UmThethomlingwa wamaLungelo wePilente ngokomThetho wokuTlhogomela ongenakghoneka

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Vimbela ukucwasana neziguli ezinezimo ezandulelayo

Izinhlelo zokunakekelwa kwezempilo kanye nabakhokhi abasavunyelwe ukubandlulula ngeziguli ezisekelwe ezimweni zangaphambili. Isimo esandulele sikhona noma yisiphi isimo sezokwelapha esitholwe ngaphambi kokuba isiguli sithole umshwalense wakhe wempilo yamanje.

I-Care Affordable Act iqinisekisa ukuthi bonke abantu abafaka isicelo sokuhlinzekwa kwezempilo bayothengiswa inqubomgomo kungakhathaliseki isimo sabo sezokwelapha kanye nezinkampani zomshuwalense wezempilo angeke zibe nezimo ezingakabi khona ngaphambi kokuhlelwa kwezempilo.

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Vimbela izinkampanini zomshuwalense ekudleni

Izinhlelo zokunakekelwa kwezempilo kanye nabakhokhi abasavunyelwe ukuyeka ukufakwa kwesiguli ngesiguli esekelwe ngephutha elingenalutho ngesicelo somshuwalense wezempilo. Izinhlelo zomshuwalense wezempilo zingasusa inqubomgomo yokunakekelwa kwezempilo kuphela ngenxa yesenzo sokukhwabanisa njengokushiya ngenhloso nangenhloso ngamagama ngokufaka isicelo sokuthola ulwazi.

I-Care Affordable Act iqinisekisa ukuthi umshwalense angakwazi ukukhansela kuphela inqubomgomo yokunakekelwa kwempilo uma umuntu eyeka ukukhokha ama-premium, eyeka ukunikeza umshuwalense noma eshiya indawo yemakethe yomshuwalense, lowo muntu uphuma endaweni yemakethe yomshuwalense, noma umshuwalense unikezwa ngokusebenzisa inhlangano futhi Ubulungu ebusweni bukhanseliwe.

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Vimbela Izinkampani Zomshuwalense Ukunciphisa Ukuvota

Izinhlelo zokunakekelwa kwezempilo kanye nabakhokhi abasavunyelwe ukukhawulela ukukhungelwa ngenxa yokugula okungapheli noma okujulile njengemingcele yeminyaka yonke noma yokuphila kwemali edinga ukunakekelwa okubalulekile.

I-Care Affordable Act iqinisekisa ukuthi umshuwalense akanakulinganisa ukwelashwa kwesiguli esithile esivela kuzo ngaphandle kokuthola izindlela ezifanele zokukhokhela ukwelashwa okubalulekile.

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Ukuvimbela Izinkampani Zomshuwalense Ukunciphisa Ukukhetha Odokotela

Izinhlelo zokunakekelwa kwezempilo kanye nabakhokhi abasavunyelwe ukubeka ukuthi yini udokotela angakwazi ukufuna ukwelashwa kusuka. Uma lolu hlelo ludinga ukukhethwa kwe-PCP (udokotela wokunakekelwa oyinhloko), isiguli singakhetha ukwelashwa kwabo ngaphakathi kwenethiwekhi yomshuwalense wezempilo yabahlinzeki. Lokhu kufaka hlangana inkululeko yokukhetha udokotela wezingane kanye ne-OB / GYN yesinqumo sesiguli.

I-Care Affordable Act iqinisekisa ukuthi umshuwalense akakwazi ukukhetha i-PCP egameni lesiguli noma adinga imvume yangaphambili, igunya noma ukuhanjiswa ukuvakashela i-OB / GYN.

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Vimbela Izinkampani Zomshwalense Ukuvimbela Ukunakekelwa Kwamakamelo Eziphuthumayo

Izinhlelo zokunakekelwa kwezempilo kanye nabakhokhi abasavunyelwe ukufuna imvume ngaphambi kokufuna ukwelashwa okuphuthumayo . Iziguli ezibonisa izimpawu ezinzima kufanele zifune ukunakekelwa ngokushesha ekamelweni eliphuthumayo eliseduzane ngaphandle kokubheka noma ukukhathalela izindaba zezimali.

I-Care Affordable Act iqinisekisa ukuthi umshuwalense angeke adinge ukugunyazwa ngaphambi kwezinsizakalo eziphuthumayo, ukuphika izinsizakalo eziphuthumayo ze-network, ukukhokhisa ama-copay aphezulu noma uxhaso lwezinsizakalo eziphuthumayo ezingaphandle kwenethiwekhi, noma ukukhawulelwa kwemikhakha yezinsizakalo eziphuthumayo ezingaphandle kwenethiwekhi .

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Ilungelo lokuBuyeka

Izinhlelo zokunakekelwa kwezempilo kanye nabakhokhi abasavunyelwe ukuvimbela abantu ukuba bangafaki isikhalazo uma umuntu engavumelani nesinqumo sezinhlelo zokunakekelwa kwezempilo ukuphika inkokhelo noma ukunciphisa inkokhelo nganoma yisiphi isizathu.

I-Care Affordable Care Act iqinisekisa ukuthi umshwalense kumele alandele inqubo yesikhalazo njengoba kusungulwe nguhulumeni wesifundazwe.

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Ukumboza Abantu Abasha Emkhakheni Wabazali

Izinhlelo zokunakekelwa kwezempilo kanye nabakhokhi abasavunyelwe ukumisa ukubhekwa kwezingane ezincike ngaphansi kweminyaka engama-26 kulabo abafanelekayo. Abantu abadala manje sebevunyelwe ukuhlala kumshuwalense wabo womzali isikhathi esithile eside.

I-Care Affordable Care Act iqinisekisa ukuthi umshwalense kumele aqhubeke nokuhlinzekela izingane ezixhomekile kuze kube yilapho eneminyaka engu-26.

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Ukumboza Ukunakekelwa Okuvimbela Ngaphandle Kwezindleko

Izinhlelo zokunakekelwa kwezempilo kanye nabakhokhi abasavunyelwe ukukhokhisa ama-copays, u-coinsurance noma ama-deductibles ezintweni ezithile zokuvimbela amasevisi. Bona uhlu olugcwele lwezinsizakalo eziphakanyisiwe. A

I-Care Affordable Act iqinisekisa ukuthi umshwalense angeke adinge ukuthengwa kwezindleko zokunakekelwa okunqunyelwe ukuvimbela njengokubhekisisa ukucindezelwa kwegazi, ukuhlolwa kwegwayi, ukuhlolwa komdlavuza, ukuzwa ukuhlolwa komzimba kanye nokuhlolwa.