Izvo iwe zvaunoda kuti uzive nezve gore rino reMedicaid shanduko

Nhau

Iine iyo Medicaid system inogara ichigadziriswa (kana isina kudzoreredzwa), zvingave zvakaoma kuramba uine ruzivo rwekuvhara kwako. Hezvino izvo zvachinja mu2020.

Medicaid chirongwa chehurumende nehurumende chinobatsira nemari yekurapa kuvanhu vane mari shoma uye zviwanikwa vanokodzera. Inobhadharwa neFederal payroll tax, mari zhinji yemitero, uye maprimiyamu evanopa mari kuti vape mabhenefiti asiri anowanzo kufukidzwa nemamwe mapurogiramu ehurumende, anosanganisira kuchengetwa kwevanochengetwa nekuchengetwa kwevanhu. Medicaid inowanzo kuvhiringidzwa neMedare (iyo inotungamirwa nemubatanidzwa, inowaniswa mari nehurongwa hweinishuwarenzi yehutano hwevanhu vane makore makumi matanhatu nemashanu zvichikwira uye vamwe vanhu vakaremara), asi ivo vakasiyana kwazvo. Asi nekuda kwekuvimba kweMedicaid kune ese ehurumende nehurumende mamiriro ayo anoshanduka kubva kune imwechete manejimendi kuenda kune inotevera, chirongwa ichi zvakare chine mutsika wekuchinja nekufamba kwenguva - zvichiita kuti zvive zvakaoma kuziva nekunzwisisa ruzivo rwekuvhara uye mabhenefiti.

Mitemo yeMedicaid yakave neshanduko dzinoverengeka kubvira iyo Inodhura Care Act (ACA) yakapihwa muna 2010, uye semhedzisiro, vazhinji vekuAmerican vanovimba neMedicaid havasati vaziva kana uye nekukanganiswa kwavo, kunyangwe makore gumi gare gare. Ndicho chikonzero tiri kutora tarisa kune mamwe achangoburwa eMedicaid shanduko uye zvechizvino-zvino chokwadi kuitira kuti iwe ugone kuita zvakanakisa zvemamiriro ako azvino ekurapa mamiriro.

Ndezvipi zvinodiwa kuti uve unofanirwa neMedicaid?

Parizvino, kuti ukwanise kuwana Medicaid, unofanirwa kuita zvemari zvinodiwa (zvakatsanangurwa pazasi) pamwe neinotevera:

• Vanobatsirwa kazhinji vanofanirwa kuve vagari venyika mavari kugamuchira Medicaid.
• Vanofanira kunge vari vagari vemuUnited States kana vamwe vanokwanisa vasiri vagari, sevamiriri vanogara zviri pamutemo.
• Mamwe mapoka ekufanirwa anogumira nezera, kana nepamuviri kana chinzvimbo chevabereki.
• Mhuri dzinotambira mari shoma, vakadzi vane pamuviri uye vana vanokwanisa, uye vanhu vanogamuchira Supplemental Security Income (SSI) mienzaniso ye anosungirwa kukodzera mapoka .

Pamusoro pezvo, matunhu ega ega ane mukana wekumisikidza chirongwa chekurapa chevanhu vane hutano hwakakosha vane mari iri pamusoro zvakanyanya kuti vakwanise kuwana Medicaid pasi pemamwe mapoka ekufanirwa. Izvi zvinoda kuti munhu apedze pasi.

Ndeapi maMedicaid ekupedzisira achinja?

Nekuti chirongwa cheMedicaid chakabatanidzwa pamwe chete nehurumende nehurumende, panowanzo kuve nekusiyana kwakasiyana kana zvasvika pakukodzera uye mabhenefiti kubva kudunhu nenyika. Zvinoenderana nemukuru Medicaid zvinyorwa , iyo hurumende yemubhadharo inobhadhara nyika kune yakatarwa muzana yezvikamu zvechirongwa, inonzi Federal Medical Assistance Percentage (FMAP). Zvadaro, nyika yega yega inova nebasa rekushandira yavo yega Medicaid chirongwa mukati memubatanidzwa mirayiridzo. Nyika dzine mukana wakakura wekugadzirisa uye kuronga zvirongwa zvadzo. Nekuda kweizvozvo, kukodzera kweMedicaid uye mabhenefiti anogona uye kazhinji anosiyana zvakasiyana kubva kudunhu kuenda kudunhu.

Iyo iripo mamiriro ekukodzera uye kuwedzera

Mushure mokunge ACA yapfuura muna 2010, kukodzera kweMedicaid kwakawedzerwa kuti iwedzere zvikwereti zvepamusoro-soro, kusvika kusvika 138 muzana yehurombo. Izvozvo zvinoreva kuti avo vane mari yegore negore yemadhora gumi nemazana makumi manomwe nemazana manomwe nemakumi matatu nemashanu kana pasi uye yemhuri yevana ine gore negore mari yemari ye $ 34,638 kana zvishoma inokodzera kubhadhara kweMedicaid. Saka kazhinji, muganho wemari mu2020 ndeye $ 2,349 pamwedzi mumatunhu mazhinji uye muganho weaseti iri $ 2,000 yemunhu mumwe chete anokumbira. Kuti uone mari iyi, nyika Medicaid agency inoisa mutoro weuchapupu hwemari yemwedzi pamunhu anenge achinyorera. Dudziro: Medicaid inoda vazhinji vanyoreri kuti vape zvese zvakakumbirwa uye zvinodiwa magwaro kuti vaone zvakanyorwa mukushandisa.

Parizvino nyika dzinobvumidzwa kutora chikamu chekuwedzera kana kusarudza kubuda. Kubva muna Kubvumbi 2020, 35 inoti pamwe neDunhu reColumbia vakashandisa kuwedzera kweMedicaid kushandira varombo uye vane mari shoma. Idzi dzinosanganisira:

1. Alaska
2. Arizona
3. Arkansas
4. California
5. Colorado
6. Connecticut
7. Delaware
8. Hawaii
9. Idaho
10. Illinois
11. Sravana Sameeralu Serial 4th Indiana
12. Iowa
13. Kentucky
14. Louisiana
15. Maine
16. Maryland
17. Massachusetts
18. Michigan
19. Minnesota
20. Montana
21. Nevada
22. New Hampshire
23. New Jersey
24. New Mexico
25. New York
26. North Dakota
27. Ohio
28. Oregon
29. Pennsylvania
30. Rhode Island
31. Utah
32. Vermont
33. Virginia
34. Washington
35. West Virginia

Kuwedzera kunotaridzika kwakasiyana kune yega nyika, sekuita kwekuwedzera. Asi imwe yepazasi ndeyekuti kana nyika yako ichibvuma nekushandisa kuwedzera, iwe unogona ikozvino kukodzera kuMedicaid-kunyangwe dai wanga usina kumbobvira waita. Kuti uone zvakadzama kutarisisa mamiriro ako ehurumende, tarisa Kaiser Family Foundation's mepu inofambidzana . Kubva ikozvino, nyika gumi nemana hadzina kutora kuwedzera. Kune iyo nyika, kana iwe ukawira pasi kana pasi pe Federal Urombo mutsetse yehukuru hwemhuri yako ($ 12 760 yemari yegore yega), iwe uchiri kukodzera kufukidzwa neMedicaid.

Dzimwe nyika ikozvino dzave nezvinodiwa zvebasa

Dzimwe nyika dzave kuda humbowo hwebasa kukodzera uye kuchengetwa kweMedicaid mabhenefiti. Sekureva kweKaiser Family Foundation, iyo Centers yeMedicare neMedicaid Services (CMS) yakaburitswa nhungamiro pasi pehutongi hwaTrump kumatunhu Medicaid waiver zvirevo izvo zvinogona kumanikidza zvinodiwa nebasa muMedicaid semamiriro ekukodzera. Izvi zvinoregedza zvinoda vabatsiri kuti vaone basa ravo, kwavo kutsvaka basa, uye / kana mapurogiramu ekudzidzisa basa kweimwe nhamba yemaawa pasvondo kuti vagamuchire kana kuchengetedza kufukidzwa kweMedicaid. Ruzivo nezve huwandu chaihwo hwemaawa, zviitiko zvakatenderwa, kuregererwa, uye maitiro ekuzivisa anosiyana nedunhu rega rega riri kuita kusunungura.

Izvo zvakakosha kuti uzive kuti basa rinodikanwa waivers rakatungamira kune vanhu zviuru gumi nezvinomwe muArkansas kurasikirwa kufukidzwa muna 2018.

Iko Medicaid iri kuchinja muna 2020?

MunaNdira, mutungamiri weTrump akazivisa izvozvo zvaizobvumira nyika yakati sununguko yekushandura mabheji emari uye kufukidza zvinodhaka pasi peMedicaid kune vazhinji varombo vakuru, shanduko huru iyo - zvinoenderana ne New York Times -Anopa mukana wekudzora mabhenefiti ehutano kumamirioni akawana kufukidzwa kuburikidza nechirongwa pasi peMutengo Wekutarisira. Urongwa hutsva uhwu hunodaidzwa kuti Hutano hweVakuru Hutano, uye - kana chikashandiswa nenyika - chingabvumire nyika kuvhara mishonga mishoma kune vanonyoreswa. Ichi chingave chakazara mutemo shanduko kubva pane izvo zviripo parizvino, izvo zvinozivisa kuti nyika dzinofanirwa kufukidza mishonga yese yekurapa. Uye kunyangwe kudzikiswa uku kweMedicaid kuchichengetedza hushoma huwandu hwekuvharidzira vanhu vari pasi pemirairidzo yeiyo Affordable Care Act zvikamu gumi zvezvibatsiro zvehutano zvakakosha, kufukidzwa kungave kwakatetepa kupfuura zvazviri ikozvino. Nyika dzaizokwanisa kusarudza kuti ndiani chaanogona kuvhara nekudzora kana kusiyira zvachose mabhenefiti echinyakare eMedicaid- kusanganisira kuchengetwa kwenguva yakareba, kutakurwa kuenda kunzvimbo dzekurapa, uye kufukidzwa kwekudzokororazve (aka, kufukidza retro) kune vanhu vakagamuchirwa mune imwe nguva yemazuva makumi mapfumbamwe vasati vakwanisa kuita Medicaid. Kana shanduko idzi dzikaitwa mugore ra2020, Medicaid uye mukana wekuwana mukana wehutano hunotaridzika zvakasiyana.

Mutungamiriri wenyika VaTrump vakaita shanduko here kuMedicaid mukati mekuputika kwecoronavirus?

Iyo yepasi rose coronavirus denda yatora huwandu hwakakura pazvinhu zvese zvehupenyu hwedu, kusanganisira kuwana rubatsiro rwehutano. Uye marongero eMedicaid ari kuona shanduko, zvakare. Nebraska ichave iri makumi matatu nenomwe nyika kutora Medicaid kuwedzera, asi haisati yashandiswa. Kuburikidza neCoronavirus Aid, Relief, uye Economic Security ( KUTARISIRA ) Mutemo, uyo wakasainwa nemutungamiri wenyika VaTrump kuita mutemo munaKurume 27, mari zhinji yemubatanidzwa ichagoverwa kumatunhu ekuwedzera pane kuwedzera kwenyika. Medicaid yekuwedzera nyika ichagamuchira madhora chiuru nemazana mashanu nemakumi mashanu neshanu mumubatanidzwa wemari muhurumende inogara mukuenzanisa ne $ 1,198 pamugari wekusawedzera nyika, sekuverenga kwakaitwa ne Iyo Commonwealth Fund .

Pamusoro pezvo, kuongororwa kwekuongororwa kwe COVID-19 kwakafukidzwa neMedicaid pasina muripo kuvarwere — asi parizvino hapana mvumo yemubatanidzwa yekuti kurapwa kwe COVID-19 kufukidzwe pasina muripo kuvarwere. Zviri kuvhiringidza zvishoma, asi dzimwe nyika dzakaratidza kuti vari kubvisa mutengo wekugovana wakabatana neCOVID-19 kuyedza uye / kana kurapwa. Mumashoko eruzhinji, vakuru vehurumende vakaratidza makambani einishuwarenzi anopa kufukidzwa kuburikidza neMedicaid vakabvuma kuvhara kwese kuyedzwa kweCOVID-19 pasina kugoverana kwemutengo uye kuona kuti kurapwa kwavharwa zvizere, sekureva KFF .

Nyaya dzazvino neMedicaid

Zvinyorwa zvinoratidza kuti hurumende yemubatanidzwa inowanzobhadhara pakati pe50% uye 77% yehurumende imwe neimwe mari yeMedicaid. Asi pamitengo yevakuru vanokwanisa kuMedicaid pasi peiyo Affordable Care Act, nhamba iyoyo yakanyanya kukwirira: 90%. Kuderedza kukodzera, kufukidzwa kwezvinodhaka, uye kuwedzera rusununguko rwehurumende yenyika yekuraira mapoinzi akajeka ezvirongwa zveMedicaid kuedza kudzikisa mari iyoyo. Asi, izvo zvinogona kutungamira kuzviuru-kana zvisiri mamirioni-zvevaAmerica vachirasikirwa nekuwana rubatsiro rwehutano husingadhuri. Kune zvakare zvimwe zvinokanganisa kune vanobatsirwa neMedicaid, kusanganisira sarudzo shoma uye kufukidzwa kwekutarisira, vanachiremba, mishonga, uye nzvimbo dzekuchengetedza kwenguva refu.

Maitiro ekuchengetedza pane zvirevo neMedicaid

Kunyange iwe usingakwanise kushandisa SingleCare neMedicaid mabhenefiti panguva imwe , unogona kushandisa SingleCare kana mitengo yedu yakaderera pane Medicaid kana kana mushonga usina kuvharwa nezvikomborero zvako. Paunoshandisa kadhi rako reSingleCare, iyo pharmacy inoitisa pachinzvimbo Kadhi rako reMedicaid, kwete pamwe chete nekadhi rako reMedicaid. SingleCare inogona kukubatsira kuchengetedza kusvika pamakumi masere muzana pamishonga yekunyorera - uchideredza mutengo wemishonga kuitira kuti uve nemari yakawanda yasara kune yako mamwe akakosha mari Zvese iwe zvunofanirwa kuita kushanya webhusaiti yedu , tsvaga mushonga wako, uye utumire mameseji kadhi reRx kana kuriprinta nekukasira-maBhaibheri ese ari maviri anoshanda kukhemisi. Iwe unogona kudzidza zvakawanda nezve kushandisa ImweCare pamwe neyako Medicaid mabhenefiti pano .