Uma uHulumeni Wakho Unesimiso SamaMidiya Awusizo, Ungase Ube Nesiqiniseko-Kuyafaneleka
Igama elithi abadinga usizo lwezokwelapha ngukuhlukana okusetshenziselwa abantu abawela esigabeni esithile sokufaneleka kweMedicaid emazweni abakhethile ukusebenzisa uhlelo oludinga usizo lwezempilo.
I-32 ithi kanti iSifunda saseColumbia sisebenza izinhlelo ezidinga usizo lwezempilo, ezivumela ukuba zinikeze i-Medicaid emaqenjini athile abantu abanezindleko eziphezulu zezokwelapha abangenakufanelekela ukuthola iMedicaid ngokuya ngemali yabo engenayo.
I-medicaid yenzelwe ukumboza abantu abahola imali encane, ngokuvamile ngaphandle kokubheka ukuthi basebenzisa kanjani imali yabo engenayo. Kodwa uma isimo sakho sisebenzise indlela enesidingo esidinga usizo lweMedicaid, izindleko zakho zezokwelapha zingacatshangelwa uma unquma ukuthi imali yakho engenayo yenza ukwazi ukuthola iMedicaid.
Ngakho ngamanye amazwi, imali engenayo ingase ibe phezulu kakhulu ekufanelekeni kwe-Medicaid, kodwa uma kufanele uchithe imali engenayo kakhulu kwizindleko zezokwelapha ukuthi imali engenayo ingase ikuenze ube ne-Medicaid-kufanelekile, ungakwazi ukuthola i-Medicaid uma isimo sakho sine-Medicaid Uhlelo oludinga usizo lwezempilo.
Ithuba lokukhipha imali oyisebenzisayo ekunakekelweni kwezempilo kusuka emholweni wakho ukuze ukwazi ukuthola i-Medicaid ingase ibe usizo ikakhulukazi uma usukhulile futhi uhlala ekhaya labahlengikazi. Futhi, izingane kanye nabantu abadala abakhubazekile abahlala emphakathini bangase babe nomuthi omkhulu wokugulisa, imishini yezokwelapha, noma ezinye izindleko zokunakekelwa kwezempilo.
I- Care Affordable Act yakwandisa kakhulu inani labantu abakuleli lizwe abafanelekile ukubhaliswa kwe-Medicaid-Total in Uhlelo lwe-Medicaid ne-CHIP (I-Health Health Insurance Program) landa ngamaphesenti angama-29 kusukela ekupheleni kuka-2013 kuze kube sekupheleni kuka-2017. Abanye abantu ngaphambili babefanelekile ukuthola I-Medicaid ngaphansi kohlelo oludinga usizo lwezempilo manje selufanelekile ngenxa yeziqondiso ezenwetshiwe zengeniso ye-Medicaid ukuthi iningi lamazwe lisetshenzisiwe.
I-Medicaid
I-medicaid yinkqubo yomshuwalense eyenzelwe ngokuqondile imali engenayo kanye nabaswele. I-Medicaid inikeze ngokusemthethweni ukuhlinzeka ngempilo yezingane ezincane ezingenayo imali (futhi kwezinye izimo, abazali babo), izakhamizi ezikhulile, nabantu abakhubazekile.
Ukwandiswa kwe-Medicaid ngaphansi kwe-Care Affordable Act kuvule ukufaneleka kweMedicaid kubantu abadala abahola kancane, abangewona asebekhulile kanye, kungakhathaliseki ukuthi bayakhubazeka noma banabantwana (phawula ukuthi kusekhona ama-19 asho ukuthi awazange amukele izimali zikahulumeni zokwandisa iMedicaid kusukela ngo-2018).
Futhi nakuba kunezici eziningana ezikhomba ukufaneleka kwe-Medicaid kubantu abahlukahlukene, inzuzo iyinhloko ebalulekile. Ngokubanzi, i-Medicaid yakhelwe ukuhlinzeka ngempilo kubantu baseMelika abangenayo imali encane (kunezinye izinto ezingafani, njengohlelo lukaK Katie Beckett waiver ).
I-Medicaid ixhaswa yi-government federal ngokubambisana nawo wonke amazwe angamashumi amahlanu. Ngakho-ke ngokungafani ne-Medicare (ekhokhelwa kuphela nguhulumeni wesifundazwe), izinhlelo ze-Medicaid ziyahlukahluka kombuso owodwa, ngoba izifunda zilawula ezinye izici zohlelo.
Uma isimo sakho sinikeza uhlelo oludinga imithi, kufanele luhlanganise:
- Abesifazane abakhulelwe
- Izingane ezingaphansi kweminyaka engu-19
Isimo sakho sinenketho yokumboza:
- Izingane kuze kube ngu-21
- Abazali nezinye izihlobo zokunakekela
- Abantu abadala
- Abantu abakhubazekile
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
Ukuze uthole i-Agent Medicaid esifundazweni sakho, sebenzisa imephu ehlangene evela ku-National Association of State Medicaid Directors.
> Imithombo:
> Kaiser Family Foundation. I-Medicaid ne-Uninsured. Uhlelo lweMedicaid oludinga usizo lwezempilo: Ukuchitha imali nokubhalisa . Disemba 2012.
> Kaiser Family Foundation. Ukufaneleka Kwama-Medicaid Ngendlela Yomdabu Eyindlala. Ukubamba iqhaza koMbuso, 2015.
> Kaiser Family Foundation. Ukubhaliswa Kwamakhophi Okubanjwa Ngenyanga Nenyanga ne-CHIP. Novemba 2017.