Ngaphantsi kweMassachusetts Health Care Reform Law, ukuba uhulumeni uthi unako ukufumana i-inshorensi yezempilo kodwa awuyithengi, uhlawuliswa iintlawulo zerhafu nyanga nganye ngunyaka ongenakho ukukhutshwa.
Abantu abawela ngaphantsi kwemingcele ethile yokufumana imali abahlawulwanga.
Ukunika ingxelo nge-Intshumo yezeMpilo kwiNtsholongwane yaseMassachusetts
Abemi baseMassachusetts kunye nabanye abahlali bexeshana kufuneka bafake iShedyuli yeHC ngembuyekezo yabo yentlawulo yelizwe. Le fomu ibika ingxelo malunga ne-inshorensi yempilo yakho ngonyaka. Ukuba unempilo yomshuwalense wecala, i-insurer yakho kufuneka ikuthumelele ifomu MA 1099-HC, ikunike ulwazi oluya kulufuna ukuzalisa iShedyuli yeHC.
Ndingayifumana phi i-inshurensi enganakunyaniseki?
Hlola iwebhusayithi ye-inshurensi yempilo, i-Massachusetts Health Connector, eyaziwa malunga nombuso njengoMxhasi. Liziko elizimeleyo likarhulumente elinceda abahlali baseMassachusetts bafumane i-inshurensi yempilo yonyango efikelelekayo ukwenzela ukuba banokuphepha i-inshurensi yezempilo yaseMassachusetts. Umxhasi unika iiplani eziphantsi kweendleko kunye nezangekho izindleko ezihlangabezana nemilinganiselo encinci yemigangatho kunye ne-seal seal yelizwe yokuvunyelwa kwekhwalithi kunye nokufikeleleka.
Imida kwizohlwayo zerhafu
Ukuba unetyala lokusweleka kwe-inshurensi, kufuneka uyihlawule ngokubuyisela kwerhafu yakho yaseMassachusetts. Ngokomthetho, inani lesohlwayo alinakugqithisa ama-50 ekhulwini kwi-premium ye-insum yenyanga eyimali oyimfuneko ukuba ufanele ufumaneke kwi-Connector. Isithuba se-inshurensi yokufikelela kwiintsuku ezingama-63 okanye ngaphantsi akuhlawulwa, enoba imihla ilandelelana.
Urhulumente ubeka imilinganiselo yokunikwa umgangatho ngamnye kunyaka ngamnye ukuqinisekisa ukuba ngaba abantu kunye neentsapho banakho ukufumana i-inshorensi yezempilo. Ukuba awukwazi ukufumana i-inshorensi yempilo ngokwemiqathango, awukho phantsi kwee-inshurensi zempilo yomshuwalense. Eli lungiselelo libandakanya abo abaneemali okanye ngaphantsi kweepesenti ezingama-150 zezinga lokuhlupheka. Ungafaka isicelo seSatifikethi sokuXhoxiswa kwiwebhusayithi yoMxhasi. Isatifikethi sinika ubungqina bokuthi ukhululekile kwiintlawulo ngenxa yokungakwazi kwakho ukufumana i-inshorensi efunekayo.
Ukuxolelwa kweenkolelo zonqulo
Ukukhululwa kwenkolo kufumaneke kuwo nabani na onokholo olubonelela ngesiseko sokungabikho kokuthengwa kwe-inshorensi yempilo. Kodwa qaphela - ukuba unecala lokuxolelwa ngonqulo kwi-inshurensi yempilo yomshuwalense waseMassins kwaye ufumane unyango lwezempilo ngexesha lonyaka werhafu, njengokhenketho lwegumbi loxakeka, unokuthi ungaphantsi kwesohlwayo nokuba ngaba uzimisele ukuba i-inshurensi yempilo. Ukunyamekelwa kwamazinyo okukhusela, izitofu kunye neemviwo zomzimba ezifunekayo ngumqeshi wakho okanye omnye umntu wesithathu aziqwalaselwe unyango lwezonyango ngeenjongo zalo mxolelo.
Ukulungiswa kweMpilo yaseMassachusetts kunye noMthetho ononophelo loNonophelo
UMthetho waseMassachusetts Health Care Reform Act ngaphambi koMthetho woNonophelo olungabonakaliyo, kwaye umthetho we-ACA kunye neMassachusetts usebenza ngokusemgangathweni.
Ngokuqhelekileyo, ukuba uyahambelana ne-ACA, awukho phantsi kwesohlwayo se-inshurensi yempilo yaseMassachusetts. Unako ukufumana inkxaso nge-ACA inkxaso ngeNxibelelwano.
UMassachusetts wandisa inkqubo ye-Medicare phantsi kwe-ACA, ngoko ke xa ufumana ngaphantsi kwama-133 ekhulwini kwinqanaba lehlwempu, uya kukwazi ukufumana ingqalelo kwi-state, ebizwa ngokuba yi-MassHealth. Oku kuvula enye inketho kubanye abahlawuli berhafu ukuba baphephe izigwebo.