Foomamka
Hoos waxaa ku taxan dhammaan foomamka loo baahan yahay si aad isu diiwaan geliso ama aad u cusboonaysiiso dheefahaaga Carewell. Foomamka waxaa lagu habeeyaa dheef ama qayb ahaan.
Dooro dheef ama qayb si aad u aragto foomamka
Ilkaha
Aragga + Maqalka
Barnaamijka Caawimaadda Shaqaalaha
Kaalmada Kharashka Daryeelka Caafimaadka
Wakhtiga Fasaxa Lacagta leh
Muhiim - Xogtaada mar kasta ha ahaato midi ugu danbeysay
Si aad xaq ugu yeelato dheefaha Carewell, Carewell SEIU 503 waa inay fayl ku hayso magacaaga, jinsigaaga, Lambarkaaga Soshiyaal Sekuyuritiga, taariikhdaada dhalashada iyo ciwaankaaga guri ee haddadan. Waa inaad sidoo kale xaqiijiso in macluumaadkaaga gobalka uu hayo uu yahay kii ugu danbeeyay. Ogoow: Soo gudbinta macluumaadkan wuxuu awood u siin doonaa Carewell SEIU 503 inay kaa diiwaangeliso dheefaha Ilkaha, Aragga + Maqalka, iyo Barnaamijka Caawimaadda Shaqaalaha ee Carewell SEIU 503 haddii aad xaq u ledahay.
- Cusbooneysii macluumaadkaaga adigoo isticmaalaya badhanka hoose.
- Raac tilmaamaha hoose si aad u cusbooneysiiso macluumaadkaaga shakhsiyeed ee Gobolka iyadoo ku xiran nooca shaqaale ee aad tahay.
Shaqaalaha Daryeelka Guriga (HCW)
Cusbooneysii cinwaankaaga xafiiska goobta APD/AAA ee deegaanka. Iskuduwaha/karraaniga HCW ee deegaanka ayaa ah qofka ku haboon in lala xidhiidho.
Shaqaalaha Taageerada Shaqsiyeed ee ODDS
Buuxi Foomkan Beddelida Macluumaadka (PDF) si aad u hubiso in DHS ay ku hayso macluumaadkaaga hadda jira faylka.
Shaqaalaha Taageerada Shaqsiyeed ee OHA
Buuxi Foomkan Cusboonaysiinta Macluumaadka Bixiyaha (PDF) si aad u hubiyo in OHA ay ku hayso macluumaadkaaga hadda jira faylka. Ku buuxi dhammaan qaybaha foomka marka laga reebo kuwan:
- “Complete this section for an organization, group or agency (U buuxi qaybtan urur, koox ama wakaalad)”
- “Taxonomy code changes (Koodhka Taxonomy wuu isbedelaa)”
Ilkaha
Foomka Ka dhaafitaanka Dheefaha
Isticmaal foomkan si aad u xaqiijiso in lagu siiyay caymiska Ilkaha, Aragga iyo Maqalka, iyo Barnaamijka Caawimaadda Shaqaalaha (EAP) ee Carewell SEIU 503 oo aad diidan tahay caymiskan.
Foomka Racfaanka ee Xaq U Yeelashada iyo Lacag-celinta
Isticmaal foomkan ama haddii kale buuxi goobta sharaxaysa sababta aad u codsanayso racfaan ama soo geli warqad sharraxaad ah. Racfaanada magdhawga waa inay weheliyaan dukumiintiyada taageeraya sida Dukumiintiga Sharaxaadaha Dheefaha (EOB) ama caddaynta lacag bixinta.
Aragga + Maqalka
Foomka Sheegashada Lacag Celinta Aragga Ameritas (kaliya LASIK)
Foomka Sheegashada Lacag Celinta Maqalka ee Ameritas
Foomka Ka dhaafitaanka Dheefaha
Isticmaal foomkan si aad u xaqiijiso in lagu siiyay caymiska Ilkaha, Aragga iyo Maqalka, iyo Barnaamijka Caawimaadda Shaqaalaha (EAP) ee Carewell SEIU 503 oo aad diidan tahay caymiskan.
Foomka Racfaanka ee Xaq U Yeelashada iyo Lacag-celinta
Isticmaal foomkan ama haddii kale buuxi goobta sharaxaysa sababta aad u codsanayso racfaan ama soo geli warqad sharraxaad ah. Racfaanada magdhawga waa inay weheliyaan dukumiintiyada taageeraya sida Dukumiintiga Sharaxaadaha Dheefaha (EOB) ama caddaynta lacag bixinta.
Foomka Lacag-celinta Xubinta VSP
Sheegashada magdhawyada waxaa onleen ahaan looga aqbalaa bogga VSP ee barta vsp.com. Waxaad u baahan doontaa inaad akoon ka samaysato marka hore. Wixii su’aalo ah, fadlan kala xiriir VSP lambarka 1-800-877-7195.
Barnaamijka Caawimaadda Shaqaalaha
Foomka Ka dhaafitaanka Dheefaha
Isticmaal foomkan si aad u xaqiijiso in lagu siiyay caymiska Ilkaha, Aragga iyo Maqalka, iyo Barnaamijka Caawimaadda Shaqaalaha (EAP) ee Carewell SEIU 503 oo aad diidan tahay caymiskan.
Foomka Racfaanka ee Xaq U Yeelashada iyo Lacag-celinta
Isticmaal foomkan ama haddii kale buuxi goobta sharaxaysa sababta aad u codsanayso racfaan ama soo geli warqad sharraxaad ah. Racfaanada magdhawga waa inay weheliyaan dukumiintiyada taageeraya sida Dukumiintiga Sharaxaadaha Dheefaha (EOB) ama caddaynta lacag bixinta.
Kaalmada Kharashka Daryeelka Caafimaadka
Wixii ah Qorshayaasha La ansixiyay
2025 Warqadaha Sannadlaha ah
Buuxinta warqadaha sanadlaha ah waxay xaqiijinaysaa inaad fahamtay oo aad oggoshahay sharciyada barnaamijka sida ay dhigayaan shuruucda Hay’adda. Foomamkani waxay sidoo kale kooxda Dheefaha Carewell SEIU 503 ogolaansho u siinayaan inay kaa caawiyaan diiwaangelinta iyo ilaalinta caymiskaaga daryeelka caafimaadka. Warqadani ma ahan codsiga caymis caafimaad.
Oggolaanshaha HIPAA
Ogaysiiskan wuxuu kuu sheegayaa sida Carewell SEIU 503 ay u isticmaali karto oo u wadaagi karti macluumaadkaaga caafimaadka. Waxaa sidoo kale ku jira macluumaad ku saabsan xuquuqahaaga asturnaanta caafimaadka.
Bayaanka Is Af-Garashada
Ogaysiiskan waxaa loogu talagalay in daryeel bixiyeyaasha ay ku qiraan mas’uuliyadahooda ku aadan helitaanka dheefaha Carewell SEIU 503.
Oggolaanshaha Siideynta Foomka Macluumaadka
Buuxi tan haddii aad u baahan tahay inaad u ogolaato xubin qoyskaaga ka tirsan ama saaxiib aad aaminsan tahay inuu su’aalo kuu weeydiiyo, balamo qabto ama xaqiijiyo macluumaad isaga oo adiga ku matalayo.
Foomka Wakiilka Diiwaanka ee Valley Insurance Professionals (VIP)
Buuxi foomkan si aad ugu magacaawdo VIP inay noqoto wakiilkaaga diiwaanka oo ay kuu matasho oo ay kaaga caawiso inaad marayso qaynuunkaaga caymiska.
Foomka Codsashada Dheefaha Kaalmada Kharashka Daryeelka Caafimaadka
Buuxi foomkan si aad u codsato dheefaha Kaalmada Kharashka Daryeelka Caafimaadka. Waa inaad soo raaciso Ogaysiiskaaga Xaq U Yeelashada Goob-suuqeedka iyo nuqulka biilkaaga khidmada caymiska ee bil’laha ah ama bogga Qorshayaashayda Caymiska iyo Barnaamijyadeyda ee akoonkaaga healthcare.gov si aad xaq ugu yeelato dheefta. Haddii aad iska diiwaangelisay qorshaha ceymis ee la oggolyahay ee laga helo Valley Insurance Professionals, uma baahnid inaad soo gudbiso foomkan.
Foomka Lacag Wareejinta Elektrooniga ah
Isku diiwaangeli si aad ugu hesho magdhawyada khidmadaada caymsika ee bil’laha ah lacag wareejinta elektrooniga ah. Kani waa habka ugu degdegga badan uguna ammaan badan ee aad ku heli karto lacagtaada. Waa inaa soo raaciso nuqulka jeeg maran ee erayga ‘void’ ku qoran tahay, warqada bangiga, ama bayaanada bangiga.
Foomka Sheegashada Magdhawga Khidmada Caymiska Bil’laha ah ee Caafimaadka
U isticmaal foomkan magdhawga khidmadaha caymiska ee bil’laha ah haddii ay xubnaha qoyska kaala diiwaangashan yihiin qorshaha caymiskaaga iyo/ama haddii aad xaq u leedahay inaad hesho magdhawga khidmadaha ceymiska ee bil’laha ah ee celceliska ah (APR) ee ku meelgaarka ah ee loogu talagalay qorshaha aan la ansixinin. Waa in lala soo gudbiyo caddaynta dabarida caymiska gaarka ah.
Foomka Codsashada Magdhawga Ameriflex
Isticmaal foomkan si aad u sheegato magdhawga marka aad jaabkaaga ka bixiso kharash xaq leh baddelki aad isticmaali lahayd Kaarka Dukaameysiga ee Dheefta (BBC). Waxaad sidoo kal isticmaali kartaa foomkan haddii aad u baahan tahay inaad sheegato magdhawga khidmada caymiska bil’laha ah ee saafiga ah ee ceymiska gaarka ah ee la aqoonsan yahay ee laga soo gato Goob-Suuqeedka Caymiska. Fadlan raac tilmaamaha la socda foomka onleenka ah.
Foomka Sixitaanka ee Canshuur Dhimista Khidmada Caymiska ee Hormariska ah
Isticmaal foomkan haddii dakhligaaga uu ka duwan yahay midka aad ugu soo gudbisay IRS codsigaaga Goob-suuqeedka caymiska. Foomkan waxaa loo adeegsan doonaa inuu naga caawiyo inaan go’aamino haddii aan kaa caawin karno inaad bixiso lacagta aadan wali bixinin ama haddii aad heshay lacag bixinta siyaadada ah canshuur dhimista. Waa inaad la soo gudbiso dukumentiyada canshuurta ee taageeraya.
Foomka Racfaanka ee Xaq U Yeelashada iyo Lacag-celinta
Isticmaal foomkan ama haddii kale buuxi goobta sharaxaysa sababta aad u codsanayso racfaan ama soo geli warqad sharraxaad ah. Racfaanada magdhawga waa inay weheliyaan dukumiintiyada taageeraya sida Dukumiintiga Sharaxaadaha Dheefaha (EOB) ama caddaynta lacag bixinta.
Foomka Rafcaanka ee Ogysiiska Lacag Bixinta Siyaadada ah
Isticmaal foomkaan si aad rafcaanka Ogysiiska Lacag Bixinta Siyaadada ah uga qaadato Carewell SEIU 503.
Kaalmada Kharashka Daryeelka Caafimaadka
Wixii ah Medicare
Foomka Codsashada Dheefaha Kaalmada Kharashka Daryeelka Caafimaadka ee Medicare
U istticmaal foomkan si aad ugu soo gudbiso dukumeentiyada loo baahan yahay si aad u codsato in dib laguugu soo celiyo qayb ka mid ah khidmadaha caymiska sida billaha ah loo bixiyo ee Medicare oona loogu helo deeqo lacag kharashaadka caafimaadka ee uu qofka jeebkiisa ka bixiyo.
Foomka Codsashada Magdhawga Ameriflex
Isticmaal foomkan si aad u sheegato magdhawga marka aad jaabkaaga ka bixiso kharash xaq leh baddelki aad isticmaali lahayd Kaarka Dukaameysiga ee Dheefta (BBC). Waxaad sidoo kal isticmaali kartaa foomkan haddii aad u baahan tahay inaad sheegato magdhawga khidmada caymiska bil’laha ah ee saafiga ah ee ceymiska gaarka ah ee la aqoonsan yahay ee laga soo gato Goob-Suuqeedka Caymiska. Fadlan raac tilmaamaha la socda foomka onleenka ah.
Warqaddaha Medicare ee Valley Insurance Professionals (VIP)
Foomamkani waxay siinayaan Valley Insurance Professionals ogolaansho sharci ah si ay kaaga saacideeyaan cilmi-baaris ku samaynta, diiwaangelinta iyo ilaalinta caymiskaaga Qorshahaaga caymiska ee Medicare Supplement, Advantage, ama Part D.
Oggolaanshaha Siideynta Foomka Macluumaadka
Buuxi tan haddii aad u baahan tahay inaad u ogolaato xubin qoyskaaga ka tirsan ama saaxiib aad aaminsan tahay inuu su’aalo kuu weeydiiyo, balamo qabto ama xaqiijiyo macluumaad isaga oo adiga ku matalayo.
Foomka Lacag Wareejinta Elektrooniga ah
Isku diiwaangeli si aad ugu hesho magdhawyada khidmadaada caymsika ee bil’laha ah lacag wareejinta elektrooniga ah. Kani waa habka ugu degdegga badan uguna ammaan badan ee aad ku heli karto lacagtaada. Waa inaa soo raaciso nuqulka jeeg maran ee erayga ‘void’ ku qoran tahay, warqada bangiga, ama bayaanada bangiga.
Foomka Racfaanka ee Xaq U Yeelashada iyo Lacag-celinta
Isticmaal foomkan ama haddii kale buuxi goobta sharaxaysa sababta aad u codsanayso racfaan ama soo geli warqad sharraxaad ah. Racfaanada magdhawga waa inay weheliyaan dukumiintiyada taageeraya sida Dukumiintiga Sharaxaadaha Dheefaha (EOB) ama caddaynta lacag bixinta.
Foomka Rafcaanka ee Ogysiiska Lacag Bixinta Siyaadada ah
Isticmaal foomkaan si aad rafcaanka Ogysiiska Lacag Bixinta Siyaadada ah uga qaadato Carewell SEIU 503.
Wakhtiga Fasaxa Lacagta leh
Xirmada Codsiga Dheefaha PTO
Haddii aad haysato 8 saacadood ama ka badan oo kuu uruuray, isticmaal foomkan si aad u codsato bixinta lacagaha dheefahaaga PTO.
Foomka W-9
Si aad xaq ugu yeelato dheefaha PTO, waa inaad inoo soo dirto Form W-9 (Foomka W-9) oo buuxa oo saxiixan, haddii aadan horay u soo dirin. Fadlan ogoow: Dheefta PTO waa dakhli la canshuuri karo.
Foomka Lacag Wareejinta Elektrooniga ah
Isku diiwaangeli si aad ugu hesho magdhawyadaada iyo dheefahaaga PTO lacag wareejinta elektrooniga ah. Kani waa habka ugu degdegga badan uguna ammaan badan ee aad ku heli karto lacagtaada. Waa inaa soo raaciso nuqulka jeeg maran ee erayga ‘void’ ku qoran tahay, warqada bangiga, ama bayaanada bangiga.
Foomka Magacaabista Ka-faa’iidaystaha
Buuxi foomkan haddii aad jeclaan lahayd inaad magacaawdo qof la siiyo dheefahaaga PTO ee aadan qaadanin haddii ay dhacdo inaad geeriyooto.
Foomka Rafcaanka ee Ogysiiska Lacag Bixinta Siyaadada ah
Isticmaal foomkaan si aad rafcaanka Ogysiiska Lacag Bixinta Siyaadada ah uga qaadato Carewell SEIU 503.