Kuv MCAP - Yam Koj Yuav Tsum Paub Tom Qab Koj Sau Npe | En Español
Txhawm rau kom MCAP txuas ntxiv muab kev pabcuam, koj yuav tsum pab peb raws li hauv qab no:
Hloov Koj Chaw Nyob
Koj yuav tsum sau ntawv rau MCAP kom qhia lawv txog kev hloov pauv ntawm koj lub xov tooj hauv tsev lossis chaw nyob them nqi lossis yog tias koj tsiv tawm hauv xeev. Tsab ntawv no yuav tsum xa 30 hnub ua ntej koj tsiv mus.
Xa ntawv lossis FAX koj tsab ntawv mus rau:
Medi-Cal Access Program
PO TIAB SA 15559
Sacramento, CA 95852-0559
Tus Fax: (888) 889-9238
Yog Koj Tau Txais Lwm Yam Kev Pov Hwm
Yog tias koj tau txais lwm yam kev pov hwm tom qab koj tso npe rau hauv MCAP, koj yuav tsum sau rau MCAP (ntawm qhov chaw nyob saum toj no) tam sim ntawd. Qhov no tseem ceeb heev vim tias MCAP tsuas them rau cov txiaj ntsig uas tsis tau them los ntawm koj lwm yam kev pov hwm.
Koj tuaj yeem tso npe rau hauv MCAP ntev npaum li cas?
Thaum twg koj qhov kev pab them nqi yuav xaus?
Yog tias koj tau cuv npe, MCAP yuav muab kev saib xyuas kev noj qab haus huv tag nrho thaum koj cev xeeb tub thiab txog hnub kawg ntawm lub hli uas hnub 365 tom qab qhov kawg ntawm cev xeeb tub tshwm sim. MCAP tsuas yog rau ib cev xeeb tub ib zaug xwb thiab tsis tuaj yeem them cov kev pabcuam tau txais tom qab hnub kawg ntawm lub hli uas hnub 365 txij thaum koj cev xeeb tub tas. Koj yuav tsum ceeb toom rau MCAP hauv 30 hnub tom qab koj cev xeeb tub.
Koj yuav tsum ua dab tsi thaum koj tus menyuam yug los?
MCAP yuav xa daim foos Sau Npe Me Nyuam rau koj 30 hnub ua ntej koj kwv yees hnub xa khoom thiab koj yuav tsum xa daim ntawv ua tiav rov qab. Koj kuj tuaj yeem siv Daim Ntawv Sau Npe Me Nyuam mos. Yog tias koj muaj koj tus menyuam ntxov lossis koj tsis xav sau npe rau koj tus menyuam kom tau txais kev pabcuam pej xeem, koj tseem yuav tsum ceeb toom rau MCAP hauv 30 hnub txij li thaum koj cev xeeb tub xaus. MCAP tsis tuaj yeem them cov kev kho mob uas koj tau txais tom qab hnub kawg ntawm lub hli uas hnub 365 txij thaum koj cev xeeb tub tas.
Yuav ua li cas yog tias koj cev xeeb tub nyuaj?
MCAP muab kev saib xyuas kev noj qab haus huv rau koj cev xeeb tub hauv kev mob siab los pab koj. MCAP nkag siab tias qee zaum cov poj niam muaj teeb meem xeeb tub, thiab thov txim rau txhua yam teeb meem uas koj yuav ntsib. Yog tias koj tseem cev xeeb tub tom qab koj pib qhov kev pab them nqi kho mob, MCAP yuav muab kev saib xyuas kev noj qab haus huv tag nrho thaum koj cev xeeb tub thiab txog hnub kawg ntawm lub hli uas hnub 365 tom qab qhov kawg ntawm cev xeeb tub tshwm sim.
MCAP tsis tuaj yeem them cov kev kho mob uas koj tau txais tom qab hnub kawg ntawm lub hli uas hnub 365 tom qab qhov kawg ntawm koj cev xeeb tub. Koj yuav tsum ceeb toom rau MCAP hauv 30 hnub tom qab koj cev xeeb tub tas.
Rau cov kev pabcuam uas koj tau txais ua ntej hnub koj qhov kev pabcuam MCAP
MCAP yuav them rov qab txog li $125 rau kev xeeb tub, kev kho mob tsim nyog uas koj tau txais tsis pub dhau 40 hnub txij li hnub MCAP tau txais koj daim ntawv thov ua tiav.
MCAP yuav tsum tau txais koj daim ntawv thov kom them rov qab, suav nrog cov ntaub ntawv pov thawj ntawm kev them nyiaj rau cov kev pabcuam, tsis pub dhau 90 hnub txij li hnub cov kev pabcuam tau ua.
Koj yuav tsum muab MCAP:
- Daim ntawv theej ntawm daim nqi nrog tus kws kho mob lub npe thiab chaw nyob ua lag luam.
- Koj lub npe, chaw nyob, hnub yug thiab tus lej Xaus Saus (yeem) ntawm qhov kev thov.
- Hnub tim, tus nqi them, thiab hom kev pab kho mob uas koj tau txais.
Xa ntawv lossis fax koj qhov kev thov mus rau:
Medi-Cal Access Program
PO TIAB SA 15559
Sacramento, CA 95852-0559
Fax: (888)-889-9238 Yuav ua li cas yog tias koj tsis xeeb tub lawm tom qab koj pib qhov kev pab them nqi?
Koj tseem tsim nyog tau 365 hnub ntawm kev them nyiaj tom qab yug me nyuam yog tias koj muaj qhov kawg ntawm koj cev xeeb tub. Thov qhia rau MCAP li ntawm 30 hnub tias koj cev xeeb tub tau tas lawm kom paub tseeb tias koj qhov kev pab them nqi tom qab pib. MCAP tsis tuaj yeem them cov kev kho mob uas koj tau txais tom qab hnub kawg ntawm lub hli uas hnub 365 tom qab qhov kawg ntawm koj cev xeeb tub. Koj tuaj yeem siv Daim Ntawv Teev Npe Thaum Ntxov Thaum Ntxov Qhia Txog MCAP tias koj cev xeeb tub tau tas lawm.
Ceeb toom MCAP thaum koj cev xeeb tub tas lawm
Tsis pub dhau 30 hnub, koj yuav tsum ceeb toom rau MCAP txog hnub uas koj cev xeeb tub tas los ntawm kev xa Daim Ntawv Sau Npe Me Nyuam mos.
Xa ntawv lossis fax koj tsab ntawv mus rau:
Medi-Cal Access Program
PO TIAB SA 15559
Sacramento, CA 95852-0559
Fax: (888) 889-9238
Yog tias koj xav thov ib daim foos lossis muaj lus nug txog koj qhov kev pab cuam MCAP, thov hu rau MCAP Hnub Monday txog Friday, 8:00 teev sawv ntxov txog 8:00 teev tsaus ntuj, lossis hnub Saturday, 8:00 teev sawv ntxov txog 5 teev tsaus ntuj ntawm (800) 433-2611.
Yuav Ua Li Cas Koj Thiaj Raug Ncua Sij Hawm
Koj yuav raug rho npe yog tias:
- Koj sau ntawv rau MCAP thiab thov kom tshem koj qhov kev pab them nqi kho mob.
- Koj tsis nyob California lawm. Koj yuav tsum sau ntawv rau MCAP hauv 30 hnub kom ceeb toom lawv txog qhov kev txav no.
- Koj tau dag ntxias MCAP. Qhov no suav nrog muab cov ntaub ntawv tsis raug ntawm koj daim ntawv thov.
- Koj yuav raug rho npe hnub kawg ntawm lub hli uas hnub 365 tom qab qhov kawg ntawm cev xeeb tub tshwm sim. Koj yuav tsum ceeb toom rau MCAP hauv 30 hnub tom qab koj cev xeeb tub.
MCAP yuav qhia koj txog qhov kev rho npe thiab yog vim li cas. Yog tias koj raug rho npe vim yog vim li cas 1-3 saum toj no, koj qhov kev pab them nqi MCAP yuav xaus rau thaum kawg ntawm lub hli daim ntawv qhia hnub uas tau txais daim ntawv thov lossis thaum kawg ntawm lub hlis tom ntej raws li tau thov. Thaum koj raug rho npe los ntawm MCAP, koj tsis tuaj yeem sau npe rov qab rau tib lub cev xeeb tub.
Kev tsim nyog thov rov hais dua
Yog tias koj tsis pom zoo rau qhov kev txiav txim siab uas MCAP tau hais txog koj qhov kev tsim nyog, kev rho npe, lossis hloov pauv, koj tuaj yeem thov mus rau MCAP. Koj qhov kev thov rov hais dua yuav tsum yog sau ua ntawv thiab xa mus rau qhov chaw nyob hauv qab no tsis pub dhau 60 hnub txij li hnub tsab ntawv txiav txim. Ib qho kev thov rov hais dua yuav tsum suav tag nrho cov hauv qab no:
- Ib nqe lus tshwj xeeb piav qhia txog cov teeb meem uas tau sib cav.
- Ib nqe lus ntawm qhov kev daws teeb meem thov.
- Lwm yam ntaub ntawv ntsig txog. Qhov no suav nrog cov ntawv luam ntawm tsab ntawv txiav txim thiab tag nrho cov ntaub ntawv xa nrog daim ntawv thov MCAP (tshwj tsis yog them nyiaj).
Xa koj daim ntawv thov mus rau:
Medi-Cal Access Program
PO TIAB SA 15559
Sacramento, CA 95852-0559
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau txais txiaj ntsig zoo rau kev thov rov hais dua
Koj yuav tsum xub sim daws qhov kev tsis sib haum xeeb nrog txoj kev npaj raws li nws cov cai thiab cov txheej txheem tsim. Yog tias koj tsis txaus siab rau qhov kev daws teeb meem ntawm koj qhov kev tsis txaus siab koj tuaj yeem thov mus rau California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS).
Qhov kev thov rov hais dua cov txiaj ntsig yuav tsum raug xa mus rau DHCS hauv kev sau ntawv tsis pub dhau rau caum (60) hnub hauv hnub tom qab Txoj Haujlwm tau txiav txim siab. Qhov kev thov rov hais dua yuav tsum muaj cov hauv qab no:
- Ib daim qauv ntawm kev txiav txim siab raug thov rov hais dua lossis sau ib tsab ntawv hais txog qhov kev txiav txim lossis tsis ua raws li kev thov rov hais dua;
- Ib nqe lus tshwj xeeb piav qhia txog qhov teeb meem koj tab tom sib cav;
- Ib nqe lus ntawm qhov kev daws teeb meem uas koj thov; thiab
- Lwm cov ntaub ntawv ntsig txog koj xav suav nrog.
Cov lus thov uas tsis suav nrog cov ntaub ntawv saum toj no yuav raug xa rov qab. Koj tuaj yeem rov xa daim ntawv thov rov hais dua ua tiav nyob rau hauv rau caum (60) hnub txij li lub phiaj xwm tsis kam lees lossis nyob rau hauv nees nkaum (20) hnub ntawm hnub tau txais daim ntawv thov rov qab, qhov twg yog tom qab.
Xa ntawv lossis FAX koj qhov kev thov rau:
Department of Health Care Services
Medi-Cal Kev Tsim Nyog Kev Tsim Nyog Division
Medi-Cal Access Program Unit
1501 Capitol Avenue MS 4607 Chaw Nyob
PO ib 997417
Sacramento, CA 95899-7417
(916) 552-9200-Public
Fax: (916) 552-9478
