Leli gama elidingekile ngokuyinhloko lihlukaniswa abantu abawela esigabeni esithile esinqunyiwe, noma izinqubo, zokufaneleka okudingekayo kweMedicaid esungulwe nguhulumeni wesifundazwe. Lezi zigaba zisebenza ohlelweni lomuntu ngamunye lwe-Medicaid.
Umbuso ngamunye ngamunye kumele unikeze ukuhlinzeka nge-Medicaid kulezi zigaba zabantu ngabanye ukuze bathole izimali zikahulumeni.
I-Individual States ingase inikezele ngokungeziwe nge-Medicaid kwabanye abantu uma bekhetha ukwenza kanjalo.
Ukwaziswa okuningiliziwe mayelana nokufaneleka kweMedicaid kuyatholakala kumaCenter for Medicare and Medicaid Services; i-federal agency eqondisa uhlelo lweMedicaid.
I-Medicaid
I-medicaid yinkqubo yomshuwalense eyenzelwe ngokuqondile imali engenayo kanye nabaswele. I-medicaid inikeza ukuhlinzeka ngempilo ikakhulukazi kwezingane ezincane, izakhamuzi ezithile eziphezulu kanye nabantu abakhubazekile.
I-Medicaid ixhaswe ngokuqondile ngu-Federal Government umyalo wonke amazwe angamashumi amahlanu.
Ubani Ongakulungeka?
Uhulumeni ufuna isimo sombuso ngamunye ukuba sinikeze umshuwalense wezempilo amaqembu athile akhethiwe abantu ababekwe ohlelweni lwe-Medicaid federal. Abantu ababandakanyeka ohlelweni olugunyaziwe lwe-Medicaid lombuso lubandakanya izingane ezincane, abesifazane abakhulelwe, abazali abanomholo ophansi ngokweqile (kwezinye izimo ezithile), abantu asebekhulile, nabantu abakhubazekile abathile.
Ukufaneleka kuyahlukahluka ngenzuzo.
Izinzuzo ze-Medicaid
Umbuso ngamunye udinga ukukhokhela izinzuzo ezithile zempilo. Izinzuzo ukuthi lezi zizwe zidingeke zimbozwe nguhulumeni wesifundazwe ziyaziwa njengezinzuzo ezigunyazayo. Izinzuzo ezinjalo ezigunyazayo zihlanganisa:
- Izinsizakalo zodokotela, umhlengikazi nomhlengikazi, uma kunesidingo.
- Izinsiza ezidingekayo noma izinsiza ze-x ray
- Izinsizakalo zesibhedlela kanye neziguli ezingelapheki
- Izinsizakalo, izinsiza, nolwazi mayelana nokuhlelwa komndeni
- Ukufinyelela kumasevisi ngaphakathi kwezikhungo zezempilo zomphakathi ezahlukene nemitholampilo yezempilo zasemakhaya
- Ezinye izinsiza ezahlukene kanye nezinketho zombuso
Izinketho zombuso
Umbuso ngamunye ngabanye ungase unikezele ngokunikezelwa okwengeziwe kwezinye izinsizakalo ezihlobene nempilo, kuye ngokuthi kunjalo. Izinsizakalo ezengeziwe kufanele zamukeleke nguhulumeni wesifundazwe. Lezi zinsizakalo ezengeziwe nazo ngezinye izikhathi zibizwa ngokuthi izinsizakalo zokuzikhethela. Izinsizakalo ezengeziwe zingase zifake:
- Ukunakekelwa kwamazinyo
- Imiyalelo yezidakamizwa
- Iso nesiboniso sokunakekelwa
- Izinsizakalo zempilo yengqondo
- Ukuphathwa kwecala lomuntu ngamunye
- Izinsizakalo zokuvuselela njengezokwelapha ngokomzimba
- Ukwelashwa esibhedlela, uma kunesidingo
Ulwazi Olwengeziwe Ngezinhlelo Zomdabu Zomdabu Zomunye Umbuso
Umbuso ngamunye ngamunye unikeza ngezinsiza nezinhlelo ezihlobene ne-Medicaid. Ngakho-ke, kubaluleke kakhulu ukuthi uqonde ukuthi izidingo zakho nemigomo yakho yokufaneleka kufanele. Ngokuqonda ngokuqinile imithetho nemigomo yombuso wakho mayelana nokufaneleka, uzoba nomqondo ongcono kakhulu wokuthi yini ongayilindela uma uvumelekile, futhi isidingo sokufaneleka uma ungenjalo.
I-National Association of State Medicaid Directors 'website ine-map interactive engakwazi ukukuxhuma ngqo kwisayithi yehhovisi lakho likaMedicaid. Ukwengeza, iwebhusayithi ye-Kaiser Family Foundation inolwazi oluthe xaxa mayelana nezinzuzo ezinikezwa yizwe ngalinye.