What are the eligibility requirements for IEHP?


Quick Answer

As of 2015, anyone who receives cash benefits through CalWorks, the Foster Care or Adoption Assistance program, or Supplemental Security Income/State Supplementary Payment assistance is eligible for the Inland Empire Health Plan Medi-Cal plan. IEHP offers other Medi-Cal and Medicare plans, with differing eligibility requirements for each plan.

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Full Answer

Individuals and families who do not receive benefits from the listed assistance programs may also be eligible for the IEHP Medi-Cal plan, depending on age, family status, medical condition and income. IEHP's Medi-Cal plan premium payments are $13 or less per month for children. Adults do not pay premiums, and there are no copays or deductibles for covered services.

Children ages birth to five years may be eligible for IEHP's Healthy Kids program if their families' income is below 300 percent of the federal poverty level. This plan has no premium payments and copays are $5 or less.

IEHP's DualChoice Cal MediConnect Plan and Medicare DualChoice are open to people who have both Medicare Parts A and B and Medi-Cal and have certain medical conditions or have American Indian Medi-Cal. These plans cover 100 percent of most services without requiring copays. Copays for prescription drugs are $6.60 or less. There are no premium payments or deductibles for these plans.

IEHP plans are only available to residents of California's San Bernadino and Riverside counties.

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