Uhlelo lusiza bobabili abahola abaphansi nabaphakathi
Ngenkathi ukufinyelela kokunakekelwa kwezempilo kuye kwanda kubantu abaphila negciwane lesandulela ngculazi kusukela ekumisweni kwe- Care Affordable Act (ACA) ngo-2014, izindleko zezidakamizwa ze-HIV zisalokhu zinselelo enkulu. Ngisho nalabo abathile bakwazi ukuthola umshuwalense wangasese, intengo isanda ngokuvinjelwa, nabanye abathintekayo abahambisa imishanguzo ye-antiretroviral emithonjeni engabizi kakhulu "yezizukulwane" futhi "ezingezona ezijwayelekile" ezidakamizwa eziphezulu zamanani "ezikhethekile" ezidayiswayo eziyala ukukhokhelwa ngokuhlanganyela 30% noma ngaphezulu.
Lo mkhuba wokubambisana okungathandeki kuye kwaba nomthelela kokubili abahola abaphansi nabangaphakathi, abaningi baphoqeleka ukuba bakhokhe izidakamizwa zabo ngaphandle kwephaketheni. Ukuze kube nemigomo ejwayelekile yezidakamizwa ezintathu, lokhu kungafaka phezulu ku- $ 1,000 ngenyanga , intengo abaningi abangayicabangela ukuthi ayinakulungiswa.
Uhlelo lwe- AIDS Drug Assistance Program (ADAP) luhlelo lwenhlangano yokuqala olusungulwa ngo-1987 ukuze lunikeze izidakamizwa zokuvikela i-HIV kubantu baseMelika abangenayo imali. Kusukela ngaleso sikhathi ububanzi besimiso buye banda kakhulu, abanye bathi bakwazi ukuxhasa ukuvakashelwa odokotela, ukuhlolwa kwelebhu, ukukhishwa kwe-inshuwalense, kanye nokwelapha okuvimbela labo abasengozini yokutheleleka.
Ukufaneleka kunesisekelo esisekelwe emalini, kusukela emakhaya anemali engenayo yonyaka engaphansi kwamaphesenti angu-200 e-Federal Poverty Level (FPL) kulabo abanenzuzo engaphansi kwamaphesenti angu-500. Ukubalwa kwenzuzo akusekelwe kuwe noma umholo wakho womndeni wakho wonyaka kodwa ngemali yakho engenayo yonyaka oguquliwe (ngokuyinhloko i-Income Gross Income etholakala kulayini 37 lokubuyela kwakho kwentela yakho engu-1040 kanye neminye iminyango eyengeziwe).
Lokhu kusho ukuthi, emazweni angu-11 lapho insimu yokuthola imali isethelwe ngamaphesenti angu-500, umbhangqwana oshadile ongenayo imali engenayo engu-$ 80,000 yonyaka ozoguqulwa uzobe ufanelekile ukusizwa nge-ADAP.
I-ADAP Ukuvunyelwa nguHulumeni
Lokhu akusho ukuthi zonke izinhlelo ze-ADAP zenziwe zilingana. Ngesikhathi i-ADAP ixhaswa yi-government federal, umbuso ngamunye uhlela uhlelo lwawo, ubeka izinqubo zawo zokufaka, futhi uchaza ukuthi yiziphi izinsizakalo ezizokwenza futhi ngeke zihlinzeke.
Kwamanye amazwe, lokho kuhumusha ukuqondisa usizo lwezidakamizwa; Kwezinye, izinsizakalo zingafaka phakathi ukuvakashelwa okudokotela njalo, ukuphathwa kwamacala, noma (njengaseNew York State) ilungiselelo lokunakekela ekhaya.
Nakuba imithetho ihluka kusuka esimweni kuya kwesimo, ukufaneleka kujwayelekile kusekelwe ezintweni ezintathu:
- Amadokhumenti ahlala ngaphakathi kuleso simo. Kwazakhamuzi ezingewona ama-US, imibhalo yokuhlala unomphela iyadingeka. Phakathi naleso sikhathi, kwezinye izifundazwe, njengeNew Mexico neMassachusetts, abafuduki abangabhalwanga ngokusemthethweni nabo bayakufanelekela izinsizakalo ze-ADAP.
- Ubufakazi bemali engenayo. Lokhu ngokuvamile kuxhomeke kuwe noma umholo wakho wonyaka oguqulwa umndeni wakho oguquliwe (MAGI) kodwa ungabandakanya nokulinganiselwa kwedolala kumpahla ethu siqu (njengokuthi ku-Delaware, Georgia nase-New York).
- Ukuqinisekiswa kwesimo sakho se-HIV ngudokotela oqeqeshiwe. Kwamanye amazwe uthi, njenge-Arkansas, inani le-CD4 kanye nokuhlolwa kwe- viral load kungasetshenziswa ukufaneleka ukufaneleka.
Njengoba i-ADAP ibhekwa njengomkhokheli wokugcina, ungase udingeke uthole umshuwalense wezempilo ngisho noma izinsizakalo ze-ADAP zenziwa. Uma kunjalo, kuzodingeka unikeze ubufakazi bomshuwalense ukuze kutholakale isidingo, kungakhathaliseki ukuthi kusetshenziswa ukuxilongwa kwezidakamizwa, ukukhokhelwa ngokukhokhelwayo, noma (kwamanye amazwe) usizo oludonswayo noma lokukhokhelwa nge-premium.
Kulabo abangakwazi ukuthola ukugunyazwa kwe-ADAP, izinhlelo zokukhokha kanye nokusiza izinkokhelo (PAP) zinikezwa izinkampani eziningi zokwelapha i-HIV ukuhlinzeka ngemithi yamahhala noma ephansi kumalabo abangakwazi ukuyikhokhela.
| Isimo | Umlawuli Wezinhlelo | Iziqu Zokuthola | Imininingwane engeziwe kanye nokucabangela |
| I-Alabama | I-Alabama ADAP | Ngaphansi kwama-250% we-FPL | Ezimweni eziningi, amaklayenti abhalisiwe kumshuwalense wangasese noma wempilo yomphakathi akafanelekile. Ukungaxhunyiwe kungafaka isicelo esimweni se-case-by-case basis. |
| Alaska | Ingaphakathi le-AIDS Association kanye ne-Alaskan AIDS Assistance Association | Ingaphansi kuka-400% yeFPL ye-Alaska | Kumelwe kube iklayenti esebenzayo ye-Alaskan AIDS Assistance Association (ezine A) noma i-Interior AIDS Association (IAA). |
| I-Arizona | I-Arizona ADAP | Ingaphansi kuka-400% ye-FPL | |
| Arkansas | I-Arkansas ADAP | Ngaphansi kwama-200% we-FPL | Isiguli esidlule esingelashwa kufanele sibe ne-CD4 engapheli kuka-500 noma umthamo wegciwane elingaphezu kuka-55,000 (ukuhlola kwe-PCR) OR umthamo wegciwane elingaphezu kuka-30,000 (ukuhlolwa kwe-bDNA). Okwamanje noma iziguli eziphathwa ngaphambilini zifanelekile uma kutholakala ubufakazi bokuthi ukwelapha izidakamizwa ze-HIV. |
| California | California ADAP | Ngaphansi kuka-500% we-FPL | |
| Colorado | I-Colorado ADAP | Ingaphansi kuka-400% ye-FPL | Abantu abane-FPL phakathi kuka-400% no-500% basakwazi ukuthola usizo lwezidakamizwa. Abantu abanomshwalense wangasese, i-COBRA, noma umshuwalense oqashiwe ngumqashi kumele basebenzise uhlelo lwe-Colorado ADAP's Assistance Assistance Program (HIAP). |
| Connecticut | I-Connecticut ADAP (i-CADAP) | Ingaphansi kuka-400% ye-FPL | |
| I-Delaware | I-Delaware ADAP | Thola imali engaphansi kuka-$ 50,000 ngonyaka futhi ube nengaphansi kuka-$ 10,000 kumpahla. | |
| Isifunda saseColombia | Isifunda sase-Columbia ADAP | Ngaphansi kuka-500% we-FPL kanye nempahla engaphansi kwama-$ 25,000 | |
| EFlorida | I-Florida ADAP | Ingaphansi kuka-400% ye-FPL | |
| Georgia | I-Georgia ADAP | Ngaphansi kwezingu-300% ze-FPL nezimpahla zemali ezingaphansi kwezingama-$ 4,500 ($ 5,500 uma zishadile) | |
| I-Hawaii | I-ADAP ye-Hawaii | Ingaphansi kuka-400% ye-FPL eHawaii | |
| Illinois | Illinois ADAP | Ngaphansi kwezingu-300% ze-FPL kwabafakizicelo abasha kanye nabangaphansi kuka-500% we-FPL kwabafakizicelo abasebenza ngokubhalisa ngaphambi kukaJulayi 1, 2011 | Abantu abanenzuzo engaphansi kuka-300% ye-FPL bayakhuthazwa ukuba babhalise kwi-Illinois Pre-Existing Plan Plan (IPEX), uhlelo lomshwalense wezempilo olusezingeni likahulumeni. |
| Indiana | Indiana ADAP | Ngaphansi kuka-300% we-FPL | |
| Iowa | I-Iowa ADAP | Ngaphansi kwezingu-200% ze-FPL, onqunywe umsebenzi we $ 500 | Itholakale kuphela kubantu abangakufanelekile ukutholakala komshuwalense wezempilo. Nokho, usizo lomshuwalense luyatholakala kubantu abanenzuzo engaphansi kuka-400% ye-FPL. |
| Kansas | I-Kansas ADAP | Ngaphansi kuka-300% we-FPL | |
| Kentucky | I-Kentucky ADAP (i-KADAP) | Ngaphansi kuka-500% we-FPL | |
| Louisiana | I-Louisiana Health Access Program (LA HAP) | Ngaphansi kuka-300% we-FPL | Ekunqumeni imali engenayo yendlu, amalungu omndeni wakho noma ubani ohlala nawe ohlobene negazi, ngomshado womthetho, noma ngokutholwa ngokomthetho. |
| Maine | I-Maine ADAP | Ngaphansi kwama-500% we-FPL | |
| Maryland | I-Maryland ADAP (i-MADAP) | Ngaphansi kuka-500% we-FPL | |
| EMassachusetts | Uhlelo lwaseMassachusetts lwe-Assistance Drug (HDAP) | Ngaphansi kuka-500% we-FPL | Ayikho imingcele yobudala yabantu abafaka i-HDAP. Akudingeki ube yisakhamuzi sase-US ukungena ku-ADAP. |
| Michigan | Uhlelo lwe-Assistance Drug Michigan (MIDAP) | Ngaphansi kuka-450% we-FPL | Kwezinye izimo, kumelwe ukuthi ufake isicelo sokusizwa esidlangalaleni (ukuxilongwa noma uhlelo lokunikezelwa kwezibonelelo zabadala) futhi ukwazi ukubonisa ukuthi ngabe (a) wenqatshiwe, (b) wabekwa esimweni esilindile, noma (c) sibekiwe isimo sokuchitha phansi ngaphansi kwezinsuku ezingu-90 ezedlule. |
| Minnesota | Minnesota ADAP | Ingaphansi kuka-400% ye-FPL | |
| Missouri | Uhlelo lwezokuphathwa kwamacala e-HIV / AIDS | Imali engenayo noma ngaphansi kuka-300% we-FPL | |
| Mississippi | I-Mississippi ADAP | Ngaphansi kuka-300% we-FPL | |
| I-Montana | I-Montana ADAP | Ngaphansi kwama-431% we-FPL | |
| I-Nebraska | I-Nebraska ADAP (NE ADAP) | Ngaphansi kwama-200% we-FPL | |
| I-Nevada | I-Nevada ADAP | Ingaphansi kuka-400% ye-FPL kanye nempahla ye-liquid engaphansi kwama-$ 10,000 | Izimpahla zamanzi azibandakanyi ikhaya elinomnikazi nemoto eyodwa (noma izimoto ezimbili uma ushadile). |
| I-New Hampshire | Uhlelo lwe-NH CARE | Ingaphansi kuka-400% ye-FPL | Ungase usafanelekela i-ADAP ngokusekelwe ezindlekweni zezokwelapha. Thintana nesikhungo sekholi se-CARE ukuze ubuze ngeziqu ezikhethekile zezimo. |
| E-New Jersey | Uhlelo lwe-AIDS Drug Distribution Program (ADDP) | Ngaphansi kuka-500% we-FPL | |
| I-New Mexico | I-New Mexico ADAP | Ingaphansi kuka-400% ye-FPL | Awudingi ukuba ube yisakhamuzi sase-US esibhaliwe noma umfiki wokufanelekela izinsizakalo ze-ADAP. |
| I-New York | I-New York State ADAP | Ngaphansi kwama-435% we-FPL futhi angaphansi kwama-$ 25,000 kumpahla eyimpahla ngayinye | Ubunikazi be-US abudingeki. I-HIV ngaphambi-exposure prophylaxis (i-PrEP) iyatholakala kubantu abangenayo i-HIV engozini yokutheleleka. Izinsizakalo zokunakekelwa kwasekhaya ziyatholakala nangomhlinzeki ovunyelwe, kuze kuzuze impilo yonke engu-$ 30,000. |
| North Carolina | North Carolina ADAP | Ngaphansi kuka-300% we-FPL | Abantu abasebenzisa imithi abanemali engaphansi kuka-150% ye-FPL kuyadingeka ukuba bafake isicelo se-Subsidy Income Income (LIS) ne-Social Security Administration. |
| North Dakota | I-North Dakota ADAP | Ingaphansi kuka-400% ye-FPL | |
| O hio | Uhlelo lwe-HIV lwe-HIV lwezokwelapha (OHDAP) | Ngaphansi kuka-300% we-FPL | Abafakizicelo kumele bahlinzeke ngemali engenayo yemindeni (kubandakanya lokho kumuntu oshade nabo nabathembekileyo) lapho benza isicelo. |
| Oklahoma | Uhlelo lwe-HIV lwe-Drug Assistance Assistance | Ngaphansi kuka-200% ye-FPL kulabo abangenawo umshuwalense | Ukusizwa ngemishanguzo yomshuwalense, ukukhokhela kanye nokudonswa kwemali etholakalayo kulabo abahola imali engaphansi kuka-400% ye-FPL. |
| Oregon | CAREAsistist | Ngaphansi kuka-500% we-FPL | |
| Pennsylvania | Uhlelo olukhethekile lwezinzuzo zokwelapha (SPBP) | 500% ye-FPL | |
| E-Puerto Rico | I-Puerto Rico ADAP | Ngaphansi kuka-200% weFPL yePuerto Rico | |
| I-Rhode Island | I-Rhode Island ADAP | Ingaphansi kuka-400% ye-FPL | |
| S outh Carolina | South Carolina ADAP | Kusuka ngaphansi kuka-300% we-FPL kuya ngaphansi kuka-550% we-FPL, kuye ngohlelo | Uhlelo Lokusabalalisa Ngokuqondile (DDP) lunikeza izidakamizwa ngokusebenzisa umhlinzeki we-imeyili futhi luyatholakala kubantu abanemali engaphansi kuka-300% we-FPL. I-Medicaid B Assistance Program (MAP) iphinde inikeze izidakamizwa ngokusebenzisa umhlinzeki we-imeyili futhi itholakala kubantu abanemali engaphansi kuka-550% we-FPL. Ukusizwa nge-premium yomshuwalense, ama-copays, nama-deductibles anikezwa nge-Assistance Assistance Program (IAP) futhi ayatholakala kubantu abanemali engaphansi kuka-550% we-FPL. |
| South Dakota | I-South Dakota ADAP | Ngaphansi kuka-300% we-FPL | |
| Tennessee | Tennessee ADAP | Ingaphansi kuka-400% ye-FPL kanye nempahla yasendlini engaphansi kwe $ 8,000 | |
| Texas | Uhlelo lweMithi yokwelapha i-Texas (THMP) | Ngaphansi kwama-200% we-FPL | |
| Vermont | Uhlelo lwe-Vermont Medical Assistance Program (VMAP) | Ngaphansi kuka-500% we-FPL | |
| Virginia | Virginia ADAP | Ingaphansi kuka-400% ye-FPL | |
| Washington | Uhlelo Lokuqala Lokungenelela (EIP) | Ingaphansi kuka-400% ye-FPL | |
| West Virginia | I-West Virginia ADAP | Ingaphansi kuka-400% ye-FPL | |
| Wisconsin | Uhlelo lwe-Wisconsin lwe-HIV / AIDS | Ngaphansi kuka-300% we-FPL | |
| I-Wyoming | I-Wyoming Uhlelo lokuThola i-HIV | Ilinganiselwa yi-county of residence (bheka izinkombandlela zamanje zokufaneleka zokuhola ) |