Khaws koj txoj kev pov hwm Medi-Cal rau xyoo 2026
Nco ntsoov rov txuas koj Medi-Cal raws sij hawm!
Koj yuav tsum tau txuas koj daim Medi-Cal rau xyoo no kom koj thiaj li tau txais kev pab them nqi kho mob. Qhov no yuav pab koj mus ntsib koj tus kws kho mob thiab tau txais koj cov tshuaj.
Yog koj muaj TotalCare (HMO D-SNP), kev txuas ntxiv koj daim Medi-Cal kuj tseem yuav pab koj khaws koj cov txiaj ntsig ntxiv thiab kev kho mob sib koom tes.
Lub Alliance yog koj li Medi-Cal txoj kev npaj khomob yog tias koj nyob hauv Mariposa, Merced, Monterey, San Benito lossis Santa Cruz County. Txawm li cas los xij, peb tsis ua cov ntawv thov Medi-Cal lossis rov ua dua tshiab. Koj lub nroog Medi-Cal chaw ua haujlwm yuav tswj xyuas koj qhov Medi-Cal txuas ntxiv.
3 kauj ruam kom nyob twj ywm
Yog koj tau tsiv teb tsaws chaw lawm, hloov kho koj cov ntaub ntawv tiv tauj.
Xyuas kom tseeb tias koj lub chaw ua haujlwm Medi-Cal hauv koj lub nroog muaj koj qhov chaw nyob thiab tus xov tooj raug.
Paub hnub koj rov ua dua tshiab thiab saib xyuas koj cov ntawv xa tuaj.
Koj yuav tsum tau txais ib tsab ntawv txuas ntxiv xa ntawv tuaj rau koj los ntawm koj lub chaw ua haujlwm Medi-Cal hauv nroog nrog rau txhua yam koj yuav tsum tau ua kom rov ua dua tshiab.
Yog tias koj yuav tsum ua kom tiav cov ntaub ntawv rov ua dua tshiab, sau kom tiav thiab xa rov qab sai sai.
Xa koj daim ntawv thov rov qab mus rau koj lub chaw ua haujlwm hauv nroog ua ntej hnub kawg. Yog tias koj tsis ua Rov ua dua koj li Medi-Cal ua ntej hnub kawg rau koj daim ntawv thov rov ua dua tshiab, koj yuav poob koj cov txiaj ntsig. Yuav kom koj tseem muaj kev pov hwm, ua kom tiav koj daim ntawv thov rov ua dua tshiab txhua zaus uas nws yuav tsum tau ua.
Kev xaiv dua tshiab
Nrhiav cov koom haum hauv zos uas tuaj yeem pab koj txuas ntxiv koj daim Medi-Cal yam tsis tas them nqi. Lawv tuaj yeem piav qhia txog cov txheej txheem txuas ntxiv thiab yuav ua li cas tom ntej.
Yog koj tsis tau txais tsab ntawv txuas ntxiv mus rau koj lub Medi-Cal, koj tuaj yeem txuas ntxiv koj daim Medi-Cal los ntawm:
- Siv cov BenefitsCal lub vev xaib.
- Tiv tauj koj Chaw ua haujlwm Medi-Cal hauv nroog los txuas ntxiv dua tshiab los ntawm kev xa ntawv, hu xov tooj lossis tus kheej.
Thov los ntawm kev xa ntawv, xov tooj lossis ntawm tus kheej.
Koj puas tau ua tsis tau raws sijhawm los txuas ntxiv koj daim ntawv pov hwm Medi-Cal? Tseem tsis tau lig dhau! Tej zaum koj yuav tau txais koj cov txiaj ntsig rov qab tam sim ntawd los ntawm kev sau koj cov ntaub ntawv txuas ntxiv.
Yog tias koj tsis paub meej txog hnub kawg uas koj yuav rov ua daim ntawv thov dua tshiab, koj tuaj yeem nkag mus rau hauv Cov txiaj ntsigCal kom paub thaum twg koj yuav tsum tau ua daim ntawv rov ua dua tshiab.
Koj tseem tuaj yeem thov tau
Yog tias koj tseem tsis tau rau npe rau hauv Medi-Cal, koj tseem tuaj yeem rau npe rau Medi-Cal yog tias koj ua tau raws li cov cai tsim nyog tam sim no.
Yuav Thov Li Cas:
Koj tuaj yeem thov online ntawm Cov txiaj ntsigCal los yog tiv tauj koj lub county Medi-Cal chaw ua haujlwm thov los ntawm kev xa ntawv, hu xov tooj lossis tus kheej.
Koj puas tsis paub tseeb tias koj yuav tsim nyog rau Medi-Cal?
Koj tuaj yeem siv lub California Department of Health Care Services (DHCS) cov cuab yeej online saib seb koj puas tsim nyog. Nws yog qhov ceev thiab yooj yim! Nco ntsoov tias koj yuav tsum tau ua kom tiav daim ntawv thov Medi-Cal kom paub tseeb.
Mariposa County Health and Human Services Agency
Qhov chaw:
| Mariposa | Colterville |
| 5362 :lwm | 5 026 Broadway |
| Mariposa, CA 95338, UA | Coulterville, CA 95311, UA |
Xov tooj: 209-966-2000 los yog 800-549-6741
Chaw nyob xa ntawv:
Mariposa County Health and Human Services Agency
PO Box 99
Mariposa, CA 95338, UA
Merced County Human Services Agency
Qhov chaw:
| Merced | Hauv dej | Los Banos |
| 2115 Wardrobe Ave. | 1920 Txoj Kev Pab Cov Neeg Siv Khoom | 947 W. Pacheco Blvd., Ste. C |
| Merced, CA 95341 IB | Chaw nyob: Atwater, CA 95301 | Los Banos, CA 93635 |
Xov tooj: 855-421-6770 (TTY: Dial 711)
Chaw nyob xa ntawv:
Merced County Human Services Agency
PO Box 112
Merced, CA 95341 IB
Monterey County Department of Social Services
Qhov chaw:
| Salinas | Ntug hiav txwv | King City |
| 1000 S. Main St., Ste. 216 | 1281 Broadway Ave. | 116 Broadway St. |
| Salinas, CA 93901, UA | Chaw nyob, CA 93955 | King City, CA 93930, UA |
Xov tooj: 877-410-8823 (TTY: Dial 711)
Chaw nyob xa ntawv:
Monterey County Department of Social Services
1488 Schilling Pl
Salinas, CA 93901, UA
San Benito County Kev Noj Qab Haus Huv thiab Kev Pabcuam Tib Neeg, Kev Pab Pej Xeem
Qhov chaw:
| Hollister |
| 1111 San Felipe Road, Suite 206 |
| Chaw nyob: Hollister, CA 95023 |
Xov tooj: 831-636-4180 (TTY: Hu 831-634-4969)
Chaw nyob xa ntawv: Siv qhov chaw nyob saum toj no.
Santa Cruz County Human Services Department
Qhov chaw:
| Santa Cruz | Watsonville |
| 1020 Emeline Ave., Tsev B | 500 Westridge Tsav |
| Santa Cruz, CA 95060 | Watsonville, CA 95076 NWS |
Xov tooj: 888-421-8080 (TTY: Dial 711)
Chaw nyob xa ntawv: Siv ob lub Santa Cruz lossis Watsonville chaw nyob saum toj no.
Yog koj tsis txuas ntxiv koj daim Medi-Cal, koj yuav poob koj daim ntawv pov hwm kho mob Medi-Cal. Koj tseem tuaj yeem ua tiav koj daim ntawv txuas ntxiv thiab xa mus rau koj lub koom haum rau npe kom rov qab tau koj daim ntawv pov hwm. Yog tias koj lig dhau los txuas ntxiv koj daim Medi-Cal, koj daim ntawv pov hwm yuav hloov pauv vim yog cov cai tshiab. Piv txwv li, koj tsuas yog yuav tau txais kev kho mob rau cev xeeb tub lossis xwm txheej ceev xwb. Hu rau koj lub nroog lub chaw ua haujlwm Medi-Cal kom tau kev pab.
Kev pab los ntawm Lub Xeev
- California Department of Social Services: Rau kev pab nrog kev pabcuam kev cai lij choj nkag tebchaws, mus saib CDSS lub website los yog hu rau 916-651-8017.
- State Bar ntawm California: Txhawm rau nrhiav kev pabcuam raug cai, mus saib hauv State Bar of California lub website los yog hu rau 415-538-2000.
- Deferred Action for Childhood Arrivals (DACA): Yog tias koj yog tus txais DACA, koj tuaj yeem mus ntsib California Daim Ntawv Qhia Kev Nkag Tebchaws los yog hu rau 800-807-6755 kom tau kev pab.
- Lub Tsev Hais Plaub Hauv Xeev California: Nkag mus rau daim ntawv qhia kev nkag tebchaws mus rau nrhiav kev pab raws cai, kev pab rau niam txiv thiab ntau dua.
- Khaws Koj Cov Kev Pab: Tau txais cov lus tseeb txog koj txoj cai nkag tebchaws yuav hloov koj cov txiaj ntsig li cas. Mus saib ntawm Keep Your Benefits lub vev xaib.
- California Department of Health Care Services: Nrhiav cov lus teb rau koj cov lus nug txog Medi-Cal thiab seb qhov kev nkag tebchaws tuaj yeem cuam tshuam li cas rau Medi-Cal kev tsim nyog. Mus saib lub Department of Health Care Services lub website.
Kev pab los ntawm Lub Nroog
- Lub Nroog Mariposa
Nrhiav kom tau txais kev pab nyiaj ntsuab.
- Merced County
Nrhiav kom tau txais kev pab nyiaj ntsuab
- Lub Nroog Monterey
Paub koj txoj cai
- Lub Nroog San Benito
Saib Immigration & Citizenship Resources
- Lub Nroog Santa Cruz
Nrhiav Cov Kev Pabcuam Txog Kev Nkag Tebchaws
Nco ntsoov rov txuas koj Medi-Cal raws sij hawm!
Ua ib tug tswv cuab ntawm TotalCare, nws yog ib qho tseem ceeb rau koj kom khaws koj txoj kev pab them nqi Medi-Cal. Yog tias koj tsis nco qab txuas ntxiv lossis koj poob Medi-Cal rau txhua qhov laj thawj, koj yuav raug rho tawm ntawm txoj kev npaj TotalCare.
Yog koj poob koj txoj kev pab them nqi Medi-Cal, koj yuav muaj 3 lub hlis rau kev zam txim. Peb yuav xa ib tsab ntawv qhia rau koj paub tias koj muaj feem yuav poob koj txoj kev pab them nqi TotalCare thiab muab cov ntaub ntawv ntxiv rau koj txog lub sijhawm zam txim.
Yog koj tsis txuas ntxiv raws sijhawm, koj qhov kev pov hwm TotalCare yuav xaus tom qab lub sijhawm pub dawb. Tom qab ntawd koj yuav rov qab siv Original Medicare. Yog koj tau txais koj daim Medi-Cal rov qab tom qab, koj tuaj yeem sau npe rau TotalCare dua.
Kev hloov pauv ntawm cov kev pab cuam Medi-Cal (2026 – 2028)
Qhov no nplooj yuav hloov pauv raws li Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ntawm California (DHCS) cov feem tshiabhais txog Medi-Cal kev hloov pauv. Peb pom zoo kom koj ua li ntawd tias koj daim tshev tus DHCS Nplooj Ntawv Hloov Kho Medi-Cal feem ntau rau qhov tshiab tshaj plaws icov ntaub ntawv.
2026
- Ib txhia neeg laus yuav tsis tuaj yeem sau npe rau Kev pab them nqi tag nrho ntawm Medi-Calraws li lawvxwm txheej kev nkag tebchaws.
- Cov tib neeg uas raug txwv tsis pub sau npe yuav khaws tau kev pab them nqi tag nrho yog tias lawv ua tiav kev txuas ntxiv raws sijhawm thiab txuas ntxiv ua raws li cov cai tsim nyog ntawm Medi-Cal.
- Muaj peb lub hlis rau cov neeg uas tsis tau ua tiav lawv lub sijhawm txuas ntxiv mus rau hauv Medi-Cal uas muaj txhua yam kev pab.
- Cov kev zam (kev txwv tsis pub sau npe tsis siv): Cov menyuam yaus hnub nyoog 0 txog 18 xyoo, cov poj niam cev xeeb tub lossis cov neeg tom qab yug menyuam (txog li 1 xyoos tom qab cev xeeb tub), cov tub ntxhais hluas uas tau txais kev saib xyuas yav dhau los hnub nyoog qis dua 26 xyoo.
2027
- Txij li thaum Lub Ib Hlis 1, 2027, qee cov tswv cuab yuav tau txais lawv cov kev kho mob Medi-Cal los ntawm Fee-for-Service (FFS) Medi-Cal es tsis yog los ntawm kev npaj kho mob. Qhov kev hloov pauv no yog raws li txoj cai nkag tebchaws thiab cuam tshuam rau txoj kev uas cov tswv cuab Medi-Cal tau txais kev kho mob.
- Cov neeg uas raug kev txom nyem yuav tsis nyob hauv ib txoj kev npaj kho mob lawm. Lawv tuaj yeem xaiv ib tus kws kho mob twg los tau uas lees txais FFS Medi-Cal.
- “"Tus nqi rau kev pabcuam" tsis tau txhais hais tias tus tswv cuab them. Medi-Cal tseem them rau kev kho mob.
- Qhov no siv rau:
- Cov neeg tsis muaj ntaub ntawv.
- Ib txhia neeg uas muaj daim npav ntsuab uas nyob rau hauv lub sijhawm tos tsib xyoos ua ntej lawv thiaj li tau txais kev pabcuam Medicaid tag nrho.
- Cov neeg raug suav hais tias nyob hauv Tebchaws Meskas tas mus li raws li txoj cai xim tawv nqaij (PRUCOL), txhais tau tias lawv raug tso cai nyob hauv Tebchaws Meskas txawm tias tsis muaj daim ntawv tso cai nkag tebchaws raug cai los xij.
- Yog xav paub ntxiv, mus saib nplooj ntawv qeb kev nkag tebchaws ntawm DHCS.
- Ib txhia cov tswv cuab laus ntawm Medi-Cal uas muaj hnub nyoog ntawm 19 txog 64 xyoo yuav tsum tau ua haujlwm, ua haujlwm pab dawb, mus kawm ntawv lossis koom nrog kev cob qhia kom khaws tau Medi-Cal.
- Cov cai tshiab no rau kev ua haujlwm lossis kev ua haujlwm pab dawb tsis siv rau:
- Menyuam yaus (0–18).
- Cov neeg laus dua (65 xyoo thiab laus dua).
- Cov neeg cev xeeb tub (txij li thaum cev xeeb tub thiab txog ib xyoos tom qab).
- Cov niam txiv ntawm cov menyuam hnub nyoog 0-13 xyoos.
- Cov neeg xiam oob qhab.
- Cov neeg uas muaj teeb meem kev noj qab haus huv lossis kev puas siab puas ntsws loj heev lossis muaj teeb meem siv tshuaj yeeb dej caw.
- Cov neeg uas tau raug tso tawm hauv tsev loj cuj lossis tsev loj cuj hauv 90 hnub dhau los.
- Cov neeg nyob hauv Medicare Tshooj A lossis Tshooj B.
- Cov Neeg Amelikas Qhab Asmeskas los yog cov Neeg Alaska Ib Txwm.
- Cov neeg hnub nyoog qis dua 26 xyoo uas nyob hauv kev saib xyuas menyuam thaum lawv hnub yug 18 xyoo.
- Pib Lub Peb Hlis 1, 2027,Kev txiav txim siab dua ntawm Medi-Calyuavtshwm sim txhua rau lub hlis rau cov neeg lauscov neeg uas tau sau npe rau hauv Medi-Cal.
- Cov tswv cuab no yuav txuas ntxiv mus nrog kev rov ua dua tshiab ib xyoos ib zaug:
- Cov tswv cuab hauv ib qho kev pab cuam Medi-Cal uas tsis nyob hauv pawg neeg laus tshiab ntawm Affordable Care Act.
- Cov neeg cev xeeb tub los yog tom qab yug me nyuam.
- Cov tswv cuab ntawm Alaska Native los yog American Indian.
- Cov tub ntxhais hluas uas tau txais kev saib xyuas thaum lawv muaj hnub nyoog 18 xyoo uas tau txais kev saib xyuas los ntawm cov niam txiv uas tau txais kev saib xyuas yav dhau los.thhnub yug.
- Xyoo 2026, lub tsoom fwv teb chaws tab tom hloov pauv nws faib qee cov xwm txheej kev nkag tebchaws li cas (tus neeg lub npe raug cai hauv Tebchaws Meskas raws li lawv tuaj ntawm no li cas thiab vim li cas).
- Cov tswv cuab yuav raug kev cuam tshuam yog tias lawv tau txais Medi-Cal thiab yog:
- Ib tug neeg tawg rog lossis ib tug neeg nyob ruaj ntseg.
- Ib tug neeg raug tso tawm hauv tsev loj cuj.
- Ib tug neeg uas dim ntawm kev tsim txom hauv tsev neeg lossis kev ua lag luam tib neeg.
- Tom qab ntawd, cov neeg hauv pawg no tsuas yog yuav tsim nyog rau cov kev pabcuam ntsig txog kev cev xeeb tub thiab cov kev pabcuam thaum muaj xwm txheej ceev xwb.
- Nrhiav ntxiv cov ntaub ntawv hais txog nplooj ntawv qeb kev nkag tebchaws ntawm DHCS.
- Ib txhia tswv cuab yuav tsum tau them cov nqi them txhua hli kom lawv thiaj li tau txais Medi-Cal puv ntoob raws li lawv cov kev pab cuam.xwm txheej kev nkag tebchaws.
- Yog tias cov tswv cuab uas raug kev cuam tshuam tsis them tus nqi them, lawv tsuas yog yuav tau txais Medi-Cal uas muaj kev txwv xwb. Qhov no txhais tau tias lawv tsuas yog yuav tau txais kev kho mob thaum muaj xwm txheej ceev, kev kho mob ntsig txog cev xeeb tub lossis kev kho mob hauv tsev laus xwb.
- Cov tswv cuab yuav tsis tas them tus nqi ntxiv yog tias lawv yog:
- Ib tug menyuam yaus (0-18 xyoo).
- Ib tug tub hluas uas tau raug saib xyuas yav dhau los uas hnub nyoog qis dua 26 xyoo thiab tau nyob hauv kev saib xyuas thaum lawv hnub yug 18 xyoo.
- Cev xeeb tub los yog tsis pub dhau ib xyoos tom qab lawv cev xeeb tub tas.
- Ib txhia cov tswv cuab laus ntawm Medi-Cal yuav tsis tau txais kev pab kho hniav puv ntoob vim lawv txoj cai nkag tebchaws.
- Cov kev pab cuam rau cov kev xav tau kev kho hniav thaum muaj xwm txheej ceev tseem yuav muaj rau txhua tus neeg tau txais Medi-Cal txawm tias lawv yog neeg nkag tebchaws los xij.
- Qhov kev hloov no tsis cuam tshuam rau:
- Cov tswv cuab uas tsim nyog tau txais kev pab them nqi kho mob Medi-Cal puv ntoob ntawm tsoomfwv.
- Cov menyuam yaus hnub nyoog qis dua 19 xyoos.
- Cov neeg uas cev xeeb tub thiab ib xyoos tom qab cev xeeb tub.
- Cov tub ntxhais hluas uas muaj hnub nyoog qis dua 26 xyoo uas tau nyob hauv kev saib xyuas thaum lawv hnub yug 18 xyoo. Lawv yuav khaws cov txiaj ntsig kho hniav.
- Ib yam khoom muaj nqis yog ib yam dab tsi uas koj muaj thiab muaj nqis. Qhov txwv ntawm cov khoom muaj nqis yog qhov ntau tshaj plaws uas koj tuaj yeem muaj hauv cov khoom muaj nqis suav tau thiab tseem tsim nyog rau Medi-Cal. PibLub Xya Hli 1, 2027, qhov txwv ntawm cov cuab tam yog raug txo qis rau:
- $21,000 rau ib tus neeg.
- $31,000 rau ob tug neeg.
- Ntxiv $1,550 rau txhua tus neeg ntxiv hauv tus tsev (txog li 10 tus neeg).
- Qhov kev hloov pauv no cuam tshuam rau cov neeg uaso:
- Arov qab 65 xyoo lossis laus dua.
- Muaj ib qho kev tsis tausy (lub cev, lub hlwb, lossis kev loj hlob).
- Nyob hauv ib lub tsev laus.
- Puas yog tsev neeg uas khwv tau nyiaj ntau dhau los tsim nyog raws li txoj cai se ntawm tsoomfwv.
- Kawm ntxiv txog qhov kev hloov pauv no ntawm DHCS website.
Cov lus nug?
Yog xav paub ntxiv txog txhua qhov kev hloov pauv uas yuav los tom ntej thiab leej twg lawv cuam tshuam, mus rau DHCS website.
Yog koj muaj lus nug txog koj txoj cai, hu xov tooj los yog mus ntsib koj lub chaw ua haujlwm hauv nroog.
County Medi-Cal Offices
- Mariposa County Health and Human Services Agency
Xov tooj: 209-966-2000 los yog 800-266-3609. - Merced County Department of Human Services
Xov tooj: 209-385-3000 los yog 855-421-6770. - Monterey County Department of Social Services
Xovtooj: 877-410-8823. - San Benito County Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab Tib Neeg, Kev Pabcuam Pej Xeem
Xovtooj: 831-636-4180 - County of Santa Cruz Human Services Department
Xovtooj: 888-421-8080
Kev xaiv saib xyuas tom tsev
Telehealth
- Koj tus kws kho mob tseem ceeb: Hu rau koj tus kws kho mob kom nug seb lawv puas muaj xov tooj lossis video mus ntsib (hu ua telehealth). Koj tuaj yeem nrhiav lawv tus lej xov tooj ntawm koj Alliance tus tswv cuab ID daim npav.
- Rocket Doctor: Hu rau 844-996-3763 los yog phau ntawv online. Koj tuaj yeem tham nrog kws kho mob hauv koj lub xov tooj lossis hauv koj lub computer.
- Zócalo Health: Hu rau 213-855-3465 los yog phau ntawv online. Koj tuaj yeem tham nrog kws kho mob lossis promotora de salud ntawm koj lub xov tooj lossis hauv koj lub computer.
Nurse Advice Line
Hu rau 844-971-8907 (TTY: Dial 711) txhua lub sijhawm, nruab hnub lossis hmo ntuj. Tus kws saib xyuas neeg mob tuaj yeem teb koj cov lus nug txog kev noj qab haus huv, pab koj txiav txim siab yog tias koj xav tau kev saib xyuas tam sim ntawd, thiab qhia koj tias yuav ua li cas ntxiv.
