Kev Tsim Nyog Tau Txais Medi-Cal thiab Covered California - Cov Lus Nug Feem Ntau
Rov qab mus rau Medi-Cal FAQs 2014
Hauv qab no koj yuav pom cov lus nug uas nug ntau tshaj plaws rau cov neeg tau txais kev pab them nqi Medi-Cal tam sim no thiab cov uas yuav tau txais. Yog tias koj tsis pom cov lus teb rau koj cov lus nug, thov hu rau koj lub chaw ua haujlwm hauv nroog los ntawm peb nplooj ntawv teev npe hauv nroog lossis xa email rau peb ntawm Medi-Cal Tiv Tauj Peb.
Covered California
1. Covered California yog dab tsi?
Covered California yog lub khw tshiab uas ua rau cov tib neeg thiab tsev neeg tau txais kev pov hwm kho mob dawb lossis pheej yig los ntawm Medi-Cal, lossis tau txais kev pab them rau kev pov hwm kho mob ntiag tug.
Peb lub hom phiaj yog ua kom yooj yim thiab pheej yig rau cov neeg California kom tau txais kev pov hwm kho mob. Covered California yog kev koom tes ntawm California Health Benefit Exchange thiab California Department of Health Care Services.
2. Covered California yuav pab tau kuv li cas?
Covered California tuaj yeem pab koj xaiv ib txoj kev npaj pov hwm ntiag tug uas ua tau raws li koj cov kev xav tau kev noj qab haus huv thiab koj cov peev nyiaj. Peb muab qee cov phiaj xwm kev noj qab haus huv uas paub zoo tshaj plaws hauv lub xeev, thiab qee cov phiaj xwm hauv cheeb tsam lossis hauv zos thiab.
Peb piav qhia tau meej txog cov nqi thiab cov txiaj ntsig ntawm cov phiaj xwm pov hwm kev noj qab haus huv, yog li koj tuaj yeem piv cov kev xaiv sib txawv uas muaj rau koj. Koj yuav paub meej tias koj tau txais dab tsi thiab koj yuav tsum them ntau npaum li cas ua ntej koj xaiv koj txoj kev npaj.
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. Kuv yuav tau txais kev pov hwm los ntawm Covered California thaum twg?
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.
- Los ntawm xov tooj: Hu rau Covered California ntawm (800) 300-1506 (TTY: (888) 889-4500). Koj tuaj yeem hu xov tooj hnub Monday txog hnub Friday, 8 sawv ntxov txog 6 tsaus ntuj thiab hnub Saturday, 8 sawv ntxov txog 5 tsaus ntuj. Qhov kev hu xov tooj no yog pub dawb xwb!
- Los ntawm fax: Fax koj daim ntawv thov mus rau (888) 329-3700.
- Los ntawm kev xa ntawv: Xa daim ntawv thov Covered California mus rau:
Covered California
PO Lub thawv xa ntawv 989725
Sab Hnub Poob 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?
Koj yuav muaj ntau hom kev npaj kho mob sib txawv los xaiv. Cov tuam
pov hwm kev noj qab haus huv tsis tuaj yeem tsis kam them nqi rau koj vim tias koj tau mob ua ntej lossis koj tsis tau txais kev pab them nqi.Covered California muaj plaub pawg ntawm cov phiaj xwm pov hwm kev noj qab haus huv ntiag tug: platinum, kub, nyiaj, thiab tooj liab, ntxiv rau qhov phiaj xwm pov hwm tsawg kawg nkaus.
Txhua pawg muab qib kev pab them nqi sib txawv, txij ntawm siab mus rau qis. Cov phiaj xwm pov hwm kev noj qab haus huv uas them ntau dua rau koj cov nqi kho mob feem ntau yuav muaj tus nqi them siab dua tab sis cia koj them tsawg dua thaum koj tau txais kev kho mob.
Cov phiaj xwm Platinum muaj tus nqi them siab tshaj plaws, tab sis lawv them 90% ntawm koj cov nqi kho mob. Cov phiaj xwm kub them 80% thiab cov phiaj xwm nyiaj them 70% ntawm koj cov nqi kho mob. Cov phiaj xwm tooj liab muaj tus nqi qis tshaj plaws tab sis tsuas yog them 60% ntawm cov nqi kho mob uas tau them.
Yog koj tsim nyog tau txais Medi-Cal, qhov kev pab them nqi thiab cov nqi sib txawv thiab tej zaum yuav pub dawb rau koj.
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. Qhov txawv ntawm Medicare thiab Covered California qhov kev qhib rau npe yog dab tsi?
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
- Lub Chaw Sib Pauv Covered California yuav tso cai rau cov tib neeg sau npe rau hauv kev them nqi kho mob lossis Medi-Cal thaum lub sijhawm sau npe thawj zaug txij lub Kaum Hli 1, 2013, mus txog lub Peb Hlis 31, 2014, thiab tom qab ntawd thaum lub sijhawm qhib rau kev sau npe uas yuav pib rau lub Kaum Hli 15 thiab kav mus txog lub Kaum Ob Hlis 7 txhua xyoo. Cov neeg uas xav sau npe rau hauv ib txoj kev npaj kho mob lossis nrhiav seb lawv puas tsim nyog tau txais Medi-Cal tshiab, tuaj yeem hu rau Covered California ntawm (800) 300-1506 lossis mus saib www.CoveredCA.com kom paub ntxiv.
Medicare Qhib Sau Npe
- Lub sijhawm qhib rau kev sau npe Medicare yog txij lub Kaum Hli 15 txog rau lub Kaum Ob Hlis 7 rau txhua tus neeg uas muaj Medicare. Cov neeg siv Medicare tuaj yeem hloov lawv txoj kev npaj kho mob Medicare thiab kev them nqi tshuaj, uas yuav pib siv rau lub Ib Hlis Ntuj hnub tim 1 20140,. Cov neeg uas muaj Medicare tuaj yeem hu rau (800) MEDICARE lossis mus saib www.medicare.gov kom tau cov ntaub ntawv txog kev npaj. Yog tias tus neeg ntawd txaus siab rau lawv txoj kev npaj tam sim no, lawv tsis tas yuav ua dab tsi li.