Chirongwa cheMedicaid Kukodzera uye Kubatsirwa
Kufukidza vanhu vanopfuura mamiriyoni makumi maviri nemaviri eMelika, Medicaid ndiyo inonyanya kukosha yehutano inshuwarani muUnited States. Purogiramu iyi, yakasikwa pasi peHuman Security Security Kuchinja kwegore ra1955, inowanikwa kune vanhu vane mari yakaderera muUnited States, District of Columbia, uye ndima dzeU.S. Iko kubatana pakati pehurumende nehurumende dzehurumende kupa rubatsiro rwehutano hwehutano hwakakosha. Kunzwisisa kuti inoshanda sei kuchakubatsira iwe kushandisa zvakanakisisa zvayo.
Ndiani Angawana Medicaid?
Vanhu vazhinji vane mari shoma shoma havazokwanisi kutenga mari yehutano yehutano pasina hurumende rubatsiro. Apa ndipo apo Medicaid inopinda. Dhipatimendi reUnited Health Health and Human Services rinosarudza hurombo hwehurumende (FPL) gore roga rega, uye aya maitiro anoshandiswa kugadzirisa mitemo yakakodzera yeMedicaid.
Haasi munhu wose akakodzera Medicaid, zvisinei, kunyange kana vane mari shoma.
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Mudzimai Wako Anofamba Nekufungidzirwa uye Anopinda Muimba Yevachengeti. Zvino Chii?
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Medicaid Kukodzera uye Nhaka Yenyu: Chii Chinoverenga uye Hazviiti?
Inofanirawo kuwira kune mamwe mapoka anosangana nehurumende nehurumende zvinoda. ICenter for Medicare neMedicaid Services inopa kuti mapoka anotevera ave akafukidzwa neMedicaid muzvose zvinotaura:
- Vana vanozvarwa patsva nemakore mashanu nemhuri vanobhadhara kusvika 133 muzana yeFPL
- Vana vane makore matanhatu kusvika pamakore gumi nemasere nemhuri vanobhadhara kusvika kune zana muzana yeFPL
- Vanhu vakwegura vane mari yekuwana kusvika 75 muzana yeFPL
- Mhuri dzine vana vanovimbiswa vane mari yekuwana kusvika 11 kusvika ku68 muzana yeFPL (yakabatsirwa neHurumende kumhuri nevana vanochengetedza vana mari)
- Vanhu vane hurema pa Social Security Insurance (SSI) vane mari kusvika 75 muzana yeFPL
- Vakadzi vane pamuviri vane pfuma kusvika ku13 muzana yeFPL
Hurumende yezvematongerwo enyika inoisa mutemo asi hurumende imwe neimwe inogona kusarudza kuparadzira chinyorwa kupfuura izvi. Semuenzaniso, vanogona kuwedzera zvipfumi zvemari kuti vaise vanhu vakawanda.
Nzira Yekutarisira Kunetseka Kwakaita Mutemo Inobatsira Sei Kuita Mushonga
The Affordable Care Act, kana kuti Obamacare , yakave nechinokonzera ku Medicare kukodzera apo yakagadzwa muna 2010. Kuwedzereresa hutano hwehutano hwemamiriyoni evanhu veAmerica, Obamacare yakapa kuwedzera kweMedicaid kuti inotaura.
Mukutsinhanisa mari yezvemari, nyika dzakabvumirana kuwedzera kuparidzirwa kweMedicaid kune ani naani ane mari kusvika ku13 muzana yeFPL, pasinei nezvimwe zvinhu. (Vana vasina vana vaisazogadziriswa kubva pakugoverwa.)
Parizvino, 32 inotaura uye Chirongwa cheColumbia chave chichiwedzera kuwedzerwa kweMedare. Aya mazita achagamuchira mari yezvemari pamakore matatu ekutanga ekuwedzera kwavo uye makumi mapfumbamwe kubva muzana emadhora aya anowedzera kusvika muna 2022. Masangano akasara anoenderera mberi kutevera tsika dzeMedicaid yekugadziriswa.
Kuenda Kunze Kunobatsira sei Medicaid Kufanirwa
Kuva mugari weAmerica kunovimbisa kuti unogona kuwana Medicaid kuparidzira chero bedzi zvimwe zvido zvinosangana zvakare. Izvo hazvigone kutaurwa kune avo vane mamiriro ekubuda.
Nyika dzinosarudza kuti kana kwete ivo vachapa kugoverwa kune vanhu vasati vambova vagari vemuUnited States, panguva iyo iyo hurumende yehurumende inoisa mirayiridzo iyi kutevera. Vatapi vemutemo vanogara munyika iyo isati yatanga 1996 vangakwanisa kuwana zvizere zvikwereti. Kunze kweavo vari paSSI, vatorwa vemutemo vanopinda munyika mushure mekunge 1996 vanogona kungotora zvikwereti zvizere mushure memakore mashanu ekugara. Vapoteri vakapinda munyika zvisina mvumo vangave vakakodzera kubasa rekukurumidzira chete, kwete iyo Medicaid yakazara inobatsira.
Chii chinonzi Medicaid Cover?
Medicaid haisi kureva zvinhu zvose asi inofukidza zvakawanda. Hurumende yehurumende inoda kuti humwe hutano hupiwe hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hupi hweMedicaid. Izvi zvinosungirwa mabasa anosanganisira zvinotevera:
- Kuchengetwa kwakapiwa munzvimbo dzinotarisirwa hutano uye makiriniki ezvehutano
- Kuchengetwa kwakapiwa munzvimbo dzokuchengetedza vana vanhu vane makore 21 uye kupfuura
- Kuchengetedzwa kunopiwa navanachiremba, vanamukoti, uye vanamukoti
- Kutanga nekuongorora nguva nenguva, kuongororwa, uye kurapwa (EPSDT) mabasa kuvanhu vane makore makumi maviri nemashanu
- Zvirongwa zvekuronga mhuri uye zvigadzirwa
- Kuchengetedza kwehutano hwemusha kune vanhu vanofanirwa kune vanamukoti mazano
- Laboratory uye x-ray mazano
- Kutakura kune zvikonzero zvekurapa
Zvisinei, humwe hurumende ine sarudzo yekuwedzera pane iyo masangano. Uye kazhinji vanozviita. Izvi zvinogona kushandiswa zvinogona kusanganisira asi hazvirevi kune:
- Case management
- Dental care (kusanganisira mazino )
- Zvigadzirwa zvekurapa zvinogara kwenguva refu
- Hospice kuchengetwa
- Mishonga yehutano hwepfungwa
- Mishonga yemishonga
- Prosthetic devices
- Mishandiro ekudzorera (kunosanganisira therapy physically and therapy therapy )
- Telemedicine
- Chiratidzo chekutarisira (kusanganisira magirazi emaziso)
Kana iwe uchikodzera kana uripo panguva yeMedicaid, unogona kudzidza zvakawanda pamusoro pekuti chirongwa chako chezvematongerwo enyika chinowanikwa paMedicaid.gov website.
Kusiyana pakati peMedicaid uye Medicare
Medicaid uye Medicare inogona kumira uye inotarisa yakafanana, asi usanyengerwa.
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Chii Chinonzi Medicaid Kuita Nezvekutya Kweutungamiriri?
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Medicare Rinotarisa Zvimwe Zvimwe Zvinodhaka Kupfuura Medicaid kana VA
Zvirongwa zvehutano zvehutano zvinogona kutungamirirwa neCenters for Medicare neMedicaid Services, asi kune zvakawanda zvakasiyana pakati pemapurogiramu maviri .
Kunyange zvazvo Medicare iri purogiramu yehurumende, Medicaid inotungamirirwa nehurumende. Mapurogiramu ose aya anotarisira kune vakwegura uye kune avo vane hurema, asi Medicaid chete inopa kutarisira kune vanhu vanoita mari shoma kubva kumakore ese pasinei nehutano hwehutano hwavo. Medicare inogumira mishonga yekuchengetedza musha kuchengetedza kwenguva pfupi yekuzorodza mushure mekugara kwechipatara, asi Medicaid chete inopa musha wekuchengetedza musha kwenguva refu kune avo vanobhadhara.
Vanhu vanopfuura mamiriyoni masere vanofanirwa neMedicaid uye Medicare. Vanhu ava vanotumidzwa sevari vaviri vakakodzera . Vanowana zvakanakisisa zvezvinhu zvose zviri zviviri, sekutaura. Medicaid inovabatsira kubhadhara mabasa ayo Medicare haina kuvhara .
Nzira Yokunyora Nayo Medicaid
Kunyora muMedicaid kunogona kuitwa nyore nyore paIndaneti kuMedareare.gov. Zvimwe, iwe unogona kutaura nehofisi yako yeMedare yekune imwe nzvimbo kuti ishande nefoni kana kuronga kuti iwe-munhu agadziriswe. Kana iwe uchikodzero, iwe unoda kuisa zvinyorwa nokukurumidza kuti uwane zvakanakisisa zvekubatsira.
> Sources:
> Medicaid - A Primer: Nyaya Inokosha Purogiramu Yehutano Hwenyika yeVanhu Vashoma-Kuwana. Kaiser Commission pamusoro peMedicaid uye neUnitedured. https://kaiserfamilyfoundation.files.wordpress.com/2010/06/7334-05.pdf. Yakabudiswa muna March 2013.
> Medicaid uye CHIP Chikumbiro, Kugadziriswa Kusarudza, uye Inyore Data. Medicaid.gov website. https://www.medicaid.gov/medicaid-chip-program-information/program-information/medicaid-and-chip-enrollment-data/medicaid-and-chip-application-eligibility-determination-and-enrollment-data. html.
> Medicaid Kubhadhara. National Association of Medicaid Directors website. http://medicaiddirectors.org/key-issues/medicaid-financing/.
> Obamacare Medicaid Kuwedzera. Obamacare Facts website. http://obamacarefacts.com/obamacares-medicaid-expansion/.
> Urombo Hutungamiri. Dhipatimendi reUnited Health Health and Human Services website. https://aspe.hhs.gov/poverty-guidelines. Yakabudiswa naJanuary 15, 2016.