Inkqubo incedisa abafumana umvuzo ophantsi kunye nabaphakathi
Nangona ukufikelela kwiinkonzo zempilo kuye kwanda kubantu abaphila ne-HIV ukususela kumthetho we- Careable Affordable Act (ACA) ngo-2014, iindleko zezilwanyana zeHIV zihlala zinzima. Nangona abanye banako ukufumana i-inshuwalense yabucala, ixabiso liye lavakala kakhulu, kunye nabatshutshisi abathintela izidakamizwa ze-antiretroviral kwi-generic "generic" kunye ne "non-generic". 30% okanye ngaphezulu.
Lo mkhuba wokubambisana okuphazamisayo uthintele abafumana umvuzo ophantsi kunye nabaphakathi, abaninzi banyanzelekile ukuba bahlawule iziyobisi zabo ngaphandle kwepokothini. Kwimigangatho emithathu yesigqirha seziyobisi, oku kungongeza kwi-$ 1,000 ngenyanga , ixabiso elininzi elinokuthi lijongane nelingenakulungiswa.
INkqubo yoNcedo lweMithi yoGawulayo lwe- AIDS (ADAP) yinkqubo yomgaqo-nkqubo eyasungulwa ngowe-1987 ukubonelela ngezilwanyana ezikhuselekileyo ze-HIV kubantu baseMerika abanomvuzo ophantsi. Ukususela ngeli xesha ububanzi beprogram buye banda kakhulu, ngamanye amazwe akwazi ukuncedisa ukutyelela ugqirha, iimvavanyo zeebhabhi, ukuxhoxiswa kwe-inshorensi, kunye neyonyango lokuthintela abo basengozini yokusuleleka.
Ukulungelelaniswa ngokuqhelekileyo kuxhomekeke kwingeniso, ukusuka kwimindeni eneengeniso zonyaka ezingaphantsi kwama-200 ekhulwini leNqanaba leNtlupheko leNtlupheko (FPL) kulabo abanenzuzo engaphantsi kwama-500 ekhulwini. Ukubalwa kwemali akusekelwe kuwe okanye kwintsapho yakho yonke imivuzo yonyaka kodwa kwimali engenayo yonyaka eguquliwe (ngokukodwa i-Income Gross Income efunyenwe kumgca 37 we-1040 yentlawulo yakho yentlawulo kunye neembalwa ezongeziweyo).
Oku kuthetha ukuba, kwiindawo ezili-11 apho apho umyinge wokufumana imali ususelwe kwipesenti ezingama-500, isibini esitshatileyo esineNkcazo yokuThuthukiswa kweMali engamaRandi ayi-80 000 iya kulungele ukuxhaswa kwe-ADAP.
I-ADAP Ilungelelaniswa nguRhulumente
Oko akuthethi ukuba zonke iiprogram ze-ADAP zenziwe zilingana. Ngoxa i-ADAP ixhaswa ngemali yombuso karhulumente, ngalinye ilizwe lilawula inkqubo yalo, libeka i-criteria yalo yokufaka, kwaye ichaza iinkonzo eziza kuyenza kwaye aziyi kunika.
Kwamanye amazwe, aguqulela ukuhambisa uncedo lweziyobisi zonyango; Kwabanye, iinkonzo zingaquka ukutyelela rhoqo ugqirha, ukulawulwa kwetyala, okanye (njengaseNew York State) ilungiselelo lokunyamekela ekhaya.
Nangona imithetho ihluka ukusuka kummandla ukuya kummandla, ukufaneleka kuya kusekelwe kwizinto ezintathu:
- Ixwebhu lokuhlala kuloo rhulumente. Kwababemi abangewona base-US, amaxwebhu okuhlala ngokusisigxina ayadingeka. Okwangoku, kwezinye iindawo, njengeNew Mexico naseMassachusetts, abafuduki abangabhalwanga ngabangaphandle bafanelekile kwiinkonzo ze-ADAP.
- Ubungqina bemivuzo. Le nto isekelwe kuwe okanye kwintsapho yakho yonyaka ingeniso yonyaka (MAGI) kodwa ingaquka ixabiso lentengo yeli dola kwii-asethi zethu (njengoko kulandelwa njengeDelaware, Georgia, naseNew York).
- Isiqinisekiso sesimo sakho se-HIV ngumgqirha ofanelekileyo. Kwamanye amazwe, njengase-Arkansas, inani le-CD4 kunye novavanyo lwe- viral test can be used to qualify eligibility.
Njengoko i-ADAP ithathwa njengowokuhlawula, "usenokufuneka ufumane i-inshorensi yezempilo nangona iinkonzo ze-ADAP zinikezelwa. Kwimeko enjalo, kuya kufuneka unikezele ubungqina bomshuwalense ukwenzela ukusekwa kwemfuno, nokuba kungenxa yokuthengiswa kweziyobisi, uncedo lokuhlawula umrhumo, okanye (kwezinye iindawo) ezichithwayo okanye inzuzo yokuhlawula i-premium.
Kwalabo abanako ukufumana imvume ye-ADAP, ukuhlawula kunye kunye neenkqubo zokuncedisa inkokhelo (PAP) zinikwe iinkampani ezininzi zamachiza e-HIV ukubonelela ngemishanguzo yamahhala okanye iindleko eziphantsi kwabo bangenako ukuzifumana.
| Lumente | Umlawuli weProgram | Imilinganiselo yeNgeniso | Ulwazi olongezelelweyo kunye nokuqwalasela |
| Alabama | Alabama ADAP | Ngaphantsi kwe-250% yeFPL | Kwiimeko ezininzi, abathengi ababhalise kwi-inshurensi yempilo yabucala okanye karhulumente abavumelekanga. Ukungabikho kwezicelo kungasetyenziswa kwimeko yimeko. |
| Alaska | Umbutho we-AIDS wangaphakathi kunye noMbutho woNcedo lwe-AIDS we-Alaska | Ngaphantsi kwe-400% yeFPL yeAlaska | Kumele ube ngumthengi osebenzayo we-Alaskan Association Assistance Association (ezine A) okanye uMbutho we-AIDS we-Interior (IAA). |
| EArizona | ADAP yaseArizona | Ngaphantsi kwe-400% yeFPL | |
| Arkansas | Arkansas ADAP | Ngaphantsi kwe-200% yeFPL | Isigulane esingaphendulwanga simele sibe ne-CD4 engaphezu kwe-500 OKANYE umthwalo wentsholongwane ngaphezu kwama-55,000 (uvavanyo lwe-PCR) OKANYE umthwalo wentsholongwane engaphezu kwama-30,000 (uvavanyo lweBDNA). Okwangoku okanye Izigulane eziphathwe ngaphambili zifanelekile ukuba ubungqina bonyango lwe-HIV lunikwe. |
| California | California ADAP | Ngaphantsi kwe-500% yeFPL | |
| Colorado | Colorado ADAP | Ngaphantsi kwe-400% yeFPL | Abantu abaneFPL phakathi kwama-400% kunye nama-500% basoloko banelungelo lokufumana uncedo lweziyobisi. Abantu abane-inshurensi yabucala, i-COBRA, okanye i-inshorensi ephantsi komqeshi kufuneka ifake isicelo kwiNkqubo yeNkxaso ye-inshurensi ye-Colorado ADAP (HIAP). |
| Connecticut | Connecticut ADAP (CADAP) | Ngaphantsi kwe-400% yeFPL | |
| Delaware | Delaware ADAP | Fumana ngaphantsi kweedola ezingama-50,000 ngonyaka kwaye ube ngaphantsi kwama-$ 10,000 kwiimpahla. | |
| District of Columbia | District of Columbia ADAP | Ngaphantsi kwe-500% ye-FPL kunye nexabiso lempahla engaphantsi kwama-25,000 | |
| Florida | Florida ADAP | Ngaphantsi kwe-400% yeFPL | |
| Jojiya | Georgia ADAP | Ngaphantsi kwe-300% ye-FPL kunye nexabiso lemali engaphantsi kwee-4,500 zamaRandi (i-5,500 zamaRandi xa utshatile) | |
| EHawaii | I-ADAP eHawaii | Ngaphantsi kwe-400% yeFPL yeHawaii | |
| Illinois | Illinois ADAP | Ngaphantsi kwe-300% ye-FPL kubafaki-zicelo abatsha kunye nabangaphantsi kwe-500% ye-FPL kubafaki-sicelo abasebenza ngokubhalisa ngaphambi koJulayi 1, 2011 | Abantu abanemali engaphantsi kwe-300% ye-FPL bayakhuthazwa ukuba babhalise kwi-Plan ye-I-Pre-existing Conditions Plan (IPEX) yase-Illinois, isicwangciso se-inshorensi yezempilo. |
| E-Indiana | Indiana ADAP | Ngaphantsi kwe-300% yeFPL | |
| Iowa | ADAP yaseAowa | Ngaphantsi kwe-200% ye-FPL, kunye nokuxothwa kwemisebenzi eyi-$ 500 | Kufumaneka kuphela kubantu abangenakufaneleka kwi-inshorensi yezempilo. Nangona kunjalo, uncedo lwe-inshorensi lufumaneka kubantu abanenzuzo engaphantsi kwe-400% ye-FPL. |
| Kansas | Kansas ADAP | Ngaphantsi kwe-300% yeFPL | |
| EKentucky | Kentucky ADAP (KADAP) | Ngaphantsi kwe-500% yeFPL | |
| Louisiana | Uhlelo lwe-Healthana Access Access (LA HAP) | Ngaphantsi kwe-300% yeFPL | Ekuqaliseni ingeniso yendlu, amalungu endlu yakho nantoni na ohlala kunye nawe ochaphazelekayo ngegazi, ngomtshato ngokomthetho, okanye ngokumkelwa ngokomthetho. |
| Maine | ADAP | Ngaphantsi kwe-500% yeFPL | |
| Maryland | Maryland ADAP (MADAP) | Ngaphantsi kwe-500% yeFPL | |
| EMassachusetts | Inkqubo yoNcedo lweMithi yaseMassachusetts (HDAP) | Ngaphantsi kwe-500% yeFPL | Akukho mingcipheko yobudala kubantu abasebenzisa i-HDAP. Akumele ube ngummi wase-US ukuba ubhalise kwi-ADAP. |
| EMichigan | Programme yoNcedo lweMichiza eMichigan (MIDAP) | Ngaphantsi kwe-450% yeFPL | Kwezinye iimeko, kufuneka ukuba wenze isicelo soxhaswa luluntu (uxilongo okanye iNkqubo yoHlelo lwabaSebenzi bamaZiko aBadala) kwaye unokukwazi ukubonisa ukuba unikwe (a) unqatshelwe, (b) ubekiwe kwiimeko ezilindelekileyo, okanye (c) zibekwa i-status-down status kwiintsuku ezingama 90 ezedlulileyo. |
| Minnesota | Minnesota ADAP | Ngaphantsi kwe-400% yeFPL | |
| EMissouri | Inkqubo yoLawulo lweeNtsholongwane kaHIV / AIDS | Ingeniso engaphezulu okanye ngaphantsi kwe-300% yeFPL | |
| Mississippi | Mississippi ADAP | Ngaphantsi kwe-300% yeFPL | |
| Montana | Montana ADAP | Ngaphantsi kwe-431% yeFPL | |
| Nebraska | I-Nebraska ADAP (NE ADAP) | Ngaphantsi kwe-200% yeFPL | |
| Nevada | Nevada ADAP | Ngaphantsi kwe-400% yeFPL kunye nexabiso lempahla engaphantsi kwama-$ 10,000 | Iimpahla ezikhoyo azibandakanyi ikhaya elinomnini kunye nemoto enye (okanye iimoto ezimbini ukuba utshatile). |
| ENew Hampshire | NH CARE Programme | Ngaphantsi kwe-400% yeFPL | Unokuba usenokufanelekela i-ADAP ngokusekelwe kwiindleko zonyango. Qhagamshelana nesiko socingo lwe-CARE ukubuza malunga neemfuno ezizodwa zemfundo. |
| Enew Jersey | Inkqubo yokuSasaza iMida yeAIDS (ADDP) | Ngaphantsi kwe-500% yeFPL | |
| ENew Mexico | New Mexico ADAP | Ngaphantsi kwe-400% yeFPL | Akudingeki ukuba ube ngummi waseMzantsi Afrika okanye umfuduki ukuba afanelekele iinkonzo ze-ADAP. |
| Inew york | I-New York State ADAP | Ngaphantsi kwe-435% ye-FPL kwaye ngaphantsi kwama-25,000 e-asethi kwiimpahla ezikhoyo kwikhaya | Ubumi boMzantsi Afrika abufunanga. Intsholongwane ye-HIV ngaphambi kokuba i-prophylaxis (PrEP) ifumaneke kubantu abanentsholongwane kaGawulayo abasengozini yokusuleleka. Iinkonzo zokunakekelwa kwekhaya nazo ziyafumaneka ngumbonelo ovunyiweyo, kuze kube yintlawulo yamaxesha angama-30,000. |
| North Carolina | North Carolina ADAP | Ngaphantsi kwe-300% yeFPL | Abantu kwi-Medicare abanemali engaphantsi kwe-150% ye-FPL kufuneka ukuba bafake isicelo se-Subsided Low Income (LIS) kunye noLawulo loKhuseleko loLuntu. |
| North Dakota | North Dakota ADAP | Ngaphantsi kwe-400% yeFPL | |
| O hio | INkqubo yoNcedo lweMithi ye-HIV (OHDAP) | Ngaphantsi kwe-300% yeFPL | Abafaki-sicelo bafuneka ukuba banikele ngenzuzo yengeniso (kuquka loo nto kwiqabane kunye nabaxhomekeke kuyo) xa wenza isicelo. |
| E Oklahoma | Inkqubo yoNcedo lweMithi ye-HIV | Ngaphantsi kwe-200% ye-FPL kulabo bangena-inshurensi | Uncedo ngee-premiums zomshuwalense, ukuhlawula kunye kunye neentlawulo ezifumanekayo kulabo abafumana imali bangaphantsi kwe-400% ye-FPL. |
| Oregon | CAREAssist | Ngaphantsi kwe-500% yeFPL | |
| Pennsylvania | Inkqubo ekhethekileyo yeeMveliso yeeMveliso (SPBP) | 500% yeFPL | |
| iPuerto Rico | I-ADAP yasePuerto Rico | Ngaphantsi kwe-200% yeFPL yePuerto Rico | |
| Rhode Island | Rhode Island ADAP | Ngaphantsi kwe-400% yeFPL | |
| S outh Carolina | South Carolina ADAP | Ukususela ngaphantsi kwe-300% ye-FPL ukuya ngaphantsi kwe-550% ye-FPL, kuxhomekeke kwinkqubo | Inkqubo yokuDlulisa ngqo (iDDP) inikeza iziyobisi nge-mail-order provider kwaye ifumaneka kubantu abanemali engaphantsi kwe-300% ye-FPL. Inkqubo yoNcedo lweMilicaid B (i-MAP) iphinda inikeze iziyobisi nge-mail-order provider kwaye ifumaneka kubantu abanemali engaphantsi kwe-550% ye-FPL. Uncedo ngee-insumari ze-inshorensi, ii-copays kunye ne-deductibles zinikezelwa ngeNkqubo yoNcedo lwe-inshurensi (IAP) kwaye ziyafumaneka kubantu abanemali engaphantsi kwe-550% ye-FPL. |
| EMzantsi Dakota | South Dakota ADAP | Ngaphantsi kwe-300% yeFPL | |
| Tennessee | Tennessee ADAP | Ngaphantsi kwe-400% ye-FPL kunye nempahla yasemakhaya engaphantsi kwe-$ 8,000 | |
| ETexas | Uhlelo lweMicrosoft Medication (THMP) | Ngaphantsi kwe-200% yeFPL | |
| Vermont | Inkqubo yoNcedo lweMithi yeVermont (VMAP) | Ngaphantsi kwe-500% yeFPL | |
| EVirginia | Virginia ADAP | Ngaphantsi kwe-400% yeFPL | |
| EWashington | Inkqubo yoNgeniso loLwangaphambili (EIP) | Ngaphantsi kwe-400% yeFPL | |
| West Virginia | West Virginia ADAP | Ngaphantsi kwe-400% yeFPL | |
| Wisconsin | I-Wisconsin Inkqubo yoNcedo lweeHIV / AIDS | Ngaphantsi kwe-300% yeFPL | |
| Wyoming | Inkqubo yeNyango yeNtsholongwane kaGawulayo | Imilinganiselo yendawo yokuhlala (jonga izikhokelo zokufumana umvuzo ngoku ) |