Cov lus nug nquag

Medi-Cal yog California qhov kev pab kho mob Medicaid. Nws muab kev pab them nqi kho mob uas tsis muaj nqi lossis nqi qis. Yuav kom tau Medi-Cal, koj yuav tsum ua raws li qee qhov kev cai tsim nyog.

Cov nyiaj pab Medi-Cal suav nrog:

• Kev pab kho mob sab nraud (ambulatory).
• Kev pabcuam xwm txheej ceev.
• Kev kho mob hauv tsev kho mob.
• Maternity thiab yug me nyuam.
• Kev noj qab haus huv thiab kev noj qab haus huv tsis zoo (SUD), suav nrog kev kho tus cwj pwm.
• Cov tshuaj noj.
• Cov kev pab cuam xws li kev kho lub cev thiab kev ua haujlwm (lub npe hu ua cov kev pabcuam kho mob thiab kev ua haujlwm) thiab cov khoom siv.
• Cov kev pabcuam kuaj mob.
• Kev tiv thaiv thiab kev noj qab haus huv thiab kev tswj kab mob ntev.
• Cov kev pabcuam menyuam yaus (pediatric) suav nrog kev saib xyuas qhov ncauj thiab qhov muag.
• Kev Kho Hniav thiab Lub Zeem Muag.
• Kev Pabcuam Hauv Tsev.

Cov neeg feem coob uas muaj Medi-Cal tau txais txiaj ntsig thiab kev pab cuam los ntawm txoj kev pab them nqi kho mob uas tswj hwm. Qee qhov kev pab cuam kuj tseem muaj los ntawm Medi-Cal Fee-for-Service.

Alliance Care IHSS yog ib txoj kev npaj kho mob rau cov neeg uas muab kev pab txhawb nqa hauv tsev hauv Monterey County. Txoj kev npaj muab kev saib xyuas rau cov neeg tsim nyog tau txais kev tso npe nrog Monterey County Public Authority for In-Home Supportive Services (Public Authority).

Txhawm rau tso npe rau hauv Alliance Care IHSS, koj yuav tsum ua kom tau raws li tag nrho cov cai. Qhov no txhais tau tias:

• Koj yuav tsum ua kom tau raws li Public Authority ua haujlwm.
• Koj yuav tsum nyob lossis ua haujlwm hauv Monterey County.
• Koj yuav tsum tsis txhob raug txiav tawm los ntawm Central California Alliance for Health (lub Alliance) yav dhau los rau kev dag, dag lossis tsis muab cov ntaub ntawv tiav.

Kawm ntxiv ntawm peb nplooj ntawv IHSS.

Central California Alliance for Health (lub Alliance) yog ib txoj kev npaj saib xyuas rau cov neeg uas muaj Medi-Cal. Lub Alliance ua haujlwm nrog Lub Xeev California los muab kev pab them nqi kho mob rau cov neeg nyob hauv nroog Merced, Monterey thiab Santa Cruz. Peb pab cov tswv cuab pib nrog lawv txoj kev pab them nqi kho mob, teb cov lus nug txog lawv txoj kev kho mob thiab kawm paub yuav ua li cas noj qab haus huv. Peb mob siab rau peb cov tswv cuab!

Cov Neeg Sawv Cev Pabcuam Tswvcuab muaj los teb cov lus nug txog kev npaj khomob. Lub Alliance muab:  

• Pab nrog nrhiav cov kws kho mob thiab cov kws kho mob tshwj xeeb.
• A Nurse Advice Line koj tuaj yeem hu rau 24/7 yam tsis tau them nqi.
• Kev pab txhais lus yog koj tsis hais lus Askiv.
• Kev thauj mus los mus rau kev teem caij kho mob.

Yog xav paub ntxiv txog tag nrho cov txiaj ntsig thiab kev pabcuam, thov mus saib hauv Medi-Cal Cov Tswv Cuab Phau Ntawv Qhia.

Medi-Cal muaj rau cov neeg uas ua tau raws li cov kev xav tau ntawm cov nyiaj tau los. Yog xav paub ntxiv txog Medi-Cal lossis saib seb koj puas tsim nyog tau txais kev tuav pov hwm kev noj qab haus huv no, hu rau koj lub nroog qhov chaw ua haujlwm:

• Lub Nroog Mariposa
  Health & Human Services Agency
  209-966-2000
  800-266-3609
• Merced County
  Human Services Agency
  209-385-3000
  855-421-6770
• Lub Nroog Monterey
  Department of Social Services
  877-410-8823
• Lub Nroog San Benito
  Health & Human Services Agency, Public Assistance
  831-636-4180
• Lub Nroog Santa Cruz
  Human Services Department
  888-421-8080

Rau Txoj Kev Pab Hnov lossis Hais Lus, hu rau 800-735-2929 (TTY: Hu rau 711).

Koj yuav tsum tau txais koj daim BIC thaum koj thawj zaug los ua tus tswv cuab Medi-Cal. Yog tias koj tsis tau txais koj daim BIC lossis nws poob lossis raug nyiag lawm, koj tuaj yeem thov kom hloov BIC dawb. Thov hu rau koj lub nroog Medi-Cal chaw ua haujlwm.

• Lub Nroog Mariposa
  Health & Human Services Agency
  209-966-2000
  800-266-3609
• Merced County
  Human Services Agency
  209-385-3000
  855-421-6770
• Lub Nroog Monterey
  Department of Social Services
  877-410-8823
• Lub Nroog San Benito
  Health & Human Services Agency, Public Assistance
  831-636-4180
• Lub Nroog Santa Cruz
  Human Services Department
  888-421-8080

Lub Alliance tuaj yeem muab daim npav Alliance Member ID tshiab rau koj. Koj tuaj yeem xaj daim npav tshiab hauv online los ntawm kev sau cov ntawv daim ntawv xaj los yog hu rau Kev Pabcuam Tswvcuab ntawm Alliance. Thaum koj hu rau Kev Pabcuam Tswvcuab, koj tuaj yeem thov daim npav ID luam tawm, daim npav ID lossis ob qho tib si. Koj tuaj yeem tau txais daim ntawv theej digital ntawm koj daim npav ID nkag mus rau koj lub smartphone thaum koj nyob hauv xov tooj nrog Kev Pabcuam Tswvcuab.

Koj qhov kev tuav pov hwm ntiag tug, tseem hu ua lwm yam kev pov hwm kev noj qab haus huv (OHC), yog koj thawj daim ntawv pov hwm kev noj qab haus huv. Lub Alliance yog koj qhov kev pov hwm thib ob. Thaum koj mus ntsib kws kho mob, qhia lawv ob qho tib si koj daim npav pov hwm tus kheej thiab koj daim npav Alliance Member ID.

Hu rau Cov Chaw Pabcuam Tswvcuab ntawm Alliance kom tshaj tawm qhov kev hloov pauv no. Koj tseem tuaj yeem tshaj tawm qhov kev hloov pauv no los ntawm DHCS website.

Medicare yog txoj kev npaj kho mob rau cov neeg muaj hnub nyoog 65 xyoos lossis laus dua. Cov neeg uas tsis muaj peev xwm ua haujlwm vim muaj kev xiam oob qhab kuj tuaj yeem tau txais Medicare. Thaum koj mus ntsib kws kho mob, qhia lawv ob qho tib si koj daim npav Alliance Member ID thiab koj daim npav Medicare.

Muaj peb ntu rau Medicare:

1. Medicare Part A npog cov nyob hauv tsev kho mob.
2. Medicare Part B them rau kev mus ntsib kws kho mob, cov khoom siv kho mob ntev (DME), kev ua haujlwm hauv chaw kuaj mob thiab x-rays.
3. Medicare Part D them rau cov tshuaj noj.

Yog tias koj muaj Medicare Tshooj A, B & D thiab Medi-Cal:

Koj cov tshuaj yuav raug them los ntawm koj qhov kev npaj tshuaj Medicare. Koj yuav tau them tus nqi me me rau txhua daim ntawv xaj.

Lub Alliance yuav them cov tshuaj me me uas tsis tau them los ntawm Medicare.

Yog lawm, koj tuaj yeem hloov koj tus kws kho mob los ntawm kev hu rau Kev Pabcuam Tswvcuab ntawm Alliance.

Koj tuaj yeem tuaj xyuas peb Nrhiav ib nplooj ntawv kws kho mob xaiv tus kws kho mob tshiab hauv online.

Tom qab xaiv tus kws kho mob tshiab, qhov sai tshaj plaws uas koj tuaj yeem pom lawv rau kev teem caij yog thawj hnub ntawm lub hli tom ntej. Piv txwv li, yog tias koj hloov koj tus kws kho mob thaum Lub Yim Hli 10, koj tuaj yeem ntsib koj tus kws kho mob tshiab rau lub Cuaj Hli 1.

Yog tias tus kws kho mob koj xav tau rau koj tus menyuam tab tom noj cov tswv cuab tshiab, koj tus menyuam tuaj yeem raug xa mus rau tus kws kho mob ntawd. Hu rau Cov Chaw Pabcuam Tswvcuab ntawm Alliance saib seb qhov no puas ua tau.

Koj tuaj yeem ua ntawv tsis txaus siab (tsis txaus siab) txhua lub sijhawm hauv xov tooj, sau ntawv lossis hauv online.

• Hauv xov tooj: Hu rau Alliance ntawm 800-700-3874 (TTY 800-735-2929 lossis 711) thaum 8 teev sawv ntxov txog 5:30 teev tsaus ntuj
• Los ntawm xa ntawv: Hu rau Alliance ntawm 800-700-3874 (TTY 800-735-2929 lossis 711) thiab thov kom muaj daim foos xa tuaj rau koj. Thaum koj tau txais daim ntawv, sau nws. Nco ntsoov sau koj lub npe, Alliance Tus Tswv Cuab ID naj npawb thiab yog vim li cas rau koj qhov kev tsis txaus siab. Qhia rau peb paub tias muaj dab tsi tshwm sim thiab peb tuaj yeem pab koj li cas.

Xa daim foos mus rau:

Lub Tsev Haujlwm Tsis Txaus Siab
1600 Green Hills Txoj Kev, Suite 101,
Scotts Valley, CA 95066, Tebchaws Asmeskas

Koj tus kws kho mob lub chaw ua haujlwm yuav muaj daim ntawv tsis txaus siab.

• Online: Mus rau Ua ntawv tsis txaus siab.

Yog tias koj xav tau kev pab sau koj qhov kev tsis txaus siab, peb tuaj yeem pab koj. Yog tias koj hais lwm yam lus uas tsis yog lus Askiv, muaj kev pabcuam lus rau koj yam tsis tau them nqi. Hu rau Cov Pabcuam Tswvcuab ntawm 800-700-3874 (TTY 800-735-2929 lossis 711).

Koj yuav tau hu rau Alliance thiab koj lub nroog lub chaw Medi-Cal yog tias koj tsiv los yog hloov koj tus xov tooj. Txhawm rau qhia rau Alliance, siv lub Hloov daim ntawv qhia txog tus kheej lossis hu rau Kev Pabcuam Tswvcuab ntawm Alliance. Siv cov lej hauv qab no los tiv tauj koj lub nroog Medi-Cal Office:

• Lub Nroog Mariposa
  209-966-2000
• Merced County
  209-385-3000
  855-421-6770
• Lub Nroog Monterey
  877-410-8823
• Lub Nroog San Benito
  831-636-4180
• Lub Nroog Santa Cruz
  888-421-8080

Yog tias koj tau txais daim nqi them rau qhov kev pabcuam, thov hu rau Cov Chaw Pabcuam Tswvcuab ntawm Alliance tam sim ntawd.

Lub Alliance tuaj yeem muab txoj hauv kev rau koj mus thiab los ntawm kev teem caij rau kev pabcuam Medi-Cal lossis cov txiaj ntsig.

Koj tuaj yeem nrhiav cov ntaub ntawv ntxiv ntawm peb Kev pab thauj mus los.

Medi-Cal them rau qee qhov kev pab kho hniav. Yog tias koj muaj lus nug lossis xav paub ntxiv txog cov kev pabcuam kho hniav, hu rau Medi-Cal Dental Program ntawm 800-322-6384 (TTY: Dial 711). Koj tuaj yeem mus saib tau Medi-Cal Dental lub vev xaib.

Koj tuaj yeem tau txais kev kuaj qhov muag niaj hnub ib zaug txhua ob xyoos. Kev pab cuam muaj xws li tsom iav qhov muag (thav duab thiab lo ntsiab muag) ib zaug txhua ob xyoos lossis cov iav tiv thaiv rau qee yam mob. Tsis xav tau kev xa mus rau kev saib xyuas qhov muag tsis tu ncua.

Yog xav paub ntxiv txog koj cov txiaj ntsig kev pom lossis nrhiav ib tus kws kho mob nyob ze koj, hu rau Vision Service Plan (VSP) ntawm 800-877-7195.

Lub Alliance ua haujlwm nrog Carelon Behavioral Health (Carelon) rau muab kev pabcuam kev puas hlwb thiab kev coj cwj pwm. Koj tuaj yeem hu rau Carelon ncaj qha ntawm 855-765-9700 (TTY: Dial 711). Carelon yuav tuaj yeem pab koj 24 teev hauv ib hnub, 7 hnub hauv ib lub lis piam. Lawv yuav pab koj nrhiav ib tus kws kho mob hlwb uas ua tau raws li koj xav tau, xws li kev hais lus, qhov chaw lossis thaj chaw tshwj xeeb.

Qee qhov kev pabcuam tshwj xeeb rau kev puas hlwb (SMHS) yog muab los ntawm lub nroog cov phiaj xwm kev puas siab puas ntsws es tsis yog Alliance. Yog tias Alliance txiav txim siab tias koj yuav xav tau kev pab cuam los ntawm lub nroog txoj kev npaj kho mob puas hlwb, Alliance yuav pab txuas koj rau cov kev pabcuam ntawd.