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MississippiCAN FAQ
메디케이드란 무엇인가?
메디케이드는 자격 요건을 충족하는 저소득자를 위한 프로그램이며 주에 따라 적용 방법이 달라질 수 있습니다.
메디케어란?
메디케어는 65세 이상의 노인, 장애인 또는 말기 신장병을 앓고 있는 사람들을 위한 연방정부의 건강 보험 프로그램입니다. 메디케어 자격 요건은 수입을 바탕으로 하지 않으며 기본 보상 범위는 주마다 동일합니다.
메디케이드를 신청할 때 필요한 서류는 무엇입니까?
메디케이드를 신청할 때는 신청서를 작성해 주시면 됩니다. 또한 다음과 같은 여러 문서도 필요합니다.
- 가족 구성원에 대한 정보(이름, 생일 및 사회 보장 번호)
- 임대료 또는 융자금 정보
- 지출 내역(공과금, 탁아 등)
- 자동차 정보
- 계좌 거래 내역서
- 수입(급여 명세서)
- 시민권 보유 증명서
- 요청되는 추가 정보
What Is A Medical Home?
Your medical home is the provider you go to all the time.
Why Would I Want A Medical Home?
- They have your medical records. This lets the doctor see you faster.
- They know what shots, illnesses and drugs you have had. They know what works best.
- They know your allergies and other health issues.
- They know what behavior and health is normal for you.
- They can answer your questions about previous treatment.
How is a "medical emergency" defined?
A "medical emergency" is when you reasonably believe that your health is in serious danger – when every second counts. A medical emergency includes severe pain, a bad injury, a serious illness, or a medical condition that is quickly getting much worse.
What should I do if I have a medical emergency?
If you have a medical emergency:
- Get medical help as quickly as possible. Call 911 for help or go to the nearest emergency room, hospital, or urgent care center. You don't need to get approval or a referral first from your primary care doctor or other plan provider.
What is urgent care?
Urgent care is not emergency care. It is care that you need sooner than a normal appointment (within 24 hours). You might need this for things like sprains, mild-to-moderate bleeding, bruises, minor burns, drug reactions or an illness lasting longer than a day. Seek urgent care from a provider in the network. If you require urgently needed care when you are in an area outside of your network, then you may get this care from any provider.
What if I use non-plan providers to receive services that are "covered"?
If you get care from a non-network provider that is not an emergency or that is not urgent without prior authorization, you must pay the entire cost yourself.
How long does enrollment in MississippiCAN last?
Your enrollment in MississippiCAN is for 12 months or until you lose eligibility, whichever comes first. The 미시시피 Department of Medicaid (DOM) will tell UnitedHealthcare Community Plan the date you’re enrolled. Your eligibility continues until DOM tells UnitedHealthcare the date you’ll be disenrolled.
What if my situation changes?
Contact the 미시시피 state agency where you enrolled if any of these things happen:
- Your family size changes
- You move
- Your telephone number changes
- Your income goes up or down
- You get health care coverage under another policy or there are changes to that coverage
Important: To report changes, call, write or visit the 미시시피 state agency that said you were eligible. All changes MUST be reported within 10 days after the change happens (or within 10 days after you learn of the change). Failure to report a change may mean you get the wrong benefits.
What if I want to disenroll myself?
Once you enroll, you have 90 days to stop your enrollment in UnitedHealthcare Community Plan. If you do not stop enrollment in the first 90 days, you’ll be a member of our plan for the next year or until the next open enrollment period.
You can change for any reason in the first 90 days of your membership. Call the 미시시피 Department of Medicaid (DOM) if you want to change your membership during this period.
After your first 90 days, you may need a special reason to end your UnitedHealthcare Community Plan membership. Some special reasons could be:
- You move outside the UnitedHealthcare Community Plan service area
- Your income changes
You must contact DOM in writing or by phone and ask for a form to disenroll or change plans. Then submit the completed form to DOM.
When will my coverage end?
If you’re disenrolled, your coverage will end on the last day of that month.