Mutemo wakazarura kuwanikwa kune vanhu kwenguva refu vakaramba kuparidzirwa
The Affordable Care Act (ACA), inonyanya kuzivikanwa seObamacare, yakasayirwa mutemo musi waMarch 23, 2010 kuti ive nechokwadi chokuti yakachengetedzwa, yakagadzikana uye ine mari yehutano yehutano yehutano kune vose veAmerica. IAACA haisi kungopa kugoverana kwehutano hwehutano kuburikidza nevanhu uye mabhizimisi maduku vanogona kuenzanisa nekutenga inshuwarheni yekupa, inopa rubatsiro rwemari kune vekuAmerican vanowana mari yakaenzana kutenga kuburikidza nehupfumi hwehurumende.
Mukuwedzera, ACA yakawedzera kudiwa kweMedicaid kune avo vanobhadhara mari muAmerica vanoita zviduku zvinodarika 133 muzana zvehurongwa hwehurumende hurombo huripo, izvo zvaive zvambove zvawanikwa chete kune vanhu vakaremara sechikonzero cheHIV.
Pasinei nekuedza kwevamwe kuti vanopesana kana kuti vadzidzise mutemo, rubatsiro rwevanhu rweAACA rwakanga rwuri kuwedzera zvishoma nezvishoma, nemapurisa emagariro anoratidza kuwedzera kwekutsigira mutemo kubva kumusangano weDemocratic uye weRepublican kubva pakagadziriswa Trump.
Maererano nekutsvakurudza kubva kuWashington, DC-Kaiser Family Foundation, vanhu vaduku, vane mari shoma (pasi pe $ 40,000 pagore), uye avo vakazvitsvakira seDemocrat vainyanya kutarisira mutemo.
Kunyange zvazvo kukanganiswa kweAACA muhutano hwehutano hweUnited States isinganzwisisike, zvinogona kukonzerwa kuti mamiriyoni 1.2 evaAmerica vanorarama neHIV vangangodaro vainzwa zvikuru. Mutemo usati wapiwa, vanhu 17 chete vevanhu vane HIV vane hutano hwehutano hwepaguru vachienzanisa ne 54% yehuwandu hwevanhu.
Uyezve, kaviri kana yakawanda yakanga isati yashandiswa kurapwa mune zvekurapa chero ipi zvayo (29 muzana) kana ichienzaniswa nevaAmerica vasina HIV (14 muzana).
Migumisiro yekuwedzera kuwanikwa
Kubva muna 2010, kufambira mberi kwehutano hwehutano hwakagamuchirwa zvakanaka nevanhu vane HIV, vane tsvakurudzo dzakawanda zvichiratidza kuvandudzwa kwekugadziriswa kwechipatara semugumisiro weAACA kushandiswa.
MuVirginia, somuenzaniso, 47 muzana yeavo vaimbowana chirwere kuburikidza nehurumende yeAIDS Drug Assistance Program (ADAP) vakanyoresa maAAA zvirongwa zvehupfumi muna 2014. Vakashongedzwa nehutano hutsva hwekuchengetedzwa kwehutachiona hweHIV, varwere vane inshuwarisi yaiva nani yakakwanisa kuzadzikisa nekuchengetedza zvisingaoneki zvehutachiona mitoro kupfuura varwere vane ADAP.
Uyezve, mwedzi wega wega wekunyorwa muurongwa hwehushuwarisi hwakabatanidzwa nehutanhatu hwepakati hwehutano hwehutachiona hwehutachiona, uye vanhu vakanyoresa gore rose vanopfuura makumi matanhatu kubva muzana mukana wekuchengetedza zvizere zvipembenene mitoro.
Maitiro akafanana ari kuonekwa kune imwe nzvimbo, neCalifornia, nyika ine huru pane chirongwa cheADAP, iyo inofanirwa ne 27 muzana inodonhedzwa kubva ku 2012. Nhasi, vanopfuura 28,000 Californians vanowana ADAP vachienzanisa nevanopfuura 38 000 vakange vaita izvi muna 2012- nhamba inoonekwa kubva muna 2006.
Izvozvo hazvirevi kuti hapasina matambudziko makuru ekugadzirisa kushanda. Muna l2015, maverengi eAAC vatsigiri vaipomerwa mhosva yekusarura vanhu vane HIV kuburikidza nekubatana nehutachiwana hwemishonga , tsika iyo varwere vanodziviswa kubva pakusarudza hurongwa hwehupfigirisi nekuisa mishonga isina kukodzera yakakura yekubhadhara zvinodhaka.
Mune zvimwe zviitiko, kunze kwe-pocket zvinodhaka zvinodhaka zvevanhu vane HIV zvakange zviine $ 3,000 zvakakwirira pagore kana zvichienzaniswa nevatsigiri vehurumende vasina kutora matambudziko.
Muna March 2015, mushure memafashamo ekutsoropodzwa kubva kumapoka ekutsigira HIV, Aetna Insurance yakarongedza maitiro ayo emukati, kubvisa zvinodhaka zvinodhaka zvekare kubva kune zvakanyanya kusvika kune izvo kubhadhara kubhadharwa kunogona kubva kune $ 5 kusvika ku $ 100 mushure mokunge vatengesa.
Uyezve, kuenderera mberi kwekuedza kudzivirira Medicaid kuwedzera mune dzimwe nyika seVirginia, Louisiana, Texas neFlorida vari kusiya vamwe varombo vagari vemunyika-avo vanowanzova pangozi yekutapukirwa kweHIV-vasina zvishoma, mune chero kupi zvako, kuwana rubatsiro rwekurapa.
Parizvino, 19 US States inoderedza kuwedzera kweMedicaid .
When and How to Register
Kuvhura kunyoresa nguva yegore apo iwe unogona kushandisa mari yekubatsirwa, kuchinja zvirongwa, kana kunyora mune chirongwa chakakura chokurapa chinoverengeka sechidimbu chinonyanya kukosha chinodiwa nemutemo.
Kubatanidzwa kunotanga kuzarura kunotanga musi waNovember 1, 2017 uye zuva rinobudirira rekugoverwa kutanga munaJanuary 1, 2018. Ndapota ona kuti hurumende yeTrump yakasarudza kuderedza firiji yekunyoresa kubva pamutambo waJanuary 31 musi weDecember 15, 2018 . Izvi zvinopa vanhu vhiki masere chete kuti vadzivirire kunyoresa.
Zvichakadaro, hupfumi hurumende dzinoshandiswa pabasa rekuzvimirira dzakasarudza kuwedzera zuva rekunyora, chero kupi zvako kubva munaJanuary 22 kusvika ku31, 2018.
Pasi peAACA, kunyoresa kunotungamirirwa neUnited Insurance Marketplace. Nzvimbo imwe neimwe yeMusika inoshandiswa kana hurumende kana hurumende yehurumende uye inopa iwe kuputsika kwezvokugoverana zvinowanikwa mukati mehurumende yako, iwe uri kutsvaga
- Private health inshuwarisi
- Mitsva inobhadhara mutero kubvisa purogiramu yemari
- Medicaid inscription
- Vana Health Health Program (CHIP)
- Small Business Health Options Program (SHOP)
- Muridzi wemari-inotsigirwa inshuwarisi
Dhipatimendi reUnited Health Health and Human Services rakagadzira Health Insurance Marketplace portal kuHealthcare.gov kuti ibatsire kutsvaga kukodzera kwako uye kukuendesai kune imwe nzvimbo yehurumende kana dhipatimendi raunoda. (Shanduro yemutauro wechiSpanish inogona kuwanikwa kuCuidadodesalud.gov).
Kana waita chisarudzo chekugovera, iwe unogona kushandiswa paIndaneti, mumunhu, kana nekutumira. Nzira dzinogona kusiyana kubva kune imwe nyika kuenda kune imwe nyika, asi mapepa ekutsvaga ari nyore akareba uye ari nyore kunzwisisa, achida chete nhamba yezvokuchengetedzwa kwevanhu (kana kuti nhamba yepamusoro kana iwe uri mumiriri wemutemo) uye vashandisi / mapepa ekuwana (semuenzaniso, kubhadhara stubs, W-2s, mitero yemitero).
Kana imwe nguva yakatumirwa, nguva yekutevera iri pakati pevhiki imwe chete kusvika maviri, paavhareji.
Nhamba Dzefoni Dzakakosha
Health Insurance Insurance Market Hotline (inowanikwa maawa 24 pazuva):
- 1-800-318-2596
- TTY: 1-855-889-4325
Small Business Resource Hotline (Muvhuro kusvika Chishanu, 9: 00 mangwanani kusvika 5:00 pm EST):
- 1-800-706-7893
- TTY: 1-800-706-7915
Kuti uwane mamwe mashoko pamusoro pekuwedzera kweMedicaid munharaunda yako, inogara ichitsvaga Status of State Action report inowanikwa kubva kune-non-profit-profit Kaiser Family Foundation.
>> Sources:
> Kaiser Family Foundation (KFF). "Kaiser Health Tracking Poll: Inonzi Public's View pane ACA." Washington, DC; yakasvika musi waNovember 3, 2015.
> McManus, K .; Rhodes, A ;; Yerkes, L .; et al. "2014 Affordable Care Act Kubatanidzwa kweAIDS Drug Assistance Program Program Clients uye Associated HIV." ID Week 2015. Gumiguru 9, 2015; San Diego, California; > muromo sumo; abstract 728.
> Jacobs, D. naVaSommers, B. "Kushandisa Zvinodhaka Kusarura - Kusarudzwa Kwakashata muInishuwasi yeMusika." New England Journal of Medicine. January 29, 2015; 372: 379-402.
> The Advisory Board Company. "Ikoko iyo inomiririra kuwedzera kweMedicaid." Washington, DC; yakasvika musi waNovember 3, 2015.