Kev hloov pauv ntawm Medi-Cal
2026-2028
Yam twg Medi-Cal Cov Tswv Cuab Yuav Tsum Paub
Xov Xwm Zoo! Feem ntau cov tswv cuab ntawm Medi-Cal yuav tsis pom muaj kev hloov pauv dab tsi li
Cov neeg laus thiab cov neeg xiam oob qhab
Pib Lub Ib Hlis Ntuj xyoo 2026
Cov khoom muaj nqis
Cov khoom muaj nqis
Pib txij Lub Ib Hlis 1, 2026, thaum koj thov los sis rov ua dua tshiab rau koj lub chaw kho mob, peb yuav saib seb koj muaj dab tsi. Qhov no yog hu ua saib cov khoom tseem ceeb. Cov cuab yeej cuab tam yog yam uas koj muaj thiab muaj nqis.
Qhov no siv rau leej twg
Koj yuav raug cuam tshuam yog tias koj:
- Muaj hnub nyoog 65 xyoo thiab laus dua thiab ua tau raws li qhov txwv ntawm cov nyiaj tau los hauv tsev neeg rau Medi-Cal
- Muaj kev tsis taus (lub cev, lub hlwb, lossis kev loj hlob)
- Nyob hauv ib lub tsev laus
- Puas yog tsev neeg uas khwv tau nyiaj ntau dhau los tsim nyog raws li txoj cai se ntawm tsoomfwv
Tseem ceeb kom paub
Feem ntau koj muaj peev xwm tau txai (cov cuab yeej cuab tam txwv) yog $ 130,000 rau ntawm ib tus neeg.
Koj tuaj yeem ntxiv $65,000 rau txhua tus neeg ntxiv hauv koj tsev neeg. Qhov ntau tshaj plaws yog 10 tus neeg.
Cov cuab tam uas suav tau suav nrog:
- cov txhab nyiaj
- nyiaj ntsuab
- Ntau tshaj ib lub tsev los sis lub tsheb
Cov khoom muaj nqis uas tsis suav nrog suav nrog:
- Lub tsev uas koj nyob hauv
- Ib Lub Tsheb
- Cov khoom siv hauv tsev
- Qee cov nyiaj khaws cia, xws li cov nyiaj laus
Yog koj muaj Medi-Cal, peb yuav saib koj cov cuab tam txhua xyoo thaum koj rov ua dua tshiab.
Cov cai ntawm cov nyiaj tau los rau Medi-Cal tsis tau hloov pauv.
Mus saib lub Chaw Pab cuam kom paub ntau ntxiv.
Cov neeg laus neeg tsiv teb tsaws chaw
Pib Lub Ib Hlis Ntuj xyoo 2026
Hnub kaw kev sau npe
Hnub kaw kev sau npe
Pib txij Lub Ib Hlis Ntuj 1, 2026, qee cov neeg laus yuav tsis muaj peev xwm sau npe rau kev pab cuam kho mob tag nrho raws li lawv txoj kev nkag teb chaws mu ntxiv lawm.
Qhov no siv rau leej twg
- Thov saib Daim Ntawv Qhia Txog Kev Nkag Tebchaws kom paub seb koj puas raug tso cai rau Adult Expansion Enrollment Freeze.
Tseem ceeb kom paub
Yog koj twb muaj Medi-Cal uas them tag nrho lawm, koj tseem yuav tau txais kev pab txawm koj yog neeg nkag tebchaws li cas los xij.
Txhawm rau khaws koj li kev kho mob, koj yuav tsum:
- Sau koj daim ntawv thov rov ua dua tshiab raws li qhov xav tau
- Ua tau raws li cov cai tsim nyog ntawm Medi-Cal (xws li cov nyiaj tau los thiab kev nyob hauv California)
Siv koj cov txiaj ntsig thiab rov ua dua tshiab raws sij hawm. Yog tias koj tsis ua, koj qhov kev kho mob yuav raug xaus mus.
Yog koj qhov Medi-Cal tas lawm, koj yuav muaj peb lub hlis txij li hnub kawg ntawm kev tsim nyog tau muab rau hauv koj Daim Ntawv Ceeb Toom, kom rov sau npe rau hauv Medi-Cal uas muaj tag nrho.
Yog koj tsis rov sau npe dua thaum kawg ntawm lub sijhawm pub dawb peb lub hlis, koj yuav tsum rov thov dua rau Medi-Cal. Koj tsuas yog yuav tsim nyog rau Medi-Cal uas muaj kev txwv xwb, uas suav nrog:
- Kev saib xyuas muaj xwm ceev
- Kev saib xyuas txog cev xeeb tub
- Kev saib xyuas hauv tsev
Leej twg tseem tuaj yeem tau txais Medi-Cal tag nrho, txawm tias muaj xwm txheej nkag tebchaws li cas los xij
- Cov menyuam yaus (hnub nyoog 0-18)
- Cov neeg cev xeeb tub (Kev pov hwm cev xeeb tub kav ntev txog koj lub cev xeeb tub tag nrho thiab txog ib xyoos tom qab nws xaus.)
- Cov tub ntxhais hluas uas tau txais kev saib xyuas yav dhau los hnub nyoog qis dua 26 xyoo, uas tau nyob hauv kev saib xyuas thaum lawv hnub yug 18 xyoo
Pib lub Xya Hli 2026
Kev Pab Them Nqi Kho Hniav
Kev Pab Them Nqi Kho Hniav
Txij lub Xya Hli 1, 2026, qee tus tswv cuab Medi-Cal yuav tsis tau txais kev pab kho hniav puv ntoob ua ib feem ntawm lawv txoj kev pab them nqi Medi-Cal lawm.
Qhov no siv rau leej twg
- Thov saib daim ntawv qhia txog Qeb Kev Nkag Tebchaws kom pom tias koj puas yuav raug hloov pauv rau Kev Pov Hwm Kho Hniav.
Tseem ceeb kom paub
Koj tseem tuaj yeem tau txais kev kho mob rau cov kev xav tau kho hniav thaum muaj xwm txheej ceev, suav nrog:
- Mob hniav loj
- Kab mob
- Tooth extractions
Koj tseem yuav tau txais kev kho hniav tag nrho yog tias:
- Koj yog ib tug menyuam yaus uas tau txais kev saib xyuas thaum koj hnub yug 18 xyoo uas yog ib tug menyuam yaus uas tsis tau muaj hnub nyoog 26 xyoo.
- Cev xeeb tub, thiab rau ib xyoos tom qab koj cev xeeb tub tas
Pib lub Kaum Hli Ntuj xyoo 2026
Kev hloov pauv xwm txheej nkag teb chaws
Kev hloov pauv xwm txheej nkag teb chaws
Pib lub Kaum Hli Ntuj 1, 2026, tsoom fwv teb chaws yuav hloov li cas nws faib ib co kev nkag teb chaws (koj txoj cai nyob rau hauv Teb Chaws Asmeskas raws li yuav ua li cas thiab yog vim li cas koj tuaj ntawm no).
Qhov no siv rau leej twg
Tej zaum koj yuav raug cuam tshuam yog tias koj tau txais Medi-Cal thiab yog:
- A refugee or asylee – someone who left their home country for safety and don’t yet have a Green Card
- A humanitarian parolee – someone allowed into the U.S. for urgent reasons for at least one year
- Ib tug muaj txoj sia nyob ntawm kev tsim txom hauv tsev lossis kev lag luam tib neeg, thiab koj muaj txoj cai tos
Cov ntaub ntawv tseem ceeb
Cov ntsiab lus ntawm yuav ua li cas txoj cai no yuav raug siv hauv California yuav muaj sai sai no.
Pib lub Xya Hli 2027
Cov Nqi Them Nyiaj Txhua Hli
Cov Nqi Them Nyiaj Txhua Hli
Pib txij lub xya Hli 1, 2027, qee tus tswv cuab hauv tsev kho mob yuav tsum them tus nqi me txhua hli (hu ua premium) kom khaws lawv cov kev pab cuam kho mob tag nrho.
Qhov no siv rau leej twg
- Thov saib daim ntawv qhia txog Qeb Kev Nkag Tebchaws kom pom tias koj puas yuav tsum tau them cov nqi them txhua hli.
Tseem ceeb kom paub
Yog tias qhov kev hloov no siv rau koj, koj yuav tsum them ib qho nqi me me txhua lub hlis kom khaws koj cov tsev kho mob tag nrho.
Yog tias koj tsis them, koj qhov kev kho mob yuav hloov pauv. Koj tsuas yog tau txais kev kho mob txwv, uas npog:
- 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 menyuam yaus uas tau raug saib xyuas yav dhau los hnub nyoog qis dua 26 xyoo thiab tau nyob hauv kev saib xyuas thaum koj hnub yug 18 xyoo
- Cev xeeb tub, thiab rau ib xyoos tom qab koj cev xeeb tub tas
Cov neeg laus (hnub nyoog 19-64)
Pib lub Ib Hlis Ntuj xyoo 2027
Cov Cai Ua Hauj lwm
Cov Cai Ua Hauj lwm
Txij lub Ib Hlis Ntuj hnub tim 1, 2027, qee tus neeg laus yuav tsum tau ua haujlwm lossis ua haujlwm pab dawb lossis mus kawm ntawv kom tau txais Medi-Cal. Yog qhov no siv rau koj, lub chaw ua haujlwm Medi-Cal hauv nroog yuav xa ib tsab ntawv rau koj.
Qhov no siv rau leej twg
Kev kho mob cov tswv cuab thiab cov neeg thov kho mob uas yog:
- Cov neeg laus (hnub nyoog 19-64),
- Tsim nyog tau txais Medi-Cal vim yog qhov kev nthuav dav ntawm Txoj Cai Saib Xyuas Kev Noj Qab Haus Huv Pheej Yig, thiab
- Tsis txhob ua raws li ib qho ntawm cov kev zam uas tau teev ncaj qha hauv qab no.
Kev zam
Cov cai tshiab rau kev ua hauj lwm los sis kev ua hauj lwm pub dawb no tsis siv rau:
- Menyuam yaus (0–18)
- Cov Neeg Laus (65 thiab laus dua)
- Cov neeg cev xeeb tub, suav nrog ib xyoos tom qab yug me nyuam, tsis hais txog qhov tshwm sim ntawm kev yug me nyuam
- Cov niam txiv uas muaj menyuam hnub nyoog 0-13 xyoos
- Cov neeg uas muaj kev tsis taus
- Cov neeg uas muaj teeb meem kev noj qab haus huv lossis kev puas siab puas ntsws loj heev lossis muaj teeb meem siv tshuaj yeeb dej cawv
- Cov neeg uas tau 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 tub ntxhais hluas uas raug saib xyuas lossis cov tub ntxhais hluas uas raug saib xyuas yav dhau los uas muaj hnub nyoog 0-26 xyoo
Koj lub chaw ua haujlwm Medi-Cal hauv nroog yuav xa ib tsab ntawv rau koj kom qhia rau koj paub yog tias koj yuav tsum ua raws li cov cai ua haujlwm, lossis yog tias xav tau lwm cov ntaub ntawv los ntawm koj los qhia tias koj ua tau raws li ib qho ntawm cov kev zam no.
Tseem ceeb kom paub
Cov tswv cuab yuav tsum ua ib los sis ntau yam ntawm cov hauv qab no:
- Ua hauj lwm thiab tau txai nyiaj.
- Tau nyiaj tsawg kawg yog $580 ib hlis los ntawm kev ua hauj lwm.
- Ua ib tus neeg ua hauj lwm raws caij nyoog (ib tus neeg uas tsuas yog ua hauj lwm rau qee lub sij hawm ntawm lub xyoo) thiab khwv tau qhov nruab nrab ntawm $580 ib hlis nyob rau rau lub hlis dhau los.
- Nyob rau hauv ib txoj hauj lwm kev cob qhia kev pab cuam (uas pab koj kawm kev txawj ntse kom tau ib txoj hauj lwm) tsawg kawg yog 80 teev ib hlis.
- Ua hauj lwm pab dawb los sis ua hauj lwm hauv zej zog tsawg kawg 80 teev hauv ib hlis. Qhov no yuav tsum tau npaj kom zoo thiab yog ib yam uas koj tuaj yeem ua pov thawj tias koj tau ua nrog tsab ntawv los sis daim ntawv.
- Mus kawm ntawv tsawg kawg yog ib nrab sijhawm. Qhov no feem ntau txhais tau tias kawm ob los sis peb chav kawm los sis kwv yees li rau mus rau yim qhab nia ntawm ib nrab kev kawm.
- Ua ib qho kev sib xyaw ntawm cov yam teev saum toj no rau tag nrho tsawg kawg 80 teev hauv ib hlis, lossis tsawg kawg $ 580 hauv ib hlis.
Yog tias koj raug yuav tsum ua hauj lwm los sis ua hauj lwm pub dawb raws li cov cai tshiab no thiab tsis ua raws li cov cai, koj tuaj yeem poob koj qhov kev pab cuam kho mob.
Thaum koj tau txais ib tsab ntawv los ntawm chaw kho mob, qhib tam siv thiab teb tam siv kom qhia tias koj ua tau raws li cov cai ua hauj lwm.
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.
Kev Tshawb Fawb Txog Kev Tsim Nyog Rau Lub Hlis
Kev Tshawb Fawb Txog Kev Tsim Nyog Rau Lub Hlis
Pib txij Lub Ib Hlis 1, 2027, qee tus tswv cuab kho mob yuav raug kuaj lawv qhov kev tsim nyog Ob zaug hauv ib xyoos es tsis txhob yog ib zaug.
Qhov no siv rau leej twg
- Cov neeg laus (hnub nyoog 19-64)
Kev zam
Cov tswv cuab no yuav txuas ntxiv mus nrog kev rov ua dua tshiab ib xyoos ib zaug:
- Cov tswv cuab hauv ib qho kev pab cuam Medi-Cal uas tsis nyob hauv qab Affordable Care Act pawg neeg laus tshiab
- Cov neeg cev xeeb tub los yog tom qab yug me nyuam
- Cov tswv cuab ntawm Alaska Native los yog American Indian
- Cov tub ntxhais hluas uas tau txais kev saib xyuas yav dhau los hnub nyoog qis dua 26 xyoo, uas tau nyob hauv kev saib xyuas thaum lawv hnub yug 18 xyoo
Tseem ceeb kom paub
- Tej zaum koj yuav tau rov ua koj daim ntawv thov Medi-Cal txhua rau lub hlis.
- Yog tsis ua raws sijhawm yuav ua rau poob kev pov hwm.
- Yog koj raug zam, tej zaum koj tseem yuav tsum tau rov ua koj daim Medi-Cal ib xyoos ib zaug.
Tsawg lub sij hawm los tau txais kev pab them cov nqi kho mob qub
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 yav dhau los tsawg dua ua ntej koj thov.
Qhov no siv rau leej twg
- Cov neeg laus (hnub nyoog 19-64) tsis muaj menyuam (0-18)
Yog tias qhov no siv tau rau koj, Chaw kho mob yuav xa ib tsab ntawv tuaj rau koj.
Tseem ceeb kom paub
Cov cai tshiab:
- Cov neeg laus uas tsis muaj menyuam: Medi-Cal tsuas yog yuav them rau ib hlis ntawm cov nqi them yav dhau los xwb
- Tag nrho lwm tus: Medi-Cal yuav them rau ob lub hlis ntawm cov nqi them yav dhau los
Pib lub Kaum Hli Ntuj xyoo 2028
Kev them nyiaj sib koom
Kev them nyiaj sib koom
Txij lub Kaum Hli Ntuj hnub tim 1, 2028, qee tus neeg laus uas muaj Medi-Cal yuav tau them tus nqi me me (hu ua copayment) rau qee yam kev pabcuam.
Qhov no siv rau leej twg
Cov tswv cuab kho mob uas:
- Cov neeg laus (hnub nyoog 19-64), thiab
- Tsis cev xeeb tub (Kev pov hwm cev xeeb tub kav ntev txog koj lub cev xeeb tub tag nrho thiab txog li ib xyoos tom qab nws xaus), thiab
- tsis muaj kev pab kho mob, thiab
- Khwv tau ntau dua $15,560 ib xyoo.
Tseem ceeb kom paub
- Tej zaum koj yuav tau them me ntsis rau qee qhov kev kho mob, xws li mus ntsib kws kho mob tshwj xeeb (xws li kws kho mob plawv lossis kws kho mob tawv nqaij) thiab 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 ua cov nqi them txhua xyoo.
- Yuav tsis muaj cov nqi them ua ke rau:
- Cov kev pab cuam ntawm 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 ua ntej yug menyuam (kev saib xyuas thaum cev xeeb tub) thiab kev saib xyuas menyuam yaus (kev saib xyuas menyuam yaus)
- Kev kho mob hlwb thiab kev siv tshuaj yeeb dej cawv tsis zoo
Yuav khaws Koj li Medi-Cal li cas
- Cov tswv cuab uas raug kev cuam tshuam yuav tau txais cov ntawv los ntawm kev xa ntawv, ntawv nyeem, lossis email. Nco ntsoov hloov kho koj cov ntaub ntawv Medi-Cal kom koj thiaj li tsis nco qab cov ntawv ceeb toom tseem ceeb.
- Saib xyuas koj cov ntawv xa tuaj thiab teb sai sai rau cov pob ntawv txuas ntxiv Medi-Cal lossis cov ntawv los ntawm koj txoj kev npaj kho mob lossis chaw ua haujlwm Medi-Cal hauv zos.
- Paub hnub uas koj rov ua dua tshiab kom koj thiaj li rov ua dua tshiab tau koj daim Medi-Cal hauv online lossis ua haujlwm nrog koj lub chaw ua haujlwm Medi-Cal hauv zos yog tias koj tsis tau txais cov ntawv ceeb toom.
- Mus ntsib kws kho mob thiab lwm yam kev teem caij kho mob, thiab nug txog cov kev pabcuam telehealth uas muaj.
- Mus saib peb lub vev xaib thiab ua raws li peb cov kev tshaj xov xwm hauv zej zog kom tau txais cov xov xwm tshiab.
- Ask questions if you’re unsure.