ຍິນດີຕ້ອນຮັບສູ່ Medi-Cal Access Program| En Español
ເພື່ອໃຫ້ມີລູກມີສຸຂະພາບດີ, ສິ່ງທີ່ດີທີ່ສຸດທີ່ເຈົ້າສາມາດເຮັດໄດ້ແມ່ນໄປພົບແພດກ່ອນໄວ ແລະເລື້ອຍໆ
ໂຄງການເຂົ້າເຖິງ Medi-Cal (MCAP) ໃຫ້ການຄຸ້ມຄອງທີ່ຄົບຖ້ວນແກ່ບຸກຄົນຖືພາໂດຍບໍ່ເສຍຄ່າໂດຍບໍ່ມີການຮ່ວມຈ່າຍ ຫຼື ຄ່າຫັກຄ່າໃຊ້ຈ່າຍສຳລັບການບໍລິການທີ່ຄຸ້ມຄອງ. ເດັກເກີດໃໝ່ຂອງເຂົາເຈົ້າອາດຈະໄດ້ຮັບການຄຸ້ມຄອງໂດຍໂຄງການ Medi-Cal Access Infant. MCAP ແມ່ນສຳລັບຄອບຄົວທີ່ມີລາຍໄດ້ປານກາງທີ່ບໍ່ມີປະກັນສຸຂະພາບ ແລະ ມີລາຍໄດ້ສູງເກີນໄປສຳລັບ Medi-Cal ທີ່ບໍ່ເສຍຄ່າໃຊ້ຈ່າຍ. MCAP ຍັງມີໃຫ້ສຳລັບບຸກຄົນທີ່ມີແຜນປະກັນສຸຂະພາບອື່ນໆທີ່ບໍ່ຄອບຄຸມການບໍລິການເກີດລູກ ຫຼື ມີຄ່າຫັກສ່ວນຫຼຸດສະເພາະການເກີດລູກ ຫຼື ຄ່າຮ່ວມຈ່າຍຫຼາຍກວ່າ $500. ທ່ານສາມາດອ່ານເພີ່ມເຕີມກ່ຽວກັບການປະສານງານຜົນປະໂຫຍດລະຫວ່າງແຜນປະກັນສຸຂະພາບອື່ນຂອງທ່ານ ແລະ ແຜນປະກັນສຸຂະພາບ MCAP ໃນ ປະມວນຄຳສັບ. ຖ້າທ່ານລົງທະບຽນໃນ MCAP, ລູກຂອງທ່ານມີສິດໄດ້ຮັບການຄຸ້ມຄອງໃນໂຄງການ Medi-Cal Access Infant ເປັນເວລາສູງສຸດສອງປີ, ເວັ້ນເສຍແຕ່ວ່າລູກຂອງທ່ານໄດ້ລົງທະບຽນໃນປະກັນໄພທີ່ນາຍຈ້າງສະໜັບສະໜຸນ ຫຼື Medi-Cal ໂດຍບໍ່ເສຍຄ່າໃຊ້ຈ່າຍ ຫຼື ລາຍໄດ້ຂອງທ່ານບໍ່ມີສິດໄດ້ຮັບໃນວັນເກີດຄົບຮອບໜຶ່ງປີຂອງລູກນ້ອຍຂອງທ່ານ.
ການບໍລິການທີ່ມີຢູ່ສໍາລັບລູກຂອງທ່ານຜ່ານລະບົບການຈັດສົ່ງການດູແລທີ່ມີການຄຸ້ມຄອງ DHCS Medi-Cal
Medi-Cal currently provides a core set of health benefits, including doctor visits, hospital care, immunization, pregnancy-related services and nursing home care, if medically necessary. For a majority of enrollees, Medi-Cal provides covered services through the managed care delivery system in all 58 counties, although services may be accessed on a fee-for-service basis.
The Affordable Care Act (ACA) ensures all Medi-Cal health plans offer a comprehensive package of services, known as Essential Health Benefits (EHB). The ten EHBs include the following categories of services: Ambulatory Patient Services; Emergency Services; Hospitalization; Maternity and Newborn Care; Mental Health and Substance Use Disorder Services including Behavioral Health Treatment, Prescription Drugs; Rehabilitative and Habilitative Services and Devices; Laboratory Services; Preventive and Wellness Services & Chronic Disease Management and Pediatric Services (including oral and vision care). Medi-Cal currently meets the requirements to cover all of the ten EHBs.
Beginning in 2014, all enrolled individuals, those already on Medi-Cal as well as newly eligible adults, may receive an expanded array of mental health and substance use disorder services. The following mental health benefits will be available through Medi-Cal managed care plans or the fee-for-service delivery system: Individual and group mental health evaluation and treatment (psychotherapy); Psychological testing when clinically indicated to evaluate a mental health condition; Outpatient services for the purposes of monitoring drug therapy; Outpatient laboratory, drugs, supplies and supplements; Psychiatric consultation; Specialty mental health services currently provided by County Mental Health Plans will continue to be available.
The following substance use disorder services will also be made available to eligible Medi-Cal beneficiaries: Voluntary Inpatient Detoxification; Intensive Outpatient Treatment Services; Residential Treatment Services; Outpatient Drug Free Services and Narcotic Treatment Services. Dental care and vision services are available with some limitation. Dental services will become available to all adults starting May, 2014.
ຊັບພະຍາກອນເພີ່ມເຕີມ
ມີຄຸນສົມບັດສໍາລັບ MCAP
ກຳລັງສະໝັກ MCAP
ການລົງທະບຽນລູກຂອງທ່ານສໍາລັບ MCAP
My MCAP – What You Need to Know After Applying
ດາວໂຫຼດ MCAP
ແຜນການແລະຜູ້ໃຫ້ບໍລິການ
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ຕິດຕໍ່ MCAP
ໂທລະສັບ:
ເບີໂທລະສັບຂອງພວກເຮົາແມ່ນ (800) 433-2611. ທ່ານສາມາດໂທຫາໄດ້ຕັ້ງແຕ່ວັນຈັນ - ວັນສຸກ, 8 ໂມງເຊົ້າ ຫາ 7 ໂມງແລງ ແລະ ວັນເສົາ, 8 ໂມງເຊົ້າ ຫາ 12 ໂມງທ່ຽງ. ການໂທແມ່ນບໍ່ເສຍຄ່າ.
ແຟັກ:
ເບີແຟັກຂອງພວກເຮົາແມ່ນ (888) 889-9238 ແລະ ເປີດໃຫ້ບໍລິການ 24 ຊົ່ວໂມງຕໍ່ມື້, 7 ມື້ຕໍ່ອາທິດ. ການໂທແມ່ນບໍ່ເສຍຄ່າ.
ທີ່ຢູ່ສົ່ງຈົດໝາຍ:
Medi-Cal Access Program
P.O. Box 15559
Sacramento, CA 95852-0559