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IEHP DualChoice

What is IEHP DualChoice (HMO D-SNP)?

IEHP DualChoice, a Medicare Medi-Cal Plan, allows you to get your covered Medicare and Medi-Cal benefits through our plan.  Our plan includes doctors, hospitals, pharmacies, providers of long-term services and supports, behavioral health providers, and other providers. It also has care coordinators and care teams to help you manage all your providers and services. They all work together to provide the care you need.

 

IEHP DualChoice (HMO D-SNP) helps make your Medicare and Medi-Cal benefits work better together and work better for you. Some of the advantages include:

  • You can work with us for all of your health care needs.
  • You have a care team that you help put together. Your care team may include yourself, your caregiver, doctors, nurses, counselors, or other health professionals.
  • You have access to a care coordinator. This is a person who works with you, with our plan, and with your care team to help make a care plan.
  • Your care team and care coordinator work with you to make a care plan designed to meet your health needs. The care team helps coordinate the services you need. For example, this means that your care team makes sure:
    • Your doctors know about all the medicines you take so they can make sure you’re taking the right medicines and can reduce any side effects you may have from the medicines.
    • Your test results are shared with all of your doctors and other providers, as appropriate

Who is eligible for IEHP DualChoice?

IEHP DualChoice is for people with both Medicare (Part A and B) and Medi-Cal. The following information explains who qualifies for IEHP DualChoice (HMO D-SNP).

 

You are eligible for our plan as long as you:

  

  • Live in our service area (incarcerated individuals are not considered living in the geographic service area even if they are physically located in it.), and
  • Are age 21 and older at the time of enrollment, and
  • Have both Medicare Part A and Medicare Part B, and
  • Are currently eligible for Medi-Cal, and
  • Are a full-benefit dual eligible beneficiary and enroll in IEHP DualChoice for your Medicare benefits and Inland Empire Health Plan (IEHP) for your Medi-Cal benefits. This is known as “Exclusively Aligned Enrollment”, and
  • Are a United States citizen or are lawfully present in the United States.

Service Area

Only people who live in our service area can join IEHP DualChoice. Our service area includes all of Riverside and San Bernardino counties. 

How to Enroll

To enroll, please call the:

 

IEHP DualChoice Medicare Team at (800) 741-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays, TTY users should call (800) 718-4347

 

Visit our enrollment page to learn more. 

 

IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. Enrollment in IEHP DualChoice (HMO D-SNP) is dependent on contract renewal. This is not a complete list. 

 

Information on this page is current as of October 01, 2023.
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