Mafunso Ambiri Okhudza Kukula kwa Medicaid
Ndi zolemba ziti zomwe ndiyenera kuyika?
Anthu atha kulembetsa ku Medicaid pa intaneti, kudzera pamakalata, kapena pamaso pawo. Mudzafunika zolemba zotsatirazi kuti mugwiritse ntchito.
- Ntchito ya Medicaid.
- Ngati mukufunsira pa intaneti, mudzadzaza fomuyo pa intaneti.
- Ngati mukufunsira pa imelo, mutha kusindikiza kapena kupempha ofesi ya Department of Social Services (DSS) kuti ikutumizireni.
- Ngati mukufunsira payekha, mutha kudzaza pasadakhale kapena ku ofesi ya DSS.
- Dzina, tsiku lobadwa, ndi Social Security Number kwa onse ofunsira
- Zambiri za olemba ntchito ndi zolemba za ndalama. Zitsanzo zikuphatikizapo ma paystubs, mafomu a W-2, kapena malipoti a malipiro ndi msonkho
- Zambiri za inshuwaransi yaumoyo, ngati zilipo
Sindinayenerere m'mbuyomu. Kodi ndilembenso?
Gulu lothandizira Medicaid lakula mpaka akuluakulu. Ngati mudalembetsa, ngakhale miyezi ingapo yapitayo, mutha kukhala oyenerera ndi Medicaid Expansion.
- Anthu 19-64 omwe ali ndi ana kapena opanda
- Khalani ku South Dakota
- Khalani nzika yaku US kapena mlendo woyenerera
- Khalani kapena mwafunsira Nambala ya Chitetezo cha Anthu (SSN)
- Osayenerera kapena olembetsa pano ku Medicare
- Malire a ndalama (kutengera kukula kwa banja) mpaka 138% ya Federal Poverty Limit.
*Katundu (kapena zothandizira) sizimaganiziridwa pamene kuyenerera kwatsimikiziridwa pa Kukula kwa Medicaid.
Kodi ndingayenererebe ngati ndilibe adilesi yakunyumba?
Mumatero osati muyenera kukhala ndi adilesi yakunyumba kuti mulembetse.
Pamakalata, zofunsira ziyenera kukhala ndi adilesi yamakalata komwe mungathe kulandira makalata.
Zitenga nthawi yayitali bwanji kuti ndidziwe ngati ndavomerezedwa?
Nthawi zambiri, olembetsa amalandila kalata pamakalata kuwauza ngati ali oyenerera kapena ayi mkati mwa masiku 45. Ngati ndinu oyenerera, mudzalandiranso khadi la South Dakota Medicaid.
Nanga bwanji ngati ntchito yanga ikapezeka kuti siyiyenera kulandira Medicaid, kuphatikiza Medicaid Expansion?
Ngati simukuyenerera, zambiri zanu zidzasamutsidwa ku Marketplace, zomwe zidzakutumizirani makalata. Mukhozanso kupita molunjika ku Zaumoyo.gov ndikuyamba akaunti ya Marketplace. Mukapanga akaunti kapena kulowa, sankhani "Pezani pulogalamu yanga" kuti mumalize ndikutumiza fomu ya Msika (nambala yofunsira idzakhala pa kalata yomwe Msika wakutumizirani).
Mukufuna thandizo pakuzindikira Msika? Mosakondera oyendetsa sitima amaphunzitsidwa kuthandiza anthu kumvetsetsa ndikupeza njira yabwino kwambiri pazosowa zawo zachipatala.
Ngati ndili ndi pulani ya Marketplace ndipo nditha kukhala woyenerera Medicaid Expansion, kodi ndingavomerezedwe ndi Medicaid Expansion?
Ayi. Ngati muli ndi dongosolo la Marketplace ndipo mukukhulupirira kuti ndinu oyenera kukulitsidwa, lembani ku Medicaid. Osathetsa dongosolo lanu la Marketplace musanapange chisankho chomaliza pa kuyenerera kwa Medicaid.
Ngati mwavomerezedwa ku Medicaid kapena CHIP, muyenera kutero letsa dongosolo lanu la Marketplace.
Kodi Medicaid imapereka chithandizo chanji chaumoyo?
Zopindulitsa zofunika zomwe zimaperekedwa pansi pa Medicaid
- Ntchito zopewera, chithandizo chaumoyo, komanso kasamalidwe ka matenda osatha
- Kusamalira odwala kunja
- Zipatala
- Mimba kuphatikizapo uchembere ndi chisamaliro chakhanda
- Chithandizo cha matenda amisala komanso kugwiritsa ntchito mankhwala osokoneza bongo kuphatikiza chithandizo chamakhalidwe
- Mankhwala omwe mumalandira
- Ntchito zokonzanso komanso zowongolera komanso zida
- Ntchito zantchito
- Ntchito za ana, kuphatikiza chisamaliro chapakamwa ndi masomphenya
- ntchito Emergency
Boma la federal limayang'anira ndalama za copay zomwe zingaperekedwe ku Medicaid. Zitsanzo zina za copays ndi
- $50 pakugonekedwa kuchipatala
- $ 3.00 paulendo wa dokotala
- $3.30 pamankhwala odziwika
Panthawi imeneyi, Medicaid ikuwonjezeka osati kuphimba kapena kuphimba kwathunthu mautumikiwa panthawiyi.
- mano
- Optometry
- Magalasi
Kuti mumve zambiri pazantchito zophimbidwa pitani
https://dss.sd.gov/formsandpubs/docs/MEDSRVCS/MedicalAssistanceRecipientHdbk.pdf
Ndi chithandizo chanji chomwe ana anga ali nacho ngati ndili ndi inshuwaransi yoperekedwa ndi abwana anga?
Ngati abwana anu amakupatsani inshuwaransi yazaumoyo, mnzanu kapena/kapena ana anu atha kukhala oyenerera kusungitsa mapulani a Marketplace OR Medicaid/CHIP.
Kupezeka kwa Msika
Kufikira pamisika kumapezeka ndi misonkho yamtengo wapatali ngati chindapusa choperekedwa ndi abwana anu chikuwoneka ngati "chosatheka". Ngati malipiro a mwamuna kapena mkazi wanu ndi ana omwe amadalira ndi oposa 9.12% ya ndalama zomwe mwasintha, mukhoza kulandira chithandizo cha premium (Employer Health Plan Affordability Calculator).
Medicaid kapena CHIP Coverage
Kupereka kwa Medicaid kulipo kwa ana, kutengera ndalama ndi kukula kwa banja (Malangizo a Medicaid & CHIP). Kuphunzira uku kulipo ngakhale mutakhala ndi ndalama zapadera kapena olemba anzawo ntchito.
Ngati ndakanidwa chithandizo cha Medicaid, kodi ana anga akadali oyenerera?
Kuyenerera kwa Medicaid kumatsimikiziridwa mosiyana kwa akulu ndi ana. Mfundo yakuti munthu wamkulu m'banja akukanidwa chithandizo cha Medicaid sichimangokhudza kuyenerera kwa ana awo.
Kuyenerera kwa ana kumatengera ndalama zomwe amapeza komanso kukula kwa banja la kholo kapena makolo omwe amamulera mwanayo kapena omulera. South Dakota imaperekanso Pulogalamu ya Inshuwalansi ya Ana (CHIP), kupereka chithandizo chamankhwala kwa ana omwe ali m'mabanja osauka. Mapulogalamu a CHIP nthawi zambiri amakhala ndi malire apamwamba kuposa Medicaid ndipo amatha kuphimba ana omwe sali oyenerera Medicaid.
Kuti mudziwe ngati ana anu ali oyenera kulandira Medicaid kapena CHIP, muyenera kuwatumizira mafomu osiyana. Pulogalamuyi iwunika kuyenerera kwawo malinga ndi momwe alili, monga ndalama, kukula kwa banja, ndi zaka.
Kodi ndingayenerere Medicaid ngati ndili ndi chithandizo cha Medicare?
Kukhala ndi Medicare sikumakupatulani ku chithandizo cha Medicaid. Komabe, zitha kusokoneza kuyenerera kwanu komanso kugwirizanitsa zopindulitsa. N'zotheka kukhala ndi chithandizo cha Medicaid ndi Medicare. Izi zimatchedwa "kuyenerera kawiri." Ngati mukwaniritsa zofunikira pamapulogalamu onsewa, mutha kupindula ndi kufalitsa kophatikizana.
Kuti muyenerere Medicaid ndi Medicare, muyenera kukwaniritsa malire a ndalama ndi katundu omwe boma lanu limapereka ku Medicaid. Muyeneranso kukwaniritsa zofunikira za Medicare, zomwe zimaphatikizapo zaka kapena kulumala.
Kuti mulembetse mapulogalamu onsewa, muyenera kuyamba ndikufunsira Medicare kudzera mu Social Security Administration (SSA). Mukakhala ndi Medicare, mutha kulumikizana ndi 211 kuti mulembetse maubwino a Medicaid.
- Anthu omwe ali ndi chithandizo cha Medicare sali oyenerera kukulitsidwa kwa Medicaid, koma akhoza kulandira mapulogalamu ena a Medicaid monga Medicare Savings Programme yomwe imalipira malipiro a Medicare Part A ndi Part B, deductibles ndi coinsurance.
- DZIWANI ZAMBIRI
Mafunso Odziwika Okhudza Inshuwaransi Yaumoyo ndi Pamisika
Kodi ndingadziwe bwanji ndondomeko ya inshuwaransi yomwe ili yolondola?
Kumasulira kotsekedwa.
Ndi zosankha zambiri zingakhale zovuta kudziwa ndondomeko ya inshuwalansi ya umoyo yomwe ili yoyenera kwa inu.
Mwamwayi msika wa inshuwaransi yazaumoyo uli ndi mapulani omwe amagwirizana ndi bajeti yanu ndikukwaniritsa zosowa zanu.
Pezani dongosolo lomwe likugwirizana ndi moyo wanu.
Sanjani ndalama zomwe mumalipira mwezi uliwonse ndi chisamaliro chaumoyo chomwe mumafunikira nthawi zonse.
Mwachitsanzo, ngati muli ndi thanzi labwino ndipo simukuwona dokotala nthawi zambiri ndondomeko yokhala ndi malipiro ochepa pamwezi ingakhale yoyenera kwa inu.
Kodi muli ndi mafunso ambiri? Kumanani ndi navigator wanu lero.
Kodi ndi mfundo ziti za inshuwaransi yazaumoyo zomwe ndiyenera kudziwa?
Kumasulira kotsekedwa.
Zikafika ku inshuwaransi yazaumoyo mwina mukuganiza kuti ndi mawu ati omwe ndiyenera kudziwa?
Tiyeni tiyambe ndi premium. Ndi ndalama zomwe mumalipira mwezi uliwonse pa inshuwaransi yazaumoyo.
Malipiro amisonkho amatha kuchepetsa malipiro anu pamwezi ndipo amapezeka pamsika.
Kulembetsa kotseguka ndi nthawi yomwe chaka chilichonse anthu amatha kulemba kapena kusintha dongosolo la inshuwaransi yazaumoyo.
Navigator ndi munthu wophunzitsidwa bwino yemwe amathandiza anthu kulembetsa inshuwaransi yazaumoyo.
Kodi muli ndi mafunso ambiri? Kumanani ndi navigator wanu lero.
Kodi ndingapeze inshuwaransi yazaumoyo kunja kwa Open Enrollment?
Kumasulira kotsekedwa.
Mutha kukhala mukuganiza, kodi ndingapeze inshuwaransi yazaumoyo nthawi iliyonse pachaka?
Chabwino, yankho limasiyanasiyana. Kulembetsa kotseguka ndi nthawi yomwe chaka chilichonse anthu angalembetse dongosolo la inshuwaransi yazaumoyo.
Kulembetsa mwapadera ndi nthawi yomwe anthu amalembetsa momasuka potengera zochitika pamoyo. Zochitika zina zomwe zingakupangitseni kukhala oyenerera ndi monga kutaya chitetezo, kukhala ndi mwana, kapena kukwatiwa.
Mamembala a mafuko odziwika bwino amatha kulembetsa dongosolo nthawi iliyonse mpaka kamodzi pamwezi ndikufunsira Medicaid kapena chip ngati ali oyenera.
Kodi muli ndi mafunso ambiri? Kumanani ndi navigator lero.
Kodi ndingadziwe bwanji ngati ndikuyenerera Msika wa Inshuwaransi ya Zaumoyo?
Kumasulira kotsekedwa.
Funso lomwe anthu ambiri amafunsa ndilakuti ndingadziwe bwanji ngati ndikuyenerera kusunga ndalama kudzera kumsika wa inshuwaransi yazaumoyo?
Kuti muyenerere kupulumutsidwa pamsika, muyenera kukhala ku US, kukhala nzika ya US kapena dziko lanu ndikukhala ndi ndalama zomwe zimakuyeneretsani kusunga.
Ngati muli oyenerera kulandira inshuwaransi yazaumoyo kudzera muntchito yanu, simungayenerere.
Mukagula inshuwaransi yazaumoyo pamsika mutha kukhala oyenera kulandira ngongole zamisonkho. Ndalama zamisonkhozi zimathandizira kuchepetsa malipiro anu pamwezi a inshuwaransi yazaumoyo.
Kodi muli ndi mafunso ambiri? Kumanani ndi navigator wanu lero.
Pazambiri Zambiri
- Penny Kelley - Woyang'anira Pulogalamu Yofikira & Kulembetsa
- penny@communityhealthcare.net
- (605) 277-8405
- Jill Kesler - Senior Program Manager
- jill@communityhealthcare.net
- (605) 309-1002
-
Sioux Falls
- 196 E 6th Street, suite 200
Sioux Falls, SD 57104
605.275.2423
Bukuli likuthandizidwa ndi Centers for Medicare and Medicaid Services (CMS) ya US Department of Health and Human Services (HHS) monga gawo la mphotho ya ndalama zokwana $1,200,000 ndi 100 peresenti yothandizidwa ndi CMS/HHS. Zomwe zili mkati ndi za olemba ndipo sizikuyimira malingaliro ovomerezeka a, kapena kuvomereza, ndi CMS/HHS, kapena Boma la US.