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Yintoni ekufuneka uyazi malunga notshintsho lweMedicaid kulo nyaka

Yintoni ekufuneka uyazi malunga notshintsho lweMedicaid kulo nyakaIindaba

Xa inkqubo yeMedicaid ihlaziywa rhoqo (ukuba ayigqithiswanga), kunokuba nzima ukugcina iinkcukacha zakho zokugubungela. Nantsi into etshintshileyo ngo-2020.





Unyango yinkqubo yomanyano kunye neyaseburhulumenteni encedisa kwiindleko zonyango kubantu abanomvuzo kunye nezixhobo ezifanelekileyo. Ixhaswa ngemali yerhafu yaseburhulumenteni, irhafu yengeniso ngokubanzi, kunye neepremiyamu zabaxhamli ukubonelela ngezibonelelo ezingahambelaniyo ngezinye iinkqubo zoncedo zikarhulumente, kubandakanya ukhathalelo lwasekhaya kunye neenkonzo zokhathalelo lomntu. I-Medicaid ihlala ididekile ne-Medicare (inkqubo elawulwa ngurhulumente, exhaswa ngemali yinkqubo yeinshurensi yezempilo kubantu abaneminyaka engama-65 nangaphezulu kunye nabanye abantu abakhubazekileyo), kodwa bahluke kakhulu. Kodwa ngenxa yokuxhomekeka kukaMedicaid kubo bobabini oorhulumente kunye noorhulumente abatshintsha ukusuka kulawulo olunye ukuya kolulandelayo, le nkqubo ikwanomdla wokutshintsha ngokuhamba kwexesha-isenza kube nzima ukwazi nokuqonda iinkcukacha zokugubungela kunye nezibonelelo.



Imigaqo-nkqubo yeMedicaid yenze iinguqu ezininzi ukusukela oko uMthetho woKhathalelo ongenakufikeleleka (i-ACA) wapasiswa ngo-2010, kwaye ngenxa yoko, uninzi lwabantu baseMelika abaxhomekeke kwiMedicaid abasazi nokuba bachaphazeleka njani na, kwanasemva kweminyaka eli-10. Kungenxa yoko le nto sijonga ezinye zeenguqulelo zamva nje zeMedicaid kunye neenkcukacha ezihlaziyiweyo ukuze wenze okona kulungileyo kwimeko yakho yangoku yezonyango.

Zithini iimfuno zokuba ufaneleke kwiMedicaid?

Okwangoku, ukuze ufanelekele iMedicaid, kuya kufuneka uhlangabeze imigaqo (echazwe ngezantsi) kunye noku kulandelayo:

  • Abaxhamli ngokubanzi kufuneka babe ngabahlali kurhulumente abafumana kuwo iMedicaid.
  • Kuya kufuneka babe ngabemi baseMelika okanye abantu abathile abangafanelekanga njengabemi, njengabahlali abasemthethweni ngokusemthethweni.
  • Amanye amaqela okufaneleka anqunyelwe kwiminyaka yobudala, okanye ngokukhulelwa okanye inqanaba lokuba ngumzali.
  • Iintsapho ezinengeniso ephantsi, abafazi abakhulelweyo abafanelekileyo kunye nabantwana, kunye nabantu abafumana iNgeniso yoKhuseleko yokuNcedisa (i-SSI) yimizekelo amaqela afanelekileyo okufaneleka .

Ukongeza, amazwe azimeleyo anokukhetha ukuseka inkqubo esweleyo yezonyango kubantu abaneemfuno zempilo ezibonakalayo umvuzo wabo uphezulu kakhulu ukuba bangafaneleki kwiMedicaid phantsi kwamanye amaqela afanelekileyo. Oku kufuna ukuba umntu achithe ezantsi.



Zithini iinguqulelo zamva nje zeMedicaid?

Ngenxa yokuba inkqubo yeMedicaid ixhaswe ngokudibeneyo ngoorhulumente baseburhulumenteni kunye noorhulumente, kuhlala kukho umahluko omkhulu xa kufikwa kulungelelwaniso kunye nezibonelelo ezivela kurhulumente ukuya kurhulumente. Ngokwaseburhulumenteni Iirekhodi zeMedicaid , urhulumente woburhulumente uhlawula ipesenti ethile yenkcitho yenkqubo, ebizwa ngokuba yiPesenti yoNcedo lwezoNyango lweZonyango (FMAP). Emva koko, urhulumente ngamnye unoxanduva lokusebenzisa inkqubo yakhe yeMedicaid ngaphakathi kwezikhokelo zomdibaniso. Amazwe anokuguquguquka okukhulu ekuyileni nasekulawuleni iinkqubo zawo. Ngenxa yoko, ukufaneleka kweMedicaid kunye nezibonelelo zinokuthi kwaye zihlala zihluka kakhulu ukusuka kurhulumente ukuya kurhulumente.

Imeko yangoku yokufaneleka kunye nokwandiswa

Emva kokuba i-ACA idluliselwe ngo-2010, ukufaneleka kweMedicaid kwandisiwe ukubandakanya abafundi abafumana umvuzo ophantsi, ukuya kuthi ga kwi-138% yomgca wobuhlwempu. Oko kuthetha ukuba abo bafumana umvuzo wonyaka we-16,753 yeedola okanye ngaphantsi kunye nosapho lwabantwana abane elinengeniso yonyaka ye-34,638 yeedola okanye ngaphantsi abafanelekayo kwi-Medicaid. Ngokubanzi, umda wengeniso ngo-2020 yi- $ 2,349 ngenyanga ngenyanga ezininzi kwaye umda weasethi uyi- $ 2,000 yomntu ofake isicelo sinye. Ukuqinisekisa le ngeniso, iarhente yaseburhulumenteni yeMedicaid ibeka umthwalo wobungqina bengeniso yenyanga kumenzi wesicelo. Inguqulelo: I-Medicaid ifuna uninzi lwabafakizicelo ukuba babonelele onke amaxwebhu aceliweyo kunye ayimfuneko ukuqinisekisa oko kubhaliweyo kwisicelo.

Okwangoku amazwe avunyelwe ukuba athathe inxaxheba kulwandiso okanye ukuphuma. Ukusukela ngo-Epreli 2020, Ama-35 athi kunye neSithili sase-Columbia basebenzise ulwandiso lweMedicaid ukukhonza abantu abadala abahluphekayo nabafumana imivuzo ephantsi. Ezi zinto zibandakanya:



  1. IAlaska
  2. IArizona
  3. IArkansas
  4. California
  5. IColorado
  6. Unxibelelwano
  7. Delaware
  8. IHawaii
  9. Idaho
  10. I-Illinois
  11. Indiana
  12. Iowa
  13. EKentucky
  14. ELouisiana
  15. Maine
  16. EMaryland
  17. EMassachusetts
  18. EMichigan
  19. IMinnesota
  20. EMontana
  21. INevada
  22. ENew Hampshire
  23. Enew Jersey
  24. ENew Mexico
  25. Inew York
  26. EMantla Dakota
  27. IOhio
  28. Oregon
  29. IPennsylvania
  30. IRhode Island
  31. Utah
  32. IVermont
  33. IVirginia
  34. EWashington
  35. ENtshona Virginia

Ukwandiswa kujongeka kwahlukile kurhulumente ngamnye, njengoko kunjalo nokwenziwa kolwandiso. Kodwa eyona nto iphambili kukuba ukuba ilizwe lakho lamkele kwaye laphumeza ulwandiso, ngoku unokulungela iMedicaid-nokuba ubungekho ngaphambili. Ukujonga ngokubanzi ukuphunyezwa kombuso wakho, jonga iKaiser Family Foundation imephu yokusebenzisana . Ukuza kuthi ga ngoku, amazwe ali-14 awamkelanga ulwandiso. Kula mazwe, ukuba uwe phantsi okanye phantsi kwe- Umgca weNtlupheko kaRhulumente ngokobukhulu bendlu yakho ($ 12,760 yengeniso yomntu ngamnye yonyaka), usengakulungela ukugubungela iMedicaid.

Amanye amazwe ngoku aneemfuno zomsebenzi

Amanye amazwe ngoku afuna ubungqina bomsebenzi ukufaneleka kunye nokugcinwa kwezibonelelo zeMedicaid. NgokweKaiser Family Foundation, amaZiko eeNkonzo zoNyango kunye neMedicaid Services (CMS) akhutshiwe isikhokelo phantsi kolawulo lukaTrump kwizindululo zokurhoxa zikarhulumente zeMedicaid eziza kuthi zibeke iimfuno zomsebenzi kwiMedicaid njengemeko yokufaneleka. Oku kuyekiswa kufuna ukuba abaxhamli baqinisekise ingqesho yabo, ukukhangela kwabo umsebenzi, kunye / okanye iinkqubo zoqeqesho lomsebenzi ngenani elithile leeyure ngeveki ukufumana okanye ukugcina ukukhutshwa kweMedicaid. Iinkcukacha malunga nenani elithile leeyure, imisebenzi evunyiweyo, ukukhululwa, kunye nenkqubo yokunika ingxelo iyahluka ngurhulumente ngamnye ophumeza ukurhoxa.

Kubalulekile ukuba uqaphele ukuba ukuyekiswa kwemfuno zomsebenzi kukhokelele kubantu abayi-17,000 e-Arkansas ukulahlekelwa ngumsitho Ngo-2018.



Ngaba iMedicaid iyatshintsha ngo-2020?

NgoJanuwari, ulawulo lukaTrump lwazisa ukuba ingavumela amazwe ukuba abe nenkululeko yokutshintsha inkcitho kunye nokugubungela iziyobisi phantsi kweMedicaid kubantu abaninzi abahlwempuzekileyo, utshintsho olukhulu oluthi-ngokuka INew York Times -Inika ithuba ukhetho lokunciphisa izibonelelo zempilo kwizigidi eziye zafumana ingxelo ngenkqubo ephantsi koMthetho woKhathalelo ongenakufikeleleka. Esi sicwangciso sitsha sibizwa ngokuba liThuba eliSempilweni laBantu abaDala, kwaye — ukuba siyaphunyezwa ngoorhulumente — singavumela amazwe ukuba agubungele amayeza ambalwa kwabo babhalisileyo. Olu iya kuba lutshintsho olupheleleyo lomgaqo-nkqubo ukusuka kwinto ekhoyo ngoku, ethi ilizwe maligubungele onke amayeza ayimfuneko. Kwaye nangona oku kuncitshiswa kweMedicaid kungagcina ubuncinci benqanaba lokugubungela umntu ngamnye phantsi kwezikhokelo zoMthetho woKhathalelo ongenakufikeleleka weendidi ezili-10 zezibonelelo zezempilo eziyimfuneko, ukugubungela kuya kuba mncinci kakhulu kunangoku. Amazwe aya kuba nakho ukwenza isigqibo sokuba ngubani kanye kanye oza kugubungela kwaye anciphise okanye ashiye ngokupheleleyo izibonelelo zemveli zeMedicaid-kubandakanya ukhathalelo lwexesha elide, ukuthuthwa ukuya kwiindawo zonyango, kunye nokugubungela ukubuyela umva (aka, ukugubungela i-retro) kubantu abafumene ukhathalelo kwixesha leentsuku ezingama-90 ngaphambi kokuba balungele iMedicaid. Ukuba olu tshintsho lwenziwa ngo-2020, iMedicaid kunye nokufikeleleka kokufikelela kukhathalelo lwempilo kuya kujongeka kwahluke kakhulu.

Ngaba uMongameli uTrump wenze utshintsho kwiMedicaid phakathi kokuqhambuka kwe-coronavirus?

Ubhubhane we-coronavirus ubhubhane uthathe irhafu enkulu kuzo zonke iinkalo zobomi bethu, kubandakanya ukufikelela kukhathalelo lwempilo. Kwaye imigaqo-nkqubo yeMedicaid ibona utshintsho, nayo. I-Nebraska iya kuba lilizwe lama-37 ukwamkela ukwandiswa kweMedicaid, kodwa ayikenziwa. Ngoncedo lweCoronavirus, uNcedo, kunye noKhuseleko lwezoQoqosho ( UKUKHATHALELA Umthetho, apho uMongameli uTrump asayine umthetho ngomhla wama-27 kweyoKwindla, inkxaso-mali engaphezulu iya kwabelwa ukwandiswa kwamazwe kunokuba kungabikho kwandiswa. Amanqanaba okwandiswa kweMedicaid azakufumana i-1,755 yeedola kwinkxaso-mali yomdibaniselwano kumhlali ngamnye ngokuthelekisa i-1,198 yeedola kumhlali ngamnye ongezelelweyo, ngokwezibalo ezenziwe Ingxowa mali yeCommonwealth .



Ukongeza, ukuvavanywa kokuvavanywa kwe-COVID-19 kugutyungelwe yiMedicaid ngaphandle kweendleko kwizigulana- kodwa okwangoku akukho gunya lomdibaniso lokuba unyango lwe-COVID-19 lugqunywe ngaphandle kweendleko kwizigulana. Kuyadida okuncinci, kodwa amanye amazwe abonakalisile ukuba bayarhoxa ekwabelaneni ngeendleko okunxulunyaniswa novavanyo lwe-COVID-19 kunye / okanye unyango. Kwiingxelo zoluntu, amagosa aseburhulumenteni abonise iinkampani ze-inshurensi ezibonelela nge-Medicaid ziye zavuma ukumboza lonke uvavanyo lwe-COVID-19 ngaphandle kokwabelana ngeendleko kunye nokuqinisekisa ukuba unyango lugutyungelwe ngokupheleleyo, ngokwe I-KFF .

Imicimbi yangoku neMedicaid

Iirekhodi zibonisa ukuba urhulumente wobumbano uhlawula ngokubanzi phakathi kwama-50% kunye nama-77% kwiindleko zedolophu nganye zeMedicaid. Kodwa kwiindleko zabantu abadala abafanelekileyo kwiMedicaid phantsi koMthetho woNonophelo ongenakunceda, elo nani liphezulu kakhulu: 90%. Ukunciphisa ukufaneleka, ukugubungela iziyobisi, kunye nokwanda kwenkululeko kurhulumente wokuyalela amanqaku acocekileyo eenkqubo zeMedicaid ngumzamo wokunciphisa inkcitho. Kodwa, oko kunokukhokelela kumawaka-ukuba kungabikho izigidi-zabantu baseMelika abalahlekelwa ukufikelela kwiinkonzo zonyango ezifikelelekayo. Kukho ukungabikho okongeziweyo kwabaxhamli beMedicaid, kubandakanywa ukhetho olunqamlekileyo kunye nokukhutshwa kwenkathalo, oogqirha, amayeza kunye neendawo zokunakekelwa kwexesha elide.



Ungayigcina njani imigqaliselo kunye neMedicaid

Ngelixa ungenako ukusebenzisa izibonelelo zeSingleCare kunye neMedicaid ngaxeshanye , Ungasebenzisa i-SingleCare ukuba amaxabiso ethu asezantsi kuneMedicaid okanye ukuba ngaba amayeza akho akagutyungelwanga zibonelelo zakho. Xa usebenzisa ikhadi lakho le-SingleCare, ikhemesti iyayiqhuba endaweni yoko kwikhadi lakho leMedicaid, hayi ngokudibene kunye nekhadi lakho leMedicaid. I-SingleCare inokukunceda ugcine ukuya kuma-80% kumayeza amayeza-ukunciphisa iindleko zamachiza ukuze ube nemali eshiyekileyo yezinye iindleko zakho. Into ekufuneka uyenzile kukutyelela iwebhusayithi yethu , khangela amayeza akho, kwaye ubhale ikhadi le-Rx kuwe okanye uliprinte kwangoko — zombini ezi nguqulelo zisebenza ekhemesti. Unokufunda ngakumbi malunga nokusebenzisa i-SingleCare kunye nezibonelelo zakho zeMedicaid Apha .