Uhlolojikelele Lokufaneleka Nezinzuzo ZeMedicaid
Ukumboza abantu baseMelika abangaphezu kwezigidi ezingu-72, iMedicaid iyinhlangano enkulu yomhlinzeki womshuwalense wezempilo e-United States. Lolu hlelo, oludalwa ngaphansi kwezinguquko zokuvikeleka kwezenhlalakahle zika-1965, luyatholakala kubantu abahola imali ephansi e-United States, District of Columbia, nase-US. Kuyinto yokusebenzisana phakathi kohulumeni basekhaya kanye nohulumeni ukuhlinzeka ngokuhlinzekela ukunakekelwa kwezempilo okuyisisekelo. Ukuqonda ukuthi isebenza kanjani kuyokusiza ukuba wenze inzuzo enkulu kakhulu.
Ubani Ongathola Ukuxilongwa?
Abantu abaningi abanezindleko eziphansi ngeke bakwazi ukukhokhela umshuwalense wezempilo ngaphandle kosizo lukahulumeni. Yilapho i-Medicaid iqala khona. Umnyango WezeMpilo WezeMpilo wase-United States unquma izinga lobuphofu elisemhlabeni (FPL) njalo ngonyaka, futhi lezi zimiso zisetshenziselwa ukubeka amazinga okufaneleka eMedicaid.
Akuwona wonke umuntu ofanelekile we-Medicaid, noma kunjalo, noma ngabe abanomholo ophansi.
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Umngane Wakho Uhamba Nge-Medicaid futhi Uhambela Ekhaya Lwabahlengikazi. Manje?
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Ukufaneleka Kwama-Medicaid Nempahla Yakho: Yini Ebalinganisa Futhi Engenzani?
Kufanele futhi awele ezigabeni ezithile ezihlangabezana nezidingo zikahulumeni nezombuso. Amasevisi we-Medicare ne-Medicaid Services anikezela ukuthi amaqembu alandelayo ahlanganiswe yi-Medicaid kuzo zonke izifunda:
- Izingane ezisanda kuzalwa ezineminyaka emihlanu ubudala zithola imali yomndeni ezingamaphesenti angu-133 eFPL
- Izingane ezineminyaka eyisithupha kuya kwezingama-18 zinezimali zomndeni ezingamaphesenti angama-100 eFPL
- Abantu asebekhulile abanomholo ongaphesenti angu-75 we-FPL
- Imindeni enezingane ezincike ekutholeni imali engenayo kuze kufike kumaphesenti angama-11 kuya kwangu-68 eFPL (ngokusekelwe kosizo lukahulumeni kumindeni enezilinganiso ezingenayo ezingenayo yezingane)
- Abantu abakhubazekile kwi- Social Security Insurance (SSI) abanomholo ongaphesenti angu-75 we-FPL
- Abesifazane abakhulelwe abanezinzuzo ezingamaphesenti angu-133 eFPL
Uhulumeni wesifunda ubeka amazinga ajwayelekile kepha ahlukene angakhetha ukwandisa ukusabalalisa ngaphesheya kwemingcele. Isibonelo, bangakwazi ukwandisa imingcele yokuthola imali ukuze bahlanganise abantu abaningi.
Indlela uMthetho Wokunakekelwa Ongathintekiyo Ongathinteka Ngayo Uthinta Ukufaneleka Kwama-Medicaid
Umthetho Wokunakekelwa Okunakekelwayo, noma u- Obamacare , ube nomthelela omkhulu ekufanelekeni kweMedare uma usungulwa ngo-2010. Ukwandisa ukufinyelela kwezempilo kumamiliyoni aseMelika, i-Obamacare inikeze ukwandisa kwe- Medicaid kuya.
Ukushintshelana nokuxhasa ngemali, izivumelwano zavuma ukukhulisa ukuxilongwa kwe-Medicaid kunoma ubani onomholo ongaphesenti angu-133 we-FPL, kungakhathaliseki ukuthi yiziphi ezinye izici. (Abantu abangenabantwana babengasayi kubanjwa ngaphandle kokushicilelwa.)
Ngesikhathi samanje, kusho izifunda ezingu-32 kanti iSifunda saseColumbia siphuthumise ukwandiswa kwemithi. Lezi zizwe zizothola izimali zikahulumeni eminyakeni yokuqala yokuqala yokukhula kwazo futhi amaphesenti angu-90 alezo zindleko zokwandisa ngo-2022. Amazwe asele aqhubeka nokulandela imihlahlandlela yokufaneleka yezidingo zeMedicaid.
Ukuthi Ukuthuthela Kwelinye Izwe Kuthinta Kanjani Ukufaneleka Kwama-Medicaid
Ukuba isakhamuzi saseMelika uqinisekisa ukuthi ungathola ukuxilongwa nge-Medicaid uma nje ezinye izidingo nazo zihlangene. Okufanayo akukwazi ukusho kulabo abanesimo sokufuduka.
Amazwe anquma ukuthi ngeke yini anikeze ukunikeza abantu abantu abangakabi izakhamuzi zase-US noma cha, ngakho-ke uhulumeni wesifunda ubeka lezi ziqondiso ukuba zilandele. Abafuduki bezomthetho abahlala ezweni ngaphambi kuka-1996 bangakwazi ukuthola izinzuzo ezigcwele. Ngaphandle kwalabo abakwaSSI, abafuduki bezomthetho abangena ezweni ngemuva kuka-1996 bangakwazi ukuthola izinzuzo ezigcwele emva kweminyaka emihlanu yokuhlala. Abafuduki abaye bangena ezweni ngokungemthetho bangase bafanelekele izinsizakalo eziphuthumayo kuphela, hhayi inzuzo ephelele ye-Medicaid.
Yini Okugubungulayo?
I-medicaid ayifuni konke kodwa ihlanganisa okuningi. Uhulumeni wesifunda udinga ukuba izinsizakalo ezithile zinikezwe bonke abahlomuliwe eMedicaid. Lezi zinsizakalo ezigunyazayo zifaka lokhu okulandelayo:
- Ukunakekelwa okuhlinzekwa ezikhungweni zezempilo zomphakathi nemitholampilo yezempilo zasemakhaya
- Ukunakekelwa okuhlinzekwa ezindaweni zokuhlengikaza kubantu abaneminyaka engu-21 ubudala nangaphezulu
- Ukunakekelwa okuhlinzekwa odokotela, umhlengikazi nomhlengikazi
- Ukuhlolwa kwesikhashana, ukuhlola, nokwelapha (EPSDT) amasevisi kubantu abangaphansi kweminyaka engu-21 ubudala
- Isevisi yokuhlela umndeni kanye nempahla
- Ukunakekelwa kwezempilo kwasekhaya kubantu abakulungele izinsizakalo zezikhungo zokunakekela izingane
- Izinsiza ze-laboratory kanye ne-x ray
- Ukuthutha izizathu zezokwelapha
Noma kunjalo, umbuso ngamunye unenketho yokwandisa kulawo masevisi. Futhi ngokuvamile bayakwenza. Lezi zinsizakalo zokuzikhethela zingabandakanya kepha azikhawulelwe ku:
- Ukuphathwa kwamacala
- Ukunakekelwa kwamazinyo (kufaka phakathi amazinyo )
- Imishini yokwelashwa ehlala njalo
- Ukunakekelwa kwezibhedlela
- Izinsizakalo zempilo yengqondo
- Imithi yokwelashwa
- Amadivayisi weprosthetic
- Izinsiza zokuvuselela (kubandakanya ukwelapha ngokomzimba kanye nokwelapha emsebenzini )
- I-Telemedicine
- Ukunakekelwa kombukiso (kufaka phakathi izibuko)
Uma ufanelekile noma okwamanje ku-Medicaid, ungafunda ulwazi oluthe xaxa mayelana nokuthi uhlelo lwakho lombuso luhlanganisa kanjani iwebhusayithi yakwaMedicaid.gov.
Umehluko phakathi kwe-Medicaid ne-Medicare
I-Medicaid ne-Medicare ingase izwakale futhi ibuke kakhulu, kepha ungakhohliswa.
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Kuyini Ukuxilongwa Nge-Medicidal Ukwenza Ngomuthi Oyinhloko?
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I-Medicare iHlulela Okunye Izidakamizwa Kunokuba I-Medicaid noma i-VA
Zombili izinhlelo zokunakekelwa kwezempilo zingahle zilawulwe yiCenter for Medicare and Medicaid Services, kodwa kukhona umehluko omkhulu phakathi kwezinhlelo ezimbili .
Ngenkathi i-Medicare iyinhlelo ephrintiwe, i-Medicaid iqhutshwa yizizwe. Zombili izinhlelo zinikeza ukunakekelwa kwabasebekhulile kanye nalabo abakhubazekile, kodwa iMedicaid kuphela ihlinzeka ukunakekelwa kwabantu abathola imali encane yabo bonke ubudala kungakhathaliseki isimo sabo sempilo. I-Medicare igxila ekunakekelweni kwezingane ekunakekelweni kwezempilo okwesikhashana ngemva kokuhlala esibhedlela, kodwa kuphela iMedicaid inikeza ukunakekelwa kwekhaya lokuhlala isikhathi eside kwabanakekeli bayo.
Abantu abangaphezu kwezigidi eziyisishiyagalombili bayakufanelekela kokubili iMedicaid and Medicare. Laba bantu babizwa ngokuthi bafanelekile kabili . Bazuza okungcono kokubili zomhlaba, okushoyo. I-medicaid ibasiza ukuba bakhokhele izinsizakalo ezingagcini uMedare .
Indlela Yokubhalisela I-Medicaid
Ukubhalisa ku-Medicaid kungenziwa kalula kwi-intanethi ku-Medicare.gov. Ngaphandle kwalokho, ungaxhumana nehhovisi le-Medicare langakini ukuze usebenzise ifoni noma uhlele ukuqokwa komuntu. Uma uvumelekile, uzofuna ukubhalisa ngokushesha ngangokunokwenzeka ukuze uthole inzuzo enkulu.
> Imithombo:
> Ukucubungula - I-Primer: Ukwaziswa Okuyinhloko ohlelweni lukazwelonke lwezokuPhepha kwezeMpilo lwabantu abaphansi. IKhomishini Kaiser on Medicaid kanye ne-Uninsured. https://kaiserfamilyfoundation.files.wordpress.com/2010/06/7334-05.pdf. Kushicilelwe ngo-Mashi 2013.
> Isicelo se-Medicaid ne-CHIP, Ukunqunywa kokufaneleka, nokuDatha kokuDatha. Iwebhusayithi yakwaMedicaid.gov. https://www.medicaid.gov/medicaid-chip-program-information/program-information/medicaid-and-chip-enrollment-data/medicaid-and-chip-application-eligibility-determination-and-enrollment-data. i-html.
> Ukuxhaswa Kwezindleko. I-National Association of Medicaid Directors iwebhusayithi. http://medicaiddirectors.org/key-issues/medicaid-financing/.
> Ukwandiswa kwe-Obamacare Medicaid. I-Obamacare Facts iwebhusayithi. http://obamacarefacts.com/obamacares-medicaid-expansion/.
> Izinkombandlela Zokuhlupheka. Iwebhusayithi yoMnyango WezeMpilo NezeMisebenzi Ye-US. https://aspe.hhs.gov/poverty-guidelines. Ishicilelwe ngo-January 15, 2016.