.manual-search-block #edit-actions--2 {order:2;} The site is secure. Contact the plan for details. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 1800 0 obj <>stream ei;N. endstream endobj 325 0 obj <> endobj 326 0 obj <>/MediaBox[0 0 792 612]/Parent 322 0 R/Resources<>/ProcSet 400 0 R/XObject<>>>/Rotate 0/Type/Page>> endobj 327 0 obj <>stream Your family is your top priority. #views-exposed-form-manual-cloud-search-manual-cloud-search-results .form-actions{display:block;flex:1;} #tfa-entry-form .form-actions {justify-content:flex-start;} #node-agency-pages-layout-builder-form .form-actions {display:block;} #tfa-entry-form input {height:55px;} The SBC shows you how you and the plan. hbbd``b` + b, DqA@BT$-P/c`% 4 NOTE: Information about the cost of this plan (called the premium) will be provided separately. would share the cost for covered health care services. See the Part D Premium Reduction section below for more details. endstream endobj 1732 0 obj <>/Metadata 55 0 R/Pages 1729 0 R/StructTreeRoot 179 0 R/Type/Catalog>> endobj 1733 0 obj <>/MediaBox[0 0 792 612]/Parent 1729 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1734 0 obj <>stream Trust is built on communication. Here youll find the DPSS newsletter, press releases, compelling videos, regular podcasts and contact information for media inquiries. This is meant to help you compare your options and understand your coverage. div#block-eoguidanceviewheader .dol-alerts p {padding: 0;margin: 0;} 1457 0 obj <>stream It provides health, dental and vision* coverage to qualified low-income California residents. Covered services that may need an approval from IEHP or your IPA or medical group first are marked by an asterisk (*). Insurance companies and job-based health plans must provide you with: A short, plain-language Summary of Benefits and Coverage (SBC) A Uniform Glossary of terms used in health coverage and medical care This information helps you make "apples-to-apples" comparisons when you're looking at plans. 1218 0 obj <>stream Ready to sign up for IEHP DualChoice (HMO D-SNP) We partner with agencies and organizations that share our mission to help and protect those most in need. That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. Advantage Plus benefits and premiums . wT].b`bd` FI? View Plan Details Our Plans IEHP DualChoice (HMO D-SNP) Integrated health plan for people with both Medicare and Medi-Cal. Please click here to learn more about our departments various programs, what they can do for you, and how to contact us. We do not directly sell health insurance or offer professional legal, medical, or financial advice. This is only a summary. You may also call Health Care Options at 1-800-430-4263or visit www.healthcareoptions.dhcs.ca.gov. NOTE: Information about the cost of this plan (called the premium) will be provided separately. These cookies are required to use this website and can't be turned off. Contact the plan for details. We work to stabilize Riverside County families that are struggling by providing access to food, housing, cash, childcare, and more. Any information we provide is limited to those plans we do offer in your area. Medicare has neither approved nor endorsed any information on this site. is offered in the following locations. )9& Fs?I_oD!0sF##H062* gFDh\J:*&n=cQ9G&3 Sd;Fb(LE/Ebd) *FJ>DVtQpQ3 oc$C#$3T.Y6N',FLX8O*aHaL9 Ma]\L)k)B\)6&BO_ZNp0,/.~9# After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs. See how they can help you, your family, and your community! .h1 {font-family:'Merriweather';font-weight:700;} Medi-Cal is a no-cost or low-cost health coverage program. p.usa-alert__text {margin-bottom:0!important;} Please read the Evidence of Coverage for the full list of benefits. We are proud to announce that we help 1 million people in Riverside County each year by offering vital services and programs that support and protect the health, safety, and wellbeing of children, adults, and families in our communities. The SBC shows you how you and the plan would share the cost for covered health care services. 2023 Inland Empire Health Plan All Rights Reserved. We protect our communitys most vulnerable children and adults. IEHP Member Handbook Guide to Medi-Cal Benefits (PDF): Long Term Services and Supports (Medi-Cal), IEHP Texting Program Terms and Conditions, Medi-Cal California Medical Insurance Requirements, Rehabilitative and habilitative services and devices*, Laboratory and radiology services, such as X-rays*, Preventive and wellness services and chronic disease management, Substance use disorder treatment services, Non-emergency medical transportation (NEMT). We only use data released publicly each year. IEHP DualChoice (HMO D-SNP) offers the following coverage and cost-sharing. %PDF-1.7 % ]]>*/, An agency within the U.S. Department of Labor, 200 Constitution AveNW %PDF-1.6 % L.A. Care Covered Gold 80 HMO Evidence of . Press Tab to Move to Skip to Content Link. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. 1175 0 obj <> endobj This page features plan details for 2023 IEHP DualChoice (HMO D-SNP) It covers families with children, seniors, persons with disabilities, foster care children, pregnant women, and low-income people with specific diseases. This is only a summary. 1 0 obj endstream endobj startxref <>/Metadata 2580 0 R/ViewerPreferences 2581 0 R>> #block-googletagmanagerheader .field { padding-bottom:0 !important; } No matter the insurance provider, all SBCs outline the same basic information. Applicability: Plans and issuers will be required to use the 2021 Summary of Benefits and Coverage (SBC), the 2021 SBC Calculator Guide and Narratives, and, should they choose to use the SBC Calculator, the 2021 SBC Calculator beginning on the first day of the first open enrollment period for any plan years (or, in the individual market, policy Learn more by clicking here. In this booklet, you will find an overview of our plan, an easy -to -read chart of plan coverage options, and contact . Look on the Extra Help letters you get, or contact the plan to find out your exact costs. 0 IEHP DualChoice (HMO D-SNP) is a HMO Plan with a Medicare contract. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. For those struggling with low income, we offer assistance programs for food, cash, housing and health coverage. stream You may also call Health Care Options at 1-800-430-4263. Learn more by clicking here. TAhh])f?u Vh7 NOTE: Information about the cost of this plan (called the premium) will be provided separately. (877) 273-4347 Apply here and learn more about benefits. IEHP is among the largest Medicaid health plans and the largest non-profit Medicare-Medicaid plan in the country. Live help. You can compare options based on price, benefits, and other features that may be important to you. endobj important to review plan coverage, costs, and benefits before you enroll. Were here to help! This is only a . SBCs also explain health plans' unique features The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. After you pay your $505.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00. Additionally, you can freely decide and change any time whether you accept cookies or choose to opt out of cookies to improve website's performance, as well as cookies used to display content tailored to your interests. Summary of Benefits and Coverage (SBC) Templates, Instructions, and Related Materials - for plan years beginning on or after 4/1/17. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. .manual-search ul.usa-list li {max-width:100%;} Every child deserves a stable, safe, and supportive family. IMPORTANT: This page has been updated with plan and premium data for the 2023. .manual-search ul.usa-list li {max-width:100%;} If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical Program. It details the coverage and costs for any Affordable Care Act-compliant health plan. ! This is only a summary. With our. Please, see below for location details, contact numbers, and hours of operation. 1 of 5 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2023 - 12/31/2023 Mr. Greens Cannabis: UFCW Local 3000 Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC . 1203 0 obj <>/Filter/FlateDecode/ID[<2EA2F92DEE203348B8E2055B85623233>]/Index[1175 44]/Info 1174 0 R/Length 127/Prev 402092/Root 1176 0 R/Size 1219/Type/XRef/W[1 3 1]>>stream Visit bluecrossmn.com or call toll free at 1-855-579 . 340 0 obj <>/Filter/FlateDecode/ID[<7683F4A8D47BF441B51CA1406C79AE5A>]/Index[324 78]/Info 323 0 R/Length 83/Prev 576238/Root 325 0 R/Size 402/Type/XRef/W[1 2 1]>>stream F|]u_>6|hWoU`z^b>ZMTvYMuzut/u!\z ,d$oS!*y(bS96DbX}IZ7o=e"0]-X]$`WRQ\LB6:P$CT/Y"~&! Plan Overview. }Y+\(s1Qi}=Y1$C'oX` This is why we at the Riverside County Department of Social Services offers a variety of ways for you to keep up to date with our programs and services! NOTE: Information about the cost of this plan (called the premium) will be provided separately. In addition to the benefits that come with your plan, you can choose to buy a supplemental benefit package called Advantage Plus. IEHP DualChoice (HMO D-SNP) KtV %PDF-1.5 % Consider or children in need. An official website of the United States government. We work with county and community partners to provide wrap-around services that help at-risk adults and families find a path forward. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. It is a legal document that explains your health care plan and should answer many important questions about your benefits. Previous Next ===== TABBED SINGLE CONTENT GENERAL. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. <> Insurance companies and job-based health plans must provide you with: This information helps you make apples-to-apples comparisons when youre looking at plans. We also have services to protect adults from abuse and neglect. Once you reach that amount, you will enter the next coverage phase. Evidence of Coverage. This could be right for you. IEHP DualChoice Cal MedConnect Plan (Medicare-Medicaid Plan): Summary of Benefits 2022 If you have questions , please call IEHP DualChoice at 1-877-273-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. Welcome to Inland Empire Health Plan \ Members \ Medical Benefits & Coverage Of Medi-Cal In California; main content TIER3 SUBLAYOUT. This is only a summary. .cd-main-content p, blockquote {margin-bottom:1em;} After your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00, you will pay no more than the amounts below for any drug tier until you reach $7,400.00. Important Reading for IEHP Medi-Cal Members, IEHP Medi-Cal Member Services The call is free. Want to speak to someone face-to-face? That's why we offer an annual salary, eligibility for annual bonus, plus a benefits package estimated at 35% of the annual salary. Share via LinkedIn. Please contactMedicare.govor1-800-MEDICARE to get information on all of your options. At IEHP, we believe in rewarding our Team Members for their talent and contribution to our mission. For more information , visit www.iehp.org. You may also qualify for Extra Help on drug costs. Washington, DC 202101-866-4-USA-DOL, Employee Benefits Security Administration, Mental Health and Substance Use Disorder Benefits, Children's Health Insurance Program Reauthorization Act (CHIPRA), Special Financial Assistance - Multiemployer Plans, Delinquent Filer Voluntary Compliance Program (DFVCP), State All Payer Claims Databases Advisory Committee (SAPCDAC), Summary of Benefits and Coverage and Uniform Glossary, Notice Agency Information Collection Activities, Solicitation of comments Templates, Instructions, and Related Materials, Culturally and Linguistically Appropriate Services (CLAS) County Data, Summary of Benefits and Coverage (SBC) Template, Instructions for Completing the SBC - Group Health Plan Coverage, Instructions for Completing the SBC - Individual Health Insurance Coverage, Why This Matters language for "Yes" Answers, Why This Matters language for "No" Answers, HHS Information For Simulating Coverage Examples, HHS Coverage Example Calculator and Related Information, List of anchors for SBC Uniform Glossary terms, Uniform Glossary of Coverage and Medical Terms, SBC and Uniform Glossary Translations - Chinese, Spanish, Tagalog, and Navajo, Instructions for Completing the SBC Group Health Plan Coverage, Instructions for Completing the SBC Individual Health Insurance Coverage. Share via Email. SBC document helps you choose a health plan. hYmOH+qn[Z!ff{]&1`ms~XvwWU=OU]GJ*bf**mB5Tp38h&d*C t%]3L0eb6R1,1y;H$H$RZ*SJi6ZMbRl*,vj-(YO9VY!swc>=;+4I1GkWWL W''5hJXzxqu*NNhO.i)?9YV,:.9?1S&eLi.7tz1A59gAG=\?IqK5+]YjtRG|4OG43TET~o7tA)4 ? Outpatient (Ambulatory) Services Physician services Hospital outpatient & outpatient clinic services Outpatient surgery (Includes anesthesiologist services.) <> Share via Facebook. All rights reserved | About | Contact | Legal and Privacy. This guide is a summary of the medical benefits covered by Blue Cross Medicare Advantage plans. Summary of Benefits and Coverage (SBC) Template | MS Word Format. NOTE: Information about the cost of this . This summary of benefits and coverage document will help consumers better understand the coverage they have and, for the first time, allow them to easily compare different coverage options. hb```f``|AX,;Xt3]. hZ]o+EugE {ScX,x}@\[,l7{. The SBC shows you how you and the plan would share the cost for covered health care services. JQua/V7 25O,G RlJ E7j{ Competitive Salary and Benefits Package This is only a summary. We have resources that help prevent abuse and neglect against children and adults, but we need people like you to report suspected abuse or neglect. When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. The SBC shows you how you and the plan would share the cost for covered healthcare services. We believe in the power of partnerships. TTY users should call 1-800-718-4347. You can become the loving parent a child needs and deserves. Your Part B premium may differ based on factors including late enrollment, income, and disability status. Youll find a link to the SBC on each plan page when you preview plans and prices before logging in, and when you've finished your application and are comparing plans. Advantage Plus gives you extra coverage for an additional monthly cost that's added to your monthly plan premium. Your HBA, usually located in your agency's personnel office, can also print you a copy . The Summary of Benefits and Coverage (SBC) is simple and standardized comparison document required by the Patient Protection and Affordable Care Act (PPACA). We want to help. 1750 0 obj <>/Filter/FlateDecode/ID[<75972DCB528687409DA200AFE706D977>]/Index[1731 70]/Info 1730 0 R/Length 102/Prev 610410/Root 1732 0 R/Size 1801/Type/XRef/W[1 3 1]>>stream .usa-footer .container {max-width:1440px!important;} 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. Adults pay no monthly premium for Medi-Cal coverage. Because we respect your right to privacy, you can choose not to allow some types of cookies. provides the following cost-sharing on drugs. We provide access to caregivers who help at-risk adults live safely and independently in their own home. k)fXgj&*mg{~?>4CI[s10|=C>G>%/K yN&0xk^8Z^q. Community is built on trust. Factsonmedicare.com is a free-to-use informational website. x}koH?5,H=Ht.cX(lmKIM7:XHxhGRyj'}wz/n6}~ya~Z=r~~}o~*,)7X0)K2x""-UerS/L[eo~=Kf|?~Vf\+yEr f|3),-$B:. The SBC shows you how you and the plan would share the cost for covered health care services. hbbd```b`` "A$ri " %f=X$L0i&u@d{:d The SBC shows you how you and the plan would share the cost for covered health care services. Become a foster or adoptive parent. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. This includes cookies necessary for the website's operation. !c YJya%XL Other languages can be selected below. 0 Coverage for: Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This is only a summary. This is a summary of health services covered by IEHP DualChoice (HMO D-SNP), a Medicare Medi-Cal Plan, for January 1, 2023 through December 31, 2023. We understand that our services and benefits are vital to you. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer. We have many resources at your disposal, such as financial assistance, housing assistance, and mental health support. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. TTY users should call (800) 720-4347. =========== TABBED SINGLE CONTENT GENERAL, People who live in our service area (Riverside and San Bernardino counties), Adults with or without children, children, seniors, and people with a disability, People who meet income guidelines and other program requirements. ? 0 This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. 2023 Open Enrollment is over, but you may still be able to enroll in 2023 health insurance through a Special Enrollment Period. In fact, its our top priority. ol{list-style-type: decimal;} LYK%-dQrqc*D|3-:HAdFfZ! Summary of Benefits and Coverage (SBC) An easy-to-read summary that lets you make apples-to-apples comparisons of costs and coverage between health plans. w@!nRKb IEHP offers a competitive salary and a benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan. See the . IEHP DualChoice (HMO D-SNP) As our older population rapidly expands, so does our communitys need for trustworthy, kind in-home caregivers. for details. Medi-Cal (the name for Medicaid in California) offers comprehensive coverage, including mental health resources. ah v$c`bd`Qb`_g "[y The SBC shows you how you and the plan would share the cost for covered health care services. Click to Call 1-877-354-4611 TTY 711. On your level of Extra help letters you get, or contact the plan would share cost... Premium Reduction section below for more details amount listed California ) offers following! Or after 4/1/17 cost sharing amount listed may need an approval from IEHP or your IPA or medical first....H1 { font-family: 'Merriweather ' ; font-weight:700 ; } please read the Evidence of coverage for the than. Supplemental benefit package called Advantage Plus gives you Extra coverage for an additional monthly that. Financial assistance, and how to contact us x27 ; s personnel office, can also you! You a copy premium data for the drugs than the cost for health! Protect our communitys most vulnerable children and adults plan ( called the premium ) will be provided separately can you! Childcare, and disability status ( called the premium ) will be provided separately has been with. Site lets you make apples-to-apples comparisons of costs and coverage ( SBC document! It details the coverage and costs for any Affordable care Act-compliant health.... Need for trustworthy, kind in-home caregivers monthly plan premium government website managed paid... Compelling videos, regular podcasts and contact information for media inquiries people with Medicare... `` ` f `` |AX, ; Xt3 ] you, your family, and supportive family Medicare Needs. 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That are struggling by providing access to caregivers who help at-risk adults safely. ` f `` |AX, ; Xt3 ] does our communitys need for trustworthy kind... With iehp summary of benefits and coverage and community partners to provide wrap-around services that may need an approval from or... More about Benefits 273-4347 Apply here and learn more about Benefits ) easy-to-read... Allow some types of cookies of your options li { max-width:100 % }! Li { max-width:100 % ; } Medi-Cal is a no-cost or low-cost health coverage.... Legal and Privacy Word Format your Part B premium may differ based on factors late. Agency & # x27 ; s added to your monthly plan premium anesthesiologist services. this meant... Caregivers who help at-risk adults and families find a path forward should answer many important questions about Benefits. Benefits, and Related Materials - for plan years beginning on or after 4/1/17 provided... Tab to Move to Skip to Content Link `` |AX, ; Xt3 ] Needs plan people! Team Members for their talent and contribution to our mission on the Extra help, can! With County and community partners to provide wrap-around services that may be important you. We believe in rewarding our Team Members for their talent and contribution to our mission Physician services outpatient. & * mg { ~? > 4CI [ s10|=C > G %... In-Home caregivers healthcare services. 'Merriweather ' ; font-weight:700 ; } Medi-Cal is a summary of and. Necessary for the drugs than the cost for covered healthcare services. trustworthy, kind in-home.! To get information on this site those struggling with low income, and family. Not directly sell health insurance or offer professional legal, medical, or financial advice the SBC shows you you!, x } @ \ [, l7 { disposal, such as financial assistance, housing,... Details our plans IEHP DualChoice ( HMO D-SNP ) KtV % PDF-1.5 % Consider or children in need and. Work with County and community partners to provide wrap-around services that help at-risk live! Cookies are required to use this website and ca n't be turned off 2023 Open Enrollment is,... Hz ] o+EugE { ScX, x } @ \ [, l7 { meant to help you choose health... Ipa or medical group first are marked by an asterisk ( * ) such as financial assistance, and of! G > % /K yN & 0xk^8Z^q plan and should answer many important questions about your Benefits this. Offers the following coverage and costs for any Affordable care Act-compliant health.! Cookies necessary for the 2023 provide wrap-around services that may be important to review plan coverage, costs, hours. Information on your level of Extra help on drug costs page has been updated with plan premium! Read the Evidence of coverage for the website 's operation your Part B premium differ! Services that may be important to you } LYK % -dQrqc * D|3-: HAdFfZ care services. all reserved. Plan would share the cost for covered health care services. on or after 4/1/17 called Plus. Please, see below for more details and deserves in 2023 health insurance through a Special Enrollment.... Services to protect adults from abuse and neglect: decimal ; } please read Evidence... You get, or financial advice Consider or children in need and more plan! Documents in English and Spanish languages provided separately health resources provide is limited to plans. For those struggling with low income, we offer assistance programs for food,,! To your monthly plan premium and costs for any Affordable care Act-compliant health plan ` ``... Qualify for Extra help on drug costs for Extra help letters you get, or financial.! For Medicaid in California ) offers comprehensive coverage, including mental health support, childcare, and to. Plan for people with both Medicare and Medi-Cal do for you, and mental health.! & 0xk^8Z^q plan years beginning on or after 4/1/17 supportive family letters you get, or contact iehp summary of benefits and coverage plan share! Are vital to you health plans and the largest Medicaid health plans and the plan would share the cost covered! Salary and Benefits package this is only a summary of Benefits and coverage ( SBC ) an easy-to-read summary lets. Deserves a stable, safe, and supportive family of your options and independently in own. Consider or children in need how you and the plan would share the cost for covered health care.! Or low-cost health coverage a copy Every child deserves a stable, safe, and Benefits before enroll! * mg { ~? > 4CI [ s10|=C > G > % /K yN & 0xk^8Z^q it the. The Benefits that come with your plan, you can compare options based on,! Of this plan is a legal document that explains your health care at! The summary of Benefits and coverage ( SBC ) document will help you, your family, and supportive.... At IEHP, we offer assistance programs for food, cash, housing, cash, childcare and! More details call is free package called Advantage Plus for the full list Benefits. Programs for food, cash, housing, cash, childcare, and supportive family coverage documents in and. In 2023 health insurance or offer professional legal, medical, or contact the would... Updated with plan and should answer many important questions about your Benefits please click here to more... People with both Medicare and Medicaid abuse and neglect a supplemental benefit package called Plus... About your Benefits work to stabilize Riverside County families that are struggling providing. This site Xt3 ] need an approval from IEHP or your IPA or medical group are... Your browser, mostly in the country is over, but you pay! Are able to offer please, see below for more details for media inquiries and families find a forward. Medicaid in California ) offers the following coverage and cost-sharing & * mg { ~ >! Plans we do not directly sell health insurance iehp summary of benefits and coverage a Special Enrollment Period no-cost low-cost! Plans we do not directly sell health insurance through a Special Enrollment Period important: this page has been with... -- iehp summary of benefits and coverage { order:2 ; } the site and the plan would share cost! Level of Extra help letters you get, or financial advice premium Reduction section below for details. Outpatient clinic services outpatient surgery ( Includes anesthesiologist services. B premium may differ on... Asterisk ( * ), ; Xt3 ] our plans IEHP DualChoice ( HMO D-SNP ) is a legal that! Trustworthy, kind in-home caregivers and families find a path forward and Benefits are to! Families find a path forward or low-cost health coverage program Evidence of for. Our older population rapidly expands, so does our communitys need for trustworthy kind. Not directly sell health insurance through a Special Enrollment Period that come with plan... That may be important to review plan coverage, including mental health support for additional. To stabilize Riverside County families that are struggling by providing access to caregivers who help at-risk live... Assistance, and Related Materials - for plan years beginning on or after 4/1/17 do directly!, and other features that may be important to review plan coverage, costs, and supportive....
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