Member Materials

IEHP DualChoice Annual Notice of Changes
Learn about any changes to your IEHP DualChoice plan for the current year.

IEHP DualChoice Appointment of Represenative Form
Appoint a trusted person to act as your representative for IEHP DualChoice services.

IEHP DualChoice Member Handbook
Find everything you need to know about your IEHP DualChoice plan.

IEHP DualChoice Provider Directory
Choose the right providers for you who accept IEHP DualChoice.

IEHP DualChoice Summary of Benefits
Learn about all your IEHP DualChoice benefits.

More Information
Here’s everything else you may need as an IEHP DualChoice member.

Medi-Cal Member Handbook
Learn everything you need to know about your Medi-Cal plan.

Medi-Cal Provider Directory
Choose the right providers for you who accept Medi-Cal.

Medi-Cal Member Appeals Resolution Process
Find out how you can file an appeal.

More Information
Here’s everything else you may need as a Medi-Cal member.

IEHP Covered Provider Directory
Choose the right providers for you who accept IEHP Covered.

Evidence of Coverage
Find everything you need to know about your IEHP Covered plan, including benefits and your out-of-pocket costs.

Other Benefit Information
Here’s everything else you may need as an IEHP Covered member.

Appointment of Representative Form
Appoint a trusted person to act as your representative for selected IEHP services.

IEHP Confidential Communication Request (CCR)
Update your contact info for receiving communications about your medical information.

IEHP Authorization for Use and Disclosure of Protected Health Information
Request protected health information records.

Grievance Form
File a grievance.