Ukukhetha Umshwalense Wakho Wezempilo: Ukubhalisa Okuvulekile vs. Ukuvuselelwa Kwe-Medicaid
Ukunquma ngomshwalense wezempilo ofanele kungaba yinto ekhohlisayo, kodwa ukuqonda ukubhaliswa okuvulekile nokuvuselelwa kwe-Medicaid kungakusiza wenze izinqumo ezihlakaniphile mayelana nokunakekelwa kwezempilo kwakho. Ukwazi umehluko phakathi kwalokhu kokubili kungakusiza uqonde ukuthi ungakukhethela kanjani ukunakekelwa kwezempilo okufanele.
Ukubhalisa okuvulekile isikhathi esithile minyaka yonke (kusukela ngoNovemba 1 kuya kuJanuwari 15) lapho ungakhetha noma uguqule uhlelo lwakho lomshwalense wezempilo ukuze luvumelane nezidingo zakho. Okwabantu abafuna ukufakwa kweMakethe. Ngesikhathi sokubhalisa okuvulekile, uthola ukucabanga ngempilo yakho bese ukhetha uhlelo olulungele wena nomndeni wakho.
Ukuvuselelwa kwe-Medicaid kuhluke kancane. Zenzeka minyaka yonke kubantu asebevele besezinhlelweni ezifana neMedicaid noma iChild Health Plan plus (CHP+). E-Colorado, ungathola iphakethe lokuvuselela okufanele uligcwalise minyaka yonke ukuze uhlole ukuthi usafanelekela yini izinhlelo zezempilo ezifana ne-Medicaid. E-Colorado, i-Medicaid ibizwa ngokuthi i-Health First Colorado (uhlelo lwe-Colorado Medicaid).
Nazi ezinye izincazelo ezingakusiza uqonde nakakhulu:
| VULA IMIGOMO YOKUBHALISA | IZINCAZELO |
| Vula ukubhalisa | Isikhathi esikhethekile lapho abantu bengabhalisa noma benze izinguquko ezinhlelweni zabo zomshwalense wezempilo. Kufana newindi lethuba lokuthola noma lokulungisa umshwalense. |
| uhlelo lwezikhathi | Uma kwenzeka okuthile. Kumongo wokubhalisa okuvulekile, kumayelana nesikhathi esiqondile ongabhalisa ngaso noma uguqule umshwalense wakho. |
| Ukutholakala | Uma okuthile kulungile futhi kufinyeleleka. Ekubhaliseni okuvulekile, kumayelana nokuthi ungathola noma ushintshe umshwalense wakho ngaleso sikhathi. |
| Izinketho zokuhlanganisa | Izinhlobo ezahlukene zezinhlelo zomshwalense ongakhetha kuzo ngesikhathi sokubhalisa okuvulekile. Inketho ngayinye inikeza izinhlobo ezahlukene zokuhlinzekwa kwezempilo. |
| Isikhathi esinomkhawulo | Isikhathi esithile sokuthi okuthile kwenzeke. Ekubhaliseni okuvulekile, yisikhathi lapho ungakwazi ukubhalisa noma ushintshe umshwalense wakho. |
| IMIGOMO YOKUVUSELA | IZINCAZELO |
| Inqubo yokuvuselela | Izinyathelo okudingeka uzithathe ukuze uqhubeke noma ubuyekeze ukufakwa kwakho kwe-Medicaid noma i-CHP+. |
| Ukuqinisekiswa kokufaneleka | Ihlola ukuze wenze isiqiniseko sokuthi usafaneleka ukuthola i-Medicaid. |
| Ukuvuselela okuzenzakalelayo | Ukufakwa kwakho kwe-Medicaid noma i-CHP+ kuyanwetshwa ngaphandle kokuthi wenze noma yini, inqobo nje uma usafaneleka. |
| Ukuqhubeka kokufakwa | Ukugcina umshwalense wakho wezempilo ngaphandle kwamakhefu. |
I-Colorado isanda kuqala ukuthumela amaphakethe okuvuselela yonyaka futhi ngemva kokuphela kwe-COVID-19 Public Health Emergency (PHE) ngoMeyi 11, 2023. Uma udinga ukuvuselela, uzothola isaziso ngeposi noma Uhlelo lokusebenza lwe-PEAK. Kubalulekile ukugcina imininingwane yakho yokuxhumana ibuyekeziwe ukuze ungaphuthelwa yile milayezo ebalulekile. Ngokungafani nokubhaliswa okuvulekile, ukuvuselelwa kwe-Medicaid kwenzeka ezinyangeni ezingu-14, futhi abantu abahlukene bavuselela ngezikhathi ezahlukene. Ukuthi ukuhlinzekwa kwakho kwezempilo kuvuselelwa ngokuzenzakalelayo noma udinga ukuzenzela ngokwakho, kubaluleke kakhulu ukuphendula izaziso ukuze uqhubeke nokuthola usizo oludingayo ngempilo yakho.
| Vula ukubhalisa | Ukuvuselelwa Kwe-Medicaid | |
| uhlelo lwezikhathi | Novemba 1 - Januwari 15 njalo ngonyaka | Ngonyaka, ngaphezu kwezinyanga eziyi-14 |
| Injongo | Bhalisa noma ulungise izinhlelo zomshwalense wezempilo | Qinisekisa ukufaneleka kwe-Medicaid noma i-CHP+ |
| Okabani | Abantu abafuna izinhlelo zeMakethe | Abantu ababhalise ku-Medicaid noma i-CHP+ |
| Imicimbi yempilo | Isikhathi sokubhalisa esikhethekile semicimbi emikhulu yempilo | Ukubuyekezwa kokufaneleka ngemva kwe-COVID-19 PHE kanye nonyaka |
| Isaziso | Izaziso zokuvuselela ezithunyelwe ngaleso sikhathi | Izaziso zokuvuselela zithunyelwa kusengaphambili; amalungu angase adinge ukuphendula |
| Ukuvuselela okuzenzakalelayo | Amanye amalungu angase avuselelwe ngokuzenzakalelayo | Amanye amalungu angase avuselelwe ngokuzenzakalelayo ngokusekelwe olwazini olukhona |
| Inqubo yokuvuselela | Khetha noma ulungise izinhlelo ngesikhathi esibekiwe | Phendula kumaphakethe wokuvuselela ngedethi yamanqamu |
| Ukuvumelana nezimo | Isikhathi esilinganiselwe sokwenza izinqumo | Inqubo yokuvuselela ehamba kancane phakathi nezinyanga eziyi-14 |
| Ukuqhubeka kwekhava | Iqinisekisa ukufinyelela okuqhubekayo ezinhlelweni zeMakethe | Iqinisekisa ukufaneleka okuqhubekayo kwe-Medicaid noma i-CHP+ |
| Waziswa kanjani | Ngokuvamile ngeposi nange-inthanethi | Imeyili, i-inthanethi, i-imeyili, umbhalo, amakholi we-Interactive Voice Response (IVR), amakholi wefoni abukhoma, nezaziso zohlelo lokusebenza |
Ngakho-ke, ukubhaliswa okuvulekile kumayelana nokukhetha izinhlelo, kuyilapho ukuvuselelwa kwe-Medicaid kumayelana nokuqinisekisa ukuthi ungaqhubeka nokuthola usizo. Basebenza ngokuhlukile! Ukubhaliswa okuvulekile kanye nokuvuselelwa kwe-Medicaid kukhona ukuze kuqinisekiswe ukuthi ungathola ukunakekelwa kwezempilo okudingayo. Ukubhalisa okuvulekile kukunikeza isikhathi esikhethekile sokukhetha uhlelo olulungile, kuyilapho ukuvuselelwa kwe-Medicaid kuqinisekisa ukuthi usafanelekela usizo njalo ngonyaka. Khumbula ukugcina ulwazi lwakho luvuselelwe, qaphela imilayezo oyitholayo, futhi ubambe iqhaza ekubhaliseni okuvulelekile noma ekuvuselelweni kwe-Medicaid ukuze ugcine ukuhlinzekwa kwezempilo kwakho kusendleleni.
Izinsiza Eziningi