Medicare Premium Payment (Buy-In) Program
Qhov Kev Pab Them Nqi Medicare, tseem hu ua Medicare Buy-In, tso cai rau Medi-Cal them Medicare Part A thiab/lossis Part B cov nqi them rau Medi-Cal cov tswv cuab thiab cov uas tsim nyog rau Medi-Cal cov kev pab cuam uas pab them cov nqi Medicare. Qhov kev pab cuam no tso cai rau Medi-Cal ncua cov nqi kho mob mus rau Medicare yog tias tsim nyog.
Medicare yog dab tsi?
Medicare yog tsoomfwv txoj kev pov hwm kev noj qab haus huv rau cov neeg muaj hnub nyoog (cov neeg muaj hnub nyoog 65 xyoos lossis laus dua) cov tib neeg, qee cov neeg hluas uas muaj kev xiam oob qhab, thiab cov neeg uas muaj Kab Mob Raum Kawg (ESRD). Medicare kev pab cuam los ntawm lub xeev yuav khoom hauv kev pab cuam yuav muaj xws li hauv qab no:
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Part A - Kev tuav pov hwm tsev kho mob (HI)
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Part B - Kev tuav pov hwm kho mob ntxiv (SMI)
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Ntu D - Kev pab them nqi kho mob (kev them nyiaj pab)
Cov tswv cuab tsis tuaj yeem muaj Part A Medicare kev pab cuam yam tsis muaj Part B Medicare kev pab them nqi. Cov tswv cuab yuav tsum muaj Part A lossis Part B kev pab them nqi kom tsim nyog rau Tshooj D.
Tshooj Ib Daim Ntawv Pom Zoo Yuav
Txij thaum Lub Ib Hlis Ntuj Tim 1, 2025, Lub Xeev California koom nrog hauv kev cog lus yuav nrog Lub Chaw rau Medicare thiab Medicaid Services (CMS), uas Medi-Cal cia li them Medicare Part A cov nqi them, nyiaj npib, thiab txiav tawm rau cov tswv cuab Medi-Cal uas tsim nyog:
- Tau cuv npe rau hauv Qhov Kev Pabcuam Tsim Nyog Medicare (QMB), thiab
- Muaj Medicare Part B txoj cai raws li qhia los ntawm Social Security Administration (SSA).
Medi-Cal cov tswv cuab uas muaj Part B nkaus xwb, thiab tsis yog Part A, muaj Medi-Cal kev pab them nqi kho mob rau cov neeg mob nyob rau hauv thiab lwm yam kev pab cuam Part A. Raws li Tshooj Ib Daim Ntawv Pom Zoo Yuav, rau Medi-Cal cov tswv cuab uas tsim nyog tau txais kev pab Medicare, Medicare yuav muab kev pab them nqi kho mob rau tsev kho mob thiab lwm yam kev pab them nqi kho mob hauv Medicare Part A.
Txoj Cai Lij Choj: Social Security Act, Tshooj 1818
DHCS tau tshaj tawm tsab ntawv ceeb toom rau cov tswv cuab uas tau txais kev tso cai tshiab rau Tshooj A txij thaum Lub Ib Hlis 1, 2025. DHCS kuj tau qhia Medi-Cal Managed Care Plans (MCPs) los txhawb cov tswv cuab kev nkag mus rau kev saib xyuas thaum lub Ib Hlis 2025, kev hloov pauv, tshwj xeeb tshaj yog rau cov tswv cuab nkag mus rau cov kev pab cuam kho mob hauv tsev uas yuav tau them los ntawm Medicare Part A.
Rau cov tswv cuab cov lus nug txog kev saib xyuas, thov hu rau koj tus MCP. Rau cov tswv cuab cov lus nug txog kev tsim nyog tau txais Medicare, thov hu rau koj lub chaw lis haujlwm Social Security Administration (SSA) lossis Health Insurance Counseling & Advocacy Program (HICAP).
Cov ntaub ntawv ntxiv txog Part A Buy-In tuaj yeem nrhiav tau siv qhov txuas hauv qab no:
Tshooj Ib Cov Lus Nug Nquag Nug (FAQs)
Medicare Tshooj B Daim Ntawv Pom Zoo Yuav
Lub Xeev California koom nrog hauv daim ntawv cog lus yuav nrog CMS, uas Medi-Cal yuav them cov nqi kho mob Medicare Part B rau cov tswv cuab Medi-Cal uas tsim nyog tau txais Medicare Tshooj B raws li tau tshaj tawm los ntawm SSA.
Txoj Cai Lij Choj: Social Security Act, Tshooj 1843
Medicare Part D Kev them nyiaj rau lub Xeev
Cov nqi them tshuaj kho mob hloov pauv ntawm Medicaid mus rau Medicare pib thaum Lub Ib Hlis 2006 vim yog xyoo 2003 Medicare Prescription Drug, Improvement and Modernization Act (MMA), uas tau tsim Medicare Part D cov tshuaj noj tshuaj. Lub xeev yuav tsum tau them tus nqi them nqi Part D rau cov tswv cuab Medi-Cal uas tsim nyog tau txais kev pab them nqi Part A lossis Part B.
Txoj Cai Lij Choj: Medicare Tshuaj Tshuaj, Txhim Kho thiab Kho Kom Zoo Dua Tshiab 2003
Medicare Premium Payment thiab Medicare Part D State Contribution Payment cov kev pab cuam los xyuas kom meej tias Medi-Cal yog tus neeg them nqi ntawm qhov chaw kawg, uas yuav pab xyuas kom Medi-Cal cov kev pab raug siv kom tsim nyog thiab tau tseg rau cov nqi uas tsis them los ntawm Medicare.
State Buy-In Manual - Part A thiab Part B Transaction Codes
Cov lej yuav khoom hauv kev ua lag luam muab cov lus qhia meej, kev sib txuas lus ntawm CMS thiab Xeev California. Feem ntau cov lis dej num yuav tsum tsis muaj kev nqis tes ua ntxiv rau ntawm lub Xeev; Txawm li cas los xij, muaj qee qhov kev txiav txim ntxiv los ntawm Lub Xeev yog qhov tsim nyog. Saib cov ntawv txuas hauv PDF hauv qab no rau kev piav qhia ntawm ib qho ntawm cov lej hloov pauv.
Part A Kev Yuav-Nyob Hauv thiab Ntu B Yuav-hauv/Pab Pawg Tus Neeg Them Nqi Them Nqi (PDF)
Lub Xeev Medicare Daim Ntawv Qhia Teeb Meem Teeb Meem (cov ntaub ntawv sau tau online).
Thov siv daim foos hauv qab no los qhia txog teeb meem kev yuav khoom hauv Medicare mus rau Lub Chaw Muag Khoom ntawm DHCS. Daim foos no nruj me ntsis rau lub xeev, lub nroog, thiab tsoomfwv cov chaw haujlwm thiab tsis yog rau cov pej xeem. Cov tswv cuab uas muaj teeb meem yuav khoom yuav tsum hu rau lawv lub nroog tus neeg ua haujlwm tsim nyog tau txais kev pab.
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