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FAQs

Mibvunzo Yakajairika nezveMedicaid Kuwedzera

Ndeapi magwaro andinofanira kushandisa?

Vanhu vanogona kunyorera Medicaid online, netsamba, kana mumunhu. Iwe unozoda magwaro anotevera kuti unyore.

  • Medicaid application.
    • Kana ukanyorera pamhepo, unozadza fomu racho pawebhu.
    • Kana ukanyorera netsamba, unogona kuchidhinda kana kukumbira hofisi yeDepartment of Social Services (DSS) kuti ikutumire tsamba.
    • Kana ukanyorera iwe pachako, unogona kuzvizadza nguva isati yasvika kana kuhofisi yeDSS.
  • Zita, zuva rekuzvarwa, uye Social Security Nhamba kune vese vanonyorera
  • Ruzivo rwevashandirwi uye magwaro emari. Mienzaniso inosanganisira paystubs, W-2 mafomu, kana mihoro uye mitero
  • Ikozvino ruzivo rweinishuwarenzi yehutano, kana iripo

Ndakanga ndisingakodzeri kare. Ndonyorera zvakare here?

Medicaid coverage group yawedzera kusvika kuvanhu vakuru. Kana wakanyorera, kunyangwe mwedzi mishoma yapfuura, unogona kunge uchikodzera neMedicaid Expansion.

  • Vanhu 19-64 vane kana vasina vana
  • Gara muSouth Dakota
  • Iva mugari weUS kana mutorwa anokwanisa
  • Iva kana kunyorera yeSocial Security Number (SSN)
  • Haikodzeri kana ikozvino yakanyoreswa muMedicare
  • Muganho wemari (zvichienderana nehukuru hwemhuri) kusvika uye kusanganisira 138% yeFederal Poverty Limit.

*Zvishandiso (kana zviwanikwa) hazvitariswe kana kukodzera kwatemwa kweMedicaid Kuwedzera.

Ndichiri kukwanisa here kana ndisina kero yepamba?

Uno kwete unoda kuva nekero yeimba yekunyorera.

Zvetsamba, zvikumbiro zvinofanirwa kusanganisira kero yekutumira kwaunokwanisa kugamuchira tsamba.

Zvinotora nguva yakareba sei kuti ndizive kuti ndabvumirwa here?

Kazhinji, vanyoreri vanogashira tsamba mutsamba vachivaudza kana vachikodzera kana kuti kwete mukati memazuva makumi mana nemashanu. Kana iwe uchikodzera, iwe unogashirawo South Dakota Medicaid kadhi.

Ko kana chikumbiro changu chikaonekwa chisina kukodzera kuMedicaid, kusanganisira Medicaid Expansion?

Kana iwe ukawanikwa usina kukodzera, ruzivo rwako rwunozoendeswa kuMusika, iyo inokutumira tsamba. Unogonawo kuenda zvakananga Hutano hwehutano.gov uye tanga iyo Musika account. Mushure mekugadzira account kana kupinda mukati, sarudza "Tsvaga chikumbiro changu" kuti upedze uye utumire Chikumbiro cheMusika (nhamba yekunyorera ichave pane tsamba iyo Musika yakatumirwa kwauri).

Unoda rubatsiro kuziva Musika? Kusarerekera kwedu vafambisi vezvikepe vakadzidziswa kubatsira vanhu kunzwisisa uye kuwana yakanakisa sarudzo yezvido zvavo zvehutano.

 

 

Kana ndiine hurongwa hweMusika uye ndichikodzera kuMedicaid Expansion, ndichatenderwa kubvumidzwa kweMedicaid Expansion?

Kwete. Kana uine chirongwa cheMusika uye uchitenda kuti unokodzera kuwedzerwa, nyorera kuMedicaid. Usapedze hurongwa hwako hweMusika usati wawana sarudzo yekupedzisira pakukodzera kweMedicaid.

Kana iwe wakabvumirwa kuMedicaid kana CHIP, iwe uchada kanzura chirongwa chako cheMusika.

 

Ndeapi masevhisi ehutano anovharirwa neMedicaid?

Yakakosha mabhenefiti akafukidzwa pasi peMedicaid

  1. Masevhisi ekudzivirira, masevhisi ehutano, uye kutonga kwechirwere chisingaperi
  2. Kuchengetwa kwekunze
  3. Kuchipatara
  4. Kubata pamuviri kunosanganisira kusununguka nekuchengetwa kwevachangozvarwa
  5. Hutano hwepfungwa nekushandisa zvinodhaka masevhisi anosanganisira kurapwa kwehutano hwehunhu
  6. Mishonga yekunyorerwa
  7. Rehabilitative uye habilitative mabasa nemidziyo
  8. Laboratory masevhisi
  9. Masevhisi evana, kusanganisira nemuromo uye netarisiro yekuona
  10. Emergency Services

Hurumende yemubatanidzwa inodzora iyo copay mari inogona kubhadhariswa muMedicaid. Mimwe mienzaniso yecopays ndeye

  • $50 yekupinzwa muchipatara
  • $3.00 yekushanya kwachiremba
  • $3.30 yemishonga ine mazita emhando

Panguva ino Medicaid kuwedzera kunoita kwete kuvhara kana kuvhara zvizere masevhisi aya panguva ino.

  1. Dental
  2. Optometry
  3. Magirazi emeso

Kuti uwane rumwe ruzivo nezve akavharwa masevhisi shanya

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

Ndeipi rubatsiro runowanikwa kuvana vangu kana ndine inishuwarenzi yakapihwa nemushandirwi wangu?

Kana waunoshandira akakupa inishuwarenzi yehutano yekuvhara iwe, wawakaroorana naye uye/kana vana vanogona kunge vanokodzera kuchengeterwa hurongwa hweMusika OR Medicaid/CHIP. 

Marketplace Coverage

Kuvharirwa kwepamusika kunowanikwa nezvikwereti zvemutero wepamusoro kana kuvharwa kunopihwa nemushandirwi wako kuchinzi "hakugoneki". Kana mubhadharo wewawakaroorana naye uye vana vaunovimba navo uchidarika 9.12% yemari yako yakagadziridzwa yakagadziridzwa, unogona kukodzera kuwana rubatsiro rwekutanga (Mushandirwi Hutano Hurongwa Affordability Calculator).

Medicaid kana CHIP Coverage

Kuvharirwa kweMedicaid kunowanikwa kuvana, zvichienderana nemari inowanikwa uye saizi yemhuri (Medicaid & CHIP Income Guidelines) Iyi yekuvhara inowanikwa kunyangwe iwe uine wakavanzika kana mushandirwi mari yekuvhara.

Kana ndakanyimwa kugoverwa kweMedicaid, vana vangu vachiri kukodzera here?

Kukodzera Medicaid kunowanzo kurongerwa zvakasiyana kune vakuru nevana. Ichokwadi chokuti munhu mukuru mumba akarambwa kugoverwa kweMedicaid haaiti kukanganisa kukodzera kwevana vavo.

Kukodzera kuvana kunonyanya kubva pamari inotambirwa uye saizi yemba yevabereki vanochengeta mwana kana vachengeti vemutemo. South Dakota inopawo Yevana Hutano Inishuwarenzi Chirongwa (CHIP), kupa rubatsiro rwehutano kuvana vari mumhuri dzine mari shoma. Zvirongwa zveCHIP zvinowanzova nemiganhu yepamusoro yekuwana mari kupfuura Medicaid uye inogona kuvhara vana vasingakodzeri kuMedicaid.

Kuti uone kana vana vako vachikodzera kuMedicaid kana CHIP, unofanirwa kuendesa imwe chikumbiro chakasiyana kwavari. Ichi chishandiso chinoongorora kukodzera kwavo zvichienderana nemamiriro avo chaiwo, senge mari, saizi yeimba, uye zera.

Ndinokwanisa here kuwana Medicaid kana ndine Medicare coverage?

Kuva neMedicare hakungokubvisi iwe kubva kuMedicaid kugovera. Nekudaro, zvinogona kukanganisa kukodzera kwako uye kurongeka kwemabhenefiti. Zvinokwanisika kuva neMedicaid uye Medicare coverage. Izvi zvinozivikanwa se "mbiri yekukodzera." Kana iwe ukasangana nezvinodiwa zvezvirongwa zvese zviri zviviri, unogona kubatsirwa kubva kune yakasanganiswa yekuvhara.

Kuti uve unokodzera kune ese Medicaid uye Medicare, unofanirwa kusangana nemari yekuwana uye yeasset miganhu yakatarwa nehurumende yako yeMedicaid. Iwe unofanirwawo kusangana neMedicare's yekukodzera maitiro, ayo anosanganisira zera kana hurema.

Kunyorera mapurogiramu ese ari maviri, unofanirwa kutanga nekunyorera Medicare kuburikidza neSocial Security Administration (SSA). Kana wangove neMedicare, unogona kubata 211 kunyorera mabhenefiti eMedicaid.

  • Vanhu vane Medicare kugoverwa havakodzeri kuwedzerwa kweMedicaid, asi vanogona kukodzera kune mamwe mapurogiramu eMedicaid akadai seMedare Savings Programme inobhadhara Medicare Chikamu A uye Chikamu B premiums, deductibles uye coinsurance. 
  • DZIDZA ZVIMWE

Yakajairika Mibvunzo Nezvehutano Inishuwarenzi uye Musika

Ndinoziva sei kuti chirongwa cheinishuwarenzi chakarurama? 

Closed captioning.

Nezvakawanda zvingasarudzwa zvinogona kuve zvakaoma kuziva kuti ndeupi chirongwa cheinishuwarenzi yehutano chakakunakira iwe.
Sezvineiwo misika yeinishuwarenzi yehutano ine zvirongwa zvinoenderana nebhajeti yako uye zvinozadzisa zvaunoda.
Wana chirongwa chinoenderana nemararamiro ako.
Nyora kuti unobhadhara marii mwedzi wega wega uye kuwanda kwehutano hwaunowanzoda.
Semuenzaniso, kana uine hutano uye usingaone chiremba kazhinji chirongwa chine mubhadharo wepamwedzi wakaderera chinogona kunge chakakunakira.
Une mibvunzo yakawanda here? Sangana nemufambisi wako nhasi.

Ndeapi mazwi einishuwarenzi yehutano andinofanira kuziva?

Closed captioning.

Kana zvasvika kune inishuwarenzi yehutano unogona kunge uchinetseka kuti ndeapi mazwi andinofanira kuziva?
Ngatitange ne premium. Ndiyo mari yaunobhadhara mwedzi wega wega yeinishuwarenzi yehutano.
Zvikwereti zvemutero zvinogona kudzikisa mubhadharo wako wepamwedzi uye zvinongowanikwa pamusika.
Vhura kunyoresa ndiyo nguva gore rega rega apo vanhu vanogona kusaina kana kushandura chirongwa cheinishuwarenzi yehutano.
Mufambisi wezvikepe munhu akadzidziswa anobatsira vanhu kusaina inishuwarenzi yehutano.
Une mibvunzo yakawanda here? Sangana nemufambisi wako nhasi.

Ndingawana inishuwarenzi yehutano kunze kweKunyoreswa Kwakavhurika?

Closed captioning.

Unogona kunge uchinetseka, ndinogona kuwana inishuwarenzi yehutano chero nguva yegore?
Zvakanaka, mhinduro inosiyana. Vhura kunyoresa ndiyo nguva gore rega rega apo vanhu vanogona kusaina chirongwa cheinishuwarenzi yehutano.
Kunyoreswa kwakakosha inguva iri kunze kwekunyoresa kwakavhurika apo vanhu vanokodzera zvichienderana nezviitiko zvehupenyu. Zvimwe zviitiko zvinogona kuita kuti ukwanise zvinosanganisira kurasikirwa nekuvhara, kuva nemwana, kana kuroora.
Nhengo dzemadzinza anozivikanwa nemubatanidzwa anogona kunyoresa muchirongwa chero nguva kusvika kamwe chete pamwedzi uye kunyorera Medicaid kana chip kana zvichikodzera.
Une mibvunzo yakawanda here? Sangana nemufambisi nhasi.

Ndinoziva sei kana ndichikodzera iyo Health Insurance Marketplace?

Closed captioning.

Mubvunzo unowanzo bvunzwa ndewekuti ndinoziva sei kana ndichikodzera kuchengetwa kuburikidza nemusika weinishuwarenzi yehutano?
Kuti uve unokodzera kuchengetwa kuburikidza nemusika, unofanirwa kugara muUS, kuve mugari wemuUS kana nyika uye uine mari inoita kuti iwe uchengetedze.
Kana iwe uchikodzera kuwana inishuwarenzi yehutano kuburikidza nebasa rako, ungasakodzera.
Paunotenga inishuwarenzi yehutano kuburikidza nemusika unogona kunge uchikodzera mutero kiredhiti. Aya makiredhiti emutero anobatsira kuderedza mari yako yepamwedzi yeinishuwarenzi yehutano.
Une mibvunzo yakawanda here? Sangana nemufambisi wako nhasi.

Kune More Info

Bhuku iri rinotsigirwa neCenters for Medicare and Medicaid Services (CMS) yeUnited States Department of Health and Human Services (HHS) sechikamu chemubairo werubatsiro rwemari unosvika $1,200,000 ne100 percent inotsigirwa neCMS/HHS. Zviri mukati ndeizvo zvevanyori uye hazvireve hazvo maonero epamutemo e, kana kutsigirwa, neCMS/HHS, kana Hurumende yeUS.