Amr krqwr PwauNfySn vlon proivq

Transcription

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2 Amr krqwr PwauNfySn vlon proivq

3 Awpxy AiDkwrW nmu jwxo: inau Xwrk styt iv`c iemigrynts Aqy ir&aujiaw lei ishq-smbwl sbmdi gweif inau Xwrk iemigrysn koilsn v`lo prdwn kiqi jwxkwri

4 ishq-smbwl sbmdi myry h`k ikhvy hn? ieh syksn aunhw swry svwlw dy jvwb idmdw hy ik, ki iksy di iemigrynt siq`qi (immigrant status) aus dy ishq syvwvw dy h`kw nmu prbwivq krdw hy jw nhin[ ieh swri jwxkwri ies gweif iv`c A`gy ivsqwr nwl id`qi gei hy[ 1. quhwnmu fwktr kol, kliink iv`c, AYmrjMsI rum iv`c, hspqwl iv`c jwx dw, jw AYNbUlYNs bulwaux dw purw-purw h`k hy, BwvyN quhwfw iemigrynt drjw jw aus di siq`qi (immigrant status) koei vi hovy[ ie`qon diaw myfikl syvwvw nmu vrqx nwl quhwfi iemigrynt siq`qi iksyy vi qrwh prbwivq nhin humdi Aqy nw hi ieh quhwfy grin kwrf prwpq krn jw AmrIkn nwgirk bxn iv`c ikqy rukwvt bxdi hy jw quhwnmu quhwfy koei pirvwrk mynbrw, ijhvy AmrIkw iv`c iemigryyyyyt krnw cwhumdy hn, nmu sponsr krn qon rokdi hy[ 2. swry AwvwsIAW (immigrants) nmu iksy vi myfikl AYmrjMsI pyx qy ielwj krwaux dw purw AiDkwr hy[ ibnw iemsoryns (uninsured individuals) Aqy ApRvwinq AwvwsIAW (undocumented immigrants) nmu myfikl AYmrjMsI kyar dy lei dusry inauxwrk vwsiaw di qrhw hi brwbr dy AiDkwr hn[ ie`qy kei qrhw dy kwnmun hn ijhvy aunhw lokw dy h`kw di r`ikaw (protection of rights) krdy hn ijnhw nmu myfikl AYmrjMsI di zrurq humdi hy[ 3. hr auh ivakqi, ijs nmu myfikl AYmrjMsI di lov hy, aus nmu AYNbUlMs (myfikl AYmrjMsI lei trwsport) bulwaux Aqy aus nmu vrqx dw purw AiDkwr hy BwvyN aus di iemigrysn siq`qi (immigrant status) iksy vi qrhw di hovy jw auh pysy Adw krn di hwlq (ability to pay) iv`c nw hovy[qusin 911 qy Pon krky AYNbUlMs bulw skdy ho[ 4. quhwnmu koei vi myfikl syvwvw lyx qon pihlw iksy vi hylq vrkr nmu ieh d`sx di lov nhin hy ik quhwfy iemigrysn di siq`qi ki hy[ 5. quhwnmu myfikl AYmrjMsI syvwvw lei jw AYmrjMsI dorwn trwsport lyx lei sosl sikerti nmbr (SSN) di lov nhin hy[ quhwnmu sosl sikerti nmbr bwry pu`icaw jw skdw hy pr jy quhwfy kol SSN nmbr nhin vi hy qw koei Gbwaux di icmqw krn di zrurq nhin hy, SSN nmbr nw hox di surq iv`c vi iksy myfikl AYmrjMsI dorwn ielwj qon ienkwr nhin kiqw jw skdw[ 6. quhwfy kol Awpxy iemigrysn styt`s nmu gupq (confidential) r`kx dw purw AiDkwr hy ijs dw ArQ ieh hy ik iksy vi hylq vrkr nmu, 1

5 2 XUnweItf styts istiznis`p Aqy iemigrysn srivsz (USCIS, formerly INS) iv`c iemigrysn AQOrtI nmu quhwfi iemigrysn siq`qi bwry koei irport nhin krni cwhidi[ quhwnmu ieh vi AiDkwr hy ik quhwfi myfikl kyar jw quhwfy hoey ielwj sbmdi swri jwxkwri (information) nmu gupq r`ikaw jwvy, ijs dw ArQ hy ik ieh jwxkwri quhwfi iezwzq (permission) qon bzyr iksy nmu vi nhin d`si jw skdi[ quhwnmu ishq sbmdi lwb (health beneifts) jw koei vi myfikl syvwvw lei AplweI krn smyn koei vi Zlq jwxkwri (false information) jw Zlq kwzzwq (false documents) nhin dyxy cwhidy[ 7. BwvyN koei myfikl AYmrjMsI nw vi hovy, ipr vi qusin dys dy iksy vi pbilk hspqwl jw PYfrl-PMff kimauinti hylq syntr iv`c jw ky Awpxw ielwj krvw skdy ho, ibnw ies g`l dy ik quhwfi iemigrysn siq`qi (immigration status) jw quhwfi pysy Adw krn di smr`qw (ability to pay) hy jw nhin[ 8. hylq syvwvw bhuq hi G`t mu&q imldiaw hn; jykr qusin pysy nhin Krc skdy, qw qusin pbilk hylq iemsoryns lei jw G`t-kImq qy ielwj (reduced cost care) lei kawuli&wei kr skdy ho, ielwj krvwaux dy smyn qhwnmun dohw shulqw lei kihxw cwhidw hy[ ielwj krvwaux qon bwad quhwnmu ib`l iml skdw hy[ iek vwr quhwnmu myfikl kyar dw ib`l iml jwdw hy qw quhwfw ieh ib`l iemsoryns kmpni vi Adw kr skdi hy jw qusin myfikl syvwvw muh`eiaw krvwaux (medical provider) vwly nwl AwpxI Awmdn dy ihswb nwl PIs G`t krn bwry g`l-bwq jw koei smjoqw (negotiate) kr skdy ho[ AdwiegI dy ivklp (payment options) Aqy hylq iemsoryns bwry ies gweif iv`c A`gy ivsqwr nwl d`isaw igaw hy[ PYfrl Aqy styt dw kwnmun ies di mmg Aqy hdwieq krdw hy ik swri inauxwrk styt iv`c hylq kyar syvwvw lyx dorwn aunhw mrizw (patients) Aqy aunhw dy pirvwrk mynbrw nmu BwSw di shwieqw PRI id`qi jwvy ijnhw nmu AMgryzI bolx iv`c pryswni AwauNdI hy[ ieh quhwfw AiDkwr hy ik hspqwl dw stw& quhwfi g`l-bwq jw musikl nmu cmgi qrhw smjy, Aqy qusin hspqwl dy stw& di g`l-bwq smj sko[ lok hylqkyar lei ik`qy jwdy hn? ies gweif iv`c d`siaw geiaw swriaw syvwvw iemigrynts di vrqon lei puri qrhw sur`ikaq hn[

6 cy`ka`p jw rutin kyar lei: rygulr kyar prwpq krn lei sb qon ssqi jghw AwaUtpySYNt kliink jw hylq syntr hy[ ies iksm di srivs jw syvw quhwfy iemigrysn styt`s nmu prbwivq nhin krdi[aqy rygulr kyar jw rutin iv`c ielwj krvwaux nwl qusin Kud Aqy Awpxy pirvwr nmu CotIAW -2 ibmwriaw qon bcw skdy ho qw ik bwad iv`c auh quhwfy lei v`fiaw sm`isawvw nw bxn[ AwaUtpySYNt kyar iek AijhI shulq hy jdon qusin iksy hspqwl jw kliink iv`c dwkl ho ky ielwj krvwky ausy idn hi C`f idmdyy ho jw ifscwrj ho jwdy ho[ AwaUtpySYNt srivsz iv`c ijvyn : srirk jwc, grb di jwc Aqy kyar, b`icaw dw cy`k-a`p, Bojn dy Kwx-pIx sbmdi slwh, tikwkrn, KUn di jwc, Aqy PYmlI plyinmg Awid Swml hn[ kei hspqwlw iv`c fyntl kyar, myntl hylq srivsz vi id`qiaw jwdiaw hn ij`qy Srwb jw nsy Awid qon pivq mrizw nmu Bwvnwqmk shwrw dy ky (emotional support) ielwj kiqw jwdw hy[ Aqy swry kliink, zrurq pyx qy quhwfy lei mwihr fwktr dw prbmd vi krdy hn[ ies qon ielwvw, hspqwl dw stwp pbilk iemsoryns progrwmw ijvyn myfikyf, cweilf hylq pl`s, Aqy PYmlI hylq pl`s lei AplweI krn iv`c quhwfi mdd kr skdw hy[ pbilk hspqwlw dw swrw prbmd lokl gvrnmynt krdi hy, jdik inau Xwrk styt iv`c prweivyt hspqwl non-proipt Aqy gyr-srkwri smsqwvw hn (non-governmental organizations)[ prweivyt hspqwlw kol cyritybl smsqwvw vwlw ruqbw hy Aqy ieh bgyr iemsoryns mrizw dy ielwj dw Krcw cu`kx lei srkwr kolon PMf prwpq krdy hn[ inauxwrk styt dy swry hspqwlw di ilst ie`qy auplbd hy: AwpxI kwaunti num islykt kro Aqy insicq hspqwl di jwxkwri lyx lei kil`k kro[ ies smyn styt iv`c l`gb`g 50 BweIcwirAW dy Awpxy PYfrl-PMff kimauinti hylq syntr hn; ieh kliink Awpxy BweIcwry dy swry lokw nmu AwaUtpySYNt kyar muh`eiaw krwaundy hn, BwvyN aunhw dw iemigrysn styt`s jw iemnsoryns di siq`qi jo mrzi hovy[ Awpxy nyvy dy kimauinti hylq syntr bwry jwnx lei, ie`qy jwe: jw inauxwrk styt dy kimauinti hylq kyar AYsosIeySn iv`c (212) (AMgryzI Aqy spyins iv`c) qy Pon kro[ 3

7 pbilk hspqwl Aqy kinauinti hylq syntr hr iek ivakqi (smyq ApRvwinq iemigrynts) (Undocumented immigrants) dw ielwj krn lei pwbmd humdy hn, ibnw ies g`l dy ik aunhw di pymynt krn di smrqw hy jw nhin[ jykr qusin swrw Krcw nhin dy skdy qw, swry hi pbilk Aqy prweivyt hspqwlw, swriaw AYc.sI.sI. PYisltIz Aqy kimauinti hylq syntrw iv`c quhwfi AwmdnI dy muqwibk G`t PIs skyl (sliding-fee scale) dw prbmd kiqw jwvygw ijhvw ik Krcy nmu kwpi h`d q`k Gtw idmdw hy[ au`pr drswey gey qkribn swry kliink b`icaw dw ielwj vi krdy hn, pr inauxwrk Sihr iv`c kuj Aijhy pbilk kliink vi hn ijhvy isr& b`icaw lei hi hn ijnhw nmu cweilf hylq syntr jw cweilf hylq kliink ikhw jwdw hy[ Awpxy nyvy dy kliink nmu l`bx lei, qusin jwe: hylq dy kei lokl ifpwrtmynt &lu Aqy nmuniey dy mu&q tiky lgwaundy hn, kei AijhIAW ibmwriaw ijvyn itaubrkloiss Aqy syksuali trwsim`tf ibmwriaw (sexually transmitted diseases), ijnhw iv`c AYc.AweI.vI./ eyfz Swiml hy, di skriinmg kiqi jwdi hy Aqy b`icaw nmu skul lei lovindi iemxunweizysn (immunization) kiqi jwdi[ ienhw nmu pbilk hylq syvwvw ikhw jwdw hy[ inauxwrk Sihr dy hr ielwky/ kwaunti (borough) iv`c ifpwrtmynt Aw& hylq kol iek jw do cldy-iprdy kliink (walk-in clinics) hn ijhvy mu&q iemxunweizysn (immunization) krdy hn[swri styt iv`c hylq lokl ifpwrtmynt hr iek ivakqi, smyq ApRvwinq AwvwsIAW (undocumented immigrants) nmu vi mu&q pbilk ishq syvwvw prdwn krdw hy[ izawdwqr pbilk ishq syvwvw bypcwx (anonymous) hi id`qiaw jwdiaw hn, ijs dw mqlb hy ik ishq syvwvw lyx smyn quhwnmu Awpxw nwa vi d`sx di lov nhin[ kei ishq syvwvw gupq (confidential) humdiaw hn, ijs iv`c qusin Awpxw nwa qw d`sdy ho pr ishq syvwvw dyx vwlw (health service provider) quhwfi iezwzq qon ibnw quhwfi jwxkwri iksy hor nwl swji (share) nhi krygw[ inauxwrk Sihr iv`c 311 fwiel kro jw jwxkwri prwpq krn lei: inauxwk isti ifpwrtmynt Aw& hylq AYNf myntl hweijin ieimaunweizysn hotlwein PlU SOts lei kwl kro: 311 4

8 5 syksuali trwsim`tf ibmwriaw sbmdi is`ikaw lyx lei hotlwein : b`icaw di vyksinysn lei kwl kro: AOrqW di hylq lwein lei kwl kro: 311 Aqy vumynz hylq lwein lei kho[ AYmrjMsI kyar lei: jykr qusin idn dy Aijhy smyn jdon koei vi kliink Ku`lHw nw hovy, s^q ibmwr (critically ill) jw gmbir rup iv`c z^mi (seriously injured), jw quhwnmu qurmq myfikl ielwj di zrurq hovy qw aus smyn hspqwl dw AYmrjMsI rum hi mdd dw sb qon vdiaw qrikw hy[ ie`qy ielwj krvw ky qusin Awpxy Gr jw skdy ho, jw quhwfi hwlq bhuq gmbir (serious condition) hy qw AYmjYNsI rum dw stw& quhwnmu hspqwl ly ky jwx dw prbmd kr skdw hy[ swry AwvwsIAW (immigrants) nmu iksy vi myfikl AYmrjMsI pyx qy ielwj krwaux dw purw AiDkwr hy[ inauxwrk Sihr dy swry hspqwlw dy AYmrjMsI rum mrizw di myfikl skriinmg krdy hn, hr Aijhw ivakqi ijs nmu AYmrjMsI kyar di lov hy, dw ielwj krdy hn ibnw ies g`l dy ik aus di iemigrysn siq`qi (immigration status) jw pysy Adw krn di smr`qw (ability to pay) hy jw nhin[ibnw iemsoryns (uninsured individuals),aprvwinq AwvwsIAW (undocumented immigrants) Aqy auh lok ijnhw kol nwn-iemigrynt vizw hn nmu vi myfikl AYmrjMsI kyar dy lei dusry inauxwrk vwsiaw di qrhw hi pbilk Aqy prweivyt hspqwlw iv`c brwbr dy AiDkwr hn[ qkribn swry hi hspqwlw iv`c AYmrjMsI rum hn[ inau Xwrk Sihr dy AY`c AY`c si pbilk hspqwl (HHC Public Hospitals) AYmrjMsI kyar dyx iv`c mshur hn Aqy sti&n AweILYNf nmu C`f ky hr ielwky jw b`roa (borough) iv`c Aijhy bhuq hspqwl hn[ hr auh ivakqi, ijs nmu myfikl AYmrjMsI di lov hy, aus nmu AYNbUlMs (myfikl AYmrjMsI lei trwsport) bulwaux Aqy aus nmu vrqx dw purw AiDkwr hy ibnw ies g`l dy ik aus di iemigrysn siq`qi (immigration status) jw pysy Adw krn di smr`qw (ability to pay) hy jw

9 6 nhin[ jykr quhwfy kol myfikl iemsoryns nhin hy qw quhwnmu AYmrjMsI rum iv`c ielwj krvwaux qon bwad hi AYNbYlYNs dw ib`l dyxw pvygw[ jdon vi koei mriz hspqwl dy AYmrjYNsI rum iv`c phumcdw hy qw aus nmu AwpxI srirk jwc krwaux dw purw h`k hy ik qw ik ieh pqw l`g sky ik Asl iv`c aus nmu myfikl AYmrjMsI di zrurq hy vi jw nhin[ Aijhw kwnmun prweivyt Aqy pbilk hspqwlw dohw au`pr ieko ijhw lwgu humdw hy[ koei vi mriz myfikl AYmrjMsI iv`c hy jykr: mriz di ibmwri dy l`cx (symptoms) sp`st hox, myfikl hwlq gmbir hovy Aqy auh drd nwl qv& irhw hovy[ qurmq myfikl shwieqw nw imlx di hwlq iv`c mriz di ishq nmu gmbir Kqrw ho skdw hovy, jw srir dy iksy zruri AMgW (vital organs) jw ih`saw nmu nukswn ho skdw hovy[ ies iv`c grbvqi iesqri jw aus dy Axjnmy b`cy (unborn child) di ishq nmu gmbir Kqrw hoxw vi Sml hy[ koei vi iesqri, ijs nmu puri qrhw prsuqi drdw (active labor pains) SurU ho cu`kiaw hox, auh hwlq myfikl AYmrjMsI hi mmni jwdi hy[ jykr iksy ivakqi nmu myfikl AYmrjMsI nhin hy pr auh AYmrjMsI rum iv`c hi ielwj krwauxw cwhumdw hy qw, Awm qor qy hspqwl au`qy hi aus dw ielwj kr idmdy hn jw aus nmu hspqwl dy AwaUtpySYNt kliink iv`c jwx lei vi kih skdy hn[ jykr iksy ivakqi nmu myfikl AYmrjMsI di zrurq hy Aqy aus kolon aus di iemsoryns di pvqwl kiqi jwdi hy, Aqy iemsoryns nw hox (uninsured) krky aus nmu AYmrjMsI rum iv`c ielwj qon mnhw kr id`qw jwdw hy qw Aijhw aus dy AiDkwrW di aulmgxw (violation of rights) hoxw ho skdw hy[ Aqy, koei Aijhw ivakqi ijhvw myfikl AYmrjMsI di hwlq iv`c AYmrjMsI rum iv`c AwauNdw hy Aqy hylq kyar vrkr v`lon aus di puri jwc nhin kiqi jwdi qw Aijhw vi aus dy AiDkwrW di aulmgxw mminaw jw skdw hy[ jykr Aijhy kwrnw krky iksy ivakqi dy AiDkwrW di aulmgxw humdi hy qw aus nmu PYfrl (EMTALA) Aqy styt (EMSRA) dy kwnmunw hyt ligl klym iml skdw hy[ myfikl AYmrjMsI lei trwsport bwry: inau Xwrk isti iv`c, Aqy inau Xwrk styt dy qkribn hr ih`sy iv`c, jykr quhwnmu AYMbUlYNs di zrurq hovy qw, qusin 911 qy kwl kr skdy

10 7 ho[ jykr qusin Aijhy ielwky iv`c rihmdy ho ij`qy ik 911 isstm nhin hy qw, Awm qor qy qusin puils jw Pwier ifpwrtmynt rwhin AYMbUlYNs prwpq kr skdy ho[ myfikl AYmrjMsI iv`c iksy vi ivakqi nmu AYMbUlYNs syvw qon ies lei ienkwr nhin kiqw jw skdw ik auh bgyr iemsoryns dy hy jw ApRvwinq (undocumented) hy[mriz nmu vi AYMbUlYNs syvw dw ib`l dyxw cwhidw hy[ jykr mriz di iemsoryns nhin hy qw, auh AwpxI AwpxI AwmdnI dy muqwibk pymynt plyn jw PIs G`t krn (fee reduction) nmu g`l-bwq rwhin (negotiate) qya kr skdy hn[ dmdw dy ielwj lei: mufliaw (basic) fyntl syvwvw inauxwrk Sihr dy pbilk hosiptl isitm (HHC) v`lon clwey jw rhy bhuq swry kliinkw iv`c Aqy PYfrl- PMff kimauinti hylq syntrw iv`c auplbd (available) hn[ ies qon ielwvw, inauxwrk XUnIvristI kwlj Aw& fynitstri dy ividawrqi Awm kliinkw dy mukwbly qkribn A`DI &Is hi ly ky fyntl kyar dy idmdy hn; rijstr krvwaux lei jwxkwri lei qy kwl kro jw qy jwe[ inau Xwrk isti dy bwhr, fyntl kyar lei PYfrl-PMff kimauinti hspqwlw qon ielwvw koei vi AijhI jghw nhin hy ij`qy qusin Awpxy dmdw dw ielwj ssqi kimq qy krvw sko[ Srwb Aqy nsy qon pivq mrizw di myntl kyar lei: inauxwrk Sihr iv`c 24 GMty mu&q Aqy gupq (free confidential) rup iv`c mwnisk ishq syvwvw (Mental health services) nmu prwpq krn lei, qusin LIFENET qy kwl kr skdy ho[ myntl hylq AYsosIeySn krweiss AYNf ry&rl hotlwein 800- LIFENET ( ) 877-AYUDESE ( ) cweiniz hor BwSwvW lei: Aqy trwslytr/dubwsiey (translator) lei kho[ inauxwrk isti ifpwrtmynt Aw& hylq AYNf myntl hweijin

11 8 (b`icaw Aqy iksorw lei (for children and adolescent) mwnisk ishq syvwvw) 311 qy kwl kro Aqy ibauro Aw& iclfrn AYNf AfolosYNt srivsz lei kho inauxwrk styt Awi&s Aw& myntl hylq - kst`mr irlysnz (inauxwrk styt iv`c iksy vi jghw mwnisk ishq syvwvw di jwxkwri lei) sueisweif (Awqmh`iqAw suicide) privynsn hotlwein jw inauxwrk mytro lei eysian AmrIkn ibhyvrial hylq srivs fwieryktri: Srwb Aqy nisaw nwl sbmdq musiklw lei: inauxwrk Sihr iv`c AY`c AY`c si (HHC) v`lon clwey jw rhy kei pbilk hspqwlw Aqy kliinkw iv`c Srwb Aqy hor nisaw nwl grsq (addict) lokw dy ielwj lei syvwvw auplbd hn[ies qon ielwvw, inauxwrk styt Awi&s Aw& AYlkoihlzm AYNf s`bstyns AibXUs srivsz (New York State of Alcoholism and Substance Abuse Services) Sihr iv`c Srwb Aqy nisaw nwl sbmdq kei qrwh dy progrwmw lei pysy idmdw hy qy aunhw nmu AwXoijq krdw hy[ ienhw progrwmw iv`c bwhri mrizw dy kol hi kliink (out-patients clinics) auplbd krvwauxw, fy progrwm, myqwfon rwhin ielwj, srir AMdrly zihr nmu sw& krnw (detoxification) Aqy rogi kol jw Gr iv`c hi syvwvw dyxiaw Swiml hn[ jykr qusinu AwpxIAW lovw (needs) muqwibk iksy progrwm nmu cuxn lei mdd cwhumdy ho qw, qusin LIFENET, qy idn dy 24 GMty iksy vi smyn mu&q Aqy gupq slwh (for free and confidential referral) lei kwl kr skdy ho[ inau Xwrk styt dy bwki ih`isaw iv`c, Srwb Aqy nisaw dy ielwj nwl sbmdq progrwmw nmu lokl ifpwrtmynt AwP myntl hweijin AwXoijq krdw hy[

12 9 ki myri iemigrysn di siq`qi bwry irport kiqi jwvygi? myfikl syvwvw lyx smyn quhwfy kol Awpxy iemigrysn styt`s nmu gupq (confidential) r`kx dw purw AiDkwr hy[ ies dw ArQ hy ik kliink Aqy hspqwl dy vrkr, AYMbUlYNs frweivr, myfikyf vrkr Aqy hylq ifpwrtmynt dw stw& quhwfy jw quhwfy pirvwr bwry koei vi jwxkwri iemigrysn AQwrtI (USCIS/ ICE/ INS) nmu nhin d`sxgy[ inauxwrk Sihr di hylq AYNf hosiptlz kwrporysn (HHC), jo kei pbilk hspqwl Aqy kliinkw nmu clwaundi hy, di bhuq s^q pwilsi hy ijhvi stw& nmu iksy vi mriz di iemigrysn siq`qi bwry jwxkwri lik krn qon rokdi hy[ 2003 iv`c, myar mweikl blumbrg ny prbmdki hukm (executive order) 41 jwri kiqw si ijs iv`c inauxwrk Sihr dy swry vrkrw, ijnhw iv`c pbilk hylq vrkr vi Swiml hn, nmu iksy vi ivakqi kolon aus di iemigrysn siq`qi (immigration status) bwry pu`c-ig`c krn jw hor srkwri eyjmsiaw nmu iemigrysn styt`s bwry irport krn qon s^qi nwl mnhw kiqw hy[ quhwnmu ieh vi AiDkwr hy ik qusin AwpxI ishq smbwl (health care) sbmdi jwxkwri nmu gupq (confidential) r`ko, ijs dw ArQ hy ik myfikl syvwvw dyx vwlw (medical provider) quhwfi ishq sbmdi koei vi jwxkwri, quhwfi AwigAw (permission) qon bzyr iksy hor nmu nhin d`s skdw[ AwvwsIAW nmu ishq sbmdi lwb (health beneifts) ijvyn myfikyf, cweilf hylq pl`s, &YmlI hylq pl`s jw koei hor srkwri lwb (government benefits) Awid AplweI krn smyn koei vi Zlq jwxkwri (false information) jw Zlq kwzzwq (false documents) nhin dyxy cwhidy[ quhwfy v`lon id`qi gei jwxkwri (information) nmu cy`k jw jwicaw (verify) kiqw jw skdw hy, ies lei lwb prwpq krn vwly GpilAW (fraud) qon bcxw cwhidw hy[ JUTy lwb lyx lei kiqy gey Gply (fraud) quhwfi iemigrysn lei bhuq gmbir ho skdy hn jw quhwnmu koei v`fw jurmwnw (financial penalty) vi krvw skdy hn[ myfikl syvwvw lyx smyn kdy vi iksy hor di pcwx (identity) nw ide; ikaunik iksy hor ivakqi di JUTI

13 10 pcwx (false identity) dyx qy gmbir myfikl ZlqIAW (medical mistakes) ho skdiaw hn jy iek-dujy di myfikl ihstri, AYlrjIAW jw koei hor zruri myfikl jwxkwri rlg`f (mixed-up) ho jwvy[ myry aus BwSw bwry ki AiDkwr hn, ijhvi myn AswnI nwl bol skdw hw? PYfrl Aqy styt dw kwnmun ies di mmg Aqy hdwieq krdw hy ik swri inauxwrk styt iv`c hylq kyar syvwvw lyx dorwn aunhw mrizw (patients) Aqy aunhw dy pirvwrk mynbrw nmu BwSw di shwieqw PRI id`qi jwvy ijnhw nmu AMgryzI bolx iv`c pryswni AwauNdI hy[ ieh quhwfw AiDkwr hy ik hspqwl dw stw& quhwfi g`l-bwq jw musikl nmu cmgi qrhw smjy, Aqy qusin hspqwl dy stw& di g`l-bwq smj sko qw ik myfikl syvwvw prwpq krn smyn quhwnmu Awpxy nwl iksy hor ivakqi nmu hspql dy stw& di g`l-bwq smjx (interpret) lei nw ilawauxw pvy[ hspqwl iv`c syvwvw lyx lei mulwkwq dw smw (appointment) insicq krn vyly jw hspqwl AwauNdy smyn, stw& nmu zrur d`so ik qusin ikhvi BwSw boldy ho Aqy hspqwl dy stw& iv`con quhwfi BwSw bolx vwly nmu g`l-bwq iv`c shwieqw krn lei bynqi kro[jy hspqwl dy stw& iv`c quhwfi BwSw cmgi qrhw bolx vwlw (fluently) ivakqi nw hovy qw quhwnmu iksy is`ikaq dubwsiey (trained interpreter) nmu bulwaux di bynqi krni cwhidi hy[ jykr quhwfi AMgryzI bolx di Xogqw G`t hy jw bolx iv`c pryswni humdi hy qw, jdon vi qhwnmu myfikl kyar di lov pvy qw ieh hspqwl di izmmyvwri hy, quhwfi nhin, ik qhwfi g`l-bwq jw quhwfiaw myfikl zrurqw nmu cmgi qrhw smijaw jwvy[qusin hspqwl v`lon quhwfy v`l id`qy jw rhy idawn jw AtYnSn qon KuS ho skdy ho pr quhwnmu AijhI dyk-bwl (care) jw kyar qy zor pwauxw cwhidw hy ijs iv`c quhwfi g`l-bwq nmu vi hspqwl dw stw& cmgi qrhw smj (clear communication) sky, ikaunik Aijhw krn nwl hi hspqwl v`lon id`qi jw rhi myfikl kyar di kuawlti vdiaw jw aus iv`c sudwr ho skdw hy[ BwvyN qusin iksy dosq jw pirvwrk mynbr (friend or family member) nmu Awpxy nwl mdd lei nwl ilawaundy ho pr ipr vi quhwfw AiDkwr bxdw hy ik hspqwl, ibnw koei pysy ley (free of charge) quhwnmu iek dubwsiaw (interpreter) muh`eiaw krwvy[ hspqwl nmu quhwfi BwSw iv`c Pwrm jw hor sm`gri ijvyn knsynt Pwrm (consent form),

14 11 dvweiaw bwry jwxkwri jw quhwfy ib`l Aqy ausdi AdwiegI (payment) Awid bwry jwxkwri ilkqi rup vi auplbd krvwauxi cwhidi hy[ ijhvy hspqwl quhwfi kyar iv`c dyri ies lei krdy hn ik auh qhwfi BwSw jw g`l-bwq cmgi qrhw nhin smj skdy, ho skdw hy ik auh styt Aqy PYfrl dy kwnmunw di aulmgxw kr rhy hox[ jykr quhwnmu jw quhwfy iksy jwxkwr (someone you know) nmu iksy hspqwl, kliink, hylq syntr, nrismg hom jw myfikyf Awi&s iv`c BwSw di musikl (language barrier) krky cmgi kyar jw syvwvw nw imliaw hox jw AijhI iksy musikl dw swhmxw krnw ipaw hovy qw ies gweif dy AMq iv`c AYfvokysI AYNf ligl AisstYNs ADIn id`qiaw geiaw smsqwvw nwl smprk (contact) kro[ ibnw hylq iemsorms dy myn hylq kyar dw ^rcw iks FMg nwl autw skdw hw? vwijb jw munwsb qriky nwl pymynt krn dy FMg: swry hpqwlw, BwvyN auh srkwri jw prweivt hox, kol kliinkw jw hylq syntrw di qrhw myfikl kyar PIs di nmu G`t krn di smr`qw (ability to reduce the fee) humdi hy[ myfikl iv`qi shwieqw (medical financial assistance) iv`c myfikl &Is dy skyl nmu Gtwauxw, &Is di sytlmynt krni Aqy cyirti kyar Awid Swml humdy hn[ mriz di Awmdn (patient s income) nmu idawn iv`c r`kdy hoey G`t Krcy hi lgwey jwdy hn, ijs nwl hylq kyar dw Krcw G`t Aqy vwjb ho jwdw hy[ pymynt plyn vi auplbd humdy hn ijnhw rwhin mriz Awpxy Gty hoey myfikl ib`lw (reduced medical bills) nmu vi iksqw rwhin jw smyn qon bwad Adw kr skdy hn[qusin G`t &Is skylw (sliding fee scales) jw hylq iemsoryms bwry jwxkwri, quhwnmu jdon myfikl kyar di lov pvy jw myfikl ib`l prwpq krn qon bwad vi ly skdy ho[ jykr myfikl kyar lyx smyn quhwfy kol iemnsorms nhin hy qw ipr vi qusin iemnsorms krvw ky iemsorms kmpni kolon pymynt krvw skdy ho jw myfikl syvwvw dyx vwly (medical service provider) nwl PIs nmu G`t krn lei jw PIs nmu g`l-bwq rwhin qya (negotiate) kr skdy ho[ ieh swry qriky AwvwsIAW lei sur`ikaq (safe) hn, ie`qy ieh vi mh`qvpurn hy ik qusin hylq syvwvw dyx vwly (health service provider) kolon hi iv`qi shwieqw (financial assistance) jw hylq iemsorms di mmg kro[

15 12 Xwd r`ko, qusin hylq kyar Aqy myfikl mwli shwieqw (medical financial assistance) lei h`kdwr ho ibnw ies g`l dy ik quhwfw iemigrysn styt`s ki hy[ jykr qusin ibnw iemnsoryns dy ho (uninsured), qw Awm qor qy, hr kliink, hspqwl jw hylq syntr iv`c quhwnmu aus smsqw di AwpxI mwli slwh (financial counseling) jw PIs G`t krn di prikiraw mmnx lei ikhw jwvygw[ kei kliinkw iv`c mrizw nmu kliink ApOieMtmYNt jw myfikl syvwvw pih`lw lyky ib`ilmg jw PIs Aid G`t krn lei bwad iv`c bulwieaw jwdw hy, jdik kei hor kliinkw iv`c mrizw nmu ielwj jw tyst Awid krwaux qon pih`lw hi ibilmg jw PweInYSl stw& nmu imlx lei ikhw jwdw hy[jykr qusin ibnw iemnsoryns dy ho, qw ijs smsqw kolon qusin Awpxw ielwj krvw rhy ho, aus di mwli shwieqw bwry ki pwilsi (financial assistance) hy, quhwfi PIs ikvyn G`t kiqi jwvygi Aqy ikhvw ibilmg plyn hovygw, ies bwry ivsqwr nwl jwxkwri zrur lvo[ inau Xwrk isti di hylq AYNf hosiptlz korporysn (HHC) v`lon iek mwli shwieqw dw progrwm, ijs dw nw HHC AOpSnz PweInYSl AisstYNs progrwm hy, prdwn kiqw jwdw hy[ hr HHC mriz, ijs di AwmdnI iek insicq kiqy hoey lyvl nwlon G`t hovy, auh iksy nw iksy qrhw di mwli shwieqw hwsl krn dy Xog zrur humdw hy BwvyN aus dw iemigrysn styt`s jo mrzi hovy[ audwrhn dy qor qy, 2006 iv`c hyt ilky tweip dy GrW iv`c rihx vwly lok ies progrwm iv`c AwauNdy sn: Gr iv`c iek ivakqi di k`ul swlwnw AwmdnI $ 39,200 q`k[ Gr iv`c do ivakqiaw di ku`l swlwnw AwmdnI $52,800 q`k[ Gr iv`c iqmn ivakqiaw di ku`l swlwnw AwmdnI $66,400 q`k[ Gr iv`c cwr ivakqiaw di ku`l swlwnw AwmdnI $80,000 q`k[ Gr iv`c pmj ivakqiaw di ku`l swlwnw AwmdnI $93,600 q`k[ Gr iv`c Cy ivakqiaw di ku`l swlwnw AwmdnI $107,200 q`k[ ivakqigq jwxkwri: slweiifmg PIs skylw, PIs G`t krn jw cyirti kyar dw prbmd krn lei hylq syvwvw dyx vwly quhwnmu kuj ivakqigq svwl, ijvyn quhwfi AwmdnI, pqw, quhwfy mwlk (employer) dw nw Aqy quhwfy Gr iv`c ikmny mynbr hn, bwry p`uc skdy hn[ AijhI jwxkwri ieh jwnx lei zruri hmudi hy ik vwikaw hi qusin pbilk hylq iemsoryns lei Xogqw r`kdy ho ik nhin[awpxy hylq provweifr nmu v`d qon v`d AijhI jwxkwri dyxi bhuq

16 13 mh`qvpurn humdi hy, jykr koei dsqwvyz dyx lei ikhw jwvy qw vi auh prdwn krny cwhidy hn[jykr mmgy gey dsqwvyz quhwfy kol nw hox qw, quhwfy myfikl syvwvw prdwn krqw nmu lovindi jwxkwri hwsl krn lei quhwnmu svwl pu`c lyxy cwhidy hn[audwrhn dy qor qy, jykr quhwfy kol AwpxI AwmdnI dw ilkqi sbuq jw prup nhin hy ikaunik quhwfi koei vi AwmdnI nhin hy, jw qhwfw iemploxr quhwnmu kys iv`c qnkwh idmdw hy, qw quhwnmu ieh swriaw jwxkwriaw Awpxy hylq kyar provweifr nmu d`sxiaw cwhidiaw hn[ quhwfy v`lon d`si gei jwxkwri nmu gupq r`ikaw jwvygw Aqy USICS/INS nmu ies bwry koei irport nhin kiqi jwvygi[ hylq kyar prwpq krn lei sosl sikerti nmbr di zrurq nhin hy[ AYmrjMsI rum iv`c quhwfy kolon sosl sikerti nmbr (SSN) bwry pu`icaw jw skdw hy[ jykr qusin myfikl AYmrjMsI iv`c ho qw sosl sikerti nmbr nw hox qy vi quhwnmu myfikl kyar qon ienkwr nhin kiqw jw skdw[hspqwl v`lon sosl sikerti nmbr ies lei pu`icaw jwdw hy ik ho skdw hy ik qusin pbilk hylq iemsoryns lei Xogqw r`kdy hovo[ jykr koei kliink, hylq syntr jw AYmrjMsI rum quhwfy sosl sikerti nmbr di mmg krdw hy qw nw hox di surq iv`c GbrwE nhin[ isrp ApRvwinq iemigrynts (Undocumented immigrants) hi Aijhy lok nhin humdy ijmnhw kol sosl sikerti nmbr nhin hy; blik Aijhy bhuq swry kwnmunn prvwinq lok vi AmrIkw iv`c hn, ijmnhw dy kol sosl sikerti nmbr nhin hy[ myfikl kyar prwpq krn smyn quhwfy kol AwpxI iemigrysn siq`qi nmu gupq r`kx dw purw AiDkwr hy; hylq vrkrw nmu quhwnmu kdy vi frwauxw- Dmkwauxw nhin cwhidw ik auh ies bwry iemigrysn AiDkwrIAW nmu irport kr dyxgy[jykr qusin ibnw iemnsoryns dy (uninsured) Aqy ApRvwinq (undocumented) ho, Aqy AYmrjMsI rum iv`c kyar di zrurq hy qw, qusin ieh kih skdy ho ik myn Awpxy Awp nmu rygulr myfikyf dy Xog nhin smjdw, Aqy hspqwl dy stwp nmu AYmrjMsI myfikyf jw mwli shwieqw (financial assistance) AplweI krn iv`c mdd krn lei kho[ quhwfy lei ieh smjxw bhuq hi mh`qvpurn hy ik hmysw quhwfy kol Awpxy iemigrysn styt`s nmu gupq (confidential) r`kx dw AiDkwr hy Aqy qusin kdy vi Awpxy hylq kyar prdwn-krqw (health care provider) nmu Awpxw styt`s d`sx lei pwbmd nhin ho[

17 jwxkwriaw, slwhw, iskwieqw, syvwvw Aqy mdd Awid lei Aqy aunhw nmu prwpq krn dy sqwn 14 hyt ilkiaw smsqwvw quhwfy kei svwlw dy jvwb, slwh-msvrw Aqy mu&q shwieqw dy skdiaw hn[ ienhw iv`con kei smsqwvw AwpxIAW syvwvw AMgRyzI qon ielwvw hornw BwSwvW iv`c idmdiaw hn, ies lei kwl krn smyn jykr quhwnmu AMgRyzI qon ielwvw hor BwSw di zrurq pvy qw ies bwry zrur kho[ smkt siq`qi lei hotlweinz Awqm-h`iqAw rokx lei hotlwein or zihr (Poison) nwl sbmdq hotlwein (inau Xwrk Sihr qon bwhr lei) GrylU ihmsw nwl sbmdq hotlwein pirvwrw lei sur`ikaw blwqkwr dy smkt nwl sbmdq hotlwein 24 GMitAW lei nysnl HIV/AIDS hotlwein AIDS (2437) (idn dy 24 GMty, hpqy dy 7 idn) GMHC HIV/AIDS hotlwein, inau Xwrk Sihr qon bwhr lei kwl kro , inau Xwrk Sihr dy AMdr lei kwl kro jnrl hylq Referrals: jwxkwri Aqy mdd inau Xwrk styt dy hspqwlw di fwieryktri inau Xwrk ifpwrtmynt AwP hylq AYNf myntl hweijin kinauinti hylq syntrw di fwieryktri jw inau Xwrk styt di kinauinti hylq kyar AYsosIeySn nmu (212) qy kwl kro: (iemgils Aqy spyins).

18 pbilk hspqwl: inau Xwrk isti hylq AYNf hosiptlz korporysn (HHC) tylipon : AYrI (Erie) kwaunti myfikl syntr, b`pylo hyln hyz hspqwl, vyst hyvrstroa, roklynf kwaunti di hosiptl, isfni, roklynf kwaunti lixus (Lewis) kwaunti jnrl hosiptl, loaivly m`synw mymorial hosiptl, synt loryns kwaunti monro (Monroe) kimauinti hspqwl, rocystr nysoa (Nassau) XUnIvristI myfikl syntr, eist mifoa suimq pwrk hspqwl roklynf kwaunti ienp`rmyri, pomonw smni (SUNY) fwaunstyt XunIvristI hosiptl AwP brukiln XUnIvristI hosiptl smni, stoni bruk, supolk (Suffolk) kwaunti XUnIvritI hosiptl smni(suny), isrwikauz (Syracuse) vy`stcy`str myfikl syntr, vlh`wlw (Valhalla) vxoimng (Wyoming) kwaunti hspqwl, vwrsw iemigrysn: inau Xwrk iemigrysn hotlwein ieh swri inau Xwrk styt iv`c id`qi jwx vwli iek non-proipt syvw (nonprofit service) hy, Aqy AmrIkn srkwr nwl sbmdq nhin hy[ kyqoilk cyirtiz, AwrkfwXosIz AwP inau Xwrk (Archdiocese of New York) kyqoilk mweigrysn d&qr hyibrxu iemigrynt eyf soswieti (HIAS) ligl eyf soswieti- iemigrysn XUint (inau Xwrk Sihr qon bwhr lei) inau Xwrk AYsosIeysn Pwr inau AmYirknz (NYANA) inau Xwrk ligl AisstYNs gru`p (NYLAG) myntl hylq: myntl hylq AYsosIeySn krweiiss AYNf ryp`rl hotlwein: 800-LIFE-NET ( ) 15

19 hor BwSwvW lei Aqy trwslytr lei kho inau Xwrk isti ifpwrtmynt AwP hylq AYNf myntl hweijin (b`icaw Aqy iksorw (adolescents) lei myntl hylq syvwvw) 311 inau Xwrk styt AwPs AwP myntl hylq - Customer Relations (inau Xwrk styt iv`c ikqy vi myntl hylq syvwvw di jwxkwri lyx lei) eysian AmrIkn Behavioral Health inau Xwrk mytro lei srivs fwieryktri[ pirvwrk Aqy GrylU ihmsw (Domestic Violence): pirvwrw lei Srngwh (Sanctuary) GrylU ihmsw hotlwein syp horizn - GrylU ihmsw hotlwein inau Xwrk styt koilsn AgyNst fomysitk vwxolyns iemgils ifsaiblti jw ApMgqw (Disability): ifsaiblti AYfvokyts, Inc. (Albany) ilivmg syntrw di fwieryktri: auqpqi ishq-smbwl (Reproductive Health): Xojnwb`D pyrynthu`f (Planned Parenthood) ApOieMtmYNt lyx lei Srwb Aqy nsy qon pivqw lei: Al-AYnn (Al-Anon) or AYlkOhilks (Alcoholics Anonymous) myrijuxwnw (Marijuana Anonymous) nyrkoitks (Narcotics Anonymous) nysnl kwaunsl AOn AYlkOhilzm AYNf fr`g ifpynfyns hoplwein kynsr: 16

20 kynsr kyar pbilk iemsoryns: hylq styt (HealthStat) (myfikyf, PYmlI hylq pl`s, Aqy cweilf hylq pl`s Xogqw (eligibility) di jwxkwri, auh jghwvw (locations), ij`qy qusin Awpxw nw drj (enroll) krw skdy ho, Aqy AYnrol krn iv`c mdd dyx vwilaw ( facilitated enrollers) di jwxkwri lei) inau Xwrk myfikyf CHOICE (myfikyf duawrw smcwilq kyar (Medicaid managed care) lei drj hox lei shwieqw, CotW Aqy shulqw (exemptions and exclusions) sosl sikerti AYfiminstRySn (myfikyar di jwxkwri lei) PYmlI hylq pl`s, drj hox lei shwieqw dy nwl cweilf hylq pl`s irsors hotlwein inau Xwrk styt ifpwrtmynt AwP hylq, myfikyf rypryns: inau Xwrk styt myfikyf hylplwein inau Xwrk isti ihaumn irsorisz AYfiminstRySn (myfikyf lei ikvyn AplweI kriey) ADAP (AIDS Drug Assistance Program) HIV bzyr-iemsoryns (Uninsured) kyar progrwm hotlwein EPIC (Elder Pharmaceutical Insurance Coverage) ishq-smbwl sbmdi: hylq sbmdi slwh Aqy ligl shwieqw ligl eyf soswieti hylq lwa hotlwein inau Xwrk lox`rz Pwr pbilk ientr`st (NYLPI)

21 inau Xwrk ligl AisstYNs gru`p (NYLAG) inau Xwrk styt AYtOrnI jnrl hylq kyar ibauro mrizw dy h`kw sbmdi hotlwein , vdiaw ielwj lyx jw hspqwl iv`c Aw rhiaw sm`isawvw bwry jw prweivyt iemsoryns kmpni nwl Aw rhy msilaw sbmdi, AOpSn nmu pry`s kro[( hspqwl dy ivru`d srkwr kol iskwieq krn lei, smprk kro: XU.AY`s AwiPs PWr isvl rweits, irjnl fwieryktr inau Xwrk styt ifpwrtmynt AwP hylq hspqwlw bwry iskwieq syksn inau Xwrk styt ifpwrtmynt AwP hylq nrismg hom iskwieqw inau Xwrk Sihr iv`c jykr quhwnmu myfikl AYmrjMsI dorwn AYmrjMsI rum v`lon syvwvw dyx qon ienkwr kiqw igaw si, qw qusin pbilk hylq isstm dy iek non-proipt, gyr-srkwri kimsn nmu smprk kr skdy ho[ pirvwrk Aqy GrylU ihmsw (Domestic Violence): pirvwrw lei Srngwh (Sanctuary for Families) pirvwrk Aqy GrylU JgiVAW /ihmsw nwl sbmdq hotlwein ifsaiblti jw ApMgqw (Disability): CIDNY (Center for the Independence of the Disabled - NY) or TTY AYc. AweI. vi/ eyfs: Gay Men s Health Crisis (GMHC) AYc. AweI. vi/ eyfs hotlwein, inau Xwrk Sihr qon bwhron kwl krn lei , inau Xwrk Sihr dy AMdr kwl krn lei ligl srivisz klwiemts AYfvokysI hotlwein syp horizn (sur`ikaq jghw lei) , AYkstYNSn

22 AYc. AweI. vi. lwa projykt ligl eyf APrIkn srivisz kmyti bygiraw lei (Homelessness): ligl eyf soswieti - homly`s XUint bygiraw lei kyar inau Xwrk isti lei ligl syvwvw iemsoryns (smyq smcwilq kyar) (Including Managed Care): ligl eyf soswieti hylq lwa hotlwein inau Xwrk styt ifpwrtmynt AwP hylq smcwilq kyar iskwieqw inau Xwrk styt AYtOrnI jnrl hylq kyar ibauro mrizw dy h`kw nwl sbmdq hylplwein: , prweivyt iemsoryns kmpni nwl Aw rhiaw iskwieqw bwry, AOpSn pry`s kro ( Managed Care Consumer Assistance Program (MCCAP) myfikyar rweits syntr myntl hylq: MFY ligl srivisz inau Xwrk isti ryzifynts Arbn jsits syntr myntl hylq projykt (inau Xwrk Sihr)

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