I-Medicaid engxamisekileyo yabasetyhini abakhulelweyo. I-Medicaid ibonelela ngezempilo kwizigidi zabantu baseMelika, kubandakanya abantu abadala abafumana umvuzo ophantsi, abantwana, abafazi abakhulelweyo, abantu abadala kunye nabantu abakhubazekileyo. Ukukwazi ukufikelela kukhathalelo lwaphambi kokubeleka yinxalenye ebalulekileyo yokuqinisekisa ukuba iintsana zifumana isiqalo esihle ebomini.
Izinketho zeMedicaid Ngexesha lokukhulelwa
I-Medicaid yabasetyhini abakhulelweyo: i Inkcazo epheleleyo yeMedicaid Ngexesha lokukhulelwa lifumaneka ngaphandle kweendleko ukuya abasetyhini abafanelekileyo . Bonke abasetyhini abakhulelweyo abangabemi baseMelika okanye abahlali abasemthethweni kangangeminyaka emihlanu okanye nangaphezulu abahlangabezana nezikhokelo zengeniso banokulungela.
Umyinge wandiswa ngokuhanjiswa kunye neenyanga ezimbini emva kokubeleka kunye nosana ngokubanzi kufanelekile kwiMedicaid kunyaka wokuqala wobomi. Kungcono ukufaka isicelo kwi-Intanethi kwi https://www.medicaid.gov/ okanye ugcwalise isicelo ngefowuni okanye ufumane isicelo ngeposi, ungaqhagamshelana neMEDICAID apha 1-866-762-2237 okanye kwiTTY: 1-800-955-8771.
Ukufaneleka kokuKhulelwa kwabafazi abakhulelweyo (PEPW): i abasetyhini abangenamaphepha , hayi Abemi okanye nge inqanaba lokungena kwelinye ilizwe elingafanelekanga Kusenokwenzeka ukulungelelaniswa kwexeshana kweMedicaid kunye nesigulana sangaphandle ukuya kuthi ga kwiinyanga ezimbini ukunceda ukogquma inxenye yokhathalelo lwaphambi kokubeleka.
I-PEPW igubungela ukhathalelo lwaphambi kokubeleka kodwa ayikhuseli ukuhlala esibhedlele okanye ukuhanjiswa kosana. Isicelo se-PEPW singenziwa ngexesha lotyelelo kwenye yeeklinikhi zabaphambi kokubeleka kwi-Broward Health okanye kwi-Memorial Healthcare System.
Iinkcukacha ezongezelelweyo
Nxibelelana noQhagamshela ku (954) 567-7174, ngoMvulo ukuya ngoLwesihlanu, ukuba ufuna ulwazi oluthe kratya okanye uncedo lokufaka isicelo seMedicaid. Iqela lokuDibanisa likhonza uluntu ngeelwimi ezininzi.
Ukufikelela kumgangatho ophezulu, onokufikeleleka kwiinkonzo zokhathalelo lwempilo ngexesha lokukhulelwa kudala kuxhomekeke kuhlobo lweinshurensi yezempilo ethi umntu afaneleke kwaye abhalise kuyo.
Ngelixa oko kuhlala kuyinyani, umThetho woKhathalelo ongenakufikeleleka ( APHA Utshintshile kwaye wandise iindlela zokhathalelo lwempilo ezifumanekayo kwabasetyhini abakhulelweyo. Le mibuzo kunye neempendulo zijongana ne-inshurensi kunye neenkonzo ezifumanekayo kwabasetyhini ngaphandle kwe-inshurensi, ababhalise kwimveli okanye ekwandiseni iMedicaid, babhalise kwisicwangciso sezempilo kwindawo yentengiso, okanye bagqunywe yinshurensi yabucala okanye exhaswa ngumqeshi.
Ngaba umfazi ongakhuselwanga angabhalisa kwisicwangciso seinshurensi yezempilo xa ekhulelwe?
I-Medicaid yabasetyhini abakhulelweyo . Ewe, abasetyhini abahlangabezana neekhrayitheriya zokufaneleka kweMedicaid okanye iNkqubo ye-Inshurensi yezeMpilo yaBantwana ( CHIP ) Ungabhalisa kwenye yeenkqubo zikarhulumente nangaliphi na ixesha ngexa lokukhulelwa:
Umda opheleleyo weMedicaid
Umfazi okhulelweyo unelungelo lokufumana ingxelo epheleleyo yeMedicaid ngalo naliphi na ixesha ngexesha lokukhulelwa ukuba ngaba ufanelekile ngokweemfuno zikarhulumente. Izinto ezifanelekileyo zokubandakanya ubungakanani bendlu, umvuzo, ukuhlala kwisimo sesicelo, kunye nenqanaba lokufuduka. Umfazi ongakhuselwanga okhulelweyo osele ekhulelwe ngexesha lesicelo akafanelekanga ukuba andise ukubhaliswa kweMedicaid.
I-Medicaid enxulumene nokukhulelwa
Ukuba ingeniso yekhaya idlula imida yengeniso yokugubungela ubungakanani beMedicaid, kodwa ilingana okanye ingaphantsi komda wengeniso kurhulumente kwiMedicaid enxulumene nokukhulelwa, umfazi unelungelo lokufumana iMedicaid phantsi kwecandelo lokugubungela iinkonzo ezinxulumene nokukhulelwa kunye neemeko. oko kunokuba nzima ukukhulelwa.
Imida yengeniso ye-Medicaid enxulumene nokukhulelwa iyahluka, kodwa amazwe akakwazi ukulahla ukufaneleka kwale ngxelo ingezantsi komgangatho osemthethweni oqala kwingeniso ye-133% ukuya kwi-185% ye-FPL ( Inqanaba leNtlupheko yase-Federal ), Kuxhomekeka kurhulumente. Amazwe angabeka umda ophakamileyo wengeniso.
Inkqubo ye-Inshurensi yezeMpilo yaBantwana (CHIP)
Amazwe nawo anokukhetha ukubonelela abasetyhini abakhulelweyo phantsi kwesicwangciso sikarhulumente se-CHIP. Olu khetho lubaluleke kakhulu kubafazi abangazifanelanga ezinye iinkqubo, ezinje ngeMedicaid, esekwe kwingeniso okanye kubume bokufudukela kwelinye ilizwe.
Amazwe anokubonelela ngononophelo lwempilo kumfazi okhulelweyo ngokuthe ngqo okanye owasetyhini okhulelweyo ogubungela umntwana ongekazalwa. Urhulumente ngamnye unelungelo lokubeka imilinganiselo ephezulu yokufaneleka kwezemali ngaphezu komgangatho othile, kodwa amaninzi amazwe abeka umda wabo ngaphezu kwe-200% ye-FPL.
Ngaba iMedicaid kunye ne-CHIP zibonelela ngokuBanzi kwezeMpilo kuBasetyhini abakhulelweyo?
Ewe kuninzi kodwa hayi onke amazwe. I-Medicaid epheleleyo ye-Medicaid kuwo onke amazwe inika ingxelo ebanzi, kubandakanya ukhathalelo lwangaphambi kokubeleka, umsebenzi kunye nokuhanjiswa, kunye nezinye iinkonzo eziyimfuneko.
I-Medicaid enxulumene nokukhulelwa igubungela iinkonzo eziyimfuneko kwimpilo yomfazi okhulelweyo nakwisibeleko, okanye eziye zayimfuneko ngenxa yokuba umfazi ekhulelwe. Isikhokelo se-Federal esivela kwiSebe lezeMpilo kunye neNkonzo zoLuntu ( HHS Ucacisile ukuba ubungakanani beenkonzo ezigutyungelweyo kufuneka bube banzi kuba impilo yowasetyhini inxibelelene nempilo yomntwana, kusenza kubenzima ukufumanisa ukuba zeziphi iinkonzo ezinxulumene nokukhulelwa.
Ummiselo waseburhulumenteni ufuna ukhuseleko kukhathalelo lwangaphambi kokubeleka, ukubeleka, ukhathalelo lwasemva kokubeleka, kunye nocwangciso losapho, kunye neenkonzo zeemeko ezinokusongela ukuthwala umntwana ukuya kwikota okanye ukuhanjiswa okukhuselekileyo komntwana. Urhulumente ekugqibeleni uthatha isigqibo sokuba zeziphi iiseti ezibanzi zeenkonzo ezigutyungelweyo.
Amashumi amane anesixhenxe amazwe abonelela ngeMedicaid enxulumene nokukhulelwa edibana neMinimum Essential Coverage (MEC) kwaye ke ithathwa ngokuba ibanzi. I-Medicaid enxulumene nokukhulelwa e-Arkansas, Idaho nase Mzantsi Dakota ayihambelani noMEC kwaye ayiquki.
Ukukhutshwa kwe-CHIP kwabasetyhini abakhulelweyo kuhlala kuhlala kubanzi. Nangona kunjalo, kumazwe apho iinkonzo zinikezelwa kumfazi okhulelweyo ngokugubungela umbungu, iinkonzo zisenokungabi banzi ngokubhekisele kwiimfuno zempilo zowasetyhini okhulelweyo.
Luyintoni uxanduva lokwabelana ngendleko phantsi kweMedicaid okanye i-CHIP?
Akukho nanye. Umthetho weMedicaid uthintela amazwe ekuhlawuliseni izinto ezikhutshiweyo, iikopi, okanye iintlawulo ezifanayo kwiinkonzo ezinxulumene nokukhulelwa okanye iimeko ezinokubangela ukukhulelwa, nokuba kukweliphi icandelo lobhaliso lweMedicaid. I-HHS icinga ukuba iinkonzo ezinxulumene nokukhulelwa zibandakanya zonke iinkonzo ezihlawulwa sisicwangciso sikarhulumente, ngaphandle kokuba urhulumente uluthethelele ulwahlulo lwenkonzo ethile njengokungahambi kokukhulelwa okunxulumene nesicwangciso sikarhulumente. Nangona kunjalo, amazwe anokunyanzelisa iipremiyamu zanyanga zonke kwabasetyhini abakhulelweyo abanengeniso engaphezulu kwe-150% ye-FPL kunye nentlawulo yeziyobisi ezingakhethwanga.
Uninzi lwamazwe agubungela abasetyhini abakhulelweyo kwinkqubo yabo ye-CHIP akukho zindleko zokwabelana okanye nayiphi na enye imirhumo enxulumene nokuthatha inxaxheba kule nkqubo.
Ixesha elingakanani iMedicaid okanye i-CHIP yokukhulelwa?
I-Medicaid okanye i-CHIP yokugubungela esekwe ekukhulelweni ihlala de kube lixesha lasemva kokubeleka, eliphela ngomhla wokugqibela enyangeni apho ixesha leentsuku ezingama-60 emva kokubeleka liphela, ngaphandle kotshintsho lwengeniso ngelo xesha. Emva kokuphela kwexesha lokubeleka, urhulumente kufuneka avavanye ukufaneleka komfazi kulo naliphi na elinye icandelo lokugubungela iMedicaid.
Ngaba umntu okhulelweyo angafumana iinkonzo zeMedicaid okanye ze-CHIP ngaphambi kwesigqibo sokufaneleka?
Ingayiyo. Amazwe anokukhetha, kodwa akufuneki, ukubonelela ngeendidi ezithile zababhalisi beMedicaid, kubandakanya nabasetyhini abakhulelweyo, abanokufaneleka kokuzimela. Oku kuvumela abasetyhini abakhulelweyo ukuba bafumane iinkonzo zosuku olunye zeMedicaid, ngesiqhelo kwiklinikhi okanye esibhedlele apho bangenisa khona isicelo sokufaneleka kweMedicaid. Okwangoku, amazwe angama-30 abonelela ngokufaneleka kokukhulelwa kwabafazi abakhulelweyo.
Ngaba ngumfazi ongakhuselwanga onokufikelela kwilungu losapho elixhaswe ngumqeshi i-inshurensi, kodwa engabhalisanga kweso sicwangciso, elungele iMedicaid okanye i-CHIP?
Ewe ukufaneleka kwe-Medicaid kunye ne-CHIP akuchaphazeleka ekufikeleleni kubambiso lweinshurensi yabucala exhaswa ngumqeshi okanye enye i-inshurensi.
isiphelo
Ukuhamba ngeendlela ezahlukeneyo zokhathalelo lwempilo olufumanekayo kwabasetyhini abakhulelweyo kunokuba nzima. Ngethamsanqa, ngokufika kwe-ACA, abasetyhini abakhulelweyo bandise ukhetho lwabo lokufumana ukhathalelo lwempilo.
Abafazi abanomvuzo ophantsi abangaqinisekiswanga xa bekhulelwe banokubhalisa kwiMedicaid kwaye bafumane iinkonzo zononophelo lwempilo ngexesha nangoko emva kokukhulelwa.
Abasetyhini abasele benayo i-inshurensi yezempilo xa bekhulelwe banokuyigcina loo nto okanye, ukuba bayafaneleka, batshintshele kwiMedicaid. Xa ubeleka, inketho yokugubungela impilo yomfazi inokutshintsha kwakhona, imvumele ukuba atshintshele kukhathalelo olutsha okanye abuyele kumthombo wangaphambili wezempilo.
Izalathiso:
Ukubonelela ngokufudukela kwamanye amazwe ngokusemthethweni , Zempilo.gov, https://www.healthcare.gov/immigrants/lawfully-present-immigrants .
I-CMS, iGosa lezeMpilo likaRhulumente Othandekayo (ngoJulayi 1, 2010), https://www.medicaid.gov/federal-policy-guidance/downloads/sho10006.pdf .
I-Medicaid / i-CHIP yokuBekwa kwabaNtwana abaFudukela eMthethweni kunye nabafazi abakhulelweyo , Ifunyenwe iNtsapho yeKaiser. (NgoJanuwari 1, 2017), http://www.kff.org/health-reform/state-indicator/medicaid-chip-coverage-of-lawfully-residing-immigrant-children-and-pregnant-women .
Iziqulatho
- Izinketho zeMedicaid Ngexesha lokukhulelwa
- Iinkcukacha ezongezelelweyo
- Ngaba umfazi ongakhuselwanga angabhalisa kwisicwangciso seinshurensi yezempilo xa ekhulelwe?
- Umda opheleleyo weMedicaid
- I-Medicaid enxulumene nokukhulelwa
- Inkqubo ye-Inshurensi yezeMpilo yaBantwana (CHIP)
- Ngaba iMedicaid kunye ne-CHIP zibonelela ngokuBanzi kwezeMpilo kuBasetyhini abakhulelweyo?
- Luyintoni uxanduva lokwabelana ngendleko phantsi kweMedicaid okanye i-CHIP?
- Ixesha elingakanani iMedicaid okanye i-CHIP yokukhulelwa?
- Ngaba umntu okhulelweyo angafumana iinkonzo zeMedicaid okanye ze-CHIP ngaphambi kwesigqibo sokufaneleka?
- Ngaba ngumfazi ongakhuselwanga onokufikelela kwilungu losapho elixhaswe ngumqeshi i-inshurensi, kodwa engabhalisanga kweso sicwangciso, elungele iMedicaid okanye i-CHIP?