Is IEHP considered Medi-Cal?
Asked by: Dixie Romaguera | Last update: January 7, 2026Score: 5/5 (49 votes)
Is IEHP the same as Medi-Cal?
IEHP is a health plan for people who have Medi-Cal. IEHP works with the State of California to help you get the health care you need. IEHP contracts with Independent Physician Associations (IPAs) to provide healthcare services. An IPA is a group of PCPs, specialists, and other providers of health care services.
What falls under Medi-Cal?
Medi-Cal covers most medically necessary care. This includes doctor and dentist appointments, prescription drugs, vision care, family planning, mental health care, and drug or alcohol treatment. Medi-Cal also covers transportation to these services.
What type of Medicare is IEHP?
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.
What does IEHP not cover?
IEHP does not cover: One-way trips and non-medical visits. Visits to Social Security, Workers Compensation Claims, Personal Injury cases, Courts, Parole or Probation or Social Services Offices.
Apply for Medi-Cal Today!
Is IEHP for poor people?
Plan Overview
Medi-Cal provides no-cost health care coverage to qualified low-income California residents. With IEHP Medi-Cal, you get Medi-Cal's benefits and services, including no monthly premiums and zero cost for doctor visits, medication and hospital stays.
What counts as Medi?
Modern media comes in many different formats, including print media (books, magazines, newspapers), television, movies, video games, music, cell phones, various kinds of software, and the Internet.
Can I have Medi-Cal and Medicare at the same time?
Some people qualify for both Medicare and Medi-Cal and are “dual eligible” or Medi Medi beneficiaries. When an individual has both Medicare Parts A and B, Medicare is the primary insurance and pays for most medical care.
Is IEHP primary or secondary insurance?
IEHP or delegate to whom the Member is assigned for authorization. billed as the secondary carrier once the primary payer has made a payment or denial determination. health coverage and then IEHP as the secondary payer.
Does IEHP cover root canals in California?
Yes, Medi-Cal Dental will cover both anterior and posterior root canals.
How do I know if I have Medi-Cal or not?
You can call or visit your local Medi-Cal office to update your personal information or ask for assistance. The Department of Health Care Services (www.dhcs.ca.gov) lists on its website all county Medi-Cal agencies, with addresses, phone numbers, and links. You can also call Medi-Cal's help line (800-541-5555).
What are the four types of Medicaid?
- State-operated fee-for-service (FFS)
- Primary care case management (PCCM)
- Comprehensive risk-based managed care (MCO model)
- Limited-benefit plans.
What is the best Medi-Cal health plan in California?
Kaiser Permanente is also the only Medicare health plan in California to receive a 5-star rating, according to the Centers for Medicare & Medicaid Services' 2023 Medicare Star Ratings.
What does IEHP mean?
The Inland Empire Health Plan (IEHP) provides low-income and working-class individuals and families with access to health services through the Medi-Cal program. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country.
What are the two types of Medi-Cal?
Medi-Cal is health coverage for low-income children and adults. There are two kinds of Medi-Cal, the expanded Modified Adjusted Gross Income (MAGI) coverage and classic coverage. Some Medi-Cal programs have a Share of Cost, but most do not.
Is IEHP expensive?
Get Zero to Low-Cost Benefits
Two-thirds of enrollees get comprehensive care for less than $10 a month on select plans. Benefits include primary care, specialty care, urgent care, retail and mail-order pharmacy services and more with select plans.
What type of plan is IEHP?
We're a Medicaid/Medicare program. And we serve more Inland Empire residents than any other. We offer holistic health to people who need it. Gerti P., a new mom, talks about her experience with IEHP's maternal mental health resources.
Is Kaiser part of IEHP?
Inland Empire Health Plan (IEHP) is one of several local Medi-Cal plans that partner with Kaiser as part of a larger ecosystem of partners.
What does Medi-Cal not cover?
Restricted scope Medi-Cal covers limited services. It does not cover medicine or primary care. If you have pregnancy-related limited scope Medi-Cal, you will have the full scope of Medi-Cal benefits, if the service is medically necessary.
What disqualifies you from Medi-Cal?
To qualify, you must: Meet the medical requirements of Social Security's definition of disability. Be working and earning income (this can be part-time work). Have countable income less than 250% of the federal poverty level (in 2024, this equates to $3,158/mo.
Will I lose my Medicaid if I get Medicare?
People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have.
Do I have to pay back Medi-Cal?
The Medi-Cal program must seek repayment from the estates of certain deceased Medi-Cal beneficiaries. Repayment only applies to benefits received by these beneficiaries on or after their 55th birthday and those who owned assets at the time of death.
How do I know if I have Medi-Cal?
- By Smart Phone or Tablet. Visit BenefitsCal to:
- By Desktop Computer. To check your benefits with a desktop computer visit BenefitsCal.com.
- By Phone. To check the status of your benefits, visit BenefitsCal.com or call 888-472-4463.
- Request a replacement Benefit Issuance Card (BIC)
What is the Medi-Cal income limit?
You are 19-64 years old and your family's income is at or below 138% of the Federal Poverty Level (FPL) ($21,597 for an individual; $44,367 for a family of four). You are a child 18 or younger and your family's income is at or below 266% of FPL ($85,519 per year for a family of four).
What is Medi-Cal called now?
Covered California is the state's health insurance marketplace where Californians can shop for health plans and access financial help if they qualify for it. Health plans available through Medi-Cal and Covered California both offer a similar set of important benefits, called essential health benefits.