End-Stage Renal Disease
Rov qab mus rau Cov Lus Qhia rau Cov Neeg Laus
End-Stage Renal Disease (ESRD) yog thaum koj muaj lub raum tsis ua haujlwm tas mus li uas yuav tsum tau muaj kev lim ntshav tsis tu ncua lossis hloov lub raum.
Yog tias koj muaj ESRD thiab Medi-Cal, DHCS pom zoo tias koj thov Medicare
Koj tuaj yeem sau npe rau Part A thiab Part B los ntawm kev tiv tauj koj lub chaw ua haujlwm Social Security hauv zos los yog hu rau Social Security ntawm (800) 772-1213. Cov neeg siv TTY tuaj yeem hu rau (800) 325-0778.
Please refer to the Medicare eligibility for Medi-Cal members with ESRD factsheet.
ESRD Medicare Eligibility
Yog tias koj yog ib tus neeg muaj hnub nyoog thiab muaj ESRD koj tuaj yeem muaj cai rau Medicare Tshooj A thiab tuaj yeem tau txais Medicare Tshooj B rau tag nrho cov txiaj ntsig, yog tias tag nrho cov hauv qab no siv:
- Koj lub raum tsis ua haujlwm lawm.
- Koj yuav tsum tau lim ntshav tsis tu ncua lossis tau hloov lub raum.
- Ib qho hauv qab no siv rau koj:
- Koj tau ua hauj lwm raws li lub sij hawm uas yuav tsum tau muaj nyob rau hauv Social Security, lub Railroad Retirement Board, los yog raws li ib tug tsoom fwv.
- Koj twb tau txais lossis tsim nyog rau Social Security lossis Railroad Retirement nyiaj pab.
- Koj yog tus txij nkawm lossis tus menyuam nyob ntawm ib tus neeg uas ua tau raws li cov cai hauv qab no.
Kuv yuav tau Medicare li cas?
If you’re eligible for Medicare because of ESRD and you qualify for Part A, you can also get Part B. Signing up for Medicare is recommended if you have ESRD and are enrolled in Medi-Cal. But, you will need both Part A and Part B to get the full benefits available under Medicare to cover certain dialysis and kidney transplant services. You can sign up for Part A and Part B by contacting your local Social Security office or by calling Social Security at (800) 772-1213.
Thaum twg kuv daim Medicare Coverage pib yog tias kuv muaj ESRD?
| Koj qhov kev pab them nqi pib | Raws li cov xwm txheej hauv qab no |
| Thawj lub hlis | Kev pab them nqi kho mob Medicare tuaj yeem pib ntxov li thawj lub hlis ntawm kev kho mob lim ntshav tsis tu ncua yog tias koj ua tau raws li tag nrho cov xwm txheej no:
|
| Thawj hnub ntawm lub hli | Yog tias koj tau txais kev hloov raum los ntawm Medicare-certified tsev kho mob. |
| Tib lub hli | Yog tias koj tau mus rau hauv tsev kho mob uas muaj ntawv pov thawj Medicare rau kev hloov lub raum (lossis rau cov kev kho mob uas koj xav tau ua ntej hloov pauv) yog tias koj qhov kev hloov pauv tshwm sim hauv tib lub hlis lossis ob lub hlis tom ntej. |
| Ob lub hlis ua ntej lub hli hloov koj lub raum | Yog tias koj qhov kev hloov pauv qeeb ntau tshaj ob lub hlis tom qab koj tau mus rau hauv tsev kho mob rau kev hloov pauv lossis rau kev kho mob koj xav tau ua ntej kev hloov pauv. |
| Thawj hnub ntawm lubhli 4 | Yog tias koj tau txais kev lim ntshav tsis tu ncua ntawm qhov chaw kho mob hauv tsev kho mob lossis chaw kho mob sab nraud, koj tsim nyog tau txais Medicare pib thawj hnub ntawm lub hlis thib plaub uas koj tau txais kev lim ntshav. Piv txwv li, yog tias koj pib tau txais kev lim ntshav rau lub Rau Hli 5, koj qhov kev pab cuam Medicare pib lub Cuaj Hlis 1. |
Thaum twg kuv qhov kev pab cuam Medicare xaus?
Yog tias koj muaj Medicare tsuas yog vim lub raum tsis ua haujlwm tas mus li, Medicare yuav xaus:
- 12 lub hlis tom qab lub hli koj tso tseg kev kho mob dialysis.
- 36 lub hlis tom qab lub hli koj tau hloov lub raum.
Koj qhov kev pab cuam Medicare yuav rov pib dua yog tias:
- Koj pib lim ntshav dua, lossis koj tau hloov lub raum tsis pub dhau 12 lub hlis tom qab lub hli koj tsis tau lim ntshav.
- Koj pib lim ntshav lossis tau txais lwm lub raum hloov hauv 36 lub hlis tom qab lub hli koj tau hloov lub raum.