Imibuzo Evame Ukubuzwa

Uma umqashi wakho ekunikeza umshwalense wezempilo, owakwakho kanye/noma izingane zingase zifanelekele ukonga uhlelo lweMakethe NOMA I-Medicaid/CHIP. 

Ukusabalala Kwemakethe

Ukufakwa kwemakethe kuyatholakala ngamakhredithi entela ye-premium uma ukufakwa okunikezwa umqashi wakho kuthathwa ngokuthi "akunakuthengwa". Uma iprimiyamu yomngane wakho womshado kanye nezingane obondliwayo ingaphezu kuka-9.12% wesamba semali engenayo elungisiwe, ungase ufaneleke ukuthola uxhaso lwe-premium (I-Employer Health Plan Affordability Calculator).

I-Medicaid noma i-CHIP Coverage

Ukuhlinzekwa kwe-Medicaid kuyatholakala ezinganeni, ngokusekelwe emalini engenayo kanye nobukhulu bendlu (I-Medicaid & CHIP Income Guidelines). Lokhu kufakwa kuyatholakala ngisho noma unomsebenzi oyimfihlo noma oxhaswe ngumqashi.

Ukufaneleka kwe-Medicaid ngokuvamile kunqunywa ngokuhlukile kubantu abadala nasezinganeni. Iqiniso lokuthi umuntu omdala ekhaya unqatshelwe ukuhlinzekwa kwe-Medicaid akuthinti ngokuzenzakalelayo ukufaneleka kwezingane zabo.

Ukufaneleka kwezingane ngokuyinhloko kusekelwe emalini engenayo kanye nosayizi womndeni womzali(abazali) oyilungelo lengane noma um(ababheki). I-South Dakota nayo inikeza Uhlelo Lomshwalense Wezempilo Wezingane (CHIP), ukuhlinzeka ngokunakekelwa kwezempilo ezinganeni ezisemindenini ehola kancane. Izinhlelo ze-CHIP zivame ukuba nemikhawulo ephezulu yemali engenayo kune-Medicaid futhi zingakhava izingane ezingafanelekile ukuthola i-Medicaid.

Ukuze unqume ukuthi ingabe izingane zakho ziyayifanelekela i-Medicaid noma i-CHIP, kufanele uzithumelele isicelo esihlukile. Lolu hlelo lokusebenza luzohlola ukufaneleka kwabo ngokusekelwe ezimweni zabo ezithile, njengemali engenayo, usayizi wendlu, neminyaka yobudala.

Ukuba ne-Medicare akukukhipheli ngaphandle ngokuzenzakalelayo embozweni ye-Medicaid. Kodwa-ke, kungenza kube nzima ukufaneleka kwakho kanye nokuhlanganiswa kwezinzuzo. Kungenzeka ukuthi ube nakho kokubili i-Medicaid ne-Medicare. Lokhu kwaziwa ngokuthi "ukufaneleka okubili." Uma uhlangabezana nezidingo zazo zombili izinhlelo, ungazuza ekufakweni okuhlanganisiwe.

Ukuze ufaneleke kukho kokubili i-Medicaid ne-Medicare, udinga ukuhlangabezana nemikhawulo engenayo kanye nempahla ebekwe yisifunda sakho se-Medicaid. Kufanele futhi uhlangabezane nemibandela yokufaneleka ye-Medicare, ehlanganisa iminyaka yobudala noma isimo sokukhubazeka.

Ukufaka isicelo sazo zombili lezi zinhlelo, kufanele uqale ngokufaka isicelo se-Medicare ngokusebenzisa i-Social Security Administration (SSA). Uma usune-Medicare, ungathinta i-211 ukuze ufake isicelo sezinzuzo ze-Medicaid.

• Abantu abane-Medicare coverage abafanelekeli ukunwetshwa kwe-Medicaid, kodwa bangase bafanelekele ezinye izinhlelo ze-Medicaid ezifana ne-Medicare Savings Programme ekhokhela amaphrimiyamu we-Medicare Part A kanye ne-Part B, ama-deductible kanye ne-coinsurance. 
• FUNDA KABANZI