Ukukhetha i-Inshurensi yeMpilo yakho: Ukubhaliswa okuVulekileyo vs. Ukuhlaziywa kweMedicaid
Ukugqiba malunga ne-inshurensi yezempilo echanekileyo kunokuba nzima, kodwa ukuqonda ukubhaliswa okuvulekileyo kunye nokuhlaziywa kwe-Medicaid kunokukunceda wenze ukhetho olufanelekileyo malunga nokhathalelo lwakho lwezempilo. Ukwazi umahluko phakathi kwezi zimbini kunokukunceda uqonde indlela yokukukhethela unyango olufanelekileyo.
Ukubhaliswa okuvulekileyo lixesha elithile ngonyaka (ukususela ngoNovemba 1st ukuya kuJanuwari 15th) xa unokukhetha okanye utshintshe isicwangciso sakho se-inshurensi yezempilo ukuze ulungele iimfuno zakho. Yeyabantu abajonga indawo yeMarike. Ngexesha lobhaliso oluvulekileyo, uya kucinga ngempilo yakho kwaye ukhethe isicwangciso esifanelekileyo sakho kunye nosapho lwakho.
Uhlaziyo lwe-Medicaid luhluke kancinci. Zenzeka minyaka le kubantu abasele bekwiinkqubo ezifana neMedicaid okanye iSicwangciso seMpilo yoMntwana kunye (CHP+). EColorado, unokufumana ipakethe yokuhlaziya ekufuneka uyigcwalise minyaka le ukujonga ukuba usafanelekela na kwiinkqubo zempilo ezifana neMedicaid. E-Colorado, i-Medicaid ibizwa ngokuba yi-Health First Colorado (inkqubo ye-Colorado Medicaid).
Nazi ezinye iinkcazo ezinokukunceda uqonde ngakumbi:
| VULA IMIGAQO YOKUBHALISA | IINKCAZELO |
| Vula ubhaliso | Ixesha elikhethekileyo apho abantu banokubhalisa okanye benze utshintsho kwizicwangciso zabo ze-inshurensi yezempilo. Kufana nefestile yamathuba okufumana okanye ukulungisa i-inshurensi. |
| Isikhathi | Xa kukho into eyenzekayo. Kumxholo wobhaliso oluvulekileyo, malunga nexesha elithile apho unokubhalisa okanye uguqule i-inshurensi yakho. |
| ukufumaneka | Ukuba into ilungile kwaye ifikeleleke. Ekubhaliseni okuvulekileyo, malunga nokuba unokufumana okanye utshintshe i-inshurensi yakho ngelo xesha. |
| Izinketho zokufunda | Iindidi ezahlukeneyo zezicwangciso ze-inshurensi onokukhetha kuzo ngexesha lokubhalisa okuvulekileyo. Inketho nganye ibonelela ngeentlobo ezahlukeneyo zokhuselo lwempilo. |
| Ixesha eliqingqiweyo | Ixesha elithile lexesha lokuba into yenzeke. Ekubhaliseni okuvulekileyo, lixesha apho unokubhalisa okanye utshintshe i-inshurensi yakho. |
| IMIGAQO YOKUHLAZIYA | IINKCAZELO |
| Inkqubo yokuhlaziya | Amanyathelo okufuneka uwathathe ukuze uqhubeke okanye uhlaziye i-Medicaid okanye i-CHP + yakho. |
| Ukuqinisekiswa kokufaneleka | Ukujonga ukuqinisekisa ukuba usafaneleka kwiMedicaid. |
| Uhlaziyo oluzenzekelayo | Ukhuseleko lwakho lweMedicaid okanye lweCHP + lwandisiwe ngaphandle kokuba wenze nantoni na, ukuba nje usafaneleka. |
| Ukuqhubekeka kokhuseleko | Ukugcina i-inshurensi yakho yezempilo ngaphandle kwekhefu. |
IColorado isanda kuqalisa ukuthumela iipakethi zohlaziyo zonyaka kwakhona emva kokuba i-COVID-19 Public Health Emergency (PHE) iphelile ngoMeyi 11, 2023. Ukuba ufuna ukuhlaziya, uya kufumana isaziso kwi-imeyile okanye kwi-imeyile. I-PEK app. Kubalulekile ukugcina iinkcukacha zakho zoqhagamshelwano zihlaziywa ukuze ungaphoswa yile miyalezo ibalulekileyo. Ngokungafaniyo nokubhaliswa okuvulekileyo, ukuhlaziywa kwe-Medicaid kwenzeka kwiinyanga ze-14, kwaye abantu abahlukeneyo bahlaziya ngamaxesha ahlukeneyo. Nokuba impilo yakho ihlaziywa ngokuzenzekelayo okanye kufuneka uzenzele ngokwakho, kubaluleke kakhulu ukuphendula kwizaziso ukuze uqhubeke ufumana uncedo oludingayo kwimpilo yakho.
| Vula uBhaliso | Ukuhlaziywa kweMedicaid | |
| Isikhathi | NgoNovemba 1-Januwari 15 ngonyaka | Ngonyaka, ngaphezu kweenyanga ezili-14 |
| Injongo | Bhalisa okanye uhlengahlengise izicwangciso ze-inshorensi yezempilo | Qinisekisa ukufaneleka kwe-Medicaid okanye i-CHP+ |
| Ngubani lowo | Abantu abakhangela izicwangciso zeNdawo yeMarike | Abantu ababhalise kwi-Medicaid okanye kwi-CHP + |
| Izehlo zobomi | Ixesha lokubhalisa elikhethekileyo kwiziganeko ezinkulu zobomi | Uphononongo lokufaneleka emva kwe-COVID-19 PHE kwaye ngonyaka |
| Isaziso | Izaziso zohlaziyo ezithunyelwe ngeli xesha | Izaziso zohlaziyo zithunyelwa kwangaphambili; amalungu kunokufuneka aphendule |
| Uhlaziyo oluzenzekelayo | Amanye amalungu anokuhlaziywa ngokuzenzekelayo | Amanye amalungu anokuthi ahlaziywe ngokuzenzekelayo ngokusekelwe kulwazi olukhoyo |
| Inkqubo yokuhlaziya | Khetha okanye uhlengahlengise izicwangciso kwixesha elibekiweyo | Phendula kwiipakethi zokuhlaziya ngomhla obekiweyo |
| voco | Ixesha eliqingqiweyo lokuthatha izigqibo | Inkqubo yohlaziyo eyehlayo kwiinyanga ezili-14 |
| Ukuqhubekeka kokhuselo | Uqinisekisa ukufikelela okuqhubekayo kwizicwangciso zeNdawo yeMarike | Uqinisekisa ukufaneleka okuqhubekayo kwi-Medicaid okanye i-CHP + |
| Waziswa njani | Ngokuqhelekileyo ngeposi kunye ne-intanethi | Imeyile, i-intanethi, i-imeyile, umbhalo, i-Interactive Voice Response (IVR) iminxeba, iminxeba ephilayo, kunye nezaziso ze-app |
Ke, ubhaliso oluvulekileyo lumalunga nokuchola izicwangciso, ngelixa uhlaziyo lweMedicaid lumalunga nokuqinisekisa ukuba ungaqhubeka ufumana uncedo. Basebenza ngokwahlukileyo! Ukubhaliswa okuvulekileyo kunye nokuhlaziywa kwe-Medicaid kukho ukuqinisekisa ukuba unokufumana unyango olufunayo. Ukubhaliswa okuvulekileyo kukunika ixesha elikhethekileyo lokukhetha isicwangciso esifanelekileyo, ngelixa uhlaziyo lweMedicaid luqinisekisa ukuba usafanelekela uncedo rhoqo ngonyaka. Khumbula ukugcina ulwazi lwakho luhlaziywa, nikela ingqalelo kwimiyalezo oyifumanayo, kwaye uthathe inxaxheba ekubhaliseni okuvulekileyo okanye kuhlaziyo lweMedicaid ukuze ugcine impilo yakho isendleleni.
Izixhobo ezingakumbi