Imibuzo eqhelekileyo malunga noKwandiswa kweMedicaid
Ngawaphi amaxwebhu endifuna ukuwafaka?
Abantu banokufaka isicelo seMedicaid kwi-intanethi, ngeposi, okanye ngokobuqu. Uya kufuna la maxwebhu alandelayo ukuze ufake isicelo.
- Isicelo seMedicaid.
- Ukuba wenza isicelo kwi-intanethi, uya kugcwalisa ifomu kwiwebhu.
- Ukuba ufaka isicelo ngeposi, ungasiprinta okanye ucele iofisi yeSebe leeNkonzo zeNtlalo (DSS) ikuthumelele yona.
- Ukuba ufaka isicelo ngokobuqu, ungasigcwalisa kwangethuba okanye kwi-ofisi ye-DSS.
- Igama, umhla wokuzalwa, kunye neNombolo yoKhuseleko lweNtlalo yabo bonke abafaka izicelo
- Ulwazi lomqeshi kunye namaxwebhu engeniso. Imizekelo ibandakanya iipaystubs, iifomu ze-W-2, okanye iingxelo zomvuzo kunye nerhafu
- Ulwazi lwangoku lwe-inshurensi yezempilo, ukuba lukhona
Khange ndifaneleke ngaphambili. Ngaba kufuneka ndifake isicelo kwakhona?
Iqela lokhuselo lweMedicaid landisiwe ukuya kubantu abadala. Ukuba usifakile isicelo, nakwiinyanga ezimbalwa ezidlulileyo, usenokufaneleka kwi-Medicaid Expansion.
- Abantu abaneminyaka eyi-19-64 abanabantwana okanye abangenabo
- Uhlala eMzantsi Dakota
- Yiba ngummi wase-US okanye umphambukeli ofanelekileyo
- Yiba okanye wenze isicelo seNombolo yoKhuseleko lweNtlalo (SSN)
- Awuvumelekanga okanye ngoku ubhalise kwi-Medicare
- Umlinganiselo womvuzo (ngokusekelwe kubukhulu bendlu) ukuya kuthi ga kunye nokubandakanya i-138% ye-Federal Poverty Limit.
*Ii-asethi (okanye izibonelelo) azithathelwa ngqalelo xa ukufaneleka kumiselwa uKwandiswa kweMedicaid.
Ingaba ndisenako ukufaneleka ukuba andinayo idilesi yasekhaya?
Uyenza hayi kufuneka ube nedilesi yasekhaya ukuze ufake isicelo.
Ngembalelwano, izicelo kufuneka zibandakanye idilesi yokuposa apho ukwaziyo ukufumana iposi.
Iza kundithatha ixesha elingakanani ukufumanisa ukuba ndivunyiwe?
Kwiimeko ezininzi, abafaki-zicelo baya kufumana ileta ngeposi ebaxelela ukuba bafanelekile na okanye hayi kwiintsuku ezingama-45. Ukuba ufanelekile, uya kufumana ikhadi laseMzantsi Dakota leMedicaid.
Kuthekani ukuba isicelo sam sifunyenwe singayifanelanga iMedicaid, kuquka noKwandiswa kweMedicaid?
Ukuba ufunyaniswa ukuba awufaneleki, iinkcukacha zakho ziya kuthunyelwa ngokuzenzekelayo kwiNdawo yeMarike, eya kuthi ikuthumelele imeyile. Ungaya ngqo kwi Ukhathalelo lwempilo.gov kwaye uqale iakhawunti yeMarike. Emva kokudala i-akhawunti okanye ukungena, khetha "Fumana isicelo sam" ukuze ugcwalise kwaye ungenise isicelo seNdawo yeMarike (inombolo yesicelo iya kuba kwileta iNdawo yeMarike ethunyelwe kuwe).
Ngaba ufuna uncedo lokuqonda iNdawo yeMarike? Ukungakhethi cala kwethu abakhweli baqeqeshelwe ukunceda abantu baqonde kwaye bafumane eyona ndlela ilungileyo kwiimfuno zabo zokhathalelo lwempilo.
Ukuba ndinesicwangciso seNdawo yeMarike kwaye ndifaneleka kuLwandiso lweMedicaid, ngaba ndiza kumkelwa ngokuzenzekelayo kuKwandiswa kweMedicaid?
Hayi. Ukuba unesicwangciso seNdawo yeMarike kwaye ukholelwa ukuba ukulungele ukwandiswa, faka isicelo seMedicaid. Musa ukuphelisa isicwangciso sakho seMarike ngaphambi kokuba ufumane isigqibo sokugqibela malunga nokufaneleka kweMedicaid.
Ukuba uvunyiwe kwi-Medicaid okanye i-CHIP, kuya kufuneka cima isicwangciso sakho seNdawo yeMarike.
Zeziphi iinkonzo zempilo ezifumaneka kwiMedicaid?
Iinzuzo ezibalulekileyo ezigutyungelwe phantsi kweMedicaid
- Iinkonzo zothintelo, iinkonzo zempilo, kunye nolawulo lwezifo ezingapheliyo
- Ukhathalelo lwabangaphandle
- Ukwahlulwa esibhedlele
- Ukukhulelwa okubandakanya ukubeleka kunye nokhathalelo olusanda kuzalwa
- Impilo yengqondo kunye neenkonzo zokuphazamiseka kokusetyenziswa kweziyobisi kubandakanya nonyango lwempilo yokuziphatha
- Amayeza kagqirha
- Iinkonzo zokubuyisela kwimeko yesiqhelo kunye nezixhobo
- Iinkonzo zaselebhu
- Iinkonzo zabantwana, kubandakanywa ukunakekelwa ngomlomo kunye nombono
- iinkonzo Emergency
Urhulumente wesigqeba ulawula imali ye-copay enokuthi ihlawulwe kwi-Medicaid. Eminye imizekelo yeekopi ezi
- I-$ 50 yokwamkelwa esibhedlele
- I-$ 3.00 yokutyelela ugqirha
- $3.30 ukuba amachiza brand-igama
Ngeli xesha ukwandiswa kweMedicaid kwenza hayi zihlawule okanye zihlawule ngokupheleleyo ezi nkonzo ngeli xesha.
- Amazinyo
- Optometry
- Izibuko zamehlo
Ukufumana ulwazi oluthe vetshe ngeenkonzo ezigqunyiweyo ndwendwela
https://dss.sd.gov/formsandpubs/docs/MEDSRVCS/MedicalAssistanceRecipientHdbk.pdf
Loluphi ukhuseleko olufumanekayo kubantwana bam ukuba ndine-inshurensi ebonelelwa ngumqeshi wam?
Ukuba umqeshi wakho ukubonelela ngeinshorensi yezempilo, iqabane lakho kunye/okanye abantwana banokufanelekela ukonga isicwangciso seMarike OKANYE iMedicaid/CHIP.
Ugutyulo lweMarike
Ukhuseleko lwemalike luyafumaneka kunye neekhredithi zerhafu yeprimiyamu ukuba ukhuselo olubonelelwa ngumqeshi wakho lubonwa “njengelingafikelelekiyo”. Ukuba ipremiyamu yeqabane lakho kunye nabantwana abaxhomekeke kuwe ingaphezulu kwe-9.12% yengeniso yakho epheleleyo ehlengahlengisiweyo, ungakulungela ukufumana iprimiyamu inkxaso-mali (ISibali seMpilo soMqeshi sokufikeleleka kwiKhatyhuleyitha).
I-Medicaid okanye i-CHIP Coverage
Ukhuseleko lweMedicaid luyafumaneka kubantwana, ngokusekelwe kwingeniso kunye nobukhulu bendlu (Medicaid & CHIP Izikhokelo zeNgeniso). Olu khuselo luyafumaneka nokuba unenkxaso-mali yabucala okanye yomqeshi.
Ukuba ndikhatywe i-Medicaid, ngaba abantwana bam basafaneleka?
Ukufaneleka kweMedicaid ngokuqhelekileyo kumiselwa ngokwahlukileyo kubantu abadala kunye nabantwana. Inyaniso yokuba umntu omdala kwikhaya unqatshelwe ukhuseleko lweMedicaid ayichaphazeli ngokuzenzekelayo ukufaneleka kwabantwana babo.
Ukufaneleka kwabantwana kusekelwe ikakhulu kumvuzo kunye nobukhulu bekhaya lomzali (abazali) onelungelo lokugcina umntwana okanye umgcini (abagcini basemthethweni). I-South Dakota nayo inikezela Inkqubo ye-Inshurensi yezeMpilo yaBantwana (CHIP), ukubonelela ngenkonzo yezempilo kubantwana abakwiintsapho ezinemivuzo ephantsi. Iinkqubo ze-CHIP zihlala zinemida ephezulu yengeniso kune-Medicaid kwaye zinokugubungela abantwana abangafanelanga ukufumana i-Medicaid.
Ukufumanisa ukuba abantwana bakho bafanelekile kwi-Medicaid okanye i-CHIP, kufuneka ungenise isicelo esahlukileyo kubo. Esi sicelo siya kuvavanya ukufaneleka kwabo ngokusekelwe kwiimeko zabo ezithile, ezinjengomvuzo, ubungakanani bendlu, kunye neminyaka.
Ngaba ndingakufanelekela ukufumana iMedicaid ukuba ndinokhuseleko lweMedicare?
Ukuba ne-Medicare akukubandakanyi ngokuzenzekelayo kwi-Medicaid coverage. Nangona kunjalo, inokwenza kube nzima ukufaneleka kwakho kunye nokulungelelaniswa kwezibonelelo. Kunokwenzeka ukuba ube ne-Medicaid kunye ne-Medicare coverage. Oku kwaziwa ngokuba "ukufaneleka kabini." Ukuba uyahlangabezana neemfuno zeenkqubo zombini, unokuxhamla kwi-coverage edibeneyo.
Ukuze ufanelekele zombini i-Medicaid kunye ne-Medicare, kufuneka uhlangabezane nengeniso kunye nemida ye-asethi ebekwe ngurhulumente wakho kwi-Medicaid. Kufuneka kwakhona uhlangabezane neendlela zokufaneleka ze-Medicare, ezibandakanya ubudala okanye isimo sokukhubazeka.
Ukufaka isicelo kuzo zombini iinkqubo, kufuneka uqale ngokufaka isicelo seMedicare ngoLawulo loKhuseleko lweNtlalo (SSA). Xa sele uneMedicare, ungaqhagamshelana no-211 ukuze ufake isicelo sezibonelelo zeMedicaid.
- Abantu abane-Medicare coverage abafanelanga ukwandiswa kwe-Medicaid, kodwa banokufanelekela ezinye iinkqubo zeMedicaid ezifana neNkqubo ye-Medicare Savings ehlawulela i-premium ye-Medicare Part A kunye neCandelo B, i-deductibles kunye ne-coinsurance.
- FUNDA NZULU
Imibuzo eqhelekileyo malunga ne-Inshurensi yezeMpilo kunye neNdawo yeMarike
Ndazi njani ukuba yeyiphi isicwangciso se-inshorensi esifanelekileyo?
Inkcazo evaliweyo.
Ngeenketho ezininzi kunokuba nzima ukwazi ukuba yeyiphi isicwangciso se-inshurensi yezempilo ekulungeleyo.
Ngethamsanqa indawo yentengiso ye-inshurensi yezempilo inezicwangciso ezihambelana nebhajethi yakho kwaye ihlangabezane neemfuno zakho.
Fumana isicwangciso esihambelana nendlela yakho yokuphila.
Lungisa ukuba yimalini oyihlawulayo nyanga nganye kunye nokhathalelo lwempilo oluqhele ukulufuna.
Umzekelo, ukuba usempilweni kwaye awumboni ugqirha rhoqo, isicwangciso esinentlawulo ephantsi yenyanga sinokulunga kuwe.
Unemibuzo eninzi? Dibana nomqhubi wenqanawa namhlanje.
Yeyiphi imiqathango ye-inshorensi yezempilo ekufuneka ndiyazi?
Inkcazo evaliweyo.
Xa kuziwa kwi-inshurensi yezempilo unokuzibuza ukuba ngawaphi amagama endimele ndiwazi?
Masiqale ngeprimiyamu. Yimalini oyihlawula ngenyanga nganye kwi-inshurensi yezempilo.
Iikhredithi zerhafu zinokuthoba intlawulo yakho yenyanga kwaye zifumaneka kuphela kwindawo yentengiso.
Ukubhaliswa okuvulekileyo lixesha ngonyaka ngamnye apho abantu banokubhalisa okanye batshintshe isicwangciso se-inshurensi yezempilo.
I-navigator ngumntu oqeqeshiweyo onceda abantu ukuba babhalisele i-inshurensi yezempilo.
Unemibuzo eninzi? Dibana nomqhubi wenqanawa namhlanje.
Ndingayifumana i-inshurensi yezempilo ngaphandle koBhaliso oluVulekileyo?
Inkcazo evaliweyo.
Usenokuba uyazibuza, ndingayifumana i-inshurensi yezempilo nangaliphi na ixesha lonyaka?
Ewe, impendulo iyahluka. Ukubhaliswa okuvulekileyo lixesha ngonyaka ngamnye apho abantu banokubhalisela isicwangciso se-inshurensi yezempilo.
Ukubhaliswa okukhethekileyo lixesha elingaphandle kobhaliso oluvulekileyo xa abantu befaneleka ngokusekelwe kwiziganeko zobomi. Eminye iminyhadala enokwenza ukuba uvumeleke ibandakanya ukuphulukana nokhuseleko, ukuba nomntwana, okanye ukutshata.
Amalungu ezizwe ezivunyiweyo kurhulumente angabhalisa kwisicwangciso nanini na ukuya kuthi ga kanye ngenyanga kwaye afake isicelo seMedicaid okanye i-chip ukuba kufanelekile.
Unemibuzo eninzi? Dibana nomqhubi wenqanawa namhlanje.
Ndazi njani ukuba ndifanelekile kwiMarike ye-Inshurensi yezeMpilo?
Inkcazo evaliweyo.
Umbuzo odla ngokubuzwa ngowokuba ndazi njani ukuba ndiyakufanelekela ukongiwa kwindawo yentengiso yeinshurensi yezempilo?
Ukuze ufanelekele ukongiwa kwindawo yentengiso, kufuneka uhlale e-US, ube ngummi wase-US okanye ube ngummi kwaye ube nomvuzo ofanelekela ukonga.
Ukuba ufanelekile kwi-inshurensi yezempilo ngomsebenzi wakho, awunakufaneleka.
Xa uthenga i-inshurensi yezempilo kwindawo yentengiso ungakufanelekela ukufumana iikhredithi zerhafu. Ezi khredithi zerhafu zinceda ukuthoba iintlawulo zakho zenyanga ze-inshurensi yezempilo.
Unemibuzo eninzi? Dibana nomqhubi wenqanawa namhlanje.
Ngolwazi oluthe kratya
- UPenny Kelley – uMphathi weNkqubo yeeNkonzo zokuFikelela kunye noBhaliso
- penny@communityhealthcare.net
- (605) 277-8405
- UJill Kesler – uMphathi weNkqubo oMkhulu
- jill@communityhealthcare.net
- (605) 309-1002
-
Sioux Falls
- 196 E 6th Street, suite 200
Sioux Falls, SD 57104
605.275.2423
Olu papasho luxhaswa ngamaZiko eMedicare kunye neeNkonzo zeMedicaid (CMS) yeSebe lezeMpilo kunye neeNkonzo zoLuntu lwase-US (HHS) njengenxalenye yebhaso loncedo lwezemali elifikelela kwi-1,200,000 yeedola kunye neepesenti ze-100 ezixhaswa yiCMS / HHS. Imixholo yeyombhali (ababhali) kwaye ayimelanga izimvo ezisemthethweni, okanye uqinisekiso, yiCMS/HHS, okanye uRhulumente waseUS.
