IEHP Medicare DualChoice (HMO) is offered by IEHP Health Access, a Medicare Advantage Health Maintenance Organization (HMO) Special Needs Plan. This Plan is designed for people of all ages who have both Medi-Cal and Medicare.
Please call IEHP Medicare DualChoice to find out if you are eligible.
1-877-273-IEHP (4347)
1-800-718-4347 TTY
8:00a.m.-8:00p.m. (PST),
7 days a week, including holidays.
IEHP Medicare DualChoice
P.O. Box 19026,
San Bernardino, CA 92423-9026
Who Can Join:
You can join IEHP Medicare DualChoice if you are entitled to Medicare Part A and enrolled in Medicare Part B, enrolled in zero share-of-cost Medi-Cal and live in the plan's service area.
Plan Service Area:
Service area for IEHP Medicare DualChoice includes most of Riverside and San Bernardino Counties.
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Plan Benefits and Cost Sharing:
Plan covers Medi-Cal, Medicare, and Prescription benefits.
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Pharmacy Access and Benefit Information:
IEHP Medicare DualChoice has contracts with pharmacies that equals or exceeds Medicare requirements for pharmacy access in your areas.
Learn More
How to Enroll in IEHP Medicare DualChoice:
Please call IEHP Medicare DualChoice at:
1-877-273-IEHP (4347)
1-800-718-4347 TTY
8:00a.m.-8:00p.m. (PST),
7 days a week, including holidays.
Or complete the form below and mail it to us at:
IEHP Medicare DualChoice
P.O. Box 19026,
San Bernardino, CA 92423-9026
Enrollment Instructions and Forms (162k - 5-15 seconds download time)
Other Important Information about your Enrollment:
Beginning on the date IEHP Medicare DualChoice coverage begins, you must get all of your health care from IEHP Medicare DualChoice, with the exception of emergency or urgently needed services or out-of-area dialysis services. Services authorized by IEHP Medicare DualChoice and other services contained in your IEHP Medicare DualChoice Evidence of Coverage document (also known as a member contract or subscriber agreement) will be covered. Without authorization, NEITHER MEDICARE NOR IEHP MEDICARE DUALCHOICE WILL PAY FOR THE SERVICES.
Our plan’s contract with the Centers for Medicare & Medicaid Services (CMS) is renewed annually, and availability of coverage beyond the end of the current contract year is not guaranteed.
Enrollment in this plan is generally for the entire year. Once you enroll, you may leave this plan or make changes only at certain times of the year when an enrollment period is available (Example: November 15- December 31 of every year), or under certain special circumstances. In certain situations, members of IEHP Medicare DualChoice (HMO) may be eligible to end their membership at other times of the year. This is known as a Special Enrollment Period.
You must continue to pay your Medicare Part B premium if not otherwise paid for under Medi-Cal or by another third party.
You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call:
1) 1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7days a week);
2) The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call 1-800-325-0778; or
3) Your State Medicaid Office.
IEHP Medicare DualChoice Privacy Notice
IEHP Medicare DualChoice Pharmacy Payer Sheet
Best Available Evidence Information, visit:
http://www.cms.hhs.gov/PrescriptionDrugCovContra/17
_Best_Available_Evidence_Policy.asp
Learn more about Plan Transition process, visit:
http://www.medicare.gov/MPDPF/home.asp
You will need Adobe Acrobat Reader 4 or later to view the PDF files. You can download a free copy by clicking below.
(Information on this page is current as of October 2009)
H5640_001_2010_Website (11/25/2009)