Txog Kev No Qab Haus Huv

Transcription

1 Txog Kev No Qab Haus Huv Phau Ntawv Pab Koj Noj Qab Nyob Zoo Hmong Thaum twg kuv yuav tsum mus ntsib kws khomob? Ua li cas kuv thiaj tau kev pab khomob yam zoo? Dab tsi kuv yuav tsum paub txog kev them nqi khomob? Tej yam kev fajseeb khomob lo lus uas kuv yuav tsum paub? Yuav ua li cas kuv thiaj paub txog kuv cov tshuaj? Nyiaj txiag los yog chaw pab

2 Vim li cas thiaj muaj phau ntawv no? Hais tawm tias txoj kev tsis sib txig, tsis sib luag muaj 52,587 tus tibneeg Esxias (Asian) nyob hauv xeev Iowa (American Community Survey (ACS), 2010). Muaj ib thaj chaw muaj pov thawj tseeb hais tias txojkev khomob ua tsis ncaj ncees nrov ncha tawm. Raws li hais, cov neeg laus thiab cov neeg tuaj tshiab txawv teb chaws, txawv ntsej muag muaj teeb meem hais txog kev khomob, tej ntaub ntawv thiab ua haujlwm. Muaj ib pluab npaug tshaj rau cov Esxias nyob hauv Iowa muaj kev vam meej zoo thiab kev kawm ntawv los zoo tsim nyob kawg, tab sis khia xaws (cancer) siab heev raug cov tibneeg Esxias tuag muaj li 10%, 10 feem pua (Vital Statistics of Iowa, 2001). Teeb meem kev khomob, hais txog kev noj qab haus huv tsis tau cais lwm tus tawm sab nraud. Piv xam hais tias ib yig neeg hom nrab tag nws tswv neeg tau nyiaj yog $53,431, thiab xws li twb tau $5,000 ntau dua li luag kom cia hauv xeev Iowa lawm (ACS, 2008). Tiam sis, kev txom nyem tsis muaj nyiaj tsis muaj txiaj ntawm cov Esxias yog 14.2% (14% feem pua), nws yog li 3% (3 feem pua) tshaj nyob xeev Iowa kev kom tseg. Kev soj ntsuam ntawm no qhia tau tias muaj nuj nqis txawv cov uas ua haujlwm zoo, thiab cov uas muaj peev xwm dua, cov Esxias uas txawj ntse thiab tus uas tau nyiaj txiag txawg, vim yog txoj kev kawm ntawv ntawm tsoom neeg Exsias nyob hauv Iowa tsis sib thooj. Nyob rau hauv qab lub hom phiaj no, Txhawj ntshai los yog pheej hmoo nyob nauv xeev Iowa: kev noj qab haus huv tsis sib txig sib luag nyob hauv tsoom tib neeg Exsias IOWA, qhov tseem ceeb tej pab pawg tau sib tham nyob hauv lub nroog Des Moines txij li xyoo 2010 los txog 2012 hais txog cov tib neeg Esxias uas nyias muaj nyias kev lis kev cai txawv. Muaj raws li nram no: Khab Meem, ib pab neeg phaj mab, Nplog, Tais Daas, thiab Nyab Laj. Mus raws li tau paub los ntawm cov pawg neeg no, phau ntawv no tau pom qee yam rov tawm tuaj sib thiab muaj kev txhawj txog tsoom neeg nrog koom tes uake nyob hauv. Lub tswv im ua maj ceev no tsis tau yog sawv cev ntawm qhov chaw los yog txoj cai hauv lub tsev kawm ntawv University of Iowa qhov chaw ua haujlwm kev ncaj ncees rau tibneeg. Cov ncauj kev no yog npaj los pab kev kawm thiab kev xav paub lwm yam lub homphiaj xwb. Cov ntawb ntawv no tsis yog npaj los hloov txoj kev khomob lub tswvyig. Tsis txhob siv cov ntaub ntawv no mus tshawb nrhiav los khomob los yog kho kab mob, uas koj tsis tau kev tso cai los yog kev pom zoo los ntawm kws khomob. Phau ntawv no pab kom koj nrhiav tau websites los pab koj tshawb tau kev khomob tej ntaub ntawv thiab kev pab xwb. Lub tsev kawm ntawv University of Iowa thiab Iowa lub tsev ua haujlwm kev ncaj ncees pab tigneeg, lawv tsis tas pom zoo thiab yuam qhi kom cov koom haum npaj muaj website los yog tej ntaub ntawv uas lawv yuav qhia ntawd. Txiaj ntsim thiab kev lees paub txog Kev muab cov ntawv no los kho tiav ua tau ib phau yog los ntawm Lisa Scott nyob hauv qab kev tswj los ntawm Sonia Ryang, tus kws qhia ntawv hais txog tib neeg kev noj kev nyob, nyob rau lub tsev kawm ntawv University of Iowa, thiab los ntawm Henny Ohr, yog ib tug saib xyuas tswj txoj cai rau lub chaw ua hawjlwm saib cov tibneeg Esxias thiab cov Pacific Islander Affairs. Nyob rau ntawm Iowa lub tsev saib kev ncaj ncees pub tibneeg thov ua tsaug rau lub tsev kawm ntawv University of Iowa tus lwm thawj lub cha ua haujlwm tshawb fawb los ua qho peev, Ib qho pheej hmo nyob hauv Iowa: Txoj kev noj qab haus huv uas tsis sib txig sib luag nyob hauv cov neeg Esxias Iowans muaj txoj cai ib txwm coj los, nws yog ib feem ntawm kev tshawb fawb ua peev tes haujlwm. Yog tsis muaj tes haujlwm no ua, yuav tsis muaj phau ntawv tshum sim tuaj tau. Sonia Ryang Professor of Anthropology and International Studies C. Maxwell and Elizabeth M. Stanley Family and Korea Foundation Chair of Korean Studies University of Iowa Henny Ohr Executive Officer Office of Asian and Pacific Islander Affairs Iowa Department of Human Rights Ua tsuag rau cov pab tsim thiab lees paub li nram no: Cov tuav haujlwm thiab cov nrog koom tes los ua ib pab tawm tswv yim kho Cov pab txais lus: Mone Aye (Karen), Cawi Tling (Burmese), Christine Her & Neng Xiong (Hmong), Hoang Tran (Vietnamese), Phensy Pane (Lao), Nara Chea (Khmer). Txhua tus thiab txhua lub koomhaum cov uas tau pab tswv yim txhim kho tau phau ntawv no tiav yog: Lorna Hines & Tom Baccam (Primary Health Care), Ana Coppola (Polk County Health Department), Jeff Scott & Deb Meyer (Scott Pharmacy), Shelley Horak (Iowa Department of Public Health), Christine Taylor (Iowa Department of Human Rights), Karen Association of Iowa, Linda Her Thao, Naro Chea, Aung Han, Laury Aye, Mary Siang, Mal Sawm, Beverly Poduska Vietnamese American Community in Iowa (VACI), EMBARC. Tus tsim daim qauv thiab muab teeb kom zoo nkauj yog: Ngan Hoang Tshwj xeeb ua tsaug rau Florida phau ntawv kev sib koom tes uake thiab lawv tej ntaub ntawv uas tau ua tiav lawm, Staying Healthy: An English s Learners Guide to Health Care and Living Healthy, yog ib feem uas rov qab kho dua rau hauv phau ntawv no. 2

3 Thaum twg kuv yuav tsum mus ntsib kws khomob? Thaum twg thiaj yog sijhawm koj mus tshawb xyuas koj kev moj qab nyob zoo. Txhua xyoo koj mus tshawb xyuas koj kev moj qab nyob zoo, yog mus ntsib kws khomob kom puab tseeb hais tias koj tseem nyob zoo, thiab tshawb saib puas muaj tej yam kab mob dabtsi. Mus ntsib koj tus kws khomob txhua xyoo mas tseem ceeb heev vim kws khomob yuav pom tej yam teeb meem uas koj tsis pom thiab tsis hnov mob li. Kev mus tshawb xyuas koj lub cev yog ib qho kws khomob yuav pab tau tej yam kab mob zoo ua ntej uas tsis tau mob loj tuaj. Yog luag xub pom tej kab mob lawm kev kho yuav yooj yim thiab pab cawm tau koj txoj sia. Thaum koj mob lawm. Tej zaum koj mob, koj yuav tsum mus ntsib kws khomob tam sis. Koj yuav tsum hu xov tooj rau koj tus kws khomob teem caij mus ntsib nws. Yog koj tos tsis taus li sijhawm teem tseg, koj cia li mus rau qhov chaw uas kho neeg mob tam sis los sis cia li mus rau hauv tej lub chaw khomob me. Thaum nyob rau qhov thaw pab neeg tam sis lawm. Yog tias koj mob heev, koj yuav tsum mus rau chav tseb khomob tam sis qho chaws khomob tam sis yog pab cov neeg mob heev thiab neeg raug mob loj vim lawv cheem tsum kom kws khomob pab lawv tam sis ntawd. Tej zaum koj yuav tsum hu tus xovtooj 911 kom lub tshev thauj neeg mob coj koj mus tim tsev khomob, los yog koj tsev tibneeg thiab phooj ywg thauj koj mus rau qhov chaw khomob tam sis ntawd. Yog koj cia lub tsheb thaum neeg mob thaum koj ces koj yuav tau them nyiaj yuav tsum mus koj lub chaw pab nyiaj khomob rau koj saib lub tsheb thaum raug nyiaj pes tsawg. Tej yam uas koj yuav tsum tau mus rau chav khomob tam sis: Mob hauv siab heev Tej yam los ntshav tsis tu Thaum tsis meej pem lawm Ua pa tsis taus Txhawm chim, daig caj pas Lov txha Tej yam yuav tsum tau paub thawm mus rau hauv chav khomob tam sis: Tej zaum koj yuav tsum tau to ntev ntev mam tau mus ntsib kws khomob Luag pheej xub ntsib cov neeg mob loj xwb tsis yog xub ntsib raws li cov mob leejtwg xub tuaj. Yog koj paub hais tias koj mob heev tshaj li cov saib neeg mob pom, yuav tsum hais qhia rau lawv paub tias koj qhov mob xav tau kev pab tam sis. Phau ntawv no muaj ntau txoj ncauj kev thiab ntau yam qhia nws yuav pab rau koj totaub zoo thiab muaj ntau lub ncauj kev qhia rau koj paub meej txog lub xeev Iowa txojkev khomob. Kev khomob li cas los xij, nws muaj ntau yam thiab phau ntawv no tsuas sau tej yam hauv paus kev qhia tseem ceeb xwb. Nyob ntawm nplooj ntawv 12 qhov ntawd yog ib cov ntsiab lus qhia nws yuav pab tau koj. Thiab muaj website (yog saib tau hauv internet) thiab xov tooj rau koj tau hu nrhiav kev pab khomob dawb, los yog tau them tus nqi nqis nyob hauv thaj chaw uas koj nyob. Yog hais tias koj xav paub zoo txog koj tus mob koj nug koj tus kws khomob tau. Txhua tus muaj cai hu rau 911 tau yog muaj xwm maj heev lawm: Qhia rau lawv paub txog koj yam xwm los yog hauj lwm ceev heev yog dab tsi. Teb txhua lo lus lawv nug koj. Yog koj tsis totaub zoo cov lus lawv nug, koj hais tias: I speak Hmong. Tuav xov tooj tos twj ywm, tus neeg uas paub hais lus Hmoob mam los nrog koj tham. Nrog tus neeg raug mob los yog tus neeg uas mob heev nyob twj ywm tas kom lub tsheb thauj mob tuaj txog tso. EMERGENCY 911 Tus tsav tsheb thauj neeg mob ntawd txiav txim siab saib xa mus rau lub tsev khomob twg. Tsis pub ib tug neeg twg nrog caij hauv lub tsheb thauj neeg mob ntawd. Koj mam li nrhiav kev mus rau tim tsev khomob ntawm koj tus kheej. 3

4 Ua li cas kuv thiaj tau kev pab khomob yam zoo? Nws paub ua rau koj qhov yog thiab tshwm sim yam zoo ces yog koj tau qhov kev khomob zoo. Yuav tsum totaub tias nws pab koj zoo thiab muaj kev tab ncuab koj tiag. Nrhiav ib tug neeg txhais lus rau koj Koj muaj feem uas Yuav tsum nrhiav tus txhais lus Kho rau qhov ncaj ncees thiab muaj kev fwm Nws yuav tsum teb tau koj lus nug Yuav tsum yog kev kho tsis muaj teeb meem thiab zoo Qhia koj rau qhov tseeb Nug saib kev kho koj tej mob zoo li cas lawm Koj txaus siab hlo los yog koj thim tau tsis kam kho li ntawd Muaj cai nrhiav tus kws khomobb tshiab Koj thuam los yog tsis txaus rau qhov nws kho tau Muaj koj tej kev khomob yam tsis pub lwm tus paub thiab zais Khaws tej ntaub ntawv khomob cia ua pov thawj Lawv puas qhia txeg cov ntaub ntawv nqi khomob rau koj Koj yuav tsum ua tej ntawd Tej zaum koj mob, koj yuav tsum mus ntsib kws khomob tam sis. Koj yuav tsum paub kojlub chaw fajseeb khomob txaus siab los yog tsis txaus siab them rau cov sij hawm teem ntsib kws khomob Qhia kws khomob paub saib koj zoo li cas lawm Qhia rau koj tus kws khomob kom tas tas koj tej teebmeem thiab yog tseeb tiag Yuav tsum nug kom to taub txoj teg teeb meem thiab paub meej qhov yuav kho ntawd Yog koj tsis to taub zoo txog cov lus hauv ntaub ntawv, cov neeg ua hawj lwm hais log yog tus kws khomob hais, yuav tsum nug kom to taub meej meej Ua kom raws li lub homphiaj uas yuav khomob ntawd (saib koj tau ua thiab zoo rua koj dua) Nrhiav kev pab qhov koj totaub thiab them tej nuj nqis Tseem ceeb uas koj yuav tsum muaj ib tug txhais lus ua hauj lwm zoo thiaj li ua rau koj kaj siab lug. Yog hais tias tus uas xub txhais rau koj ntawd hais lus koj tsis totaub zoo, koj yuav tsum hais rau tus neeg khomob ntawd nrhiav dua tus tshiab. Thaum tug uas koj teem caij mus ntsib kws khomob lawm koj yuav tsum qhia rau lawv hais tias koj xav tau is tug neeg txhais lus. Yog lawv teb hais tias lawv tsis muaj ib tug li, koj nug saib yog vim li cas. Yog koj muaj nom tswv ntawv khomob, koj qhia rau tus kws khomob paub hais tias, koj qhov chaw pab khomob mam li them nyiaj rau tus txhais lus ntawd. Ntawm no yog tseem fwv txoj cai qee zaus luag tso rau lub chaw khomob nrhiav tus neeg pab txhais lus ntawd (Title VI of the Civil Rights Act). Yog hais tias koj paub zoo lawm, luag saib tsis taus yus yog ua cais pab cais pawg xwb, koj mus ntsib tau rau lub chaw ua hauj lwm loj uas tseem fwv cov neeg ua xyuav sab kev ncaj ncees rau tibneeg. Koj saib tau hauv website ntawd kom paub ntau yam qhia txog los yog hu tus xov tooj (816)

5 Koj yuav tsum npaj kom zoo ua ntej mus ntsib kws khomob. Yuav tsum tuaj npaj sib tham ua tej ntaub ntawv hais txog koj tus mob kom tiav thiab qhia txog keeb kwm keb noj qab haus huv ntawm koj tsev neeg dhau los lawm. Ntawm no yog hais txog: tej yam yus nyiam ua, kev noj qab nyob zoo tamsis no thiab yav dhau los mus lawm, mus pw tsev khomob, mus phais mob, siv tshuaj dabtsi, thiab saib puas muaj tej yam tshuaj noj tsis haum yus. Tseem ceeb heev uas yuav tsum paub txog yus tsev neeg kev noj qab haus huv zoo li cas xws li muaj qee yam teem meem ib tiam ua dhau rau ib tiam los yog muaj kev sib kis tau. Tsim nyob koj yuav tsum nqa ib daim ntawv teev cov teeb meem ntawd nrog koj. (Saib nplooj ntawv 9 thiab 10). Koj yuav tsum nco ntsoov nqa koj cov ntaub ntawv khomob, daim pib uas muaj koj duab thiab npe coj mus rau kws khomob thaum koj mus ntsib nws. Qhov zoo tshaj koj yuav tsum nqa daim pib ntawd nrog nraim koj txhua sijhawm. Txawm yog khomob dawb thiab tej chaw khomob me los lawv yeej yuav nug txog koj tej ntaub ntawv uas hais los saum no. Ntawm no yog txojkev koj yuav tsum ua raws li keeb kwm dhau los lawm, tseem ceeb heev yog koj qhia qhov tseeb thiab yog tiag lawm kev khomob yuav tsis muaj teeb meem. Dab tsi kuv yuav tsum paub txog kev them nqi khomob? Paub txog tias koj tsim nyog tau kev pab khomob li sawv daws thiab. Hom kev khomob pab kev noj qab haus huv yeej yog ib hom kev faj seeb khomob luag tsuas pab them me ntsis ntawm cov nqi khomob xwb. Feeb coob tibneeg lawv yeej muaj lawv cov chaw faj seeb los ntawm tus tswv hauj lwm los yog lawv yuav lawv. Yog koj tsis muaj peev xwm yuav taus tej zaum koj yeej tsim nyog tau hom nom tswv pab. Thaum koj xaiv ib yam chawv faj seeb khomob, koj yuav tsum paub saib nws yuav pab tau txij leejtwg los xwb thiab tus nqi nrog tej yam kev pab zoo. Tej zaum, ib cov uas koj yuav pheej yig ua ntej tom qab koj yuav poob nyiaj ntau tshaj them yog hais tias tsis haum koj siab thiab tsis tseem ceeb rau koj tsev neeg. Yuav tsum xaiv hom zoo uas pab tau kom tsev neeg pee yam lus koj yuav tsum nug xws li: npaum li cas kuv thiaj them tau, leejtwg tus nyob hauv koj tsev xav tau kev pab Tsis yog tus twg muaj teebmeem huv si, thiab koj los yog koj tsev neeg puab yuav mus ntsib kws khomob tag li xwb. Muaj kev paub ntau yam txog kev xaiv chaw faj seeb khomob thiaj nrhiav tau qhov zoo. Yuav tsum xav txog cov lus nug saum no koj thiab li nrhiav tau qhov zoo tshaj rau koj thiab koj tsev neeg. Nyob rau lwm sab tes, yog tsim nyog koj tau kev pab ntawm nom tswv sab kev noj ua haus huv khomob, koj yeej tau txais qhov uas luag pab ntawd ntag. Tiamsis, muaj tej zaum yuav nyuaj rau koj ntsib lawv cov kev cai. Feem ntau kev pab txhua yam yuav tsum mus raws li yus tau nyiaj ntau los tsawg, xws li nom tswv kev pab cuam khomob rau cov neeg laus luag saib raws li lub hnub nyoog, yog yuav kev pab cuam los ntawm nom tswv, yuav tsum tshawb xyuas kom meej saib puas tsim nyog tau, luag xav tau thiab paub ntau yam txog yus lub neej, yus tsev neeg tag nrho tau nyiaj pes tsawg, txhua yam khoom muaj nqis xws li (tseb, nyiaj nyob tom tsev khaws nyiaj thiab ntau yam ntsiv, etc ) nrog rau cov tibneeg hauv koj lub tsev tib si. 5

6 Hauv qab no yuav qhia koj txog cov kev pab cuam khomob uas tej zaum YUAV MUS LI CAS THIAB QHIA IOWA CARE Iowa Care Transportation Program Thauj neeg mob mus rau lub tsev khomob University of Iowa Hospitals Hu lub tsheb thauj neeg mob ntawm tus xov tooj no Luag tsuas pab thauj tus neeg mob xwb, nws tsev neeg thiab phooj ywg mus tsis tau Chaw thauj neeg mob yuav tsum hu rau kws khomob los yog chaw khomob thiaj paub npaj Kev pab cuam tes hauj lwm: Kev khomob tsev tes hauj lwm: IowaCare_MedicalHomeExpansionMaps.pdf Public Transit Systems Pib hnub May 2012, IowaCare txoj kev pab khomob pab thauj neeg mus ntsib kws khomob thiab mus muab tshuaj tiamsis yuav tsum them ib duas Yog koj xav paub sijhawm lawv thauj neeg hu rau xov tooj MEDICAID Muaj tus pab thauj koj dawb mus rau qhov uas teem caij tseg ntsib kws khomob Muaj nom tswv kev pab khomob tus lej, hnub, sijhawm, thiab qhov chaw yuav mus ntawd Yuab tsum hu ua ntej Visiting Nurse Services: Hu rau teev ua ntej koj mam mus ntsib Nom tswv kev pab khomob rau tsev neeg thiab cov menyuam hnub nyoog nqis dua 12 xyoos Iowa Medicaid Non-Emergency Transportation Services Hu rau ; 72 teev ua ntej mus ntsib Neeg laus uas muaj nom tswv kev pab khomob MEDICARE (1-800-MEDICARE) Raws li nom tswv Amelikas phau ntawv hais txog kev pab khomob rau cov laus Siv tau online muaj ntau ntau yam lus Muaj qee yam kev khomob pab dawb xwb thiab qee qhov koj yuav tsum them ib hlis ib zaug Tsis pab kho hniav, tsis kho lag ntseg thiab tsis kam pab txiav tsom qhov muag Yog hais tias koj tsis yog pej xeem Amelikas lawm koj hu rau tus xovtooj nrog lawv tham txog kev khomob tej zaum koj yuav tau kev pab los ntawm cov noj nyiaj laus no KEV PAB THIAB HOMPHIAJ MEDICAID Pab cuam kev khomob rau cov neeg tau nyiaj tsawg ib tug los yog ib yig EMERGENCY MEDICAID Luag muaj ciam, pab rau txhua tus khomob maj tam sis MEDICARE Lub teb chaws kev noj qab haus huv khomob rau cov neeg laus muaj hnub nyoog 65 xyoos IOWA CARE Muaj ciam pab rau cov neeg uas lawv tsis tsim nyog tau txoj kev pab los ntawm tseem fwv teb chaws no xwb HEALTH AND WELL KIDS OF IOWA (HAWK-I) Pheej yig los yog pab khomob dawb pub rau cov menyuam xwb IOWA WOMEN, INFANTS, & CHILDREN (WIC) Zaub mov zoo pab cov pojniam thiab menyuam 6

7 tau kev pab dawb los sis tau them tus nqi qis heev. LEEJTWG THIAJ TSIM NYOG TAU? YAM YUS YUAV TSUM PAUB Tsev neeg tau nyiaj tsawg nrog cov menyuam Cov menyuam Cov pojniam xeeb menyuam hauv plab Tus tibneeg tsis yog teb chaws no hais kev pab cuam khomob tam sis ntawd Cov laus, cov tsis pom kev, lossis tej tus tes taw tsis muaj zog uas ntsib kev cai rawv li lawv cov nyiaj txiag khwv tau Cov menyuam muaj hnub nyoog qis dua 12 xyoos thiab cov pojniam xeeb menyuam hauv plab txawm yog muaj nyiaj los tseem tau txais kev pab Tej zaum luag yuav pab them nqi 3 lub hlis ua ntej hnub koj mus thov ntawd Nom tswv kev pab cuam khomob yuav pab kho hniav, qhov muag thiab cov lag ntseg Koj xaiv tau thiab paub tau txojkev pab tshuaj los khomob mus ntev li koj nyiam yog luag tseem pab Yuav tsum yog mus raws li nyiaj txiag khwv tau txoj cais Qhib rau txhua tus tsis hais tus neeg thoj mam tuaj los yog tus tuaj muaj ntaub ntawv tsim nyog lawm Luag pab mus txog 3 hnub them tus nqi uas khomob maj maj tam sis ntawd Yuav tsum tau txais kev pab khomob maj maj tam sis los ntawm nom tswv kev pab cuam khomob maj maj tom qab tshwm sim zoo lawm 65 xyoos thiab laus dua Qis dua 65 xyoos thiab muaj mob ua tsis taus Txhua tus neeg laus, hluas thiab menyuam yog ob lus raum tsis ua hauj lwm lawm Cov neeg muaj hnub nyoog 19 xyoos txog 64 xyoos Cov pojniam tseem xeeb menyuam hauv plab Yuav tsum yog neeg nyob hauv xeev Iowa Hnub nyoog yuav qis dua 19 xyoos rov hauv Tsis muaj kev pab los ntawm chaw faj seeb khomob hlo li Koj yuav tsum yog pej xeem Amelikas los yog ib tug neeg thaj nam uas tsim nyog tau Medicare Part A: pab tag nrho thaum pw rau tsev khomob, tej thaj chaw thiab kev pab cuam hauv tsev Medicare Part B: pab them nqi mus ntsib kws khomob, khomob txhua yam, tsom saib x-ray thiab ntsuam xyuas Medicare Part C: pub mus nrhiav sab kev noj qab haus huv thiab ntawm lwm tus lub chaw faj seeb khomob sab nraud uas luag pab kho li tus A thiab B. Feem ntau yeej pab li tus D thiab Medicare Part D: pab them cov nqi tshuaj uas kws tshuaj muab ntawv kom mus yuav, nyob rau txhua yam uas tshwj xeeb raws li chaw faj seeb khomob sab nraud pom zoo Kev pab txhua zaus yuav tsum yog koj tus kws khomob pom zoo xwb Tej zaum tau them ib qho nqi raws li koj tsev neeg tau nyiaj los ib hlis npaum li cas Iowa txoj kev pab khomob pheej muaj pauv tsis tseg, yuav tsum mus ntsib DHS lus chaw ua hauj lwm thiaj paub meej Tej zaum Iowa lub koom haum pab tibneeg yuav muaj Iowa txojkev pab khomob kaw thaum txog December 2013, tiam sis yuav tsum tau tog Supreme Court hais li cas Niam thiab txiv yog cov uas tau nyiaj tsawg raws li luag kom tseg Tsis muaj leej twg tem tshaj $40 rau ib lub hlis es thiaj tau kev pab Yuav tsum yog tsev neeg yeej tau nyiaj tsawg raws li kom tseg xwb Thiab yog neeg nyob xeev Iowa tiag Nws yuav tsum tau nom tswv kev pab khomob thiab zaub mov Luag muab yam zaub mov zoo, muaj kev cov qhia, kev pub menyuam noj niam mis, xa mus rau kev noj qab haus huv pab, nkaug tshuaj tiv thaiv kev mob nkeeg, thiab lwm yam koom haum sab nraud pab WIC cov neeg ua hauj lwm thiab cov qhia txog kev noj nyob kom tsis txhob rog yuav tuaj ntsib koj thiab noog koj txog koj kev noj qab nyob zoo 7

8 Tej yam kev fajseeb khomob lo lus uas kuv yuav tsum paub? Kev fajseeb khomob ua rau yus tsis to taub meej. Muaj qee yam lo lus zoo sib thiab tseem ceeb yuav tsum paub thiab to taub txog. LO LUS HMO (Health Maintenance Organization) PPO (Preferred Provider Organization) Co-payment Deductible Co-insurance Exclusions Medical Home Pre-existing conditions Premium Primary Care Doctor Referral Service Area KEV TXHAIS KOM MEEJ Cov kev fajseeb khomob hom no koj yuav tsum sib cov kws khomob thiab tsev khomob raws li lub koom hawm pom zoo xwb. Cov kev fajseeb khomob hom no, koj siv tus kws khomob thiab lub tsev khomob li lawv pom zoo, lossis koj xaiv qhov chaw thiab tus kws khomob koj xav siv. Tiamsis yog lawv tsis pom zoo rau tus kws khomob thiab lub tsev khomob, koj tau them nyiaj tshaj. Raws li qee lub chaw fajseeb khomob, koj yuav tsum them me ntsis nqi ua ntej txhua zau uas koj mus ntsib kws khomob raws li txoj cais hais tseg. Lawv mam li them kom tag cov seem. Yog feem nyiaj uas koj yuav tsum tau them ua ntej, cev thaum tag lawm koj lub chaw fajseeb khomob mam li pib them kom tag. Qee yam chaw fajseeb khomob ntawm no yog cov feem pua tus nqi koj khomob saib ib lub xyoo lawv kom koj them npaum li cas. Koj yuas tsum them qhov ntawd raws li tau hais tseg. Lawv mam li them cov seem kom tag. Cov ntawm no koj lub chaw fajseeb khomob yuav tsis them rau. Kev khomob uas koj los ntawm nom tswv. Koj lub chaw fajseeb khomob txaus siab them rau cov sij hawm teem ntsib kws khomob li ntawd. Qhov no thiaj li hais tias lawv yog tus pab ntag (PHP Primary Health Provider). Ntawm no yog ib qho teeb meem uas koj muaj ua ntej koj lub chaw fajseeb khomob pib lawm. Qhov nyiaj uas koj los yog koj tus tswv haujlwm them rau koj lub chaw fajseeb khomob. Teg no feem ntau yeej yog txiav nyiaj tawm ntawm koj daim tshev ua haujlwm los xwb. Koj tus kws khomob yog thawj tug koj xub mus ntsib nws hais txog kev teem meem. Nws yog tus yuav mus nrog lwm tus kws khomob tham thiab koj lub chaw pab kev khomob tham ces mam xa koj mus rau lawv. Qee lub chaw fajseeb khomob koj tus kws khomob yuav tau sau ntawv xa koj mus ntsib lwm tus kws khomob. Qhov sau ntawv rau lwm tus kws khomob pab kho luag hu hais tias xa mus rau. Qee lub chaw fajseeb khomob tsuas pab kho tau koj nyob teg qhov chaw uas lawv kom koj mus xwb. Yog koj tawm mus kho chaw lawv tsis pom zoo koj yuav tsum them koj xwb. Yog koj them tsis tau koj cov nqi, koj yuav tsum totaub tias kuj muaj ntau txoj kev pab thiab. Txawm yog koj muaj ntawv faj seeb khomob lawm los nqi khomob yeej kim tiag tiag zoo li cas los xij, tsis txhai hlo li yuav tsum them cov nqi khomob ntawd. Yog koj tsis them yuav ua ib qhov tsis zoo rau koj txoj kev nrhiav noj xws li yuav nyuaj rau koj, yuav tsheb tshiab, tsev nyob, los yog kev ua hauj lwm mus tom ntej. Yog koj muaj li cov nuj nqi khomob es kom xav hais tias ntsev yuav them tsis tau li, nws kuj muaj ntau txoj kev rau taug thiab. Nug saib koj tus kws khomob puas muaj tej tus neeg mog tawm tsam thiab saib puas muaj tej tug neeg ua hauj lwm pab thiab nrhiav kev tau kom mus taus. Mus ntsib lub koom hawm nyiaj txiag/ua tej nqi. Lawv muaj peev xwm pab koj kho tus nqi rau koj them kom tau. Tej zaum lawv kuj pab muab tus nqi txo kom tsaug tau thiab pab qhia koj mus thov kev pab. Koj muaj cai mus hais ncaj nraim nrog koj lub chaw faj seeb khomob yog koj xav hais tias lawv ua yuam kev. Yog hais tias luag tsis kam nrog koj hais, koj cia li mus ntsib thiab nrog lub koom haum pab saib kev noj haus sib tham hais txog lub xeev Iowa txoj cai rau cov chaw faj seeb khomob. Ntawm no yog lub xeev uas nws ua raws li nws tus kheej kev pom zoo pab cov neeg khomob thiab pab cov neeg uas sib hais xaiv lus ib tug tsis totaub zoo txog ib tug kev ua. Lawv muaj peev xwm nrhiav kev kawm los qhia kom koj paub txhua yam tseem ceeb hais txog chaw faj seeb khomob, pab txog qhov twg thiab kom paub hais tias ua ncaj rau koj lawm tiag. Koj hu rau lawv tus xov tooj: Ntawm no yog ib qho uas pab koj them koj cov nuj nqi khomob kom tag mus. Tab sis koj yuav tsum totaub thiab nco ntsoov hais tias cov lus qhia los saum no tsis tau kom koj ua li ntawd ntag. Nyob ntawm koj xwb yog koj xav paub saib luag ua ncaj los tsis ncaj rau koj lawm, ces koj nug tau li hais tas los saum no ntag. 8

9 Health History Intake Form PATIENT HISTORY - # PATIENT HISTORY - KEEB KWM NTAWM TUS NEEG MOB Last Name First Name MI Date of Birth Lub xeem Thawj lub npe sau ib tug tsiaj ntawv rau xwb Koj lub hnub yug Address City State Zip Koj lub tsev qhov chaw nyob Lub nroog koj nyob Lub xeev koj nyob Lub nroog cov lej Home Phone # Gender Male Female Marital Status: Single Married Other Tus xov tooj hauv tsev Poj niam los yog Txiv neej / Txiv neej / Poj niam Kev txij nkawm Tsis tau sib yuav / Sib yuav lawm / Lwm yam Employer: Koj tus tswv haujlwn lub npe Occupation: Yam haujlwm koj ua Primary Care Physician: Koj thawj tug kws khomob Phone Number: Nws tus xov tooj Ethnicity Languages Spoken Need an interpreter? Yes No Haiv neeg dabtsi Koj hais yam lus twg Koj puas xav tau tus pab txhais lus? Insurance: Policy # Group # Ntawv fajseeb khomob Koj cov lej ntawv khomob Lej nyob ntawd koj daim fajseeb khomob ntawv Emergency Contact Relationship Phone # Tus neeg koj hu yog muaj cheem tsum maj Nws txheeb koj li cas Nws tus xov tooj HEALTH HISTORY - KEEB KWM KOJ KEV NOJ QAB HAUS HUV Please list all the medications you are taking right now, including vitamins, herbs, and over-the-counter medicine. Sau kom tag cov npe tshuaj uas koj tseem niaj hnub noj tamsis no, thiab txhua yam tshuaj uas koj tsis siv kws khomob ntawv tso cai huv tib si. Medication How many times/day Strength Tshuaj? Koj no jib hnub pes tsawg zaug? Tshuaj muaj zog li cas? Allergies and reactions to foods/medicines: Koj puas qaug tshuaj Has anyone in your family ever had? Check box if yes and write their relationship to you. Koj tsev neeg puas muaj ib tug twg muaj tej yam zoo li nram qab no? tshawb xyuas thiab teb, yog muaj sau lawv kev txheeb ze li cas rau koj Diabetes: High Blood Pressure: Heart Disease: Muaj ntshav qab zib Muaj ntshav siab Plawv muaj mob Cancer: Stroke: Epilepsy/Seizure: Puas muaj mob khia xaws Mob leeg tuag tes tuag taw Mob qaug daw peg 9

10 HEALTH HISTORY - KEEB KWM KOJ KEV NOJ QAB HAUS HUV Please check all that apply. - Thov sau ntawm qhov hais txog koj. High BP Diabetes Cancer Mental Illness Muaj ntshav siab Ntshav qab zib Mob khia xawv Puas hlwb los yog mob taub aut sis meej pem Stroke Mob leeg tuag tes tuag taw Seizures Qaug dab peg Migraines Mob taub hos los yog dias taub hau High Cholesterol Ntshav muaj roi HIV/AIDS Kab mob kis Heart Disease Plawv muaj mob Liver (Hepatitis) Mob siab Tuberculosis (TB) Muaj kab mob ntsws Asthma Mob ua pa nyuaj Ulcers Mob ncauj plab Arthritis Mob pob teg Hearing/Vision Problems Tsis hnov lus los yog tsis pom kev zoo Other: Lwm yam SOCIAL HISTORY - COOJ PWM KEV COJ NOJ COJ UA DHAU LOS MUS LAWM Do you smoke cigarettes? Yes No How many per/day Koj puas haus luam yeeb? Yog, mob/ Tsis yog, tsis mob Haus ib hnub pes tsawg tus? Do you drink alcohol? Yes No How many drinks/day/week Koj puas haus cawv? Yog, mob/ Tsis yog, tsis mob Ib hnub haus pes tsawg zaus? Los yog ib lub lim tiam? Do you use drugs? Yes No Which drugs? Koj puas haus yeeb haus tshuaj? Yog, mob/ Tsis yog, tsis mob Haus yam twg? Do you use any illegal drugs? Yes No Do you have your immunization records? Koj puas haus yeeb haus tshuaj? Yog, mob/ Tsis yog, tsis mob Koj puas pheej mus txhaj tshuaj thaiv kab mob? HOSPITALIZATION HISTORY - KEEB KWM KOJ TEJ KEV MUS KHOMOB Date Reason Koj puas tau mus pw tseg khomob / Vim dab tsi? Date Reason Date Reason SURGERY HISTORY - KEEB KWM KOJ TEJ KEV RAUG PHAIS Date Reason Hnub koj tau raug phais / Vim dab tsi? Date Reason Date Reason 10

11 Yuav ua li cas kuv thiaj paub txog kuv cov tshuaj? Koj yuav tsum noj tshuaj thaum koj mob vim yog xav kom zoo. Koj yuav tsum noj tshuaj kom noj qab nyob zoo xws li teeb meem ntsav qab zib, los sis ntshav muaj roj. Qee yam tshuaj yuav tsum yog kws khomob ua ntawv mus rau cov chaw muag tshuaj nrog rua koj daim pib ntawv khomob mus rau lawv thiab. Nws yuav siv sijhawm me ntsis luag thiaj li npaj tau tshuaj tiav rau koj, koj yuav tsum tos. Tej zaum koj tus kws khomob yuav hu ua ntej mus rau lub chaw muag tshuaj koj cia li mus nqa thiab them nyiaj lawm xwb. Thaum koj coj tshuaj los noj tag lawm koj rov mus kom lawv muab dua ib zaug ntxiv los tau thiab. Qhov rov qab mus kom lawv muab ntxiv cov tshuaj qub ntau zaus, tsis siv kws khomob daim ntawv tso cai los tau. Yog thaum lawv tsis pub ntxiv lawm, koj hu rau kws khomob, los yog kom lub chaw muag tshuaj pab hu rau kws khomob saib puas pub koj tau tshuaj ntxiv lawm xws. Diam ntawv tso cai yuav tshuaj tsuas yog rau tus neeg uas muaj npe nyob ntawm daim ntawv si xwb. Kws khomob muab koj tej kev mob nkeeg thiab keeb kwm khaws cia ua ntej sau ntawv tso cai yuav tshuaj, kev teeb meem nyias muaj txawv nyias. Tsis txhob koj cov tshuaj rau lwm tus neeg siv. Nco ntsoov khaws tshuaj cia kom deb menyuam yaus thiab nyob qhov chaw zoo. Thaum tshuaj tab sijhawm sib lawm muab povtseg. Koj yuav tsum noj tshuaj thiab ua raws li kws khomob hais. Tab sis yog tsis ua raws li hais koj tus mob yuav tsis zoo thiab koj yuav nyuaj siab. Tej zaum thaum pib koj yuav tsis pom qhov tseeb txog thaum kawj thiaj paub zoo. Piv txwv, yog kws khomob sau ntawv rau koj mus yuav tshuaj noj pab tua kabmob kom tsis txhob ua rau tus neeg ntawd mob tab sis tus neeg ntawd noj me ntsis xwb txawm cia li lawm, tsis muab los noj kom tag, ces kabmob rov qab pib huam zuj zus tuaj yeej cov tshuaj. Lwm zaus yog tus neeg qub siv tshuaj kho yam kabmob qub los mws yuav pab tsis tau zoo heev lawm. Tus kws tshuaj yuav tau qhia saib koj yuav noj tshuaj li cas zoo thiab thiaj tsis muaj teeb meem. Yog koj tsis totaub zoo yuav tsum nug kom puab. Yuav tsum totaub koj daim ntawv qhia tshuaj. Cov tshuaj uas koj tus kws khomob muab ntawv rau koj coj mus yuav puav leeg muaj daim ntawv qhia siv tshuaj nyob ntawm lub fwj. Cov ntawv ntawd qhia koj li nram no: Npe cov tshuaj Yam yus yuav tsum paub Pub rovqab mus ntim txawg zaus SCOTT PHARMACY REFILLS: S. Main St. Box 188 Fayette, IA Jeff W. Scott, R. Ph. NO : C BILL JONES, MD JOHN SMITH 03/15/ SOUTH MAIN ST ANYTOWN, IA JS LIPITOR 20MG TAB (PARK D WAR) #30 1 TABLET EVERY DAY IN THE EVENING FOR CHOLESTEROL Avoid alcohol and grapefruit juice. Report muscle joint pain or fever. Discontinue if PREGNANT. Exp date: 03/13 Caution: Federal law prohibits the transfer of this drug to any person other than the patient for whom it was prescribed. Ceeb toom Chaw muag tshuaj tej kev qhia ntsib lawv Kws khomob lub npe Thaum twg noj thiab noj li cas Yuav noj tshuaj npaum li cas Tas sijhawm siv hnub twg Kws tshuaj lawv ua lawv daim ntawv qhia kev siv tshuaj thiab teg zaum muab lo cov lus qhia rau txawv chaw. Tshuaj teg zaum nws yeej muaj nws cov ntawv qhia lo rau lub fwj lawm, qhia tej npe thiab tej lust seem ceeb lawm. 11

12 Nyiaj txiag los yog chaw pab Yogi b cov chaw tseem ceeb Luag qhia dawb txog kev noj qab haus huv, qhia txog tej pab pawg tibneeg thiab kev sib pab ua haujlwm Hu xovtooj 211 For Medical Emergencies Hu xovtooj 911 Iowa Poison Control Hu xovtooj Luag pab khomob rau yus dawb, los yog cia yus them tus nqi tsawg Free Clinics of Iowa Pab ua haujlwm pub dawb rau chaw saib mob, muaj mob caim pab dawb xwb Hu xovtooj County Health Departments in Iowa Nrhiav kev khomob pab dawb los yog ua haujlwm dawb, kuaj tshawb xyuas, kawm txog thiab kev khomob txog tej yam kab mob sib kis yooj yim Hu xovtooj List of Iowa County Health Departments: asp?map=public_health_contacts Community Health Services Muaj kev pab kom yus tau them tus nqi tsaug thiab qhia txog lub hauv paus kev khomob rau tus neeg uas muaj ntawv faj seeb khomob thiab tus tsis muaj huv tib si. Xa mus rua: healthfinder@nhic.org Piv txwv los yog zoo li mo: Primary Health Care, YMCA, Free Clinics and others Chaw faj seeb khomob Health Resources and Services Administration Tshawb xyuas lub hauv paus kom paub tog kev khomob thiab kev ua haujlwm tus nqi uas tsawg Hu xovtooj Search_HCC.aspx Senior Health Insurance Information Program Ua haujlwm pab kom cov neeg laus Iowa totaub thiab paub txiav txim siab txog tseem fwv kev pab cuam nyiaj khomob thiab lwm yam kev pab khomob Hu xovtooj Kho hniav Iowa Dental Association Community Services Tej ntaub ntawv qhia txog kev kho hniav pub dawb los yog tus nqi tsawg Hu xovtooj community_services.cfm I-Smile Pab coj cov menyuam yaus mus ntsib kws kho hniav Hu xovtooj Lub xeev cov chaw ua haujlwm Iowa Department of Human Rights Pib lub hauv paus haujlwm kom zoo, muaj feem xyuam ua li yus nyiam thiab muaj kev ywj pheej pub rau cov tibneeg Iowa Hu xovtooj Iowa Department of Public Health Kho kom nce qib los yog nrhiav kev noj qab hauv huv pab rau cov tibneeg Iowa Hu xovtooj Iowa Department of Human Services Muaj kev pab cuam xws li ntawv siv muas noj (food stamps), kev zov menyuam thiab kev khomob Xa mus rua: contactdhs@dhs.state.ia.us Qhia txog kev noj qab haus huv ua ntau yam lus RHIN: Refugee Health Information Network Nyob hauv website luag qhia txog kev ua haujlwm thiab nrhiav cov chaw pab meej thiab ntxaws kawg li pub rau cov tibneeg thoj nam los yog tibneeg tsiv tuaj nyob teb chaws no thiab cov hais lus aa kiv (english) muaj tsawg lawm. Xa mus rua: info@rhin.org Selected Patient Information Resources in Asian Languages (SPIRAL) Cov chaw ua haujlwm pab kev noj qab haus huc muaj ntau yam lus esxias (Asian) nyob hauv lawm Hu xovtooj Kev noj qab haus huv ntawm tsoom pojniam Iowa Women s Health Information Center Cov hauv paus los yog ncauj kev uas hais txog tsoom pojniam kev noj qab haus huv nyob xeev Iowa Xa mus rua: jpeterso@idph.state.ia.us Women s Health Qhia thiab pab txhua yam uas lawv xav paub, cuab yeej siv, thiab kev soj ntsuam txog tsoom poj niam kev noj qab haus huv uas siab tshaj plaws Hu xovtooj Chaw muag tshuaj thiab tshuaj Florida Poison Information Center Herbal Products Sau qhia txog tshuaj ntsuab thiab tshuaj ntsiav kom tsis txhob noj uake, tej zaum ua rau muaj mob Hu xovtooj National Institute on Aging Safe Use of Medicines Phau ntawv yuav qhia kom paub saib yus noj tshuaj li cas thiaj tsis muaj teeb meem Hu xovtooj Safe_Use_of_Medicines.pdf Rx Assist Ncaj nraim rau tej kev pab them nqi tshuaj Xa mus rua: info@rxassist.org Cov hauv paus qhia txhua qhov li Visiting Nurse Services Community Resources Directory Qhia ntsig txog txhua lub hauv paus pab kev noj qab hauv huv nyob Polk County Hu xovtooj Florida Literacy Coalition Staying Healthy Guide Kev kawm qhia ntsig txog kev noj qab haus huv thiab cuab yeej siv pab yus kom ntsib kev noj qab nyob zoo xwb Hu xovtooj teacher_tutor health_literacy.html Families USA Consumer Resources Tej koom haum tsis yog ua luam kuj qhia txog kev pab ntau yam, kom yus nrhiav, thiab yus xaiv mus siv kev khomob Hu xovtooj resources-for-consumers/ Health Care Affordable Care Act Muaj tej yam hais txog kev noj qab haus huv tau pauv, yog vim pom tshwm sim qhov zoo raws li kev ua haujlwm tawm los Hu xovtooj Iowa International Center Welcome to Iowa Resources Nyob hauv website luag qhia txog kev ua haujlwm thiab nrhiav cov chaw pab meej thiab ntxaws kawg li pub rau cov tibneeg thoj nam los yog tibneeg tsiv tuaj nyob teb chaws no thiab cov hais lus aa kiv (english) muaj tsawg lawm. Hu xovtooj Iowa International Center Medical Terminology Sau hais txog kev khomob uas ib txwm ua los thiab lawv tej yam zoo thiab tseeb Hu xovtooj medical-services/medical-vocabulary/