U gudub tusmada ugu weyn
Loogu Talagalay Xubnaha (Wuxuu ku furmaa qayb cusub)
Tusmada Ugu Weyn

Medicaid vs. Medicare: Waad haysan kartaa labaduba.

La Soo Geliyay: Janaayo 17, 2020

Taariikhda Ugu Dambaysay ee La Cusbooneysiiyay: December 02, 2022

Isbarbardhiga Medicaid iyo Medicare. Way adag tahay in laga fikiro laba erey oo jahawareer intaas le’eg keena.

  • What is the difference between the Medicare and Medicaid programs?
  • Maxay dhab ahaantii yihiin Medicaid iyo Medicare? 
  • Yaa u-qalma inuu helo Medicaid ama inuu helo Medicare? 
  • How can you have Medicare and Medicaid at the same time?

Akhri si aad u hesho jawaabaha su'aalahaan iyo kuwo kale oo badan.

Hel hagahaaga qorshaha laba geesoodka ah oo bilaash ah

 Wax kasta oo aad uga baahan tahay inaad ka ogaato Qorshaha Laba Geesoodka ah ee Dadka Qaba Baahiyaha Gaarka ah oo ku jira hal, hage oo habboon.

The difference between Medicaid and Medicare

Farqiga u dhexeeya Medicaid iyo Medicare waa in Medicaid ay maamulaan dawlad-goboleedyada waxaana lagu saleeyaa dakhliga. Medicare waxaa maamula dawladda dhexe waxayna inta badan ku saleeyaan da'da. Balse waxaa jira duruufo gaar ah, sida naafonimada qaar, kuwaasoo u oggolaanaya dadka da'da yar inay helaan Medicare.

Waa maxay Medicaid?

Medicaid waa hab aad ugu hesho daryeel caafimaad qiimo jaban ama mararka qaarkood lacag la'aan ah. Medicaid waxaa maamula gobol kasta, sidaas darteed shuruudaha u-qalmitaanka way isbeddeli karaan gobol ka gobol. Gobolkaagu waxaa laga yaabaa inuu xitaa magac gaar ah u sameeyo barnaamijkiisa Medicaid. Waa muhiim in la xasuusnaado inay tahay inaad dib u xaqiijiso Medicaid sanad walba.

Medicaid caadi ahaan wuxuu daboolaa:

  • Carruurta
  • Haweenka uurka leh
  • Waayeelka iyo dadka qaba naafonimada
  • Dadka qaangaarka ah ee dakhligoodu hooseeyo ee u-qalma

Waa Maxay Medicaid?

Medicare waa barnaamijka caymiska caafimaadka ee qaranka oo ay maarayso dawladda dhexe. Medicare wuxuu daboolaa:

  • Dadka dadoodu tahay 65 jir iyo ka weyn.
  • Dadka qaarkood ay da'doodu ka yar tahay 65 jir kuwaasoo ugu qalmi kara naafonimada ama xaalad kale oo gaar ah awgeed.

Medicare wuxuu ka caawiyaa malaayiin waayeelka Maraykanka ah iyo shakhsiyaadka naafada ah inuu ka daboolo qaar ka mid ah kharashka daryeelka caafimaadkooda. Waxaa jira 4 qaybo kala duwan oo ka mid ah Medicare. Tani waxay siinaysaa dadka dooqyo daryeel caafimaad oo badan, si ay u doortaan qorshaha daryeelka caafimaadka ee sida ugu wanaagsan u daboolaya baahidooda.

The 4 parts of Medicare

MACLUUMAAD KUU GAAR AH: Part A iyo B ayaa sidoo kale loo yaqaanaa “Original Medicare.”

Part A

Wuxuu gacan ka geystaa bixinta kharashka ku jirista isbitaalka iyo daryeelka bukaan-jiifka.

Part B

Wuxuu gacan ka geystaa kharashka booqashooyinka dhakhtarka iyo daryeelka bukaan-socodka.

Shirkadaha caymiska ee gaarka loo leeyahay waxay bixiyaan noocyo kale oo qorshooyinka Medicare ah oo leh macaashyo dheeraad ah oo ka baxsan Original Medicare:

Part C

Wuxuu ka dhigaa Part A (caymiska isbitaalka) iyo Part B (caymiska caafimaadka) ee hal qorshe kaasoo inta badan uu ku jira caymiska daawada dhakhtarku qoro sidoo kale.

Part D

Caymiska daawada dhakhtar qoro.

How can you have Medicare and Medicaid at the same time?

Dadka qaarkood waxay ugu qalmaan Medicare da'da awgeed (waa 65 jir ama ka weyn) ama naafonimo awgeed. Sidoo kale way u-qalmaan Medicaid sababtoo ah waxay buuxiyeen shuruudaha loogu qalmo caymiska Medicaid ee ka jira gobolkooda. These people are “dual eligible” because they’re eligible for both Medicaid and Medicare.

Waa maxay qorshayaasha caafimaadka ee laba geesoodka ah?

Qorsheyaasha caafimaadka ee laba geesoodka ah waxaa loogu talagalay kaliya dadka haysta Medicaid iyo Medicare labaduba. Waa nooc gaar ah oo ah qorshaha Medicare Part C (Medicare Advantage). Qorshayaasha caafimaadka ee laba geesoodka ah waxay ka kooban yihiin caymiska isbitaalka, caafimaadka iyo daawada dhakhtarku qoro. You’ll keep all your Medicaid benefits. Waxaa intaas dheer, waxaad heli kartaa macaashyo ka badan kuwa Original Medicare. Waxaadna ku heli kartaa wax kasta wax ka hooseeya $0 carbuunta qorshaha.

What are Dual Special Needs Plans (D-SNPs)?

Dual health plans are also known as Dual Special Needs Plans (D-SNPs). They’re offered by private insurance companies, so you can find a dual health plan that best meets your health insurance needs. Inaad ku jirto qorshaha caafimaadka ee laba geesoodka ah wax kama beddelayso u-qalmitaankaaga ama macaashyada Medicaid.

Ogow qorshayaasha UnitedHealthcare ee ka jira aaggaaga

Qorshaha labada caymis ee loo qalmo ama macaashyada qorshaha Medicaid way isbeddeli karaan iyadoo ku xiran halka aad ku nooshahay. Ku raadi koodhka Cinwaankaaga (Zip Code) si aad u hesho qorshaha saxda ah si loo daboolo baahiyaha daryeelka caafimaadkaaga.

Weli su'aal miyaad qabtaa

Waxaan halkan u joognaa inaan ku caawino

Nagala soo xiriir:
1-844-812-5967 / TTY: 711
8 subaxnimo ilaa 8 galabnimo waqtiga maxalliga, 7 maalmood toddobaadkii.

Weli su'aal miyaad qabtaa

Waxaan halkan u joognaa inaan ku caawino

Nagala soo xiriir:
1-844-812-5967 / TTY: 711
8 subaxnimo ilaa 8 galabnimo waqtiga maxalliga, 7 maalmood toddobaadkii.

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