Ukuba u-Rhu lumente wakho Unenkqubo yeMilingo ehluphekayo, Unokuthi Uyi-Medicaid-Ufanelekile
Ixesha elidinga imfuno yonyango ngumlinganiselo owenzelwe abantu abawela kwisigaba esithile sokufaneleka koMilikaid kwilizwe eliye lakhetha ukuphumeza inkqubo yonyango.
I-32 ithi kwaye iSithili sase-Columbia sisebenzise iinkqubo zonyango ezinempilo, ezivumela ukuba zibonelele ngeMediicaid kumaqela athile abantu abaneendleko eziphezulu zezonyango abangenakukwazi ukufumana iMedicaid ngokusekelwe kwimali yabo engenayo.
I-Medicaid yenzelwe ukugubungela abantu abanomvuzo ophantsi, ngokubanzi ngaphandle kokuqwalasela indlela abachitha ngayo imali yabo. Kodwa ukuba urhulumente wakho uphumelele indlela yokudinga imilingo ekufanelekile kwiMedicaid, iindleko zakho zonyango zinokuqwalaselwa xa ufumana ukuba ingeniso yakho yenza ukuba ufanelekile kwiMedicaid.
Ngoko ngamanye amazwi, ingeniso yakho ingaba iphakame kakhulu kwi-Medicaid ukufaneleka, kodwa ukuba kufuneka uchithe ininzi yakho yengeniso kwiindleko zonyango ukuba imali engenayo ingakwenza ube ne-Medicaid-ifanelekile, unakho ukufaneleka kwi-Medicaid ukuba urhulumente wakho inkqubo yonyango.
Ithuba lokukrazula imali oyichithayo kwiinkonzo zempilo evela kwingeniso yakho ukwenzela ukuba ufanele ukufumana iMedicaid inokuba luncedo kakhulu xa ukhulile kwaye uhlala kwikhaya lokunakekelwa. Kwakhona, abantwana kunye nabantu abadala abakhubazekile abahlala kuluntu banakho izidakamizwa eziphezulu, izixhobo zonyango, okanye ezinye iindleko zonyango.
UmThetho wokuNakekelwa ongenakunciphisa ukwandisa inani labantu beli lizwe abafanelekile ukubhaliswa kweMedicaid-Total kwi-Medicaid ne-CHIP (Inkqubo ye-Intshuwalense yezeMpilo yabantwana) yanda ngamaphesenti angama-29 ukususela ekupheleni kuka-2013 ukuya ngasekupheleni kuka-2017. Ukuxilongwa phantsi kweprogram yeemfuno zempilo ngoku kuyafaneleka ngenxa yesikhokelo sokwandiswa kwengeniso yeMedicaid yokuba uninzi lwamazwe luye lwaphunyezwa.
Uxilongo
I-Medicaid yinkqubo yomshuwalense eyenzelwe ngokukodwa ukufumana imali encinci kunye nabasweleyo. I-Medicaid ibonelele ngokusesikweni ngempilo yabantwana abancinane abafumana imali (kwaye kwezinye iimeko, abazali babo), abantu abadala kunye nabantu abakhubazekileyo.
Ukwandiswa kweMedicaid phantsi koMthetho wokuNakekelwa ongenakuncedo kuvule ukufaneleka koMedicaid kubantu abadala abafumana imali, abangaphantsi kwabantu abadala, nangakhathaliseki ukukhubazeka okanye ukuba banabantwana (phawula ukuba kusekho ama-19 athi angayamkeli inkxaso ye-federal yokwandisa iMedicaid ngo-2018).
Kwaye nangona kukho iinkalo ezininzi ezinokumisela ukufaneleka kweMedicaid kubantu abahlukahlukeneyo, ingeniso yinto ephambili. Ngokubanzi, i-Medicaid yenzelwe ukubonelela ngezempilo impilo yamazwe aseMerika angaphantsi (kukho ezinye iimeko, ezifana neprogram ye - Katie Beckett yaiver ).
I-Medicaid ixhaswa ngemali ngurhulumente wesigqeba ngokubambisana nawo onke amazwe angamashumi amahlanu. Ngokungafani ne-Medicare (ehlawulwa kuphela nguRhulumente waseburhulumenteni), iinkqubo zeMedicaid ziyahlukahlukana ukusuka kwelinye ilizwe ukuya kwelinye, ekubeni amazwe alawula ezinye iinkalo zeprogram.
Ukuba urhulumente wakho unikezela inkqubo yonyango, kufuneka ikhuphe:
- Bafazi abakhulelweyo
- Abantwana abangaphantsi kwe-19
Urhulumente wakho unakho ukhetho lokugubungela:
- Abantwana ukuya kuma-21
- Abazali kunye nezinye izihlobo
- Abantu abadala
- Abantu abakhubazekileyo
Inzuzo yeMedicaid
Umbuso ngamnye kufuneka uhlawulele ezithile iinkonzo zezempilo. Iinzuzo ezifunekayo ukuba zifunyenwe nguRhulumente wezemfundo ziyaziwa njengezibonelelo eziyimfuneko. Iinjongo ezinjalo ezigunyazayo ziquka:
- Iinkonzo zogqirha, umongikazikazikazi, kunye nomhlengikazi, ukuba kuyimfuneko.
- Iingcali ezifunekayo okanye ii-x-ray iinkonzo
- Izigulane kunye nezibonelelo zesibhedlele esibhedlele
- Iinkonzo, ukubonelela kunye nolwazi malunga nokucwangcisa intsapho
- Ukufikelela kwiinkonzo kwiindawo ezahlukeneyo zempilo yoluntu nakwiikliniki zempilo zasemaphandleni
- Ezinye iinkonzo ezahlukeneyo kunye neendlela ezikhethiweyo
Ukuze ufumane i-Agent Medicaid kwilizwe lakho, sebenzisa imephu ebandakanyekayo evela kwi-National Association of State Medicaid Directors.
> Imithombo:
> Kaiser Family Foundation. IMedicaid kunye ne-Uninsured. Inkqubo yeMedicaid Needy Needy: Ukuhlawula nokuBhaliswa kokuBhaliswa . Disemba 2012.
> Kaiser Family Foundation. Ulungelelwaniso lweMilicaid Ulungelelwaniso ngeendlela eziMilwelwazi. Ukuthatha inxaxheba kaRhulumente, 2015.
> Kaiser Family Foundation. Ukubhaliswa kweNyanga nganye yeMedicaid kunye ne-CHIP. Novemba 2017.