Cov ntaub ntawv rau cov neeg thov uas tseem tos thiab cov tswvcuab Medi-Cal uas nyuam qhuav tso npe tshiab
Vim muaj ntau daim ntawv thov Medi-Cal tau txais los ntawm Covered California lub vev xaib thiab cov chaw pabcuam tib neeg hauv nroog, Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau muab cov ntaub ntawv no los pab kom koj tuaj yeem tau txais kev saib xyuas koj xav tau.
Cov neeg thov tseem tos
Rau cov neeg ua ntawv thov thiab muaj feem tsim nyog, tab sis tab tom tos lawv daim ntawv thov kom tiav, muaj txoj hauv kev koj tuaj yeem tau txais kev saib xyuas tam sim thaum koj tos:
- Koj tuaj yeem mus tom tsev kho mob thaum muaj xwm txheej ceev. Txoj Kev Pabcuam Tsev Kho Mob Presumptive Eligibility (PE) muab cov neeg laus, cov neeg cev xeeb tub, cov menyuam yaus, thiab cov neeg saib xyuas yav dhau los rau npe kawm ib ntus, tsis muaj nqi Medi-Cal nyiaj pab txog li ob lub hlis. Txhawm rau kom tau txais cov txiaj ntsig hauv Tsev Kho Mob PE, koj yuav tsum ua kom tiav daim ntawv thov yooj yim hauv online thaum nyob hauv tsev kho mob. Koj yuav raug ceeb toom tam sim ntawm koj qhov kev txiav txim siab tsim nyog.
- Koj tuaj yeem mus ntsib koj lub county lub chaw pabcuam tib neeg hauv zos. Koj tuaj yeem siv koj cov ntaub ntawv kom paub meej tias koj qhov kev tsim nyog tau txais Medi-Cal thiab tau txais daim npav ID ib ntus. Qhov no yuav ua rau koj tau txais kev pabcuam kom txog thaum koj tso npe tiav.
- Cov tib neeg cev xeeb tub tuaj yeem tau txais Medi-Cal kev pab them nqi ib ntus los ntawm qee lub chaw kho mob thiab Medi-Cal.
- Cov menyuam yaus tuaj yeem tau txais Medi-Cal kev pab them nqi ib ntus los ntawm Medi-Cal cov kws kho mob thiab cov chaw kho mob uas pom cov menyuam yaus.
Thaum koj qhov kev tsim nyog tau txais Medi-Cal raug lees paub, qhov kev pab them nqi kho mob pib pib thawj hnub ntawm lub hli thaum koj thov.
Yog tias koj xav paub ntau ntxiv lossis txheeb xyuas qhov xwm txheej ntawm koj daim ntawv thov, thov hu rau koj lub nroog lub chaw pabcuam tib neeg.
Newly Enrolled Members
Rau cov neeg uas tau pom tias tsim nyog rau Medi-Cal thiab muaj Medi-Cal Daim Npav Nyiaj Pab Qhia Txog Tus Kheej (BIC), tab sis tseem tsis tau xaiv ib txoj kev kho mob uas tswj hwm, muaj cov kev xaiv hauv qab no los pab koj nrhiav kev saib xyuas. Thaum koj muaj kev tsim nyog Medi-Cal ib ntus no, koj tuaj yeem tau txais kev pabcuam kev noj qab haus huv los ntawm ib tus kws kho mob Medi-Cal rau npe. Cov uas lees txais Medi-Cal tus nqi-rau-kev pabcuam (FFS) yuav pab tau koj. Nco ntsoov tias koj nug seb lawv puas txais FFS ua ntej koj teem sijhawm. Yog tias lawv tsis ua, koj yuav tsum hu rau lwm tus kws kho mob Medi-Cal.
Thaum koj muaj xwm txheej ceev kho mob ua ntej koj mus ntsib kws kho mob, hu rau 9-1-1 lossis mus rau chav kho mob ceev ntawm koj lub tsev kho mob ze tshaj plaws. Medi-Cal them rau cov kev pabcuam xwm txheej kub ntxhov rau cov tswvcuab hauv npe, thiab yog tias koj qhia koj BIC rau cov neeg ua haujlwm hauv chav xwm txheej ceev, Medi-Cal yuav them rau cov kev pabcuam uas koj tau txais.
Tau txais kev kho mob uas koj xav tau
Nov yog qee txoj hauv kev uas koj tuaj yeem tau txais kev saib xyuas koj xav tau thaum koj daim ntawv thov Medi-Cal tab tom ua tiav:
- Community Health Centers & Clinics: Another way you can get care is to go to a clinic called a Federally Qualified Health Center. Find the health center in your area.
- Cov Chaw Ua Haujlwm Pabcuam Tib Neeg hauv Lub Nroog: Koj lub koom haum pabcuam tib neeg hauv lub nroog yuav pab tau koj nrhiav tus kws kho mob lossis daim ntawv teev cov kws kho mob hauv koj cheeb tsam. Siv peb daim ntawv teev cov chaw ua haujlwm hauv lub nroog kom ncav cuag cov chaw ua haujlwm ze koj tshaj plaws.
- Dental Providers: You can find a dental provider on the Medi-Cal Dental website under the “Find a Dentist” link, or by calling (800) 322-6384.
- Chav Emergency: Raws li tau hais los saum toj no, yog tias koj muaj xwm txheej ceev thiab koj nrhiav tsis tau tus kws kho mob tam sim ntawd, koj tuaj yeem mus rau chav xwm txheej ceev ntawm txhua lub tsev kho mob. Yog tias koj qhia koj daim BIC rau cov neeg ua haujlwm hauv chav xwm txheej ceev, Medi-Cal yuav them rau cov kev pabcuam uas koj tau txais.
- Nrhiav ib tug kws kho mob ntawm Txoj Kev Npaj Kho Mob Tswj: Thaum koj daim ntawv thov Medi-Cal tiav lawm, koj yuav tuaj yeem koom nrog txoj kev npaj kho mob tswj. Txog thaum ntawd, koj tuaj yeem nrhiav tau tus kws kho mob ntawm cov vev xaib ntawm cov phiaj xwm kho mob Medi-Cal uas tau tswj hwm. Nyem lub npe ntawm koj lub nroog kom nrhiav tau cov phiaj xwm uas pabcuam rau koj cheeb tsam. Thaum koj nrhiav tau ib tug kws kho mob, hu rau thiab xyuas kom lawv lees txais Medi-Cal FFS. Yog tias lawv tsis ua li ntawd, koj yuav tsum tiv tauj lwm tus kws kho mob ntawm nplooj ntawv web Medi-Cal Managed Care Health Plan Directory.
- Health Care Options: This DHCS program has information to help you make choices about Medi-Cal benefits and how you can get them. Visit the Health Care Options website for help finding a doctor or dentist, and for more information about Medi-Cal managed care health and dental plans.
- Cov txiaj ntsig ntawm kev muag tshuaj: Yog koj xav tau daim ntawv yuav tshuaj, koj tuaj yeem tiv tauj koj lub tsev muag tshuaj hauv zos kom paub seb lawv puas lees txais Medi-Cal. Yog xav paub ntxiv, thov mus saib nplooj ntawv Pharmacy Benefits' Frequently Asked Questions.
- Cov Tsev Kho Mob Pej Xeem: Qee lub nroog muaj lub tsev kho mob pej xeem uas cia koj tau txais kev kho mob ntawm tsev kho mob. Koj tuaj yeem nrhiav tau cov nroog twg thiab cov tsev kho mob twg nyob hauv qhov kev pab cuam no los ntawm kev mus saib lub vev xaib Safety Net Institute Members.
- Cov Nplooj Ntawv Daj: Cov Nplooj Ntawv Daj muaj cov npe ntawm cov kws kho mob hauv zos. Tsuas yog cov kws kho mob uas tau sau npe ua cov kws kho mob Medi-Cal xwb thiaj li yuav tau txais nyiaj los ntawm Medi-Cal rau kev kho koj. Nug tus kws kho mob seb lawv puas lees txais Medi-Cal FFS ua ntej koj teem caij.