Medi-Cal Kev Tsim Nyog thiab Covered California - Cov lus nug nquag​​ 

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 yog lub khw tshiab uas ua rau tib neeg thiab tsev neeg tau txais kev pov hwm kho mob dawb lossis nqi qis los ntawm Medi-Cal, lossis tau txais kev pab them nqi kho mob ntiag tug.
Peb lub hom phiaj yog ua kom yooj yim thiab pheej yig rau cov neeg California kom tau txais ntawv pov hwm kev noj qab haus huv. Covered California yog kev koom tes ntawm California Health Benefit Exchange thiab California Department of Health Care Services.
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2. Covered California pab kuv li cas?​​ 

Covered California tuaj yeem pab koj xaiv ib txoj kev tuav pov hwm ntiag tug uas ua tau raws li koj cov kev xav tau kev noj qab haus huv thiab pob nyiaj siv. Peb muab qee lub xeev cov phiaj xwm kev noj qab haus huv uas paub zoo tshaj plaws, thiab qee cov phiaj xwm hauv cheeb tsam lossis hauv zos ib yam nkaus.
Peb tuaj yeem piav qhia cov nqi thiab cov txiaj ntsig ntawm cov phiaj xwm pov hwm kev noj qab haus huv kom meej, yog li koj tuaj yeem sib piv cov kev xaiv sib txawv rau koj. Koj yuav paub tseeb tias koj tau txais dab tsi thiab koj yuav tsum them ntau npaum li cas ua ntej koj xaiv koj txoj kev npaj.
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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?​​ 

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. Thaum twg kuv thiaj tuaj yeem tau txais kev pab cuam los ntawm 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 cuv npe hauv Medi-Cal. Kuv puas tuaj yeem tau txais kev pov hwm kev noj qab haus huv 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 li cas hauv Covered California?​​ 

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.​​ 
• Los ntawm kev xa ntawv: Xa daim ntawv thov Covered California mus rau:
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Covered California​​ 
PO ib 989725​​ 
West Sacramento, CA 95798-9725​​ 

• Nyob rau hauv tus kheej: Peb tau cob qhia Certified Enrollment Counselor lossis Certified Insurance Agents uas tuaj yeem pab koj. Lossis koj tuaj yeem mus ntsib koj lub nroog lub chaw pabcuam kev pabcuam pejxeem. Qhov kev pab no pub dawb! Yog xav paub txog cov chaw nyob ze koj nyob lossis ua haujlwm, mus saib hauv www.CoveredCA.com lossis hu rau (800) 300-1506 (TTY: (888) 889-4500).
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8. Yuav ua li cas tom qab kuv thov kev pab them nqi kho mob?​​ 

Koj yuav tau txais tsab ntawv tsis pub dhau 45 hnub los qhia rau koj paub tias qhov kev pab cuam twg koj thiab koj tsev neeg tsim nyog tau txais. Yog tias koj tsis hnov los ntawm peb, thov hu rau peb ntawm (800) 300-1506 (TTY: (888) 889-4500).​​ 

9. Kev pov hwm kev noj qab haus huv dab tsi muaj los ntawm Covered California?​​ 

Koj yuav muaj ntau hom phiaj xwm kev noj qab haus huv xaiv los ntawm. Cov tuam txhab pov hwm kev noj qab haus huv tsis tuaj yeem tsis kam them rau koj vim tias koj tau mob ua ntej lossis tsis tuaj yeem tau txais kev pab.
Covered California muaj plaub pawg ntawm cov kev pab them nqi kho mob ntiag tug: platinum, kub, nyiaj, thiab tooj liab, ntxiv rau qhov kev pab them nqi tsawg kawg nkaus.
Txhua pab pawg muaj kev pab them nqi sib txawv, los ntawm siab mus rau qis. Cov kev pab them nqi kho mob uas them ntau dua ntawm koj cov nqi kho mob feem ntau yuav muaj tus nqi siab dua tab sis tso cai rau koj them tsawg dua thaum koj tau txais kev kho mob.
Cov phiaj xwm Platinum muaj tus nqi 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. Bronze cov phiaj xwm muaj tus nqi qis tshaj plaws tab sis tsuas yog them 60% ntawm cov nqi kho mob.
Yog tias koj tsim nyog rau Medi-Cal, qhov kev pab cuam thiab cov nqi sib txawv thiab tej zaum yuav pub dawb rau koj.
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10. Kuv muaj ib yam mob uas twb muaj lawm. Kuv puas tuaj yeem tau txais kev pov hwm kev noj qab haus huv 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 kev tsis taus. Kuv puas tuaj yeem tau txais kev pov hwm kev noj qab haus huv 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 tuaj yeem siv tau kuv daim ntawv kho mob 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 twg ib tug neeg tso npe rau hauv daim ntawv pov hwm kev noj qab haus huv thaum lub sijhawm qhib rau npe tab sis tom qab Lub Ib Hlis 1, 2014, hnub pib yuav yog Lub Ib Hlis 1, lossis nws puas yog hnub rau npe tiag?​​ 

Yog tias koj tso npe rau hauv Covered California txoj kev npaj ua ntej Lub Kaum Ob Hlis 15, 2013, koj tuaj yeem tsim nyog tau txais kev pab them nqi pib rau lub Ib Hlis 1, 2014. Koj tseem yuav tau them koj feem ntawm cov nqi them ua ntej Lub Ib Hlis. Lub sijhawm peb lub hlis dhau los ntawm lub sijhawm pib Covered California qhib rau npe kawm (txij Lub Ib Hlis 1, 2014, mus txog Lub Peb Hlis 31, 2014), tus neeg uas xa daim ntawv thov ua tiav, tau txais kev txiav txim siab tsim nyog thiab xaiv txoj kev npaj ua ntej 15th ntawm txhua lub hlis yuav tau txais kev pab them nqi kawm ntawv thawj hnub ntawm lub hli tom ntej, tsuav tus neeg tau txais cov nqi them tag nrho. Piv txwv li, ib tug neeg uas tau tso npe rau hauv Covered California txoj kev pab them nqi kho mob los ntawm Lub Ib Hlis Ntuj Tim 15, 2014, yuav muaj kev pab pib txij lub Ob Hlis tim 1, 2014 yog lawv them lawv cov nqi them.​​ 

14. Qhov txawv ntawm Medicare thiab Covered California qhov qhib rau npe kawm 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​​ 

• Kev sib pauv Covered California yuav tso cai rau cov tib neeg tuaj yeem tso npe rau hauv cov phiaj xwm kev noj qab haus huv lossis Medi-Cal thaum lub sijhawm sau npe pib txij lub Kaum Hli 1, 2013, txog rau Lub Peb Hlis 31, 2014, thiab tom qab ntawd lub sijhawm qhib rau npe kawm uas yuav pib rau lub Kaum Hlis 15 thiab dhau mus txog Kaum Ob Hlis 7 txhua xyoo. Cov neeg uas xav tso npe rau hauv daim phiaj xwm kev noj qab haus huv lossis tshawb xyuas seb lawv puas tsim nyog tau txais Medi-Cal tshiab, tuaj yeem hu rau Covered California ntawm (800) 300-1506 lossis mus saib hauv www.CoveredCA.com yog xav paub ntxiv. 
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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.​​