Medicaid

Mwachidule cha Kuyenerera ndi Kupindula kwa Medicaid

Kuphimba anthu oposa 72 miliyoni a ku America, Medicaid ndi chithandizo chachikulu cha inshuwalansi ya thanzi ku United States. Pulogalamuyi, yomwe idapangidwa pansi pa Social Security Amendments ya 1965, imapezeka kwa anthu otsika kwambiri ku United States, District of Columbia, ndi madera a US. Ndi mgwirizano pakati pa maboma a boma ndi boma kuti apereke chithandizo cha chithandizo chamankhwala. Kumvetsetsa mmene zimagwirira ntchito kudzakuthandizani kuti mupindule kwambiri.

Ndani Angamvetsetse?

Anthu ambiri omwe ali ndi ndalama zochepa sangakwanitse kupeza inshuwalansi ya umoyo popanda thandizo la boma. Apa ndi pamene Medicaid ikugwiritsidwa ntchito. Dipatimenti ya zaumoyo ku United States imatchula kuti umphaŵi wadziko lonse (FPL) chaka chilichonse, ndipo mfundo izi zimagwiritsidwa ntchito kukhazikitsira miyezo yoyenera ya Medicaid.

Sikuti aliyense ali woyenera Medicaid, komabe ngakhale ali ndi ndalama zochepa.

• Mkwatibwi Wanu Amayamba Kugonjera ndipo Amalowa M'nyumba ya Achikulire. Tsopano Chiani?

• Kulingalira kwa Medicaid ndi Chuma Chanu: Nchiyani Chimene Chimawerengera Ndiponso Chimene Sichikugwirizana?

Ayeneranso kugwera m'magulu ena omwe amakwaniritsa zofuna za boma ndi boma. Centers for Medicare ndi Medicaid Services amalamulira kuti magulu otsatirawa azisungidwa ndi Medicaid m'zinthu zonse:

• Ana obadwa kumene ali ndi zaka zisanu ndipo mabanja awo amapeza ndalama zokwana 133 peresenti ya FPL
• Ana a zaka zapakati pa zisanu ndi zisanu ndi zisanu ndi zisanu ndi zitatu (18) ndi banja lawo amapeza ndalama zokwana 100 peresenti ya FPL
• Anthu okalamba omwe ali ndi ndalama zopitirira 75 peresenti ya FPL
• Mabanja omwe ali ndi ana otetezeka omwe ali ndi ndalama zoposa 11 mpaka 68 peresenti ya FPL (yochokera ku bungwe la thandizo la mabanja ndi ana omwe amadalira ndalama)
• Anthu olumala pa Social Security Inshuwalansi (SSI) omwe ali ndi ndalama zopitirira 75 peresenti ya FPL

• Azimayi omwe ali ndi phindu lopeza ndalama mpaka 133 peresenti ya FPL

Boma la federal limakhazikitsa ndondomeko koma mayiko pawokha akhoza kusankha kufalitsa kufalitsa malire. Mwachitsanzo, akhoza kuwonjezera malire awo kuti athe kuphatikizapo anthu ambiri.

Momwe Ntchito Yoperekera Ndalama Imakhudzidwira Kuyenera Kuthandizidwa ndi Amaganizo

The Affordable Care Act, kapena Obamacare , inakhudza kwambiri Medicare pamene idakhazikitsidwa mu 2010. Kuonjezera mwayi wopezera chithandizo kwa anthu mamiliyoni ambiri a ku America, Obamacare anapereka thandizo la Medicaid kuti lifotokoze.

Pofuna ndalama zothandizira federal, bungwe linagwirizana kuti likulitse chithandizo cha Medicaid kwa aliyense amene ali ndi ndalama zopitirira 133 peresenti ya FPL, mosasamala zina. (Ana opanda ana sakanatha kutchulidwa kufotokozedwa.)

Pakalipano, mayiko 32 ndi District of Columbia adayesetsa kuwonjezera thandizo la Medicare. Mayikowa adzalandira ndalama zowonjezera pazaka zitatu zoyambirira za kukula kwawo ndipo 90 peresenti ya ndalamazi zikuwonjezeka kupyolera mu 2022. Maiko otsalawo akupitiriza kutsatira ndondomeko yoyenera ya Medicaid.

Momwe Osamukira Kumakhudzira Kuvomerezeka kwa Medicaid

Kukhala nzika ya Chimereka kumatsimikizira kuti mukhoza kupeza chithandizo cha Medicaid malinga ndi zofunika zina. Zomwezo sizinenenedwe kwa iwo omwe ali ndi ufulu wochokera kunja.

Mayiko akuganiza ngati angapereke chithunzi kwa anthu omwe sali amwenye a US, ndiye kuti boma limapereka malangizo awa. Ochokera kudziko lina omwe amakhala m'dzikoli isanafike chaka cha 1996 akhoza kulandira madalitso onse. Kuwonjezera pa iwo omwe ali pa SSI, olowa m'dziko muno pambuyo pa 1996 akhoza kulandira madalitso ochuluka atatha zaka zisanu. Othawa kwawo omwe aloŵa m'dzikoli mosemphana ndi malamulo amatha kulandira thandizo ladzidzidzi okha, osati madalitso onse a Medicaid.

Kodi Medicaid Amaphimba Chiyani?

Medicaid sikutanthauza chirichonse koma chimakwirira zambiri. Boma la federal likufuna kuti mautumiki ena aperekedwe kwa opindula onse a Medicaid. Ntchito izi zowonjezereka zikuphatikizapo zotsatirazi:

• Chisamaliro chaperekedwa m'mabungwe a zaumoyo komanso m'mabungwe azaumoyo akumidzi

• Chisamaliro chomwe chinaperekedwa ku malo osungirako okalamba kwa anthu azaka 21 kapena kuposa
• Chisamaliro choperekedwa ndi madokotala, azamwino azamwino, ndi azamwino
• Kuyezetsa koyambirira, nthawi zamakono, ndi chithandizo (EPSDT) kwa anthu osakwana zaka 21
• Ntchito zothandizira za kulera ndi zinthu
• Thandizo laumoyo kunyumba kwa anthu oyenerera ku malo osungirako okalamba
• Mapulogalamu a Laboratory ndi x-ray
• Kutumiza kwa zifukwa zachipatala

Komabe, boma lirilonse liri ndi mwayi wowonjezera pa mautumikiwa. Ndipo nthawi zambiri amachita. Ntchito zothandizira izi zingaphatikize koma sizingatheke ku:

• Kusamalira nkhani
• Kusamalira mano (kuphatikizapo mano )
• Zipangizo zamankhwala zosatha
• Kusamalira chipatala
• Maphunziro a zaumoyo
• Mankhwala a mankhwala
• Zipangizo zamakono
• Ntchito zothandizira anthu odwala matenda (kuphatikizapo mankhwala opatsirana komanso mankhwala opatsirana )
• Telemedicine
• Kusamalira masomphenya (kuphatikizapo magalasi a maso)

Ngati muli oyenerera kapena panopa mu Medicaid, mukhoza kuphunzira zambiri zokhudza zomwe pulogalamu yanu ya boma imalemba pa webusaiti ya Medicaid.gov.

Kusiyana Pakati pa Medicaid ndi Medicare

Medicaid ndi Medicare zingamveke ndikuwoneka mofanana, koma musanyengedwe.

• Kodi Medicaid Akuchita Chiyani Ponena za Poizoni Wotsogolera?

• Medicare Amalowera Zambiri Zambiri pa Mankhwala Osokoneza Bongo Kusiya Medicaid kapena VA

Mapulogalamu onse othandizira azaumoyo angathe kuyang'aniridwa ndi Centers for Medicare ndi Medicaid Services, koma pali kusiyana kwakukulu pakati pa mapulogalamu awiriwa .

Ngakhale Medicare ndi ndondomeko yothamanga, Medicaid ikuyendetsedwa ndi mayiko. Mapulogalamu awiriwa amapereka chisamaliro kwa okalamba ndi omwe ali ndi chilema, koma Medicaid yokha imapereka chisamaliro kwa anthu ochepa omwe ali ndi zaka zambiri ngakhale alibe thanzi lawo. Medicare amalepheretsa anthu kusamalidwa pakhomo pafupipafupi atatha kuchipatala, koma Medicaid yokha imapereka chithandizo chapakhomo kwa nthawi yaitali kwa anthu opindula.

Anthu oposa eyiti miliyoni amatha kulandira Medicaid ndi Medicare. Anthu awa akutchulidwa kuti ndi oyenerera awiri . Iwo amapeza zabwino kwambiri za zonsezi, kunena. Medicaid amawathandiza kulipira ntchito zomwe Medicare sizikuphimba .

Mmene Mungayankhire pa Medicaid

Kulembetsa ku Medicaid kungatheke mosavuta pa intaneti pa Medicare.gov. Mwinanso, mungathe kuonana ndi ofesi ya Medicare ya komweko kuti mukagwiritse ntchito foni kapena kuti mukonzekeretsani munthu amene mwasankha. Ngati muli oyenerera, mukufuna kulembetsa mwamsanga kuti mupindule kwambiri.

> Zotsatira:

> Medicaid - A Primer: Mfundo Zowunika pa Pulogalamu ya Nation ya Health for People Low-Income Program. Komiti ya Kaiser ya Medicaid ndi Uninsured. https://kaiserfamilyfoundation.files.wordpress.com/2010/06/7334-05.pdf. Lofalitsidwa March 2013.

> Chigamulo cha Medicaid ndi CHIP, Chidziwitso Chotsimikizika, ndi Dongosolo la Kulembetsa. Webusaiti ya Medicaid.gov. Chiwongoladzanja html.

> Medicaid Financing. National Association of Medicaid Directors webusaitiyi. http://medicaiddirectors.org/key-issues/medicaid-financing/.

> Kuwonjezeka kwa Medamida ya Obamacare. Zoonadi za Obamacare webusaiti. http://obamacarefacts.com/obamacares-medicaid-expansion/.

> Malangizo Osauka. Webusaiti ya US Department of Health and Human Services webusaitiyi. https://aspe.hhs.gov/poverty-guidelines. Idasindikizidwa pa January 15, 2016.