Wararka iyo Sheekooyinka

Waxaan rabnaa in aan ku ogeysiinno qaar ka mid ah isbeddelada muhiimka ah ee daryeelkaaga caafimaadka ee CareOregon. isbeddeladani waxay ku saabsan yihiin dhakhaatiirta ama terabistayaasha aad aragto markaad rabto daryeel caafimaad oo habdhaqan. Taas macnaheedu waa caawimada caafimaadka maskaxda ama daroogada iyo khamriga labadaba.

Haddii dhakhtarkaaga ama terabistuhu uusan ka mid ahayn shabakadeena, ma awoodi doonaan inay biil u diraan CareOregon mar danba.

Maxaa is beddelaya?

• Haddii aad leedahay CareOregon/Health Share of Oregon (Medicaid): Laga bilaabo Oktoobar 1, 2025, CareOregon waxay bixin doontaa kharashka keliya dhakhaatiirta iyo terabistayaasha ka midka ah shabakadda CareOregon.
• Haddii aad leedahay CareOregon Advantage (Medicare): CareOregon waxay sii wadi doontaa bixinta kharashka adeegyada bixiyeyaasha kuwaas oo aan ku jirin shabakadeena ilaa Diisambar 31, 2025. Adeegyadani waa inay raacaan xeerarka ku qoran ku qoran Caddayntaada Daboolida Caymiska.
  • Xubnaha CareOregon Advantage (HMO-POS D-SNP) waxay leeyihiin dheefo dheeraad ah oo ay heli karaan. CareOregon Advantage waxay leedahay ikhtiyaarka Barta Adeegga (POS) oo u oggolaanaya xubnaha inay daryeel ka helaan bixiyeyaasha shabakadda ka baxsan oo ay ku jiraan adeegyada caafimaadka maskaxda, ilaa ay ka gaaraan dheefta ugu badan ee $1,000 ee bixiyayaasha shabakadda ka baxsan marka la eego 2025.

Waa maxay sababta CareOregon u samaynayso isbeddelkan? 

Hadafkayagu waa inaan idinku xiriirino bixiyeyaasha caafimaadka habdhaqanka ee aqoonta leh ee la aqoonsan yahay. Waxaan rabnaa inaan abuurno shabakad aad ka heli karto daryeel tayo sare leh oo wax ku ool ah. Isbeddelkan wuxuu taageerayaa hawlgalkeena ah in aan idin siino adeegyo caafimaad oo wax ku ool ah.

Maxay tahay inaan sameeyo ka hor wakhtiga kama-dambaysta?

Iska hubi si aad u ogaato haddii dhakhtarkaaga ama terabistahaagu uu ku jiro shabakadda CareOregon. Haddii aysan ku jirin, weydii inay kaa caawin karaan helitaanka mid cusub oo shabakadda ku jira. Haddii dhakhtarkaaga ama terabistahaagu uusan awoodin, waan ku caawin karnaa. Fiiri Diiwaankeena Bixiyaha si aad u aragto cidda aqbalaysa xubnaha cusub.

• Medicaid:
  • CareOregon/Health Share of Oregon: https://providers.healthshareoregon.org/
  • Jackson Care Connect: https://jacksoncareconnect.org/members/find-a-provider
  • Columbia Pacific: https://colpachealth.org/members/find-a-provider
• Medicare:
  • CareOregon Advantage: https://careoregonadvantage.org/members/find-a-provider

Haddii aadan heli karin bixiye ama aad qabto su'aalo, wac Adeegga Macmiilka.

• Medicaid:
  • CareOregon/Health Share of Oregon: 503-416-4100 ama 800-224-4840 (TTY 711)
  • Jackson Care Connect CCO: 541-500-0567 ama 855-722-8208
  • Columbia Pacific CCO: 503-488-2822 ama 855-722-8206
• Medicare:
  • CareOregon Advantage: 503-416-4279 ama 888-712-3258 (TTY 711)

Waxaan ognahay inay tani adkaan karto, waxaanan u joognaa inaan caawino. Haddii aad ka xumaatay isbeddelkan ama wax kale, waxaad gudbin kartaa cabasho. Tan waxaa la yiraahdaa ashkato. Wac Adeegga Macmiilka ee CareOregon 800-224-4840 (TTY 711).

Ma raadinaysaa macluumaad ku saabsan isbeddeladan ku yimid Baahiyaha Bulshada ee la Xidhiidha Caafimaadka? Booqo Caawimaadda baahida bulshada