Pulojekiti imathandiza onse opeza ndalama zapansi ndi pakati
Ngakhale kuti mwayi wothandizira zaumoyo wakula kwa anthu omwe ali ndi kachilombo koyambitsa matenda a Edzi kuyambira kukhazikitsidwa kwa Affordable Care Act (ACA) mu 2014, mtengo wa mankhwala opatsirana pogonana ulibe vuto lalikulu. Ngakhale kuti ena amatha kupeza inshuwalansi yaumwini, mtengowu wakhala woletsedwa kwambiri, ndi ena a inshuwalansi omwe amachititsa mankhwala ochepetsa ma ARV kumagwiritsire ntchito mankhwala osokoneza "otchipa" ndi "osakhala achibadwa" opangidwa ndi mankhwala osokoneza bongo amtengo wapamwamba omwe amalamulira ndalama zothandizira 30% kapena kuposa.
Chizoloŵezi choterechi chakhala chokhudzidwa ndi opeza ndalama zochepa, komanso ambiri akukakamizidwa kulipira mankhwala awo kunja kwa thumba. Kuti muyambe kugwiritsa ntchito mankhwala osokoneza bongo atatu, izi zikhoza kuwonjezera pa $ 1,000 pamwezi , mtengo umene ambiri angawone kuti sungatheke.
Pulogalamu ya AIDS yothandizira madokotala (ADAP) ndi ndondomeko ya boma yomwe inakhazikitsidwa mu 1987 kupereka mankhwala opatsirana pogwiritsa ntchito kachilombo ka HIV kwa anthu a ku America omwe alibe ndalama zambiri. Kuchokera nthawi imeneyo chiwerengero cha pulogalamuyi chawonjezeka kwambiri, ndi zina zomwe zimatha kupereka chithandizo kwa madokotala, mayeso a labu, zopereka za inshuwalansi, komanso ngakhale njira zothandizira anthu omwe ali pachiopsezo chotenga matenda.
Kuyenerera kuli kawirikawiri ndalama, kuchokera ku mabanja omwe pachaka amapeza ndalama zopitirira 200 peresenti ya Federal poverty poverty level (FPL) kwa iwo omwe ali ndi ndalama zosakwana 500 peresenti. Kupeza malipiro sikungapangidwe pa inu kapena phindu lonse la banja lanu pachaka koma pa ndalama zanu zosinthidwa pachaka zomwe mwasintha (makamaka ndalama Zowonjezera Zowonongeka zomwe ziri pa mzere 37 wa kubweza kwanu kwa msonkho 1040 kuphatikizapo owonjezera mmbuyo).
Izi zikutanthauza kuti, m'mayiko 11 omwe ndalama zowonjezera zakhazikitsidwa pa 500 peresenti, mwamuna ndi mkazi omwe ali ndi kusintha kwa pachaka Pakati pa ndalama zokwana madola 80,000 adzalandira thandizo la ADAP.
ADAP Kuvomerezeka ndi State
Sitikunena kuti mapulogalamu onse a ADAP adalengedwa ofanana. Ngakhale kuti ADAP ikuthandizidwa ndi boma la federal, boma lirilonse limapereka ndondomeko yake, limakhazikitsa ndondomeko yowonjezeramo, ndipo limafotokoza zomwe zingathandize komanso sizidzapereka.
M'madera ena, amatanthauzira kupereka mankhwala othandizira mankhwala; Kwa ena, mautumiki angaphatikizepo maulendo omwe nthawi zonse amawachezera, kuwongolera milandu, kapena (monga ku New York State) thandizo la chisamaliro cha kunyumba.
Ngakhale kuti malamulo amasiyana kuchokera ku boma kupita ku boma, kuyenerera kumakhala kochokera pa zinthu zitatu:
- Malemba omwe amakhala mumtunda umenewo. Kwa anthu omwe sali a US, malemba a malo okhalamo amafunika. Pakalipano, mu mayiko ena, monga New Mexico ndi Massachusetts, anthu othawa kwawo osatumizidwa amaloledwa ndi ntchito za ADAP.
- Umboni wa ndalama. Izi zimakhazikitsidwa ndi inu kapena ndalama zapakhomo zomwe mumasintha chaka chilichonse (MAGI) koma zingaphatikizepo mtengo wochepa wa ndalama za ndalama zathu (monga Delaware, Georgia, ndi New York).
- Zitsimikizo za HIV yanu ndi dokotala woyenera. M'madera ena, monga Arkansas, kuchuluka kwa CD4 ndi mayeso a mavaira angagwiritsidwe ntchito kuti ayenerere kulandira.
Monga ADAP imawonedwa ngati "malipiro omaliza", ukhoza kuyesedwa kupeza inshuwalansi ya umoyo ngakhale ntchito za ADAP zitasinthidwa. Zikatero, mungafunikire kupereka umboni wa inshuwaransi kuti mupeze zosowa, kaya ndizogwiritsira ntchito mankhwala osokoneza bongo, thandizo la ndalama, kapena (muzinthu zina) thandizo loperekedwa kapena la premium.
Kwa omwe satha kulandira chivomerezo cha ADAP, mapulogalamu othandizira ndalama ndi mapulogalamu (PAP) amaperekedwa ndi makampani ambiri osokoneza bongo kuti apereke mankhwala aulere kapena otsika mtengo kwa omwe sangakwanitse.
| State | Wolamulira wa Pulogalamu | Zofunika Zopeza | Zowonjezereka Zowonjezera ndi Zoganizira |
| Alabama | Alabama ADAP | Oposa 250% a FPL | Kawirikawiri, makasitomala omwe amalembedwa mu inshuwalansi yaumwini kapena yathanzi sangagwirizane. Zotsalira zingagwiritsidwe ntchito pazowonjezera. |
| Alaska | Msonkhano wa Edzi wa m'kati mwa AIDS ndi Association Alaska AIDS Assistance Association | Oposa 400% a FPL ku Alaska | Ayenera kukhala wogwira ntchito yogwira ntchito ku Alaska AIDS Assistance Association (Four A's) kapena Interior AIDS Association (IAA). |
| Arizona | Arizona ADAP | Oposa 400% a FPL | |
| Arkansas | Arkansas ADAP | Oposa 200% a FPL | Wodwala yemwe sanatetezedwe kale ayenera kukhala ndi CD4 osawerengeka kuposa 500 OR kapena chiwerengero cha tizilombo toposa 55,000 (mayeso a PCR) kapena HIV ya vutolo kuposa 30,000 (bDNA test). Pakali pano kapena odwala omwe kale anali oyenerera akuyenerera ngati umboni wa mankhwala opatsirana kachilombo ka HIV umaperekedwa. |
| California | California ADAP | Oposa 500% a FPL | |
| Colorado | Colorado ADAP | Oposa 400% a FPL | Anthu omwe ali ndi FPL pakati pa 400% ndi 500% adzalandira thandizo la mankhwala. Anthu omwe ali ndi inshuwaransi yaumwini, inshuwalansi ya COBRA, kapena inshuwalansi yogwira ntchito ayenera kugwiritsa ntchito kudzera mu Colorado ADAP's Health Insurance Assistance Program (HIAP). |
| Connecticut | Connecticut ADAP (CADAP) | Oposa 400% a FPL | |
| Delaware | Delaware ADAP | Pezani zosakwana $ 50,000 pachaka ndipo muli ndi ndalama zosakwana $ 10,000 muzinthu. | |
| District of Columbia | Chigawo cha Columbia ADAP | Zosakwana 500% za FPL ndi zamtengo wapatali zosakwana $ 25,000 | |
| Florida | Florida ADAP | Oposa 400% a FPL | |
| Georgia | Georgia ADAP | Zosapitirira 300% za FPL ndi ndalama zosakwana $ 4,500 ($ 5,500 ngati akwatirana) | |
| Hawaii | Hawaii ADAP | Oposa 400% a FPL ku Hawaii | |
| Illinois | Illinois ADAP | Oposa 300% a FPL kwa omvera atsopano komanso osapitirira 500% a FPL kwa olemba ntchito omwe adalembapo pa July 1, 2011 | Anthu omwe ali ndi ndalama zoposa 300% za FPL amalimbikitsidwa kuti alowe mu Plan Pre-Existing Plan Plan (IPEX), ndondomeko ya inshuwalansi yathanzi. |
| Indiana | Indiana ADAP | Oposa 300% a FPL | |
| Iowa | ADAP ya Iowa | Oposa 200% a FPL, omwe amachotsedwa ntchito $ 500 | Amapezeka okha kwa anthu omwe sagwirizana ndi inshuwalansi ya umoyo. Komabe, thandizo la inshuwalansi likupezeka kwa anthu omwe ali ndi ndalama zosakwana 400% za FPL. |
| Kansas | Kansas ADAP | Oposa 300% a FPL | |
| Kentucky | Kentucky ADAP (KADAP) | Oposa 500% a FPL | |
| Louisiana | Louisiana Health Access Program (LA HAP) | Oposa 300% a FPL | Pofuna kupeza ndalama zapakhomo, anthu a m'banja mwanu ndi omwe amakhala ndi inu omwe ali okhudzana ndi mwazi, mwaukwati, kapena mwa kukhazikitsidwa mwalamulo. |
| Maine | Maine ADAP | Oposa 500% a FPL | |
| Maryland | Maryland ADAP (MADAP) | Oposa 500% a FPL | |
| Massachusetts | Massachusetts Pulogalamu Yothandizira Kachilombo ka HIV (HDAP) | Oposa 500% a FPL | Palibe malire a zaka za anthu omwe akugwiritsira ntchito HDAP. Simukuyenera kukhala nzika ya US kuti mulembetse ku ADAP. |
| Michigan | Milandu Yothandizira Mankhwala a Michigan (MIDAP) | Oposa 450% a FPL | Nthaŵi zina, muyenera kuti munapempha thandizo la anthu onse (Medicaid kapena pulogalamu ya Odala Zowonjezera Zopindulitsa) ndipo mukhoza kusonyeza kuti mwakhala mukutsutsidwa (a), (b) mwayikidwa pa chikhalidwe choyembekezera, kapena (c) kuikidwa pa kutaya-kutaya pansi m'masiku 90 apitawo. |
| Minnesota | ADAP | Oposa 400% a FPL | |
| Missouri | Missouri Pulogalamu Yothandizira Zokambirana za HIV / AIDS | Phindu lalikulu kapena pansi pa 300% la FPL | |
| Mississippi | Mississippi ADAP | Oposa 300% a FPL | |
| Montana | Montana ADAP | Pansi pa 431% ya FPL | |
| Nebraska | Nebraska ADAP (NE ADAP) | Oposa 200% a FPL | |
| Nevada | Nevada ADAP | Zopitirira 400% za FPL ndi zamtengo wapatali zosakwana $ 10,000 | Mafuta akuphatikizapo nyumba yosungidwa ndi galimoto imodzi (kapena magalimoto awiri ngati akwatiwa). |
| New Hampshire | NH CARE Program | Oposa 400% a FPL | Mutha kukhala oyenerera ADAP malinga ndi ndalama zothandizira. Lumikizani ku CARE call center kuti mufunse za ziyeneretso zapadera. |
| New Jersey | Edzi Mankhwala Ochepetsa Mankhwala Osokoneza Bongo (ADDP) | Oposa 500% a FPL | |
| New Mexico | New Mexico ADAP | Oposa 400% a FPL | Simukusowa kuti mukhale nzika ya US yolembedwa kapena alendo kuti muyenerere ntchito za ADAP. |
| New York | New York State ADAP | Osachepera 435% a FPL ndi osachepera $ 25,000 mu katundu wa nyumba pa nyumba | Ufulu wa chiyanjano cha US sichifunika. HIV pre-exposure prophylaxis (PrEP) imapezekanso kwa anthu omwe alibe kachilombo koyambitsa matenda. Ntchito zothandizira kunyumba zimapezekanso kudzera mwa wothandizira ovomerezeka, mpaka phindu la moyo wa $ 30,000. |
| North Carolina | North Carolina ADAP | Oposa 300% a FPL | Anthu omwe ali ndi Medicare omwe ali ndi ndalama zopitirira 150% a FPL akuyenera kuitanitsa ndalama zothandizira ndalama zochepa (LIS) ndi Social Security Administration. |
| North Dakota | North Dakota ADAP | Oposa 400% a FPL | |
| O hio | Ohio Pulogalamu Yothandizira Mankhwala Osokoneza Bongo ku Ohio (OHDAP) | Oposa 300% a FPL | Ofunsidwa akuyenera kupereka ndalama zapakhomo (kuphatikizapo kuchokera kwa akazi ndi odalira) pakugwiritsa ntchito. |
| Oklahoma | Kachilombo ka HIV Kachilombo ka HIV | Oposa 200% a FPL kwa omwe alibe inshuwalansi | Kuthandizidwa ndi malipiro a inshuwalansi, kulipira ndalama komanso ndalama zomwe zimaperekedwa kwa omwe amapeza ndalama zosakwana 400% za FPL. |
| Oregon | CAREAssist | Oposa 500% a FPL | |
| Pennsylvania | Dipatimenti yapadera ya madokotala (SPBP) | 500% ya FPL | |
| Puerto Rico | Puerto Rico ADAP | Oposa 200% a FPL ku Puerto Rico | |
| Rhode Island | Rhode Island ADAP | Oposa 400% a FPL | |
| S outh Carolina | South Carolina ADAP | Kuchokera pansi pa 300% ya FPL kufika pa 550% ya FPL, malingana ndi pulogalamu | Ndondomeko Yowonetsera Kwachindunji (DDP) imapereka mankhwala kudzera mwa olemba makalata ndipo imapezeka kwa anthu omwe ali ndi ndalama zoposa 300% za FPL. Medicaid B Assistance Program (MAP) imaperekanso mankhwala kudzera mwa makalata olembetsa makalata ndipo imapezeka kwa anthu omwe ali ndi ndalama zoposa 550% za FPL. Kuthandizidwa ndi inshuwalansi, mapepala a ndalama, ndi zopatsa ndalama zimaperekedwa kudzera mu Inshuwalansi Assistance Program (IAP) ndipo zimapezeka kwa anthu omwe ali ndi ndalama zopitirira 550% za FPL. |
| South Dakota | South Dakota ADAP | Oposa 300% a FPL | |
| Tennessee | ADAP Tennessee | Oposa 400% a FPL ndi katundu wa nyumba zosakwana $ 8,000 | |
| Texas | Pulogalamu ya Mankhwala a HIV ku Texas (THMP) | Oposa 200% a FPL | |
| Vermont | Vermont Medication Assistance Program (VMAP) | Oposa 500% a FPL | |
| Virginia | Virginia ADAP | Oposa 400% a FPL | |
| Washington | Ndondomeko Yoyamba Kuteteza (EIP) | Oposa 400% a FPL | |
| West Virginia | West Virginia ADAP | Oposa 400% a FPL | |
| Wisconsin | Wisconsin HIV / AIDS Pulogalamu Yothandizira Mankhwala | Oposa 300% a FPL | |
| Wyoming | Wyoming Pulogalamu Yothandizira HIV | Zimayesedwa ndi county of residential (onani ndondomeko zamakono zoyenera ) |