits offered to Medi-Cal recipients. IEHP Provides Coverage for San Bernardino County Medi-Cal Recipients Medi-Cal is a no-cost or low-cost health coverage program. It provides health, dental and vision coverage to qualified low-income California residents. IEHP is the health plan for Medi-Cal recipients in San Bernardino County. We are dedicated to providing our Members and local communities with optimal care and vibrant health. Top-Class Medi-Cal Services Medi-Cal is a no-cost or low-cost health coverage program. It provides health, dental and vision coverage to qualified low-income California residents. IEHP is the health plan for Medi-Cal recipients in San Bernardino County. We are dedicated to providing our Members and local communities with optimal care and vibrant health. With IEHP and Medi-Cal coverage, Members not only have access to general health care but also advanced and specialized care such as: Transgender services Laboratory services Radiology services Pediatric care Mental health services Addiction rehabilitation care These are just a few examples of how IEHP’s network of Providers gives Members and their families in San Bernardino County a wide range of medical care. To apply for Medi-Cal in San Bernardino County call the IEHP Enrollment Advisors at (866) 294-4347, Monday – Friday, 8am – 5pm. TTY users should call (800) 720-4347. You may also call Health Care Options at 1-800-430-4263 or visit www.healthcareoptions.dhcs.ca.gov. TTY users should call 1-800-430-7077. Vision Services IEHP provides vision coverage and has a wide network of vision specialists. IEHP Members get a free vision exam every 24 months, additional or more frequent eye exams are covered if medically necessary, such as those with diabetes. You also get a pair of eyeglasses, with both frames and lenses every 24 months, when you have a valid prescription. Contact lens testing and contact lenses may be covered if the use of eyeglasses is not possible due to eye disease or condition. Medi-Cal San Bernardino Dental Services Through Medi-Cal, you and your family get professional dental services. This benefit is included with your Medi-Cal coverage at little to no cost to you. Some of the types of dental care offered include: Diagnostic and preventive dental hygiene (such as examinations, X-rays, and teeth cleanings) Emergency services for pain control Tooth extractions Root canal treatments (anterior/posterior) Scaling and root planning Crowns (prefabricated/laboratory) Orthodontics for children who quality Complete and partial dentures Topical fluoride If you have any questions or need help finding a Medi-Cal dental provider, call the Medi-Cal Dental Customer Service Line at 1-800-322-6384, or visit www.smilecalifornia.org. Medical Trip Transportation Your Medi-Cal benefits include round trip transportation for plan-covered health services and Medi-Cal-covered services, such as mental health, substance abuse and dental, within San Bernardino and Riverside counties. IEHP covers: Visits to your Primary Care Doctor, Specialists and urgent care clinics. Visit for dental, mental health, substance abuse and other services. Click here to learn more about transportation services offered by IEHP. San Bernardino County: How to Apply for Medi-Cal IEHP’s mission to heal and inspire the human spirit is made possible through its Vision—to not rest until our communities enjoy optimal care and vibrant health. This is why we continue to serve all communities throughout San Bernardino County. You have many options to apply for Medi-Cal, these include: Call IEHP Call 1-866-294-4347, 8am-5pm Monday-Friday. TTY users should call 1-800-720-4347. You’ll speak to one of IEHP’s friendly bilingual Enrollment Advisors. By Mail You can mail your completed and signed application to: Covered California P.O. Box 989725 West Sacramento, CA 95798-9725 Or mail it to the Riverside County Medi-Cal Office. Apply in Person Click here to find the Riverside County Medi-Cal Office. Apply Online Click here to apply online. Get Health Coverage Now Become a member of the IEHP family and get access to the top-rated California state medical insurance. For more than 25 years, IEHP has proudly served Inland Empire residents and their families. Join IEHP now and make your health our top priority.
Medicaid Manged Care Explained
to know during this guide. What is Managed Care? Managed care is a healthcare delivery system used to manage quality, utilization, and cost. Managed care refers to a group of activities that helps lower the cost of offering for-profit healthcare services and health insurance while boosting the quality of healthcare services. IEHP is a managed health care plan that organizes care for their member. IEHP works with doctors, hospitals, and other health care Providers to give improved health care coordination and quality of care to the Members they serve. Medicaid Managed Care Medicaid managed care helps to provide Medicaid health benefits and other services through managed care organizations, also known as MCOs, and state Medicaid agencies. Managed care organizations accept a specific payment per member per month for their services. The main goals of Medicaid-managed care are to improve healthcare outcomes, healthcare quality, and health plan performance. How Does Managed Care Work? Managed-care plans tend to ask for less paperwork and offer a lower premium payment. The choice of treatment, drugs, and Doctors are limited. Healthcare providers, hospitals, and Doctors make plans with managed care plans to serve members at a lower rate. When you have a managed care plan, you are need to choose a primary care Doctor or PCP, who is part of the network, the doctor you choose will take care of all your medical needs, including annual exams, preventive care, and treatment for common illnesses. Your PCP will decide whether you need to be referred to a specialist like an oncologist. With a managed care plan, you cannot get coverage for specialist services without getting referred by your PCP. The cost for a managed care plan is typically less than a fee-for-service plan. You will typically pay a copayment every time you visit your doctor, as long as they are part of the plan network. This cost will depend on the type of managed health plan you choose. Choosing a Medicaid Health Plan MCO Medicaid can offer members the chance to select a health plan under Medicaid. Here is what you should look for in a Medicaid health plan: Excellent plan coverage. When you are looking for a Medicaid health plan, you should look for something that covers everything you could possibly need, including hospital stays, pregnancy, and newborn care, hospice and palliative care, emergency services, outpatient or ambulatory services, transgender services, mental health services, rehabilitative services, prescription drugs, lab services, preventative and wellness services, sensitive services, chronic illness management, substance use treatment services, dental services, vision services, pediatric services, telehealth services, non-medical transportation or NMT, non-emergency medical transportation or NEMT, and long-term services and supports or LTSS. Low premiums. Look for a Medicaid health plan that offers low to no premium payments. Some Medicaid plans offer a $0 monthly premium. Accessibility. You should also look for a Medicaid health plan accessible to you and others who need it, including children, adults, seniors, and those with disabilities who live in your area. What does IEHP offer? With IEHP, you also get access to: A network of more than 8,000 Doctors, Specialists and other health care Providers Care coordination 24-Hour Nurse Advice Line Vision services Urgent Care centers Healthy lifestyle classes and programs And so much more! If you need healthcare coverage, or have questions about what IEHP offers, call 1-866-294-4347, 8am-5pm Monday-Friday. TTY users should call 1-800-720-4347. You’ll speak to one of our friendly bilingual Enrollment Advisors.
Gender Health - Gender Health
rse population of the Inland Empire has been estimated at almost 27,000 people. At Inland Empire Health Plan (IEHP), we want you to get all the care you need with the respect you deserve. IEHP covers all medically necessary Medi-Cal covered Gender Health services. IEHP has Doctors and Specialist who have experience in gender health services. To find out more information, call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347. How to Get Started See your IEHP PCP on a regular basis. If you have not seen your Doctor yet or in a long time, set up a visit today. Your Doctor, the key to your overall health care, knows your health history and helps make sure you get the care you need. Your Doctor can refer you to Specialists, if needed. This includes any gender health options that meet your medical needs, so share your treatment goals with your Doctor. You can change your IEHP Doctor at any time. Benefits Talk to your Doctor about these Gender Health Benefits: Behavioral Health Services Hormone Replacement Therapy Surgeries and Procedures IEHP has a dedicated team of Care Managers who are familiar with Gender Health services and are ready to help with: Referrals to see a specialist Getting medical supplies Getting medicines Connecting you to community resources IEHP also provides non-clinical resources such as: Care Coordination Community and Legal Resources Demographic updates Family Support Groups Resources For education and training on gender health care, please access the following resources: Gender Health Brochure for Adults (PDF) Gender Health Brochure for Children (For Parents and Children under 18) (PDF) Clinical Guidelines (PDF) LGBTQ Resources (PDF) You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Download a free copy. Click Adobe Acrobat Reader.
Medi-Cal Behavioral Health Treatment
ed benefit solely for Members Diagnosed with Autism Spectrum Disorder. The coverage criteria have been expanded to include IEHP Members who meet ALL the below: Under 21 years of age Have a recommendation from a licensed physician and surgeon or a licensed psychologist that evidence based BHT services are medically necessary. Be medically stable Not need 24-hour medical/nursing monitoring or procedures provided in a hospital or intermediate care facility for persons with intellectual disabilities. Behavioral Health Treatment (BHT) is the design, implementation and evaluation of environmental modifications, using behavioral stimuli and consequences, to produce socially significant improvement in human behavior, including the direct observation, measurement and functional analysis of the relations between environment and behavior. BHT services teach skills using behavioral observation and reinforcement, or through prompting to teach each step of targeted behavior. BHT services are based on reliable evidence and are not experimental. Treatment may or may not include Applied Behavioral Analysis (ABA). BHT is medically necessary after the Provider has completed a comprehensive developmental surveillance and screening, and have recommended BHT services is clinically warranted to treat persistent developmentally inappropriate behavior and/or diagnoses that may be able to be corrected or ameliorated with BHT services. Aberrant behaviors include but are not limited to self-injury, aggression, and deficits in language skills, daily living skills, and social skills. PCPs will continue to referral a Member directly to IEHP Behavioral Health for any BHT services and/or diagnostic needs regardless of IPA. If you have any questions or ask your PCP for screening, diagnosis and treatment, you can call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347. Cost to Member There is no cost to the Member for these services. Visit IEHP's Mental Health page for general mental health information.
How to Get Care
network is a group of Doctors, hospitals and other providers who work with IEHP. You must choose a PCP within 30 days from the time you become an IEHP Member. If you do not choose a PCP, IEHP will choose one for you. You may choose the same PCP or other PCPs for all family members in IEHP. If you have a Doctor you want to keep, or you want to find a new PCP, you can look in the IEHP Provider Directory. To help you choose the right one for you, PCPs listed in the IEHP network include their name, address, phone number, specialty, etc. If you change PCPs, you will get a new IEHP Member ID card in the mail. It will have the name of your new PCP. To change your PCP, call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347.
How to Get Care - How to Get Care
l care, like: Routine checkups Sick visits, such as colds, flu and fever Chronic illnesses, like asthma and diabetes Order medical tests Your Doctor also handles your preventive care, such as vaccines, shots, health screenings and other tests. Preventive care is about preventing disease. Regular checkups, even when you are not sick, can help your Doctor spot a health problem early, and treat it before it gets worse. 2. Getting care from a Specialist When you need specialty care, your Doctor will refer you to a Specialist. This is how referrals work: When the request is received by IEHP, a decision will be made within 5 business days for a regular referral. For an urgent referral, this is done within 72 business hours. For a regular referral, expect a letter from your medical group or IEHP within 2 days after a decision has been made. When the request is approved, call your Specialist to make an appointment. If the request is denied, talk to your Doctor or call IEHP Member Services at (800) 440-4347 or (800) 718-4347 (TTY) to learn more. 3. Getting your medicine You can fill your prescription at any IEHP contracted pharmacy. There are more than 760 pharmacies in our network. From major chains, like Walgreens, CVS, Rite Aid, Walmart and many others. To find one close to you, check your IEHP Doctor Directory or click the Provider Search link. Helpful tips to help your treatment: Be sure to call the pharmacy five days before you run out of medicine. Take your medicine the way your Doctor tells you to. 4. Find a Doctor To find more information on Primary Care Physician's (PCPs), Specialists, Pharmacies, etc., click here to visit the Doctor search. 5. Getting help from Member Services If you need help, call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347. The call is toll free. If you reach IEHP Member Services after hours, you will be able to leave a secure voice message. Calls will be returned the next working day. If you call after midnight and leave a secure voice message, we will return your call the same working day. Resources Barriers to Care: We all have our own cultural, religious or health beliefs. This document includes some common beliefs that may keep you from getting the care you need—along with some facts to help you make informed decisions about your health.
COVID-19 - Mental Health
otions and how that balance (or imbalance) affects behavior and thoughts. What is stigma? There is still too much stigma surrounding behavioral and mental health. Historically, “crazy” or “mad” folks have been ostracized from society. This has been due to ignorance about mental health. Unfortunately, there is still too much fear and mis-understanding in our communities about mental health. Many people suffer from mental disorders. And given the current COVID-19 crisis, many more people will suffer from mental illness. Too many people suffer in silence with mental illness The statistics before COVID were about 1 in 5 people were diagnosed with a mental illness in America Those numbers will increase now during the COVID-19 crisis Mental Health includes wellness, self-care, emotional regulations, relationship issues, and parenting among other facets of everyday life Mental well-being is important to everyone Mental illness can happen to anyone Tips for staying mentally well during COVID-19 Self-care is critical: listen to your warning signs of struggling with your emotions and doing the basic things like showering, eating, sleeping, and exercise Do something that brings you enjoyment every day: play with your children or spouse, take walks, read a book, do something creative Connect with someone outside your home every day via telephone or other video technology Eat nutritiously, do not binge or eat too many sweets Avoid alcohol Continue to see your therapist via tele-health Continue to take care of your physical, financial, and spiritual needs Be patient with yourself and others Readily forgive yourself Exercise, do yoga, go for a walk. Stay active, but do not overdue it Remember that you are not alone. Many people are struggling or will struggle with mood and anxiety issues during this time . Reach out for help. Mental health help is available and we want you to seek help. Resources Psychiatry Walk-in Clinic (Montclair) Psychiatry Walk-in Clinic (Palm Desert) Teen Mental Health Guide A simple guide to manage stress
Community Resource Centers - FAQ
nters provide healthcare information, health education, fitness classes, and local resources to IEHP Members and the community. Our friendly bilingual staff are here to help you sign up for free classes, provide information on health benefits, learn about the health care system, and other local resources. We are conveniently located in Riverside, San Bernardino, and Victorville. Free services to everyone Walk-ins are welcome Interactive activities 2. What types of classes do you offer ? Fitness Classes: Stay active with Yoga, Zumba (all levels), Tai Chi, Line Dance, Yoga for Seniors & People with Disabilities, Meditation, Aerobic Box, Latin Dance, Strength and Conditioning and Kid fitness. Wellness Classes: Learn about topics like nutrition, healthy cooking, gardening, managing asthma symptoms, controlling diabetes, stress management, and classes for teens and kids too. Virtual classes: Enjoy fitness, learn about your health, and have fun with the whole family all from the comfort of your home. 3. What types of services do you offer? Assistance with benefits, Medi-Cal application process, health coverage, behavioral health services, local food pantries, job aid, transportation services, and much more. 4. How can I find resources online? IEHP Members and non-members can search for free or reduced cost services like medical care, food, job training, and more at www.connectie.org. 5. How can I connect to virtual classes? Click here to view the latest calendar. 6. If I’m not an IEHP Member, can I still join the classes? Yes! everyone is welcome. IEHP Members and non-members can participate in in-person or virtual classes. There are a few classes that are for IEHP Members only (see calendar for details). 7. Is there a fee to be part of the CRC or attend classes? All classes are absolutely FREE! 8. Do I need to register for a class and what are the requirements? There is no need to register. All classes are first come first serve, unless otherwise noted that pre-registration is required (see calendar for details). 9. How old do you have to be to participate in classes? Classes vary by age group. We offer children’s programs throughout the month (ages 0-5 and 4-11 with parents). In general, the fitness and health classes are for ages 12 and older, unless noted. Anyone under 18 years old (without a waiver signed by a parent/guardian*) must have an adult with them at all times. See the calendar for more details. *CRC Victorville location only 10. Do you have a daycare onsite? No. If you have any questions regarding children’s programming, please feel free to call and ask us at 1-866-228-4347. 11. Do I have to bring my own fitness equipment (yoga mats, etc.)? No. We offer classes that require little to no fitness equipment. 12. Is there a limit on how many classes I can take? There is no limit. 13. Can I be seen by a doctor at the CRC? No. However, our friendly and bilingual staff will assist you in finding a doctor if needed. Please call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347. 14. Do you offer classes for seniors and people with disabilities? Yes. We offer classes including but not limited to, Meditation, Yoga for Seniors and people with Disabilities, and Low-Impact Zumba Gold.
Helpful Information and Resources - Texting Program FAQ
to view or change your doctor. If you have a smartphone, you can download the IEHP Smart Care App in either Google Play or the App Store. You call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347. Watch this video to learn more. How do I find a Doctor, Urgent Care or Behavioral Health Provider? To find a list of providers in your area please visit https://search.iehp.org/. How do I make or change a doctor’s appointment? Please call your Doctor’s office to make/change an appointment. Your Doctor’s phone number is listed on your IEHP Member Card. How do I make an appointment with an eye doctor? For vision services, please call your Optometrist (Eye Doctor). Need to find an eye doctor? Click here https://search.iehp.org/ How do I print my IEHP Member Card or check my eligibility? You can login to the IEHP Member Portal to order (and print) your IEHP Member Card and check your eligibility. If you have a smartphone, you can download the IEHP Smart Care App in either Google Play or the App Store. You can also call IEHP Member Services at 1-800-440-IEHP (4347), 8am-5pm, Monday-Friday. TTY users should call 1-800-718-4347. Watch this video to learn more. How do I get more information on my Dental coverage? For dental coverage questions, please call Denti-Cal (dental program for Medi-Cal enrollees) at 1-800-322-6384 or visit https://dental.dhcs.ca.gov/ How do I change my address, phone or other contact information? You can login to the IEHP Member Portal to update your address or phone number. If you have a smartphone, you can download the IEHP Smart Care App in either either Google Play or the App Store. You can also call IEHP Member Services at 1-800-440-IEHP (4347), 8am-5pm, Monday-Friday. TTY users should call 1-800-718-4347. You should also contact your County Medi-Cal office to update your address or phone number. To report changes in Riverside County, call 1-877-410-8827 and in San Bernardino County, call 1-877-410-8829. Watch this video to learn more. How do I get information on enrollment in IEHP? You can contact our Enrollment Advisors at 1-866-294-4347 (or 1-800-720-4347 for TTY users), Monday-Friday, 8am-5pm. How can I cancel my benefits with IEHP? Call IEHP Member Services at 1-800-440-IEHP (4347), Monday–Friday, 7am–7pm, and Saturday–Sunday, 8am–5pm. TTY users should call 1-800-718-4347. I am no longer an IEHP Member, how can I unsubscribe from the texting program? Reply STOP at any time or text back STOP to 90902. I am not a Member of IEHP, how can I cancel future messages? Reply STOP at any time or text back STOP to 90902. I am receiving text messages in Spanish and I only speak English. Can I change my language? To receive future messages in English, reply back “English” to any of our messages. I am receiving text messages in English and I only speak Spanish. Can I change my language? To receive messages in Spanish, reply back “Spanish” to any of our messages. Does IEHP offer transportation? For information about your transportation benefit, please refer to your Member handbook. Medi-Cal Member Handbook IEHP DualChoice Member Handbook How do I obtain status on my prescription? For information on your prescription, please call your pharmacy. If you have a question about your medicine, please talk to your Doctor. How do I find a nearby pharmacy? For DualChoice Members click here. For Medi-Cal Members click here.