FAQ tus tswv cuab
Cov kws kho mob thiab lwm cov chaw muab kev kho mob uas saib xyuas cov tswv cuab Medi-Cal yuav tsum tau sau npe nrog Medi-Cal. Yog tias tus kws kho mob tsis tau sau npe lossis lawv cov ntaub ntawv ploj lawm lossis tsis siv lawm, tej zaum yuav muaj kev ncua sij hawm tau txais tshuaj lossis lwm yam kev pab kho mob. Cov lus nug thiab lus teb no piav qhia txog yuav ua li cas yog tias koj cov tshuaj lossis kev saib xyuas raug ncua sijhawm.
Kuv tus kws muag tshuaj hais tias kuv tus kws kho mob tsis tau sau npe nrog Medi-Cal, yog li kuv tsis tuaj yeem tau txais kuv daim ntawv yuav tshuaj. Kuv tau nrog tus kws kho mob tib yam tau ntau xyoo lawm. Vim li cas qhov no thiaj tshwm sim?
Txhua tus kws kho mob thiab lwm tus neeg muab kev pab kho mob uas sau cov ntawv yuav tshuaj rau cov tswv cuab Medi-Cal yuav tsum tau sau npe nrog Medi-Cal. Qhov no yog qhov yuav tsum tau ua los ntawm txoj cai lij choj ntawm tsoomfwv thiab lub xeev. Yog tias koj tus kws kho mob tsis tau sau npe lossis xav tau hloov kho lawv cov ntaub ntawv, koj daim ntawv yuav tshuaj lossis kev pabcuam yuav raug ncua sijhawm.
Yog tias kuv tus kws kho mob tsis tau sau npe rau Medi-Cal, kuv yuav tau txais kuv cov tshuaj li cas?
Yog koj tau sau npe rau hauv Medi-Cal txoj kev npaj kho mob, koj tuaj yeem hu rau koj txoj kev npaj lub chaw haujlwm Pabcuam rau Cov Tswv Cuab kom tau kev pab nrhiav tus kws kho mob uas tau sau npe. Yog koj nyob rau hauv kev pabcuam them nqi (tsis yog ib feem ntawm Medi-Cal txoj kev npaj kho mob), koj tuaj yeem hu rau Medi-Cal Telephone Service Center ntawm 1-800-541-5555 kom tau kev pab nrhiav tus kws kho mob uas tau sau npe. Yog tias koj xav tau daim ntawv yuav tshuaj tshiab, tej zaum koj yuav tau teem sijhawm nrog tus kws kho mob uas tau sau npe.
Yog tias kuv muaj xwm txheej ceev lossis kuv cov tshuaj yuav luag tag lawm, yuav ua li cas?
Yog qhov no yog xwm txheej ceev hauv kev kho mob, hu rau 911 lossis mus rau chav kho mob ceev ze tshaj plaws. Yog koj yuav luag tag koj cov tshuaj lossis twb tag lawm, qhia rau koj tus kws muag tshuaj tam sim ntawd tias koj muaj cai thov ob yam khoom siv 14 hnub hauv lub sijhawm 30 hnub, nrog kev pom zoo los ntawm koj lub tsev muag tshuaj. Yog tias koj muaj teeb meem nrhiav kev pab thaum muaj xwm txheej ceev, hu rau koj txoj kev npaj kho mob Medi-Cal lossis Chaw Pabcuam Xov Tooj Medi-Cal ntawm 1-800-541-5555.
Qhov kev ncua sijhawm yuav kav ntev npaum li cas?
Tej zaum koj tus kws kho mob lossis tus kws muab kev pab yuav siv sijhawm txog li 180 hnub los sau npe. Hu rau koj txoj kev npaj kho mob Medi-Cal lossis kab pabcuam Medi-Cal sai li sai tau kom koj thiaj li nrhiav tau tus kws kho mob tshiab uas tau sau npe nrog Medi-Cal.
Kuv puas tseem yuav tau kuv cov tshuaj?
Feem ntau, yog. Yog tias koj xav tau koj cov tshuaj tam sim ntawd, nrog koj tus kws muag tshuaj tham.
Kuv puas yuav tau them rau kuv cov tshuaj lossis kev saib xyuas? Puas yuav tau nyiaj rov qab?
Nug koj tus kws muag tshuaj lossis tus kws kho mob ua ntej koj them koj tus kheej. Yog koj muaj lus nug txog kev them nyiaj lossis kev them rov qab, hu rau koj txoj kev npaj kho mob Medi-Cal lossis tus xov tooj pabcuam rau cov tswv cuab Medi-Cal ntawm (1-800-541-5555).
Kuv puas tseem yuav tau txais kuv txoj kev saib xyuas?
Yog. Cov neeg feem coob tseem yuav tau txais kev saib xyuas uas lawv xav tau. Yog koj tus kws kho mob tsis tau sau npe rau hauv Medi-Cal, tej zaum koj yuav tau mus ntsib lwm tus kws kho mob uas tau sau npe rau hauv Medi-Cal kom tau txais koj cov ntawv yuav tshuaj. Thov saib Daim Ntawv Qhia Txog Kev Npaj Kho Mob Medi-Cal Managed Care kom paub cov ntaub ntawv tiv tauj ntawm daim ntawv qhia. Koj tus kws kho mob lossis tus neeg muab kev pab yuav tsum tau hloov kho lawv daim ntawv sau npe Medi-Cal lossis kho cov ntaub ntawv uas ploj lawm ua ntej Medi-Cal thiaj li them tau koj cov tshuaj lossis kev saib xyuas.
Kev saib xyuas twg yuav raug cuam tshuam?
Qhov no yuav cuam tshuam rau:
- Cov tshuaj
- Kev kuaj hauv chav kuaj
- Kev saib xyuas kev noj qab haus huv ntawm tus cwj pwm
- Kev thaij duab los yog X-ray
- Cov khoom siv kho mob
- Cov kev pab kho mob
Qhov no puas yog ib yam tshiab?
Tsis yog. Cov cai no tau muaj txij li xyoo 2013 los lawm. Medi-Cal tam sim no tab tom tshuaj xyuas lawv kom ze dua.
Yog tias kuv xav tau ib tus neeg muab kev pab Medi-Cal tshiab, kuv yuav nrhiav tau ib tus li cas?
A. Yog koj tau sau npe rau hauv Medi-Cal txoj kev npaj kho mob, koj tuaj yeem:
- Hu rau pab neeg pabcuam cov neeg siv khoom ntawm koj txoj kev npaj kho mob.
- Siv koj daim phiaj xwm daim ntawv teev cov neeg muab kev pab. Koj tuaj yeem nrhiav cov ntaub ntawv tiv tauj ntawm koj txoj kev npaj kho mob ntawm: http://www.dhcs.ca.gov/mmchpd.
Txhua tus tswv cuab, suav nrog cov tswv cuab them nqi rau kev pabcuam, kuj tseem tuaj yeem:
- Hu rau Chaw Pabcuam Xov Tooj Medi-Cal ntawm 1-800-541-5555
- Siv Medi-Cal Fee-for-Service Provider Lookup App los nrhiav tus kws kho mob uas tau sau npe.