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Kredi sa ka peye medikaman ki vann san preskripsyon, vitamin ak l&ograve;t bagay ki gen rap&ograve; ak lasante. Si - w kite asirans Medicaid nan Florida, ou kapob itilize r&egrave;s kredi ki rete nan kont Enhanced Benefit lan pou peye pou bagay atik ki gen rap&ograve; ak lasante.</p> <p>Chwazi yon plan se yon chwa p&egrave;son&egrave;l. Benefisy&egrave; Medicaid Reform nan Florida ap genyen op&ograve;tinite pou yo pale ak yon <em><a href="glossary.html#choicecounselor">Konseye Chwa</a></em> <em>Choice Counselor.</em><em> &nbsp;Konseye Chwa </em> pa travay pou okenn plan yo. <em>Konseye Chwa </em> ap ba-w enf&ograve;masyon sou diferan plan asirans lasante an detay ke-w ka itilize pou chwazi plan ki satisf&egrave; bezwen-w yo pi byen.</p> <p><strong>Menm jan ak Medicaid ki gen nan Florida jodi-a, chak plan asirans Medicaid ofri:</strong></p> <ul> <li>Tout prelimins&egrave; s&egrave;vis Florida Medicaid;</li> <li>Yon sist&egrave;m ki gen espesyalis, lopital, klinik ak famasi ou ka itilize, epi</li> <li>Yon seri dokt&egrave; ou ka chwazi k&ograve;m dokt&egrave; p&egrave;son&egrave;l ou <a href="glossary.html#PCP">Doktè pèsonèl (PCP)</a> Primary Care Provider (PCP).</li> </ul> <p><strong>Anplis, Ref&ograve;m Medicaid la va:</strong></p> <ul> <li>Ba w plis plan asirans maladi pou w chwazi ladan yo</li> <li>Kite w chwazi plan asirans maladi ki ba w sa w bezwen pou swen lasante w pi byen an.</li> <li>Rekonpanse w paske w viv an b&ograve;n sante</li> <li>Mete s&egrave;vis Medicaid pa ofri koulyeya disponib pou ou.</li> <li>P&egrave;m&egrave;t ou enskri nan asirans prive</li> </ul> <hr size="1" noshade="noshade" /> <a name="who"/> <h2 class="sectionTitle">Patisipasyon</h2> <p>Si w rete nan z&ograve;n Baker, Broward, Clay, Duval oubyen Nassau epi w gentan enskri nan Pwogram Florida Medicaid la, Yo ka egzije-w pou w enskri nan Pwogram Ref&ograve;m Medicaid nan Florida. Ou pral gen yon chwa pou chwaz yon Sist&egrave;m S&egrave;vis Pwofesyon&egrave;l Medikal <em>Provider Service Network</em> (PSN) oswa yon &Ograve;ganizasyon ki mentni lasante <em>Health Maintenance Organization </em>(HMO).</p> <p><strong>Pwogram Medicaid nan Florida va voye yon l&egrave;t ba w pou f&egrave;-w konnen Ki l&egrave; pou-w chwazi yon plan. </strong>Tanpri tcheke korespondans ou, paske wap gen <strong>30 jou</strong> pou w chwazi yon plan.</p> <p><strong>Ou pa oblije patisipe si w se yon:</strong></p> <ul> <li>Timoun ki nan plasman nan fanmi <em>Foster Care</em>/Timoun ki gen &egrave;d finansy&egrave; pou adopsyon <em>Adoption Subsidy Child</em> (ka enskri si yo vle)</li> <li>Moun ki gen andikap nan devl&ograve;pman yo (ka enskri si yo vle)</li> <li>Moun ki gen Medicare ak Medicaid (ka enskri si yo vle)</li> <li>Moun ki rete nan yon enstitisyon, sa vle di menm nan lazil moun malad ak nan sant sikyatri pou timoun ki poko gen 21 an, ki malad ki ent&egrave;ne, ki gen maladi mwen grav kwonik.</li> <li>Enstitisyon pou swen ent&egrave;medy&egrave;/moun ki gen andikap nan devl&ograve;pman <em>yo Intermediate Care Facilities/Developmentally Disabled Individual </em>(ICF-DD)</li> <li>Benefisy&egrave; ki pa gen responsablite pou peye pou s&egrave;vis planin</li> <li>Benefisy&egrave; Medicaid ki gen l&ograve;t asirans ki kapab kredite kouvri li pou maladi</li> <li>Benefisy&egrave; ki gen bezwen medikal</li> <li>Moun ki enskri nan lazil ki bay swen pou moun ki gen maladi enkirab</li> <li>Moun ki kalifye pou Medicaid nan Florida s&egrave;lman paske yo ansent</li> </ul> <a name="when"/> <p><strong>Si w pa fin konnen nan ki popilasyon ou ye ak ki egzijans ki genyen pou w enskri, rele yon Konseye Chwa <em>(Choice Counselor)</em> nan nimewo telef&ograve;n gratis la 1-866-454-3959 oswa nan 1-866-467-4970 pou moun ki itilize telef&ograve;n TDD (pou moun ki soud oswa ki tande di). </strong></p> <hr size="1" noshade="noshade" /> <a name="benefits" id="benefits2"/></a> <h2 class="sectionTitle">Enfòmasyon konsènan benefis yo</h2> <p>Pou jwen n plis enfómasyon <a href="benefits/viewall.html">pou asurans lan alé nan seksyon benefis lan </a> ki sou sit énténet la kap komparé tout diferans ki gin yin nam plan santé yo.</p> <hr size="1" noshade="noshade" /> <h2 class="sectionTitle">Ki l&egrave; w dwe enskri nan Ref&ograve;m Medicaid la?</h2> <p>Si w se yon <strong>nouvo benefisy&egrave; Medicaid</strong> yo egzije pou w enskri nan yon plan asirans maladi ki nan Ref&ograve;m Medicaid la, ou va resevwa yon anvl&ograve;p (<em>tcheke sa a</em>) v&egrave;t ki gen yon pake enskripsyon ak enf&ograve;masyon sou plan asirans maladi ki nan Ref&ograve;m lan nan z&ograve;n kote w rete a (oswa ale nan <a href="pickplan.html" class="stepone">premye etap</a> nan sit web sa a pou w ka w&egrave; plan yo). Ou va gen 30 jou pou w chwazi yon plan asirans maladi ki nan Ref&ograve;m lan oswa &quot;Opt-out&quot; (chwazi pou soti) epi enskri nan yon plan asirans maladi nan konpayi kote wap travay la. Leta va chwazi yon plan asirans maladi ki nan Ref&ograve;m lan si w pa chwazi yon plan asirans maladi anvan 30 jou pase.</p> <p>Si w se yon <strong>benefisy&egrave; Medicaid koulyeya epi w nan yon gwoup benefisy&egrave; ki egzijibleman pase nan Ref&ograve;m Medicaid la, ou va resevwa yon anvl&ograve;p</strong> (tcheke sa a) v&egrave;t pa lap&ograve;s ki gen yon pake enskripsyon ladan ak enf&ograve;masyon sou plan asirans maladi ki nan Ref&ograve;m lan ki nan z&ograve;n kote w rete a (oswa ale nan <a href="pickplan.html" class="stepone">premye etap</a> nan sit w&egrave;b sa a pou w ka w&egrave; plan asirans maladi yo). Ou dwe chanje pou yon plan asirans maladi ki nan Ref&ograve;m lan anvan 30 jou pase sou dat ou resevwa l&egrave;t notifikasyon ki vini nan anvl&ograve;p v&egrave;t la (tcheke sa a). Si w pa chwazi yon plan asirans maladi oswa &quot;Opt out - pou w s&ograve;ti&quot; (chwazi pou soti), Leta va chwazi yon plan pou ou.</p> <p>Yon fwa w enskri nan yon plan asirans maladi ki nan Ref&ograve;m lan, ou va gen 90 jou pou w chanje plan pou nenp&ograve;t rezon. Apre 90 jou pery&ograve;d es&egrave; a, ou va bloke nan plan an <a href="glossary.html#lockin">Blokai</a> (locked-in) pou r&egrave;s pery&ograve;d 12 mwa a, epi ou pa ka f&egrave; l&ograve;t chanjman anplis ank&ograve; pou jis pwoche pery&ograve;d enskripsyon an eksepte pou <a href="glossary.html#cause">K&ograve;z</a> (Cause).</p> <p class="redText">Si w pa f&egrave; yon chwa epi si w pa enskri anvan 30 jou pase, leta va chwazi yon plan pou ou, dapre rezon sa yo:</p> <ul> <li>Si koulyeya ou nan yon &ograve;ganizasyon ki kontwole swen (<em>managed care organization</em>) ki ofri yon plan ki nan ref&ograve;m lan pou lemoman yo va mete-w nan plan asirans maladi ki nan Ref&ograve;m lan ki pi apwopriye &ograve;ganizasyon sa-a ofri-a.<br /> <br /> </li> <li>Si koulyeya ou nan yon &lsquo;&ograve;ganizasyon ki kontwole swen <em>managed care organization</em> ki pa ofri yon plan ki nan Ref&ograve;m lan, oswa si w nan MediPass yo va mete w nan yon plan asirans maladi ki nan Ref&ograve;m lan dapre kondisyon ki genyen pou mete moun nan plan ki f&egrave;t pou satisf&egrave; bezwen ou yo.</li> </ul> <p align="center"><strong>CHWAZI PLAN KI PI BON POU OUMENM AK FANMI W LAN EPI ENSKRI</strong></p> <p><a href="pickplan.html" class="stepone">Pou k&ograve;manse, ale nan chwazi plan ou lan (Premye etap)</a><br /> </p> <div id="helplineinfo" class="boxed bold">Pou w jwenn èd, rele nimewo telefòn gratis kote yo bay èd la: 1-866-454-3959; telefòn TDD (pou moun ki soud oswa ki tande di) 1-866-467-4970. Si w bezwen enfòmasyon Medicaid la an gwo lèt, sou teip pou tande oswa an Braille, rele nimewo telefòn kote yo bay èd la. </div> <p align="center"><a href="../index.html">Byenveni!</a> | <a href="generalInfo-2.html">Enf&ograve;masyon Jeneral</a> | <a href="pickplan.html">Chwazi plan-w : Etap 1</a> | <a href="enroll.html">Enskri: Etap 2</a> | <br /><a href="faq.html">Kesyon yo poze souvan</a> | <a href="links.html">Lyen ak Resous</a> | <a href="glossary.html">Vokabilè sit la</a></p> </div> </div> <div id="footer"><span class="forReader">Sponsored by Florida's Agency for Health Care Administration</span></div> </div> </body> <!-- Mirrored from www.flmedicaidreform.com/creole/generalinfo.html by HTTrack Website Copier/3.x [XR&CO'2010], Fri, 28 May 2010 19:08:02 GMT --> </html>