I-Emergency Medicaid yabesifazane abakhulelwe. I-Medicaid inikeza ukumbozwa kwezempilo ezigidini zabantu baseMelika, kufaka phakathi abantu abadala abafanele abahola kancane, izingane, abesifazane abakhulelwe, abantu abadala asebekhulile, nabantu abakhubazekile. Amandla okuthola ukunakekelwa ngaphambi kokubeletha yingxenye ebalulekile yokuqinisekisa ukuthi izingane ziba nesiqalo esihle kakhulu empilweni.
Izinketho zeMedicaid Ngesikhathi sokukhulelwa
I-Medicaid yabesifazane abakhulelwe: i ukumbozwa okugcwele kweMedicaid ngesikhathi sokukhulelwa kutholakala mahhala abesifazane abafanelekile . Bonke abesifazane abakhulelwe abayizakhamizi zase-US noma abahlali abasemthethweni iminyaka emihlanu noma ngaphezulu abahlangabezana nemihlahlandlela yemali engenayo bangafaneleka.
Ukuhlanganiswa kudlulela ekulethweni nasezinyangeni ezimbili ngemuva kokubeletha futhi ingane ngokuvamile ifanelekela iMedicaid phakathi nonyaka wokuqala wokuphila. Kungcono ukufaka isicelo ku-inthanethi ku- https://www.medicaid.gov/ noma ugcwalise isicelo ngocingo noma uthole isicelo ngeposi, ungaxhumana neMEDICAID ku-1-866-762-2237 noma ku-TTY: 1-800-955-8771.
Ukufaneleka kokuqagela kwabesifazane abakhulelwe (PEPW): i abesifazane abangenazo izincwadi , cha izakhamizi noma nge isimo sokuthuthela kwelinye izwe esingafanelekile Kungenzeka ifanelekela ukumbozwa okwesikhashana kweMedicaid kanye nesiguli esingalaliswa isikhathi esingangezinyanga ezimbili ukusiza ukumboza ingxenye yokunakekelwa kwakho ngaphambi kokubeletha.
I-PEPW ihlanganisa ukunakekelwa kokubeletha kuphela kepha ayikubandakanyi ukuhlala esibhedlela noma ukubeletha kwengane. Isicelo se-PEPW singenziwa ngesikhathi sokuvakashela komunye wemitholampilo yokubeletha e-Broward Health noma ku-Memorial Healthcare System.
Ulwazi Olwengeziwe
Xhumana no-Connect ku (954) 567-7174, ngoMsombuluko kuze kube uLwesihlanu, uma udinga ulwazi oluthe xaxa noma usizo lokufaka isicelo seMedicaid. Ithimba le-Connect lisebenzela umphakathi ngezilimi eziningi.
Ukutholakala kwezinsizakalo zokunakekelwa kwezempilo ezisezingeni eliphakeme, ezingabizi kakhulu ngesikhathi sokukhulelwa sekude isikhathi eside kuncike ohlotsheni lomshuwalense wezempilo okufanele umuntu alufanele futhi alubhalisele.
Yize lokho kuhlala kuyiqiniso, uMthetho Wokunakekelwa Ongabizi ( LAPHA ) futhi iguqule futhi yandisa izindlela zokunakekelwa kwezempilo ezitholakala kwabesifazane abakhulelwe. Le mibuzo nezimpendulo zibhekelela ukumbozwa nezinsizakalo ezitholakala kwabesifazane ngaphandle komshwalense, ababhalise kwiMedicaid yendabuko noma yokwandisa, ababhalise kuhlelo lwezempilo lweMarketplace, noma oluhlanganiswe ngumshwalense wangasese noma oxhaswe umqashi.
Ngabe owesifazane ongenawo umshwalense angabhalisela uhlelo lomshuwalense wezempilo womphakathi lapho ekhulelwa?
I-Medicaid yabesifazane abakhulelwe . Yebo, abesifazane abahlangabezana nenqubo yokufaneleka yeMedicaid noma uHlelo Lomshwalense Wezempilo Wezingane ( CHIP ) angabhalisa kolunye lwalezi zinhlelo zomphakathi nganoma yisiphi isikhathi ngesikhathi sokukhulelwa:
I-Medicaid ephelele
Owesifazane okhulelwe ufanelekile ukuthola ukumbozwa okugcwele kweMedicaid nganoma yisiphi isikhathi ngesikhathi sokukhulelwa uma efanelekile ngokwezidingo zombuso. Izici zokufaneleka zifaka usayizi wendlu, imali engenayo, ukuhlala endaweni yesicelo, kanye nesimo sokufuduka. Owesifazane ongaqinisekisiwe osevele ekhulelwe ngesikhathi sokufaka isicelo akafanelekile ukunwetshwa kokubhaliswa kweMedicaid.
I-Medicaid ehlobene nokukhulelwa
Uma imali engenayo yomndeni idlula imikhawulo yemali engenayo yokutholakala kwe-Medicaid egcwele, kodwa ilingana noma ingaphansi komkhawulo wemali engenayo wombuso weMedicaid ehlobene nokukhulelwa, owesifazane unelungelo lokuthola iMedicaid ngaphansi kwesigaba sokutholakala kwezinsizakalo ezihlobene nokukhulelwa nemibandela lokho kungaba nzima ukukhulelwa.
Imikhawulo yemali engenayo yeMedicaid ehlobene nokukhulelwa iyahlukahluka, kepha izifundazwe azikwazi ukwehlisa ukufaneleka kwalokhu kufakwa ngaphansi kwesiteji esisemthethweni esisukela kumholo we-133% kuya ku-185% we-FPL ( Izinga Lobuphofu Lombuso ), kuya ngesimo. Izizwe zingasetha umkhawulo wemali engenayo ophakeme.
Uhlelo Lomshwalense Wezempilo Wezingane (CHIP)
Amazwe nawo anethuba lokuhlinzeka ngokutholakala kwabesifazane abakhulelwe ngaphansi kohlelo lukahulumeni lwe-CHIP. Le nketho ibaluleke kakhulu kwabesifazane abangafaneleki kwezinye izinhlelo, njengeMedicaid, ngokuya ngemali engenayo noma yokufuduka.
Amazwe angahlinzeka ngokuhlinzekwa kwezempilo kowesifazane okhulelwe ngqo noma kowesifazane okhulelwe ohlanganisa umbungu. Isifundazwe ngasinye sinokubona kokubeka imingcele ephezulu yokufaneleka kwezezimali ngaphezulu kwesitezi esithile, kepha iningi lamazwe lisetha imingcele yalo ngaphezu kuka-200% we-FPL.
Ngabe i-Medicaid ne-CHIP Inikezela Ngokutholakala Okuphelele Kwezempilo Kwabesifazane Abakhulelwe?
Yebo, ezifundeni eziningi kodwa hhayi zonke. I-Medicaid egcwele amandla kuzo zonke izifundazwe inikeza ukumbozwa okuphelele, kufaka phakathi ukunakekelwa kokubeletha, ukubeletha nokulethwa, kanye nanoma yiziphi ezinye izinsizakalo ezidingekayo kwezokwelapha.
I-Medicaid ehlobene nokukhulelwa ihlanganisa izinsizakalo ezidingekayo empilweni yowesifazane okhulelwe kanye ne-fetus, noma okuye kwadingeka ngenxa yowesifazane okhulelwe. Isiqondiso sikahulumeni esivela eMnyangweni Wezempilo kanye Nezinsizakalo Zabantu ( HHS ) ucacise ukuthi ububanzi bezinsizakalo ezihlanganisiwe kumele bube banzi ngoba impilo yowesifazane ihlangene nempilo yombungu, okwenza kube nzima ukuthola ukuthi yiziphi izinsizakalo ezihlobene nokukhulelwa.
Isimiso sikahulumeni sidinga ukufakwa ukunakekelwa kokubeletha, ukubeletha, ukunakekelwa kwangemva kokubeletha, nokuhlela umndeni, kanye nezinsizakalo zezimo ezingasongela ukuthwala umbungu isikhathi noma ukulethwa okuphephile kombungu. Umbuso ekugcineni unquma ukuthi iziphi izinsiza ezibanzi ezihlanganiswayo.
Amazwe angamashumi amane nesikhombisa ahlinzeka ngeMedicaid ephathelene nokukhulelwa ehlangabezana ne-Minimum Essential Coverage (MEC) ngakho-ke ibhekwa njengephelele. IMedicaid ephathelene nokukhulelwa e-Arkansas, Idaho kanye naseNingizimu Dakota ayihambisani noNgqongqoshe futhi ayihlangene.
Ukufakwa kwe-CHIP kwabesifazane abakhulelwe nakho kuvame ukubanzi. Kodwa-ke, ezindaweni lapho izinsizakalo zinikezwa owesifazane okhulelwe ngokumboza umbungu, izinsizakalo kungenzeka zingabi banzi maqondana nezidingo zezempilo zowesifazane okhulelwe.
Siyini isibopho sokwabelana ngezindleko ngaphansi kweMedicaid noma i-CHIP?
Akukho. Umthetho we-Medicaid uvimbela amazwe ukuthi akhokhise imali edonswayo, ama-copay, noma izindleko ezifanayo zezinsizakalo ezihlobene nokukhulelwa noma izimo ezingase zibe nzima ukukhulelwa, kungakhathalekile isigaba sokubhaliswa seMedicaid. I-HHS icabanga kutsi tinsita letihlobene nekukhulelwa tifaka ekhatsi tonkhe tinsita letihlanganiswe luhlelo lwembuso, ngaphandle uma umbuso unetizatfu tekuhlukaniswa kwemsebenti lotsite njengobe ungahlobene nekukhulelwa lokuhlobene neluhlelo lwawo lwembuso. Kodwa-ke, izifundazwe zingabeka amaprimiyamu nyangazonke kwabesifazane abakhulelwe abanemali engenayo engaphezu kuka-150% we-FPL kanye nezindleko zemithi engathandwa.
Iningi lisho ukuthi limboza abesifazane abakhulelwe ohlelweni lwabo lwe-CHIP abanazo izindleko zokwabelana noma ezinye izimali ezihambisana nokubamba iqhaza kulolu hlelo.
Kuthatha isikhathi esingakanani ukumbozwa kweMedicaid noma i-CHIP yokukhulelwa?
Ukutholakala kweMedicaid noma i-CHIP ngokususelwa ekukhulelweni kuhlala kuze kufike isikhathi sokubeletha, esiphela ngosuku lokugcina lwenyanga lapho isikhathi sezinsuku ezingama-60 sangemva kokubeletha siphela, kungakhathalekile ushintsho lwemali engenayo ngaleso sikhathi. Ngemuva kokuphela kwesikhathi sokubeletha, umbuso kufanele uhlole ukufaneleka kowesifazane kunoma yisiphi esinye isigaba sokutholakala kweMedicaid.
Ngabe owesifazane okhulelwe angathola izinsizakalo zeMedicaid noma ze-CHIP ngaphambi kwesinqumo sokufaneleka?
Kungenzeka. Amazwe angakhetha, kepha awadingeki, ukuhlinzeka ngezigaba ezithile zababhalisile beMedicaid, kufaka phakathi abesifazane abakhulelwe, ngokufaneleka kokuqagelwa. Lokhu kuvumela abesifazane abakhulelwe ukuthi bathole izinsizakalo zeMedicaid zosuku olufanayo, imvamisa emtholampilo noma esibhedlela lapho behambisa khona isicelo sokufaneleka kweMedicaid. Njengamanje, izifundazwe ezingama-30 zihlinzeka ngokufaneleka kokuqagela kwabesifazane abakhulelwe.
Ngabe owesifazane ongakatholakali onelungelo lokuthola umshuwalense wezempilo oxhaswe umqashi, kepha engabhalisile kulolo hlelo, ufanelekile kwiMedicaid noma i-CHIP?
Yebo, ukufaneleka kweMedicaid ne-CHIP akuthinteki ngokutholakala komshuwalense wezempilo wangasese oxhaswe umqashi noma omunye umshuwalense.
isiphetho
Ukuzulazula ezinhlotsheni ezahlukahlukene zokutholakala kokunakekelwa kwezempilo ezitholakala kwabesifazane abakhulelwe kungaba nzima. Ngenhlanhla, ngokufika kwe-ACA, abesifazane abakhulelwe baye bakhulisa izinketho zabo zokuthola ukunakekelwa kwezempilo.
Abesifazane abahola kancane abangaqinisekisiwe lapho bekhulelwa bangabhalisa eMedicaid futhi bathole izinsizakalo eziphelele zokunakekelwa kwezempilo ngesikhathi nangemva kokukhulelwa.
Abesifazane asebevele benomshuwalense wezempilo lapho bekhulelwa ngokuvamile bangagcina lokho kufakwa noma, uma kufaneleka, bashintshele eMedicaid. Lapho ubeletha, izinketho zokumboza ezempilo zowesifazane zingashintsha futhi, zimvumele ukuthi adlulele ekunakekelweni okusha noma abuyele emthonjeni wangaphambilini wokutholakala kwezempilo.
Izinkomba:
Ukuphakama kwabokufika abakhona ngokusemthethweni , Ezempilo.gov, https://www.healthcare.gov/immigrants/lawfully-present-immigrants .
I-CMS, Isikhulu Somnyango Wezempilo Othandekayo (Julayi 1, 2010), https://www.medicaid.gov/federal-policy-guidance/downloads/sho10006.pdf .
Ukutholakala kweMedicaid / CHIP Yezingane Ezihlala Ngokomthetho Nezabafazi Abakhulelwe , Kutholwe Umndeni Kaiser. (Januwari 1, 2017), http://www.kff.org/health-reform/state-indicator/medicaid-chip-coverage-of-lawfully-residing-immigrant-children-and-pregnant-women .
Okuqukethwe
- Izinketho zeMedicaid Ngesikhathi sokukhulelwa
- Ulwazi Olwengeziwe
- Ngabe owesifazane ongenawo umshwalense angabhalisela uhlelo lomshuwalense wezempilo womphakathi lapho ekhulelwa?
- I-Medicaid ephelele
- I-Medicaid ehlobene nokukhulelwa
- Uhlelo Lomshwalense Wezempilo Wezingane (CHIP)
- Ngabe i-Medicaid ne-CHIP Inikezela Ngokutholakala Okuphelele Kwezempilo Kwabesifazane Abakhulelwe?
- Siyini isibopho sokwabelana ngezindleko ngaphansi kweMedicaid noma i-CHIP?
- Kuthatha isikhathi esingakanani ukumbozwa kweMedicaid noma i-CHIP yokukhulelwa?
- Ngabe owesifazane okhulelwe angathola izinsizakalo zeMedicaid noma ze-CHIP ngaphambi kwesinqumo sokufaneleka?
- Ngabe owesifazane ongakatholakali onelungelo lokuthola umshuwalense wezempilo oxhaswe umqashi, kepha engabhalisile kulolo hlelo, ufanelekile kwiMedicaid noma i-CHIP?