Hloov kev kho mob

Hnub kaw kev sau npe

Txij li thaum Lub Ib Hlis Ntuj hnub tim 1, 2026, qee tus neeg laus tsis tuaj yeem sau npe rau kev them nqi Medi-Cal tag nrho vim lawv txoj cai nkag tebchaws. 

Qhov no siv rau leej twg

• Thov saib daim ntawv qhia txog qeb kev nkag tebchaws

Tseem ceeb kom paub

• Yog koj twb muaj Medi-Cal uas pab tau tag nrho lawm, koj tuaj yeem khaws cia, txawm koj txoj cai nkag tebchaws li cas los xij.
• Koj yuav tsum rov ua dua tshiab raws sijhawm thiab tseem ua tau raws li cov cai ntawm Medi-Cal.
• Yog koj daim Medi-Cal tas sij hawm, koj muaj peb lub hlis los sau npe dua.
• Yog koj plam lub sijhawm peb lub hlis, koj yuav tsum thov dua. Koj tsuas yog yuav tau txais Medi-Cal uas muaj kev txwv xwb, uas suav nrog:
  • Kev saib xyuas muaj xwm ceev
  • Kev saib xyuas cev xeeb tub
  • Kev saib xyuas hauv tsev

Leej twg tseem tuaj yeem tau txais Medi-Cal tag nrho, txawm tias lawv txoj cai nkag tebchaws yog li cas los xij

• Cov menyuam hnub nyoog 0-18 xyoo
• Cov neeg cev xeeb tub (thaum cev xeeb tub thiab rau ib xyoos tom qab)
• Cov neeg hnub nyoog qis dua 26 xyoo uas nyob hauv kev saib xyuas menyuam thaum lawv hnub yug 18 xyoo

Kev Hloov Pauv Tus Nqi Rau Kev Pabcuam

Txij lub Ib Hlis 1, 2027, qee cov tswv cuab yuav tau txais lawv txoj kev kho mob los ntawm Fee-for-Service (FFS) Medi-Cal es tsis yog los ntawm txoj kev npaj kho mob. Qhov no hloov txoj kev uas koj tau txais kev kho mob, tsis yog seb koj puas tuaj yeem khaws Medi-Cal.

Qhov no siv rau leej twg

• Cov neeg uas tsis muaj ntaub ntawv pov thawj.
• Ib txhia neeg uas muaj daim npav ntsuab uas nyob rau hauv lub sijhawm tos tsib xyoos ua ntej lawv thiaj li tau txais kev pabcuam Medicaid tag nrho.
• Cov neeg suav tias yog Neeg Nyob Mus Ib Txhis hauv Tebchaws Meskas Raws li Txoj Cai Xim (PRUCOL), txhais tau tias lawv raug tso cai nyob hauv Tebchaws Meskas txawm tias tsis muaj daim ntawv tso cai nkag tebchaws raug cai.

Saib daim ntawv qhia txog Pawg Neeg Txog Kev Nkag Tebchaws kom paub meej ntxiv.

Tseem Ceeb Yuav Tsum Paub

• Koj yuav nyob twj ywm yog tias koj rov ua dua tshiab raws sijhawm.
• Koj yuav tsis nyob hauv ib txoj kev npaj kho mob lawm. Hloov chaw, koj tuaj yeem mus rau txhua tus kws kho mob lossis chaw kho mob uas lees txais FFS Medi-Cal.
• "Fee-for-Service" tsis tau txhais hais tias koj yuav tsum them. Medi-Cal tseem them rau koj qhov kev kho mob.
• Kev kho mob tshwj xeeb rau kev noj qab haus huv ntawm lub hlwb thiab kev siv tshuaj yeeb dej cawv yuav txuas ntxiv mus los ntawm Lub Nroog Cov Kev Npaj Kho Mob Hlwb.
• Koj cov tshuaj tseem yuav raug them los ntawm Medi-Cal Rx.
• Kev kho hniav tsis hloov pauv rau feem ntau ntawm cov tswv cuab. Kev kho hniav ua haujlwm li cas nyob ntawm koj lub nroog.
• Kev Tswj Xyuas Kev Kho Mob Zoo Dua thiab Kev Txhawb Nqa Hauv Zej Zog (cov kev pabcuam tsuas muaj nyob rau hauv cov phiaj xwm kho mob) yuav tsis txuas ntxiv mus rau hauv FFS Medi-Cal.
• Tseem muaj lwm yam kev pab, xws li Cov Neeg Ua Haujlwm Saib Xyuas Kev Noj Qab Haus Huv Hauv Zej Zog, kev tswj hwm kev saib xyuas mob ntev, kev pabcuam doula, thiab cov kev pabcuam kev noj qab haus huv ntawm lub nroog.
• DHCS yuav muab kev pab tshiab thaum lub sijhawm hloov pauv no, suav nrog tus kws saib xyuas neeg mob cov lus qhia thiab cov neeg taw qhia hauv zej zog los coj koj thiab teb cov lus nug.
• Koj yuav tau txais cov ntaub ntawv ntxiv ua ntej qhov kev hloov pauv pib.

Kev Pab Them Nqi Kho Hniav

Txij lub Xya Hli 1, 2027, qee tus tswv cuab Medi-Cal yuav tsis tau txais kev pab kho hniav tag nrho lawm.

Qhov no siv rau leej twg

• Koj qhov kev pab them nqi kho hniav nyob ntawm seb koj txoj cai nkag tebchaws yog dab tsi.
• Thov saib daim ntawv qhia txog Pawg Neeg Txog Kev Nkag Tebchaws

Tseem ceeb kom paub

Koj tseem tuaj yeem tau txais kev kho hniav thaum muaj xwm txheej ceev, suav nrog: 

• Mob hniav phem
• Kab mob
• Tshem cov hniav

Koj yuav txuas ntxiv tau txais cov txiaj ntsig kho hniav tag nrho yog tias koj yog:

• Ib tug me nyuam (hnub nyoog 0-18)
• Cev xeeb tub (thaum cev xeeb tub thiab txog ib xyoos tom qab)
• Hnub nyoog qis dua 26 xyoo thiab nyob hauv kev saib xyuas menyuam thaum koj hnub yug 18 xyoo

Kev hloov pauv xwm txheej nkag teb chaws

Txij lub Kaum Hli Ntuj xyoo 2026, tsoomfwv tebchaws yuav hloov pauv txoj kev uas nws faib qee cov xwm txheej kev nkag tebchaws. Cov kev hloov no cuam tshuam rau seb qee tus neeg laus puas tuaj yeem txuas ntxiv mus tau txais kev pab them nqi kho mob Medi-Cal uas tau txais nyiaj los ntawm tsoomfwv. Yog tias koj raug kev cuam tshuam, koj yuav tau txais Medi-Cal uas muaj tag nrho cov kev pab cuam los ntawm lub xeev kom txog rau lub Rau Hli 30, 2027.

Qhov no siv rau leej twg

• Neeg tawg rog thiab neeg nyob ruaj ntsegs: Cov neeg uas tau tawm hauv lawv lub tebchaws mus rau kev nyab xeeb thiab tseem tsis tau muaj Daim Npav Ntsuab.
• Humanitarian parolees: Cov neeg raug tso cai nkag mus rau hauv Tebchaws Meskas rau cov laj thawj ceev rau tsawg kawg ib xyoos.
• Cov neeg uas tau dim ntawm kev tsim txom hauv tsev neeg lossis kev ua lag luam tib neeg uas muaj cov ntaub ntawv nkag tebchaws uas tseem tab tom tos.

Thov saib daim ntawv qhia txog Pawg Neeg Txog Kev Nkag Tebchaws kom paub seb koj puas nyob hauv ib pawg ntawm cov no.

Tseem Ceeb Yuav Tsum Paub

Txij lub Xya Hli 1, 2027, cov neeg hauv pawg no tsuas yog yuav tau txais kev saib xyuas cev xeeb tub thiab kev pabcuam thaum muaj xwm txheej ceev xwb.

Cov Nqi Them Nyiaj Txhua Hli

Txij lub Xya Hli 1, 2027, qee tus tswv cuab Medi-Cal yuav tsum tau them tus nqi txhua hli (hu ua tus nqi them ua ntej) kom lawv tau txais Medi-Cal puv ntoob.

Qhov no siv rau leej twg

• Thov saib daim ntawv qhia txog Pawg Neeg Txog Kev Nkag Tebchaws

Tseem ceeb kom paub

Yog koj tsis them, koj li Medi-Cal yuav hloov mus rau qhov txwv, uas suav nrog:

• Kev saib xyuas muaj xwm ceev
• Kev saib xyuas txog cev xeeb tub
• Kev saib xyuas hauv tsev

Koj yuav tsis tas yuav them tus nqi them ua ntej yog tias koj yog:

• Ib tug me nyuam (0-18)
• Cev xeeb tub (txij li thaum cev xeeb tub thiab txog ib xyoos tom qab)
• Hnub nyoog qis dua 26 xyoo thiab nyob hauv kev saib xyuas menyuam thaum koj hnub yug 18 xyoo

Cov Cai Ua Hauj lwm

Txij lub Ib Hlis Ntuj hnub tim 1, 2027, qee tus neeg laus yuav tsum tau ua haujlwm, ua haujlwm pab dawb, mus kawm ntawv, lossis kawm kom tau txais lawv daim Medi-Cal. Medi-Cal yuav xa ib tsab ntawv rau koj yog tias qhov no siv rau koj.

Qhov no siv rau leej twg

• Cov neeg laus hnub nyoog 19-64 uas tau txais Medi-Cal los ntawm kev nthuav dav ntawm Txoj Cai Saib Xyuas Kev Noj Qab Haus Huv Pheej Yig, suav nrog cov neeg laus uas raug them raws li cov cai tshiab rau cov neeg tsiv teb tsaws chaw.

Qhov no tsis siv rau leej twg

Cov cai ua haujlwm lossis kev ua haujlwm pab dawb no tsis siv rau:

• Menyuam yaus (0–18)
• Cov neeg laus hnub nyoog 65 xyoo thiab laus dua
• Cov neeg cev xeeb tub (thaum cev xeeb tub thiab ib xyoos tom qab)
• Cov niam txiv ntawm cov menyuam hnub nyoog 0-13 xyoos
• Cov neeg uas muaj kev tsis taus
• Cov neeg uas muaj teeb meem kev noj qab haus huv ntawm lub cev lossis lub hlwb, lossis muaj teeb meem siv tshuaj yeeb dej cawv
• Cov neeg raug tso tawm hauv tsev loj cuj lossis tsev loj cuj hauv 90 hnub dhau los
• Cov neeg nyob hauv Medicare Tshooj A lossis Tshooj B
• Cov Neeg Amelikas Isdias los yog Cov Neeg Alaska Ib Txwm
• Cov neeg hnub nyoog qis dua 26 xyoo uas nyob hauv kev saib xyuas menyuam thaum lawv hnub yug 18 xyoo

Koj lub chaw ua haujlwm Medi-Cal hauv koj lub nroog yuav qhia rau koj yog tias koj xav tau ua raws li cov cai ua haujlwm lossis yog tias lawv xav tau cov ntaub ntawv ntxiv los qhia tias koj tsim nyog tau txais kev zam.

Tseem ceeb kom paub

Cov tswv cuab yuav tsum ua ib los sis ntau yam ntawm cov hauv qab no:

• Ua haujlwm ntawm ib txoj haujlwm thiab khwv tau tsawg kawg $ 580 ib hlis
• Ua ib tus neeg ua haujlwm ib ntus thiab khwv tau nruab nrab $ 580 ib hlis rau rau lub hlis dhau los
• Nyob rau hauv ib qho kev cob qhia ua haujlwm (uas pab koj kawm cov txuj ci kom tau txais haujlwm) tsawg kawg 80 teev hauv ib hlis
• Ua haujlwm pab dawb lossis ua haujlwm pabcuam rau zej zog tsawg kawg 80 teev hauv ib hlis
• Mus kawm ntawv tsawg kawg yog ib nrab sijhawm (feem ntau yog ob lossis peb chav kawm, lossis li rau txog yim qhab nia txhua lub semester)
• Ua ntau yam kev ua ub no saum toj no kom tag nrho yog tsawg kawg 80 teev hauv ib hlis lossis tsawg kawg $ 580 hauv ib hlis

Yog koj yuav tsum ua raws li cov cai thiab tsis ua, koj yuav plam koj daim Medi-Cal.

Thaum koj tau txais tsab ntawv los ntawm Medi-Cal lossis koj lub chaw ua haujlwm hauv nroog, qhib nws tam sim ntawd thiab teb sai sai.

Chaw kho mob yuav xa cov ntaub ntawv ntxiv ua ntej txoj cai no pib, suav nrog cov kev pab uas yuav pab koj ua raws li cov cai.

Tsawg lub sij hawm los tau txais kev pab them cov nqi kho mob qub

Txij lub Ib Hlis Ntuj hnub tim 1, 2027, Medi-Cal yuav them rau cov nqi kho mob tsawg dua ua ntej koj thov. Yog tias txoj cai no siv rau koj, Medi-Cal yuav xa ib tsab ntawv rau koj.

Qhov no siv rau leej twg

• Cov neeg laus hnub nyoog 19-64 tsis muaj menyuam yaus hnub nyoog 0-18

Tseem ceeb kom paub

Cov cai tshiab:

• Cov neeg laus uas tsis muaj menyuam: Medi-Cal yuav them rau ib hlis ntawm cov nqi kho mob yav dhau los.
• Txhua tus neeg: Medi-Cal yuav them rau ob lub hlis ntawm cov nqi kho mob yav dhau los.

Kev Tshawb Fawb Txog Kev Tsim Nyog Rau Lub Hlis

Txij lub Peb Hlis Ntuj hnub tim 1, 2027, qee tus tswv cuab Medi-Cal yuav raug kuaj xyuas lawv txoj cai ob zaug hauv ib xyoos es tsis yog ib zaug xwb.

Qhov no siv rau leej twg

• Cov neeg laus hnub nyoog 19-64 uas tau txais Medi-Cal los ntawm Txoj Cai Saib Xyuas Kev Noj Qab Haus Huv Pheej Yig (ACA), suav nrog cov neeg uas raug kev cuam tshuam los ntawm cov kev hloov pauv ntsig txog cov neeg tsiv teb tsaws chaw uas tau teev ua ntej.

Qhov no tsis siv rau leej twg

Cov tswv cuab no yuav txuas ntxiv mus txuas ntxiv ib xyoos ib zaug:

• Cov neeg tsis nyob hauv pawg neeg laus tshiab ntawm ACA
• Cov neeg cev xeeb tub los yog tom qab yug me nyuam
• Cov tswv cuab ntawm Alaska Native los yog American Indian
• Cov neeg hnub nyoog qis dua 26 xyoo uas nyob hauv kev saib xyuas menyuam thaum lawv hnub yug 18 xyoo

Tseem ceeb kom paub

• Yog koj ua tsis tau raws sijhawm, koj yuav plam koj txoj kev pab them nqi Medi-Cal.

Kev them nyiaj sib koom

Txij lub Kaum Hli Ntuj hnub tim 1, 2028, qee tus neeg laus uas muaj Medi-Cal yuav tsum tau them tus nqi (hu ua copayment) rau qee yam kev pabcuam.

Qhov no siv rau leej twg

Cov neeg laus (19-64) uas:

• Cev tsis xeeb tub
• Tsis nyob hauv Medicare
• Ua ntau dua $ 15,560 ib xyoos

Tseem ceeb kom paub

• Tej zaum koj yuav tau them tus nqi rau qee hom kev kho mob, xws li mus ntsib kws kho mob tshwj xeeb (piv txwv li, kws kho mob plawv lossis kws kho mob tawv nqaij), lossis tau txais qee yam kev kho mob lossis kev kuaj mob.
• Koj yuav tsis them ntau tshaj 5 feem pua ntawm koj tsev neeg cov nyiaj tau los hauv ib xyoos.
• Koj yuav tsis tau them nqi rau:
  • Cov chaw kho mob hauv zej zog lossis cov chaw kho mob hauv nroog
  • Kev saib xyuas muaj xwm ceev
  • Kev kuaj xyuas tsis tu ncua
  • Kev saib xyuas thaum cev xeeb tub
  • Kev saib xyuas menyuam yaus
  • Kev kho mob hlwb thiab kev siv tshuaj yeeb dej cawv