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Nā nīnau maʻamau e pili ana i ka hoʻonui Medicaid

He aha nā palapala e pono ai wau e noi?

Hiki i nā kānaka ke noi no Medicaid ma ka pūnaewele, ma ka leka uila, a ma ke kanaka. Pono ʻoe i kēia mau palapala e noi ai.

  • Hoʻohana Medicaid.
    • Inā noi ma ka pūnaewele, e hoʻopiha ʻoe i ka palapala ma ka pūnaewele.
    • Inā noi ma ka leka uila, hiki iā ʻoe ke paʻi a i ʻole ke noi ʻana i ke keʻena o ka Department of Social Services (DSS) e leka uila iā ʻoe.
    • Inā noi kino, hiki iā ʻoe ke hoʻopiha ma mua o ka manawa a i ʻole ma ke keʻena DSS.
  • Ka inoa, ka lā hānau, a me ka helu mālama ola no nā mea noi a pau
  • ʻIke mea hana a me nā palapala loaʻa. ʻO nā laʻana e pili ana i nā paystubs, nā palapala W-2, a i ʻole nā ​​ʻōlelo uku a me nā ʻauhau
  • ʻO ka ʻike inikua olakino o kēia manawa, inā pili

ʻAʻole au i kūpono ma mua. Pono au e noi hou?

Ua hoʻonui ʻia ka hui uhi Medicaid i nā pākeke. Inā noi ʻoe, ʻoiai he mau mahina i hala aku nei, hiki iā ʻoe ke ʻae me Medicaid Expansion.

  • ʻO ka poʻe 19-64 me nā keiki a ʻaʻohe keiki
  • Noho ma South Dakota
  • E lilo i kama'āina ʻAmelika a i ʻole he malihini
  • Ua noi a noi paha no kahi helu mālama ola (SSN)
  • ʻAʻole kūpono a kākau inoa ʻia i kēia manawa ma Medicare
  • palena loaʻa (ma muli o ka nui o ka hale) a hiki i ka 138% o ka Federal Poverty Limit.

*ʻAʻole noʻonoʻo ʻia nā waiwai (a i ʻole nā ​​​​kumu) ke hoʻoholo ʻia ke kūpono no ka Medicaid Expansion.

Hiki iaʻu ke ʻae inā ʻaʻohe oʻu helu home?

Nāu e hana aole pono e loaʻa kahi helu home e noi ai.

No nā leka, pono e komo nā palapala noi i kahi leka uila kahi e hiki ai iā ʻoe ke loaʻa ka leka uila.

Pehea ka lōʻihi o koʻu ʻike ʻana inā ʻae ʻia au?

I ka hapanui o nā hihia, e loaʻa i nā mea noi kahi leka ma ka leka uila e haʻi ana iā lākou inā kūpono lākou a ʻaʻole paha i loko o 45 mau lā. Inā kūpono ʻoe, e loaʻa iā ʻoe kahi kāleka Medicaid South Dakota.

He aha inā ʻike ʻia ʻaʻole kūpono kaʻu noi no Medicaid, me ka Medicaid Expansion?

Inā ʻike ʻia ʻaʻole ʻoe kūpono, e hoʻoili ʻia kāu ʻike i ka Marketplace, nāna e hoʻouna iā ʻoe i ka leka uila. Hiki iā ʻoe ke hele pololei i healthcare.gov a hoʻomaka i kahi moʻokāki Marketplace. Ma hope o ka hoʻokumu ʻana i kahi moʻokāki a i ʻole ke komo ʻana, koho iā "E ʻimi i kaʻu noi" e hoʻopau a hoʻouna i kahi noi Marketplace (aia kahi helu noi ma ka leka i hoʻouna ʻia e Marketplace iā ʻoe).

Makemake ʻoe i kōkua no ka ʻike ʻana i ka Marketplace? ʻO kā mākou ʻae ʻole nā mea hoʻokele ua aʻo ʻia e kōkua i ka poʻe e hoʻomaopopo a loaʻa i ka koho maikaʻi loa no kā lākou pono mālama olakino.

 

 

Inā loaʻa iaʻu kahi hoʻolālā Marketplace a hiki paha iaʻu ke kūpono no ka Medicaid Expansion, e ʻae ʻia au no ka Medicaid Expansion?

ʻAʻole. Inā loaʻa iā ʻoe kahi hoʻolālā Marketplace a manaʻoʻiʻo ua kūpono ʻoe no ka hoʻonui ʻana, e noi no Medicaid. Mai hoʻopau i kāu hoʻolālā Marketplace ma mua o ka loaʻa ʻana o ka hoʻoholo hope no ka pono Medicaid.

Inā ʻae ʻia ʻoe no Medicaid a i ʻole CHIP, pono ʻoe kāpae i kāu hoʻolālā Marketplace.

 

He aha nā lawelawe olakino i uhi ʻia e Medicaid?

ʻO nā pōmaikaʻi koʻikoʻi i uhi ʻia ma lalo o Medicaid

  1. Nā lawelawe pale, nā lawelawe olakino, a me ka mālama ʻana i nā maʻi maʻi
  2. Mālama mālama maʻi
  3. Hale Hōʻikeʻike
  4. ʻO ka hāpai ʻana e pili ana i ka mālama ʻana a me ka mālama keiki hou
  5. ʻO nā lawelawe maʻi noʻonoʻo a me ka hoʻohana ʻana i ka lāʻau me ka mālama ola kino
  6. Mau lāʻau kauoha
  7. ʻO nā lawelawe a me nā mea hana hoʻoponopono a me ka habilitative
  8. Nā lawelawe lawelawe
  9. Nā lawelawe keiki, me ka mālama waha a me ka ʻike
  10. pilikia nā lawelawe

Hoʻoponopono ke aupuni pekelala i ka nui o ke kope e uku ʻia ma Medicaid. ʻO kekahi mau laʻana o nā copays

  • $50 no ke komo ʻana i ka haukapila
  • $3.00 no ke kipa kauka
  • $3.30 no na laau lapaau

I kēia manawa, hoʻonui ka Medicaid aole uhi a uhi piha i kēia mau lawelawe i kēia manawa.

  1. kahua niho
  2. ʻO ka'ōkeke
  3. Eyeglasses

No ka ʻike hou aku e pili ana i nā lawelawe i uhi ʻia e kipa

https://dss.sd.gov/formsandpubs/docs/MEDSRVCS/MedicalAssistanceRecipientHdbk.pdf

He aha ka uhi i loaʻa i kaʻu mau keiki inā loaʻa iaʻu kahi inikua i hāʻawi ʻia e kaʻu mea hana?

Inā hā'awi kou haku hana i ka 'inikua ola kino nou, hiki i kāu wahine a/a i 'ole kāu mau keiki ke kūpono no ka mālama 'ana i ka papahana Marketplace OR Medicaid/CHIP. 

Ka Ui Makeke

Loaʻa ka uhi ʻana o ka mākeke me nā hōʻaiʻē ʻauhau kālā inā manaʻo ʻia ka uhi i hāʻawi ʻia e kāu mea hana he "hiki ʻole". Inā ʻoi aku ka uku kālā no kāu kāne a me kāu mau keiki hilinaʻi ma mua o 9.12% o kāu loaʻa kālā nui i hoʻololi ʻia, hiki iā ʻoe ke kūpono no nā haʻawina kālā (ʻO ka hoʻolālā ola kino o ka mea hoʻohana).

Medicaid a i ʻole CHIP Coverage

Loaʻa ka uhi Medicaid no nā keiki, ma muli o ka loaʻa kālā a me ka nui o ka home (ʻO Medicaid & CHIP nā alakaʻi loaʻa kālā). Loaʻa kēia uhi ʻoiai inā loaʻa iā ʻoe ka uhi pilikino a i ʻole ka mea hoʻohana.

Inā ua hōʻole ʻia au i ka uhi Medicaid, ʻae ʻia paha kaʻu mau keiki?

Hoʻoholo kaʻawale ʻia ka pono Medicaid no nā pākeke a me nā keiki. ʻO ka ʻoiaʻiʻo o ka hōʻole ʻia ʻana o kahi kanaka makua i loko o ka hale i ka uhi Medicaid ʻaʻole ia e pili koke i ka pono o kā lākou mau keiki.

ʻO ke kūpono no nā keiki ma muli o ka loaʻa kālā a me ka nui o ka hale o ka makua mālama a i ʻole ke kahu mālama kānāwai. Hāʻawi pū ʻo South Dakota Polokalamu Inikua Ola Ola na Keiki (CHIP), hāʻawi i ka mālama ola kino i nā keiki ma nā ʻohana haʻahaʻa. Loaʻa pinepine nā papahana CHIP i nā palena loaʻa kālā ma mua o Medicaid a hiki ke uhi i nā keiki i kūpono ʻole no Medicaid.

No ka hoʻoholo ʻana inā kūpono kāu mau keiki no Medicaid a i ʻole CHIP, pono ʻoe e waiho i kahi palapala noi kaʻawale no lākou. E loiloi kēia palapala noi i ko lākou kuleana e pili ana i ko lākou kūlana kūikawā, e like me ka loaʻa kālā, ka nui o ka hale, a me nā makahiki.

Hiki iaʻu ke kūpono no Medicaid inā loaʻa iaʻu ka uhi Medicare?

ʻAʻole ʻokoʻa ka loaʻa ʻana o Medicare iā ʻoe mai ka uhi Medicaid. Eia naʻe, hiki iā ia ke paʻakikī i kou kūpono a me ka hoʻonohonoho ʻana o nā pono. Hiki ke loaʻa i ka Medicaid a me ka Medicare. Ua ʻike ʻia kēia ʻo "dual eligibility." Inā hoʻokō ʻoe i nā koi no nā papahana ʻelua, hiki iā ʻoe ke pōmaikaʻi mai ka uhi hui.

I mea e pono ai no Medicaid a me Medicare, pono ʻoe e hoʻokō i nā palena kālā a me nā waiwai i hoʻonohonoho ʻia e kou mokuʻāina no Medicaid. Pono ʻoe e hoʻokō i nā koina kūpono o Medicare, ʻo ia hoʻi ka makahiki a i ʻole ke kūlana kīnā.

No ke noi ʻana no nā papahana ʻelua, pono ʻoe e hoʻomaka ma ke noi ʻana no Medicare ma o ka Social Security Administration (SSA). Ke loaʻa iā ʻoe ka Medicare, hiki iā ʻoe ke hoʻokaʻaʻike iā 211 e noi no nā pōmaikaʻi Medicaid.

  • ʻAʻole kūpono ka poʻe me ka uhi Medicare no ka hoʻonui Medicaid, akā hiki ke kūpono i nā papahana Medicaid ʻē aʻe e like me ka Medicare Savings Program e uku ana i nā uku uku Medicare Part A a me Part B, deductibles a coinsurance. 
  • AʻO HOU MAI

Nā nīnau maʻamau e pili ana i ka ʻinikua ola kino a me ka mākeke

Pehea wau e ʻike ai i ka hoʻolālā ʻinikua kūpono? 

Pane caption.

Me ka nui o nā koho hiki ke paʻakikī ke ʻike i ka hoʻolālā ʻinikua olakino kūpono iā ʻoe.
ʻO ka pōmaikaʻi, loaʻa i ka mākeke ʻinikua olakino nā hoʻolālā e kūpono i kāu kālā a kūpono i kāu mau pono.
E ʻimi i kahi hoʻolālā e kūpono i kou nohona.
E kaulike i ka nui āu e uku ai i kēlā me kēia mahina me ka nui o ka mālama ola kino āu e pono ai.
No ka laʻana, inā olakino ʻoe a ʻaʻole ʻike pinepine i ke kauka, kūpono paha ka hoʻolālā me ka uku haʻahaʻa o kēlā me kēia mahina.
Loaʻa i nā nīnau? E hālāwai me kāu mea hoʻokele i kēia lā.

He aha nā ʻōlelo ʻinikua olakino e pono iaʻu e ʻike?

Pane caption.

Ke pili nei i ka ʻinikua olakino e noʻonoʻo paha ʻoe i nā huaʻōlelo e pono iaʻu e ʻike?
E hoʻomaka kākou me ka premium. ʻO ia ka nui āu e uku ai i kēlā me kēia mahina no ka ʻinikua olakino.
Hiki i nā ʻauhau ʻauhau ke hoʻohaʻahaʻa i kāu uku mahina a loaʻa wale ma ka mākeke.
ʻO ka wehe ʻana i ke kākau inoa ʻo ia ka manawa i kēlā me kēia makahiki e hiki ai i nā kānaka ke kākau inoa a hoʻololi paha i kahi hoʻolālā ʻinikua olakino.
ʻO ka mea hoʻokele he kanaka i aʻo ʻia e kōkua i ka poʻe e kākau inoa no ka ʻinikua olakino.
Loaʻa i nā nīnau? E hālāwai me kāu mea hoʻokele i kēia lā.

Hiki iaʻu ke loaʻa ka ʻinikua olakino ma waho o ka Open Enrollment?

Pane caption.

Ke noʻonoʻo nei paha ʻoe, hiki iaʻu ke loaʻa ka ʻinikua olakino i kēlā me kēia manawa o ka makahiki?
ʻAe, ʻokoʻa ka pane. ʻO ka wehe ʻana i ke kākau inoa ʻo ia ka manawa i kēlā me kēia makahiki e hiki ai i nā kānaka ke kākau inoa no kahi hoʻolālā ʻinikua olakino.
ʻO ka hoʻopaʻa inoa kūikawā ka manawa ma waho o ka hoʻopaʻa inoa wehe ʻana i ka wā e kūpono ai nā kānaka ma muli o nā hanana ola. ʻO kekahi mau hanana e hiki ai iā ʻoe ke kūpono, ʻo ia ka nalowale ʻana o ka uhi, hānau keiki, a male male paha.
Hiki i nā lālā o nā ʻohana i ʻike ʻia e ke aupuni pekelala ke kākau inoa i kahi hoʻolālā i kēlā me kēia manawa a hiki i hoʻokahi mahina a noi no Medicaid a i ʻole chip inā pono.
Loaʻa i nā nīnau? E hui me kahi hoʻokele i kēia lā.

Pehea wau e ʻike ai inā hiki iaʻu ke kūpono i ka Hale Kūʻai Inikua Ola?

Pane caption.

ʻO kahi nīnau i nīnau pinepine ʻia, pehea wau e ʻike ai inā hiki iaʻu ke mālama kālā ma o ka mākeke ʻinikua olakino?
No ke koho ʻana i ka waihona kālā ma o ka mākeke, pono ʻoe e noho i ka US, he kamaʻāina ʻAmelika a i ʻole ʻāina a loaʻa kahi kālā e kūpono iā ʻoe no ka mālama kālā.
Inā kūpono ʻoe no ka ʻinikua olakino ma o kāu hana, ʻaʻole paha ʻoe e kūpono.
Ke kūʻai ʻoe i ka ʻinikua olakino ma o ka mākeke hiki iā ʻoe ke kūpono i nā ʻauhau ʻauhau. Kōkua kēia mau ʻauhau ʻauhau e hoʻohaʻahaʻa i kāu uku mahina no ka ʻinikua olakino.
Loaʻa i nā nīnau? E hālāwai me kāu mea hoʻokele i kēia lā.

No ke ʻike hou aku

Kākoʻo ʻia kēia paʻi ʻia e nā Centers for Medicare and Medicaid Services (CMS) o ka US Department of Health and Human Services (HHS) ma ke ʻano he ʻāpana o ka hōʻaiʻē kōkua kālā he $1,200,000 me ka 100 pakeneka kālā e CMS/HHS. ʻO nā mea i loko o ka mea kākau (mau) a ʻaʻole ia e hōʻike i ka manaʻo kūhelu o, ʻaʻole hoʻi i ʻae ʻia e CMS/HHS, a i ʻole ke Aupuni US.