I-Medicaid iyisevisi exhaswe ngokuhlanganyela yizifundazwe kanye nohulumeni wesifundazwe. I-Medicaid kanye ne Uhlelo Lomshwalense Wezempilo Wezingane (CHIP) ukuhlinzekela ngezempilo zezingane ezihola kancane, imindeni, abantu abadala kanye nabantu abakhubazekile.
Lezi zinhlelo zimboza uhhafu wazo zonke izingane kuhulumeni futhi zisiza ukunakekela izingxenye ezimbili kwezintathu zabantu abasemakhaya asebekhulile. E-Texas, konke CHIP izinsizakalo kanye nezinsizakalo eziningi zeMedicaid zilethwa ngezinhlelo zokunakekelwa kwezempilo eziphethwe ngaphansi kwesivumelwano nombuso.
Izinhlobo zezinhlelo zeMedicaid
Kunezinhlelo ezinhlanu zeMedicaid eTexas: State of Texas Access Reform (STAR), STAR Kids, STAR + PLUS, STAR Health, kanye neMedicaid yendabuko. Uhlobo lokutholakala kweMedicaid umuntu alufanelekile kuncike lapho umuntu ahlala khona nezinkinga zabo zempilo.
I-Medicaid Yendabuko
I-Medicaid Yendabuko ibizwa nangokuthi i-Fee-for-Service (FFS). Le nsizakalo eyalabo abangakabhaliswa ekunakekelweni okuphethwe.
Incwadi Yesilungu: IsiNgisi
Incwadi Yelungu: iSpanishi
INKANYEZI
Iningi labantu abane-Medicaid eTexas bathola ukumbozwa kwabo ngohlelo lokunakekelwa oluphethwe yi-STAR. Lokhu kufaka izingane, izingane ezisanda kuzalwa, abesifazane abakhulelwe, neminye imindeni nezingane. Abantu ababhalise ku-STAR bathola izinsizakalo zabo ngezinhlelo zezempilo, ezibizwa nangokuthi izinhlelo zokunakekelwa eziphethwe. Bona ukuthi ezinye izinhlelo ze-STAR zezempilo zisebenza kanjani ngokubheka i- Amakhadi okubika ohlelo lwezempilo lwe-STAR . Ungathola imininingwane eminingi mayelana nezidingo zemali engenayo nezinye izici zohlelo lwe-STAR lapha .
STAR Izingane
I-STAR Kids wuhlelo lweMedicaid lwezingane nabantu abadala abaneminyaka engama-20 noma encane abakhubazekile. Ngaphansi kwe-STAR Kids, uzothola izinsizakalo eziyisisekelo zezokwelapha nezesikhathi eside kanye nezinsizakalo ngenethiwekhi yabahlinzeki bohlelo lwezempilo. Uma ufanelekile, ungathola futhi nezinsizakalo zokuyekelwa ngokweMedical Dependent Children Program (MDCP) ngokusebenzisa inethiwekhi yomhlinzeki wohlelo lwezempilo.
INKANYEZI + PLUS
Uhlelo lweMedicaid lwabantu abaneminyaka engama-65 nangaphezulu (kufaka phakathi labo abafanelekela ukuthola iMedicare neMedicaid), abantu abadala abakhubazekile, nabesifazane abanomdlavuza webele noma wesibeletho. Abantu abakwi-STAR + PLUS bathola izinsizakalo eziyisisekelo zeMedicaid nezinsizakalo zesikhathi eside ngohlelo lwezempilo, olubizwa nangokuthi uhlelo lokunakekelwa oluphethwe. Bona ukuthi ezinye izinhlelo ze-STAR + PLUS zezempilo zisebenza kahle kanjani ngokubheka i- Amakhadi wombiko wohlelo lwezempilo lwe-STAR + PLUS .
STAR Health
I-Medicaid yezingane ezithola ukumbozwa kweMedicaid ngomnyango Wezomndeni Nezinsizakalo Zokuvikela eTexas. I-STAR Health futhi ingeyabantu abadala abebekade bekhuliswa ngabantu abangebona abazali babo futhi abanayo: I-Medicaid Yangaphambili Yokunakekelwa Kwezingane noma iMedicaid Yentsha Eguqukayo. Abantu abadala abasebancane kuhlelo Lwakudala Lokondla Emfundweni Ephakeme nabo bathola izinsizakalo nge-STAR Health.
Funda kabanzi mayelana neMedicaid
Ungafunda kabanzi mayelana nokufaka isicelo seMedicaid ngokuya ku-
https://www.hhs.texas.gov/services/health
noma
https://hhs.texas.gov/services/health/medicaid-chip
Uma udinga usizo…
Uma udinga usizo noma unemibuzo ngohlelo lwakho lokusebenza, sicela ushayele inombolo yamahhala 2-1-1 noma 877-541-7905. Ngemuva kokukhetha ulimi, cindezela u-2. Abasebenzi bangakusiza ngoMsombuluko kuya kuLwesihlanu, ngo-8 ekuseni kuya ku-6 ntambama
Imininingwane yokuxhumana yaseTexas Medicaid
Ungashayela inombolo yamahhala ye-Texas Medicaid yamahhala ku:
1-800-252-8263
Abasebenzisi be-TDD bangashayela:
512-424-6597
Imibuzo ye-imeyili kufanele ithunyelwe ku:
medicaid@hhsc.state.tx.us