Medi-Cal Eligibility and Covered California – Frequently Asked Questions
Rov qab mus rau Medi-Cal FAQs 2014
Hauv qab no koj yuav pom cov lus nug uas nquag nug tshaj rau cov neeg tau txais kev pab Medi-Cal tam sim no thiab muaj peev xwm. Yog tias koj tsis pom cov lus teb rau koj cov lus nug, thov hu rau koj lub chaw lis haujlwm hauv nroog los ntawm peb lub County Listings nplooj ntawv lossis email rau peb ntawm Medi-Cal Hu rau peb.
Covered California
1. Covered California yog dab tsi?
Covered California is the new marketplace that makes it possible for individuals and families to get free or low- cost health insurance through Medi-Cal, or to get help paying for private health insurance.
Our goal is to make it simple and affordable for Californians to get health insurance. Covered California is a partnership of the California Health Benefit Exchange and the California Department of Health Care Services.
2. Covered California yuav pab tau kuv li cas?
Covered California can help you choose a private insurance plan that meets your health needs and budget. We offer some of the state’s best known health plans, and some regional or local plans too.
We can explain the costs and benefits of health insurance plans clearly, so you can compare the different choices available to you. You will know exactly what you’re getting and how much you have to pay before you choose your plan.
3 . Kuv yog ib tug nom tswv Asmesliskas uas yog neeg Amelikas lossis ib haiv neeg Alaska. Covered California pab kuv li cas?
Yog tias koj yog tsoomfwv Meskas lees paub Asmeskas Khab lossis Alaska Native, koj tuaj yeem tsim nyog rau:
- Kev tuav pov hwm dawb lossis nqi qis
- Kev pab hwm
- Txo cov nuj nqis tawm hauv hnab tshos
- Lub sijhawm tshwj xeeb rau npe kawm txhua hli
Koj tseem tuaj yeem tau txais kev pabcuam los ntawm Indian Health Services cov kev pabcuam pab pawg neeg noj qab haus huv lossis Indian cov kev pabcuam kev noj qab haus huv.
Nco ntsoov ua kom tiav Daim Ntawv Txuas A thiab xa mus rau nws nrog koj cov ntaub ntawv pov thawj ntawm Native American lossis Alaska Native cuab yeej cuab tam. Koj tuaj yeem siv cov ntaub ntawv hauv qab no los muab cov ntaub ntawv pov thawj ntawm koj Cov Neeg Qhab Asmeskas Khab lossis Native Alaskan cuab yeej cuab tam:
- Tribal enrollment card los yog
Daim ntawv pov thawj ntawm cov ntshav Indian (CDIB) los ntawm Bureau of Indian Affairs.
4. Kuv puas tuaj yeem tau txais kev pov hwm kev noj qab haus huv los ntawm Covered California?
Txhua tus neeg hauv California tuaj yeem tau txais ntawv pov hwm kev noj qab haus huv los ntawm Covered California yog tias nws yog ib tus neeg nyob hauv xeev thiab tsis tuaj yeem tau txais kev pov hwm kev noj qab haus huv pheej yig los ntawm txoj haujlwm.
Cov neeg thov tuaj yeem tsim nyog tau txais cov phiaj xwm kev noj qab haus huv dawb lossis tus nqi qis, lossis kev pab nyiaj txiag uas tuaj yeem txo tus nqi ntawm cov nqi them thiab cov nqi sib koom. Tus nqi ntawm kev pab nyiaj txiag yog nyob ntawm tsev neeg loj thiab tsev neeg cov nyiaj tau los. Cov neeg thov tsim nyog yog tias lawv cov nyiaj tau los ua tau raws li cov nyiaj tau los txwv.
5. When will I be able to get coverage through Covered California?
Covered California yuav pib cuv npe rau lub Kaum Hli 1, 2013, rau qhov kev pab them nqi uas yuav siv tau rau lub Ib Hlis tim 1, 2014. Lub sijhawm qhib rau npe rau kev pab them nqi kho mob rau xyoo 2014 yuav pib txij lub Kaum Hli 1, 2013, txog rau Lub Peb Hlis 31, 2014. Yog tias koj tsim nyog tau txais Medi-Cal, lub sijhawm qhib rau npe tsis muaj teeb meem.
6. Tam sim no kuv tau sau npe rau hauv Medi-Cal. Kuv puas tau txais kev pov hwm kho mob los ntawm Covered California?
Yog tias koj cov nyiaj tau los hloov pauv hauv lub xyoo lossis ntawm koj qhov kev rov ua dua tshiab txhua xyoo, koj tuaj yeem tsim nyog rau lwm yam kev pov hwm kev noj qab haus huv thiab kev pab them nqi kho mob los ntawm Covered California.
7. Kuv yuav thov kev pov hwm los ntawm Covered California li cas?
Koj tuaj yeem thov kev pov hwm kev noj qab haus huv los ntawm Covered California raws li hauv qab no:
- Online: Mus saib www.CoveredCA.com. Peb muab cov ntaub ntawv hais txog txhua qhov kev tuav pov hwm kev noj qab haus huv, piav qhia meej thiab yooj yim.
- Hauv xov tooj: Hu rau Covered California ntawm (800) 300-1506 (TTY: (888) 889-4500). Koj tuaj yeem hu rau hnub Monday txog Friday, 8 teev sawv ntxov txog 6 teev tsaus ntuj thiab hnub Saturday, 8 teev sawv ntxov txog 5 teev tsaus ntuj Hu tau dawb!
- Los ntawm fax: Fax koj daim ntawv thov mus rau (888) 329-3700.
- By mail: Mail the Covered California application to:
Covered California
P.O. Box 989725
West Sacramento, CA 95798-9725
- Ntawm tus kheej: Peb muaj cov kws pab tswv yim rau kev sau npe lossis cov neeg sawv cev pov hwm uas tau kawm tiav uas tuaj yeem pab koj. Los yog koj tuaj yeem mus ntsib koj lub chaw ua haujlwm pabcuam pej xeem hauv nroog. Qhov kev pab no yog pub dawb xwb! Yog xav tau daim ntawv teev cov chaw nyob ze koj nyob lossis ua haujlwm, mus saib www.CoveredCA.com lossis hu rau (800) 300-1506 (TTY: (888) 889-4500).
8. Yuav muaj dab tsi tshwm sim tom qab kuv thov kev pov hwm kho mob?
Koj yuav tau txais ib tsab ntawv tsis pub dhau 45 hnub los qhia rau koj paub tias koj thiab koj tsev neeg tsim nyog rau qhov kev pab cuam twg. Yog koj tsis tau hnov lus los ntawm peb, thov hu rau peb ntawm (800) 300-1506 (TTY: (888) 889-4500).
9. Covered California muab kev pov hwm kho mob dab tsi?
You will have a wide variety of health plans to choose from. Health insurance companies cannot refuse to cover you because you have been sick before or could not get coverage.
Covered California offers four groups of private health insurance plans: platinum, gold, silver, and bronze, plus a minimum coverage plan.
Each group offers a different level of coverage, from high to low. Health insurance plans that cover more of your medical expenses will usually have a higher premium but allow you to pay less when you receive medical care.
Platinum plans have the highest premium, but they pay 90% of your health care expenses. Gold plans pay pay 80% and silver plans pay 70% of your health care expenses. Bronze plans have the lowest premium but pay just 60% of covered health expenses.
If you qualify for Medi-Cal, the coverage and costs are different and may be free for you.
10. Kuv muaj ib qho mob uas twb muaj lawm. Kuv puas tau txais kev pov hwm kho mob los ntawm Covered California?
Yog lawm, koj tuaj yeem tau txais kev pov hwm kev noj qab haus huv tsis hais txog kev noj qab haus huv tam sim no lossis yav dhau los. Pib xyoo 2014, feem ntau cov phiaj xwm pov hwm kev noj qab haus huv tsis tuaj yeem tsis kam them koj lossis them koj ntau dua vim tias koj muaj mob ua ntej.
11. Kuv muaj ib qho kev tsis taus. Kuv puas tau txais kev pov hwm kho mob los ntawm Covered California?
Koj tsis tuaj yeem tsis lees paub raws li qhov xwm txheej ua ntej. Kev tsim nyog yog nyob ntawm cov nyiaj tau los, tsis yog kev noj qab haus huv.
12. Kuv puas yuav siv tau kuv daim phiaj xwm pov hwm kev noj qab haus huv Covered California tshiab tam sim ntawd?
Covered California cov phiaj xwm kev noj qab haus huv pib muab kev pabcuam thaum Lub Ib Hlis 1, 2014.
13. Thaum ib tug neeg sau npe rau hauv daim ntawv pov hwm kev noj qab haus huv thaum lub sijhawm qhib rau kev sau npe tab sis tom qab Lub Ib Hlis 1, 2014, hnub siv tau puas yog Lub Ib Hlis 1, lossis nws puas yog nyob ntawm hnub sau npe tiag tiag?
Yog koj rau npe rau hauv Covered California txoj kev npaj ua ntej lub Kaum Ob Hlis 15, 2013, koj tuaj yeem tsim nyog tau txais kev pov hwm uas pib thaum Lub Ib Hlis 1, 2014. Koj tseem yuav tsum tau them koj feem ntawm cov nqi them ua ntej Lub Ib Hlis. Thaum peb lub hlis kawg ntawm lub sijhawm qhib rau npe Covered California thawj zaug (txij li Lub Ib Hlis 1, 2014, txog Lub Peb Hlis 31, 2014), ib tus neeg uas xa daim ntawv thov ua tiav, yuav tau txais kev txiav txim siab txog kev tsim nyog thiab xaiv txoj kev npaj thaum hnub tim 15 ntawm txhua lub hlis yuav tau txais hnub siv tau rau kev pov hwm ntawm thawj hnub ntawm lub hlis tom ntej, tsuav yog tus neeg tau txais tag nrho cov nyiaj them nqi. Piv txwv li, ib tug neeg uas tau sau npe rau hauv Daim Ntawv Pov Hwm Kho Mob Covered California thaum Lub Ib Hlis 15, 2014, yuav muaj kev pov hwm pib txij Lub Ob Hlis 1, 2014 yog tias lawv them lawv cov nqi them ua ntej.
14. What is the difference between Medicare and Covered California’s open enrollment?
Tam sim no, muaj ob lub sijhawm qhib rau npe kawm nyob rau tib lub sijhawm, uas tej zaum yuav ua rau muaj kev ntxhov siab ntawm cov neeg nyob hauv California.
Covered California
- The Covered California exchange will permit individuals to enroll in health plan coverage or Medi-Cal during the initial enrollment period from October 1, 2013, to March 31, 2014, and thereafter during an open enrollment period that will begin on October 15 and last through December 7 annually. People who want to enroll in a health plan or find out if they are newly eligible for Medi-Cal, can call Covered California at (800) 300-1506 or visit www.CoveredCA.com for information.
Medicare Qhib Sau Npe
- Medicare lub sijhawm qhib rau npe yog Lub Kaum Hli 15 txog Lub Kaum Ob Hlis 7 rau txhua tus neeg nrog Medicare. Cov neeg tau txais kev pab Medicare tuaj yeem hloov lawv txoj kev npaj khomob Medicare thiab kev pab them nqi khomob, uas yuav siv tau rau Lub Ib Hlis 1, 2014. Cov neeg uas muaj Medicare tuaj yeem hu rau (800) MEDICARE lossis mus saib hauv www.medicare.gov rau cov ntaub ntawv npaj. Yog tias tus neeg txaus siab rau lawv txoj kev npaj tam sim no, lawv tsis tas yuav ua dab tsi.