Imitholampilo yabangeqinisekisiwe

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Imitholampilo yabantu abangenawo umshuwalense wezempilo.

Awunawo umshwalense noma awukwazi ukukhokhela ukunakekelwa kwezokwelashwa ngezizathu eziningana? Ngenhlanhla, kunemitholampilo yamahhala nezindleko eziphansi . Kepha sibonga izikhungo zezempilo zomphakathi futhi imitholampilo yamahhala ezweni lonke , ukunakekelwa kwezempilo okungabizi kakhulu uyakuthola.

Le mitholampilo yamahhala nebiza kancane inikeza izinsizakalo eziningi zezokwelapha. Le mitholampilo yemali ekhokhwayo ehlinzeka amaklayenti ngayo ongaqinisekisiwe futhi labo abangenawo umshwalense owenele ukunakekelwa okuhlukahlukene. Ngokuya ngomtholampilo, ungakwazi ukuthola ukunakekelwa kusuka ku- ukunakekelwa kwamazinyo ekulawuleni ukubeletha . Noma ungenawo umshuwalense, kungenzeka ukuthi kunezikhungo eziningi zokunakekelwa kwezempilo ongazithola.

Ngiwuthola kanjani umtholampilo wamahhala noma wezindleko eziphansi eduze kwami?

Uma ungafaneleki I-Medicaid noma CHIP futhi awukwazi ukukhokhela umshuwalense wezempilo, usengathola ukunakekelwa kwezokwelapha. Ngokuvakashela umtholampilo wezempilo wamahhala noma obiza kakhulu emphakathini wakho, ungathola ukunakekelwa okuyisisekelo kwezokwelapha.

Inketho yakho yokuqala izikhungo zezempilo zomphakathi. Kwesinye isikhathi kubizwa ngokuthi yiFederalally Qualified Health Center ( FQHC ), le yimitholampilo ephethwe nguhulumeni enikela ngezinsizakalo ngesilayidi. Kwesinye isikhathi lokhu kusho ukuthi ukunakekelwa kumahhala.

Lawa ma-FQHC afaka izikhungo zezempilo zomphakathi, izikhungo zezempilo zabafuduki , iminyango yezempilo yesifunda nezikhungo zezempilo ezingenamakhaya. Zikhona ukuze labo abangaqinisekisiwe futhi abakwazi ukuthola ukunakekelwa babe nendawo abangaya kuyo. Ku-FQHC, okukhokhayo kuzosuselwa ezingeni leholo lakho.

Kwangathi sesha lapha ukuthola isikhungo sezempilo somphakathi esiseduze nawe.

Kukhona futhi imitholampilo yamahhala Emiphakathini eminingi, abahlinzeki abazimele bakhona ngaphandle kwenetha likahulumeni lokuphepha ukusiza abantu abangenakho ukuthola usizo lwezempilo mahhala. Lapha, odokotela nabanye banikela ngesikhathi sabo nezinsizakalo zabo ukuqhuba le mitholampilo.

Lezi zinhlobo zemitholampilo nazo zisebenzisa isikali esislayidayo ukukhokha. Lokhu kusho ukuthi abanye abantu abakwazi ukukhokha lutho ngokunakekelwa, kanti abanye bangakhokha imali yokuqokwa ngokususelwa kulokho abangakwazi ukukukhokhela.

Kwangathi sesha lapha ukuthola umtholampilo wamahhala emphakathini wangakini.

Ngabe imitholampilo yamahhala imahhala ngempela?

Eminye imitholampilo ezimele, ephethwe ngamavolontiya imahhala ngempela. Kodwa-ke, imitholampilo eminingi yamahhala nawo wonke ama-FQHC asebenza kusetshenziswa isikali esislayidayo sokukhokha. Ngakho-ke, bazokhululeka ukuthi basebenzise abanye. Abanye, noma kunjalo, bangakhokha imali encane yokunakekelwa.

Kubiza malini ukuhamba umtholampilo?

Umtholampilo wamahhala awufani nomtholampilo ohamba ngezinyawo, ongunoma yimuphi umhlinzeki ongambona ngaphandle kwesikhathi esibekiwe. Kwesinye isikhathi abantu basebenzisa ibinzana elithi umtholampilo wabangalalisanga iziguli ukuchaza abahlinzeki abasukela ezikhungweni zokunakekelwa okuphuthumayo, amakamelo okuphuthumayo kuya emitholampilo yokuthengisa.

Kuyaphuthuma lokho

Izikhungo eziphuthumayo zokunakekelwa imvamisa banodokotela noma uchwepheshe osezingeni eliphakathi nendawo okwazi ukubona iziguli ngaso sonke isikhathi lapho zivulekile. Ngokuvamile banemishini ye-X-ray esizeni futhi, futhi bangaphatha noma yini kusuka emathanjeni aphukile kuya kwizifo zesono kuze kube ukusha. Ziyindlela yokuvala igebe phakathi kwabahlinzeki bokunakekelwa okuyisisekelo namakamelo okuphuthumayo.

Ungadinga ukubona umhlinzeki wezokunakekelwa kwezempilo ngokushesha, kepha ngokunye okungavumeli uhambo lokuya egumbini lezimo eziphuthumayo esibhedlela. Futhi yilokho kanye isikhungo sokunakekelwa esiphuthumayo esenzelwe. Kuya ngokuthi unomshuwalense noma cha, ungakhokha phakathi kuka- $ 35 kuya ku- $ 150 ukuvakashela isikhungo sokunakekelwa esiphuthumayo.

Umtholampilo Wokuthengisa

Umtholampilo wokuthengisa umtholampilo wabangalaliswanga ngaphandle ngaphakathi kwesitolo esidayisa ezitolo, imvamisa uyikhemisi elizimele noma isitolo esinekhemisi. Le mitholampilo ijwayele ukunikezwa abahlinzeki abasezingeni eliphakathi nendawo, njengomhlengikazi noma umsizi kadokotela.

Zenzelwe ukuba yindawo efinyelelekayo futhi engabizi kakhulu yokuthola ukunakekelwa kwezifo eziyisisekelo nokulimala. Imitholampilo yokuthengisa inganikeza ngisho nezinhlobo ezithile zemithi yokugoma. Ngokuvamile kubiza kakhulu ukuvakashela kunesikhungo sokunakekela esiphuthumayo. Cishe zishibhile njalo kune-ER. Ungalindela ukukhokha cishe u- $ 100 ngezifo ezivame kakhulu ezingaletha umuntu emtholampilo wokuthengisa, njengezimpawu ezinjengomkhuhlane.

Igumbi lezimo eziphuthumayo

Amakamelo okuphuthumayo atholakala ngaphakathi ezibhedlela, futhi uma ungenayo umshuwalense, kuyindlela ebiza kakhulu yokuthola ukunakekelwa kokuhamba. Uma ungenawo umshwalense, ungakhokha izinkulungwane zamaRandi ngohambo olulodwa lokuya egumbini lezimo eziphuthumayo.

Yimiphi imisebenzi ehlinzekwa yimitholampilo yamahhala?

Izikhungo zezempilo zomphakathi Banikeza ukunakekelwa kokubeletha, imigomo yezinsana nezingane, ukunakekelwa okuyisisekelo okujwayelekile, futhi bangenza nokudluliselwa kokunakekelwa okukhethekile. Futhi yebo, lokho kufaka izinto ezifana nokunakekelwa kwezempilo yengqondo, ukusetshenziswa kabi kwezidakamizwa, kanye ne-HIV / AIDS.

Imitholampilo eminingi yamahhala inikeza ukunakekelwa okuyisisekelo okujwayelekile futhi iphinde idlulisele lapho kudingeka. Ungahlola ukuthi ngabe lezi zinhlobo zemitholampilo ezisendaweni yakho ziyakwazi yini ukwelapha izingane nezingane. Ungahlola futhi ukuthi yimiphi imithi yokugoma noma isibhamu abangayinikeza izingane nabantu abadala.

Ngabe imitholampilo yamahhala noma ebiza izindleko ingabhala yini imiyalelo?

Yebo, inqobo nje uma udokotela onelayisense ekhona nabasebenzi, imitholampilo yezempilo yamahhala nebiza kancane ingabhala imiyalelo. Futhi, izinsizakalo ezithile kunoma imuphi umtholampilo wezempilo wamahhala noma obiza izindleko zingahluka. Ungahlola ukuze ubone ukuthi iziphi izinsizakalo ezihlinzekwa ngokusesha umtholampilo oseduze nawe lapha .

Ngabe ukhona umuntu ongaya emtholampilo wezempilo wamahhala noma obiza izindleko?

Kunemitholampilo yamahhala nebiza kancane, kufaka phakathi ama-FQHC, ukusiza abantu abahola kancane, ngaphandle komshuwalense, noma abanokufinyelela okulinganiselwe kwezinsizakalo zezempilo. Labo ngokuvamile abaya kuma-FQHC ngokuvamile abanayo iMedicaid noma badinga usizo ukubhalisela iMedicaid. Kukhona ama-FQHC akhethelwe ngqo ukusebenzela abangenamakhaya . Ngokuvamile, azikho izidingo ezithile okufanele zibonwe emtholampilo wamahhala, okusho ukuthi noma ngubani angaya lapho ukuze athole ukunakekelwa kwezokwelapha kungakhathalekile ukuthi uhola malini noma ungena kanjani ezweni lakhe.

Mingaki imitholampilo yamahhala e-United States?

Kukhona okuningi 1,200 Imitholampilo yamahhala noma esiza abasebenza ngokuzithandela e-United States. Ngaphezu kwalokho, kukhona okungaphezulu kwe- Izikhungo zezempilo zomphakathi eziyi-1,300 e-United States enezindawo ezingaphezu kuka-11 000 zokulethwa kwezinsizakalo phakathi kwazo. Kwangathi thola i-FQHC endaweni yangakini lapha.

Yikuphi okunye engingakhetha kukho kokuthola ukunakekelwa kwezempilo kwamahhala noma okungabizi kakhulu?

Uma unesidingo esithile sokunakekelwa kokuhlelwa komndeni, ukwelulekwa ngezindlela zokuvimbela inzalo futhi ukhiphe izindlela zokuvimbela inzalo, ungavakashela umtholampilo oyi-Title X oqokiwe uhlelo lokuhlela umndeni Ixhaswe ngemali nguhulumeni eyenza lezi zinsizakalo zitholakale mahhala noma ngezindleko eziphansi kunoma ngubani ozidingayo. Ungathola umhlinzeki wesihloko X lapha .

Izikhungo zezempilo ze Umzali Ohleliwe kanye nemitholampilo eminingi ezimele yokukhipha isisu kanye nabanikezeli bezinsizakalo zezempilo yokuzala nabo banikela ngezinsizakalo zezempilo zabesifazane, kusukela ekuhlolweni kwePap kuya ekuhlolweni kwe-STD, izivivinyo zonyaka ngisho nokunakekelwa okuyisisekelo okuyisisekelo, ngesikali esisheshayo.

Ungathola umtholampilo Ohleliwe Wobuzali endaweni yangakini lapha kanye nomtholampilo ozimele wabesifazane lapha .

Ungakhohlwa ukuthi uma udinga umshuwalense wezempilo, udinga ukubheka ukuthi hlobo luni loxhaso ongalufanelekela ku-Health Insurance Marketplace.

isiphetho

Kusuka kokungenzi inzuzo kuye ezinhlelweni zikahulumeni, kunezinsiza eziningi ezengeziwe ezitholakalayo zokuhlinzeka ukunakekelwa kwalabo okungenzeka ukuthi ngeke bakwazi ukukukhokhela. Uma unezimo zezokwelapha futhi udinga ukunakekelwa, akudingeki uhambe ngaphandle kwako.

Ukusuka ezinsizakalweni zezempilo yengqondo kuya emithini kadokotela, kunezikhungo zemitholampilo zamahhala nemitholampilo eyenzelwe ukusiza ukuhlinzeka ngezinsizakusebenza zezempilo kulabo abaswele. Impilo yomphakathi yenzelwe ukukusiza, ngakho ungesabi ukufinyelela kule mitholampilo ukuze uthole ukunakekelwa okudingayo.

Okuqukethwe