Zomwe muyenera kudziwa pakusintha kwa Medicaid chaka chino

Nkhani

Ndi dongosolo la Medicaid lomwe limasinthidwa pafupipafupi (ngati silikukonzedwa), kungakhale kovuta kuti mudziwe zambiri zokhudza zomwe mukuphunzira. Izi ndi zomwe zasintha mu 2020.

Mankhwala ndi pulogalamu yaboma ndi boma yomwe imathandizira ndalama zothandizira anthu omwe ali ndi ndalama zochepa komanso zinthu zomwe ali oyenerera. Amathandizidwa ndi misonkho ya Federal, ndalama zamsonkho, komanso ndalama zomwe amapindula nazo kuti apereke zabwino zomwe sizimaperekedwa ndi mapulogalamu ena aboma, kuphatikiza chisamaliro cha nyumba zosamalira okalamba. Medicaid nthawi zambiri imasokonezedwa ndi Medicare (pulogalamu yothandizidwa ndi federali, yothandizidwa ndi federali kwa anthu azaka 65 kapena kupitilira apo komanso anthu ena olumala), koma ndiosiyana kwambiri. Koma chifukwa cha kudalira kwa Medicaid maboma onse aboma ndi maboma omwe amasintha kuchoka kuulamuliro wina kupita ku wotsatira, pulogalamuyi imakhalanso ndi chizolowezi chosintha pakapita nthawi-zomwe zimapangitsa kuti zikhale zovuta kudziwa ndikumvetsetsa tsatanetsatane wa kufalitsa ndi maubwino.

Ndondomeko za Medicaid zasintha kangapo kuyambira pomwe Affordable Care Act (ACA) idaperekedwa mu 2010, ndipo chifukwa chake, anthu ambiri aku America omwe amadalira Medicaid sakudziwabe ngati akukhudzidwira kapena momwe akukhudzidwira, ngakhale zaka 10 pambuyo pake. Ndicho chifukwa chake tikuyang'ana zina mwazosintha zaposachedwa kwambiri za Medicaid ndi mfundo zaposachedwa kuti muthe kugwiritsa ntchito bwino zomwe muli nazo pakadali pano.

Kodi ndi ziti zofunika kuti mukwaniritse Medicaid?

Pakadali pano, kuti mukwaniritse Medicaid, muyenera kukwaniritsa zofunikira zandalama (zotsatirazi) komanso zotsatirazi:

• Opindula nthawi zonse ayenera kukhala nzika zomwe akulandira Medicaid.
• Ayenera kukhala nzika zaku United States kapena osakhala nzika zina, monga nzika zovomerezeka zokhazikika.
• Magulu ena oyenerera amakhala ndi zaka zochepa, kapena kutenga pakati kapena udindo wokhala kholo.
• Mabanja omwe amalandira ndalama zochepa, amayi apakati oyenerera ndi ana, komanso anthu omwe amalandila Supplemental Security Income (SSI) ndi zitsanzo za magulu ovomerezeka ovomerezeka .

Kuphatikiza apo, mayiko aliwonse ali ndi mwayi wosankha pulogalamu yofunikira ya zamankhwala kwa anthu omwe ali ndi zosowa zazikulu zathanzi omwe ndalama zawo ndizambiri kwambiri kuti athe kulandira Medicaid pansi pamagulu ena oyenerera. Izi zimafuna kuti munthuyo awononge ndalama zochepa.

Kodi kusintha kwatsopano kwa Medicaid ndi kotani?

Chifukwa pulogalamu ya Medicaid imathandizidwa ndi mabungwe aboma ndi maboma, nthawi zambiri pamakhala kusiyanasiyana kwakukulu pankhani yakuyenerera ndi maubwino ochokera kumayiko ena. Malinga ndi mkulu Zolemba za Medicaid , boma limalipira mayiko kuti awononge kuchuluka kwa maprogramu, omwe amatchedwa Federal Medical Assistance Percentage (FMAP). Kenako, boma lirilonse liri ndi udindo woyendetsa pulogalamu yawo ya Medicaid malinga ndi malangizo aboma. Mayiko ali ndi kusinthasintha kwakukulu pakupanga ndikuwongolera mapulogalamu awo. Zotsatira zake, kuyenerera kwa Medicaid ndi maubwino amatha ndipo zimasiyanasiyana mosiyanasiyana malinga ndi mayiko.

Mkhalidwe woyenera pakadali pano ndikukula

ACA itadutsa mu 2010, kuyenerera kwa Medicaid kudakulitsidwa ndikuphatikiza oyenerera kulandira ndalama zochepa, mpaka 138% ya umphawi. Izi zikutanthauza kuti omwe ali ndi ndalama zapachaka za $ 16,753 kapena zochepa komanso banja la anayi omwe amapeza ndalama zapachaka za $ 34,638 kapena zocheperako amayenera kulandira chithandizo cha Medicaid. Chifukwa chake, malire mu 2020 ndi $ 2,349 pamwezi m'maiko ambiri ndipo malire ake amakhala $ 2,000 kwa wofunsira m'modzi wamkulu. Kuti mutsimikizire ndalamazi, bungwe la Medicaid la boma limayika cholemetsa chaumboni wazopeza pamwezi kwa wopemphayo. Kutanthauzira: Medicaid imafuna kuti onse omwe adzalembetse ntchito kuti apereke zolemba zonse zofunika kuti atsimikizire zomwe zalembedwazo.

Pakadali pano mayiko aloledwa kutenga nawo gawo pakukula kapena kutuluka. Kuyambira Epulo 2020, Madera 35 kuphatikiza District of Columbia yakwaniritsa kukulitsa kwa Medicaid kuti itumikire achikulire omwe ndi osauka komanso omwe amalandila ndalama zochepa. Izi zikuphatikizapo:

1. Alaska
2. Arizona
3. Arkansas
4. California
5. Colorado
6. Connecticut
7. Zowonjezera
8. Hawaii
9. Idaho
10. Illinois
11. Indiana
12. Iowa
13. Kentucky
14. Louisiana
15. Maine
16. Maryland, PA
17. Massachusetts
18. Michigan, PA
19. Minnesota, PA
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

Kukula kumawoneka kosiyana m'boma lililonse, monganso momwe kukhazikitsira kukulira kumakhalira. Koma chodziwikiratu ndichakuti ngati boma lanu lavomereza ndikukhazikitsa kukulirakulira, mutha kuyenerera Medicaid - ngakhale simunali m'mbuyomu. Kuti mumve zambiri momwe boma lanu lingakwaniritsire, onani Kaiser Family Foundation's mapu othandizira . Pakadali pano, mayiko 14 sanavomereze kukula. Kwa mayiko amenewo, ngati mungagwere pansi kapena pansi pa Mzere waumphawi ku Federal pa kukula kwa banja lanu ($ 12,760 pachaka chilichonse), mutha kuyenererabe kufalitsa Medicaid.

Ena akuti tsopano ali ndi zofunikira pantchito

Mayiko ena tsopano akufuna umboni wa ntchito kuti akhale oyenerera ndikusunga maubwino a Medicaid. Malinga ndi Kaiser Family Foundation, Centers for Medicare and Medicaid Services (CMS) idatulutsa chitsogozo motsogozedwa ndi a Trump pamilandu ya kuchotsera Medicaid yomwe ingakakamize ogwira ntchito ku Medicaid ngati ali oyenerera. Kuchotsera izi kumafuna omwe adzapindule nawo kuti atsimikizire ntchito yawo, kufunafuna kwawo ntchito, ndi / kapena mapulogalamu ophunzitsira ntchito kwa maola angapo pasabata kuti alandire kapena kusunga chiphaso cha Medicaid. Zambiri za kuchuluka kwa maola, ntchito zovomerezeka, zakhululukidwe, ndi momwe malipoti amakhalira zimasiyanasiyana ndi boma lililonse lomwe likupereka kuchotsera.

Ndikoyenera kudziwa kuti kuchotsera zofunikira pantchito zidatsogolera anthu 17,000 ku Arkansas kutaya kufotokozera mu 2018.

Kodi Medicaid ikusintha mu 2020?

Mu Januware, oyang'anira a Trump adalengeza izi zitha kulola mayiko kukhala ndi ufulu wambiri wosintha ndalama zomwe amawononga komanso mankhwala osokoneza bongo pansi pa Medicaid Kwa achikulire ambiri osauka, kusintha kwakukulu komwe - malinga ndi New York Times -Gives akuti njira yothandizira kuchepetsa maubwino azaumoyo kwa mamiliyoni omwe adalandira pulogalamuyi kudzera mu Affordable Care Act. Dongosolo latsopanoli limatchedwa Healthy Adult Opportunity, ndipo - ngati lingagwiritsidwe ntchito ndi mayiko - lingalole kuti mayiko azitha kupeza mankhwala ochepa kwa omwe adzalembetse. Izi zitha kukhala kusintha kwamalingaliro kwathunthu kuchokera pazomwe zikuchitika, zomwe zikuti madera akuyenera kukhudzana ndi mankhwala onse ofunikira. Ndipo ngakhale kuchepetsedwa kumeneku kwa Medicaid kungapitilize kuchuluka kwa kufotokozera kwa anthu motsogozedwa ndi magulu a 10 a Affordable Care Act amathandizidwe azaumoyo, kufalitsa kumakhala kocheperako kuposa momwe ziliri pano. Mayiko athe kusankha omwe angaphimbe ndikuchepetsa kapena kusiyiratu zabwino za Medicaid - kuphatikiza chisamaliro cha nthawi yayitali, mayendedwe opita kuchipatala, ndikubwezeretsanso anthu omwe adalandira chisamaliro munthawi yamasiku 90 asanakhale oyenerera ku Medicaid. Ngati zosinthazi zikuchitika mu 2020, Medicaid komanso mwayi wopeza chithandizo chazaumoyo zidzawoneka zosiyana kwambiri.

Kodi Purezidenti Trump anasintha ku Medicaid mkati mwa kuphulika kwa coronavirus?

Mliri wa coronavirus wapadziko lonse watenga gawo lalikulu m'mbali zonse za moyo wathu, kuphatikizapo mwayi wopeza chithandizo chamankhwala. Ndipo ndondomeko za Medicaid zikuwonanso kusintha. Nebraska idzakhala dziko la 37 lokhazikitsa kukulitsa kwa Medicaid, koma silinakwaniritsidwebe. Kudzera mu Coronavirus Aid, Relief, and Economic Security ( AMASAMALIRA ) Act, yomwe Purezidenti Trump adasainira lamuloli pa Marichi 27, ndalama zambiri zaboma zidzagawidwa kumayiko owonjezera kuposa mayiko osawonjezera. Madera owonjezera a Medicaid alandila ndalama zokwana $ 1,755 ku feduro ndalama kumayiko okhala boma poyerekeza ndi $ 1,198 pa nzika zilizonse zosawonjezera, malinga ndi kuwerengera komwe kudachitika Ndalama ya Commonwealth .

Kuphatikiza apo, kuyezetsa matenda a COVID-19 kumaphimbidwa ndi Medicaid kwaulere kwa odwala-koma pakadali pano palibe lamulo la feduro kuti chithandizo cha COVID-19 chisungidwe kwaulere kwa odwala. Ndizosokoneza pang'ono, koma mayiko ena awonetsa kuti akuchotsa kugawana mtengo komwe kumayenderana ndi kuyesa kwa COVID-19 ndi / kapena chithandizo. Pofotokozera pagulu, akuluakulu aboma awonetsa kuti makampani a inshuwaransi omwe amapereka chithandizo kudzera mu Medicaid avomera kubweza mayeso onse a COVID-19 popanda kugawana mtengo ndikuwonetsetsa kuti chithandizo chaphimbidwa kwathunthu, malinga ndi KFF .

Nkhani zapano ndi Medicaid

Zolemba zimasonyeza kuti boma la feduro nthawi zambiri limalipira pakati pa 50% ndi 77% ya ndalama zonse za Medicaid. Koma chifukwa cha mtengo wa akulu omwe amayenerera Medicaid pansi pa Affordable Care Act, chiwerengerocho ndi chachikulu kwambiri: 90%. Kuchepetsa kuyenerera, kupezeka kwa mankhwala osokoneza bongo, komanso kukulitsa ufulu wa boma kuti lipereke mfundo zabwino za mapulogalamu a Medicaid ndi njira yochepetsera ndalamazo. Koma, izi zitha kubweretsa masauzande, mwinanso mamiliyoni ambiri aku America ataya mwayi wopeza chithandizo chamankhwala chotsika mtengo. Palinso zovuta zina kwa omwe adzapindule ndi Medicaid, kuphatikiza zosankha zochepa ndi chithandizo chamankhwala, asing'anga, mankhwala, ndi malo osamalira anthu kwanthawi yayitali.

Momwe mungasungire pamankhwala omwe muli ndi Medicaid

Ngakhale simungagwiritse ntchito phindu la SingleCare ndi Medicaid nthawi yomweyo , mutha kugwiritsa ntchito SingleCare ngati mitengo yathu ndi yotsika poyerekeza ndi Medicaid kapena ngati mankhwala sanakupatseni phindu lanu. Mukamagwiritsa ntchito khadi yanu ya SingleCare, mankhwala amakuthandizani m'malo mwake wa khadi yanu ya Medicaid, ayi molumikizana ndi khadi lanu la Medicaid. SingleCare itha kukuthandizani kuti muzisunga mpaka 80% pamankhwala akuchipatala - kuchepetsa mtengo wamankhwala kuti mukhale ndi ndalama zambiri zotsalira pazinthu zina zofunika zofunika. Zomwe muyenera kuchita ndikuchezera tsamba lathu , fufuzani mankhwala anu, ndipo lembani khadi ya Rx kwa inu kapena musindikize nthawi yomweyo — matembenuzidwe onsewa amagwira ntchito ku pharmacy. Mutha kuphunzira zambiri zakugwiritsa ntchito SingleCare limodzi ndi phindu lanu la Medicaid Pano .