Kazi #4 – Tiba (Kiswahili)

Task #4 – Medical (Swahili)

Latar Belakang: Pelarian, yang tidak boleh disalahartikan dengan individu status imigrasi lainnya (Visa Imigrasi Khusus (SIVs), Pencari Suaka), biasanya meninggalkan rumah mereka dan tinggal di kamp-kamp pengungsi yang dijalankan oleh Komisi Tinggi PBB untuk Pengungsi (UNHCR). Waktu tinggal rata-rata bisa antara 5 hingga 17 tahun. Begitu suatu negara (AS) menerima seorang pengungsi, orang baru tersebut menjalani serangkaian pemeriksaan medis dan vaksinasi. Formulir-formulir ini biasanya menyertai orang baru tersebut dalam sebuah tas plastik Organisasi Internasional untuk Migrasi (IOM). Letakkan catatan-catatan ini di dalam pengorganisir BERKAS PENTING untuk memudahkan akses. Asuransi kesehatan jangka pendek disebut Bantuan Medis Pengungsi (RMA). Setiap negara bagian di AS memiliki manfaat dan proses persyaratan sendiri – lihat https://www.acf.hhs.gov/orr/grant-funding/key-state-contacts untuk kontak di negara bagian Anda.

Background: Refugees, not to be confused with other immigration status individuals (Special Immigration Visa (SIVs), Asylum Seekers), usually leave their homes and reside in refugee camps run by the United Nations High Commission on Refugees (UNHCR). The average stay time can be from 5 years to 17 years.  Once a country (USA) accepts a refugee, the newcomer goes through a series of medical examinations and vaccinations.  These forms usually accompany the newcomer in a plastic International Organization of Migration (IOM) plastic bag. Place these records in the IMPORTANT FILES organizer for easy access.  Short-term health insurance called Refugee Medical Assistance (RMA). Each U.S. State has its own benefits and requirements process – see https://www.acf.hhs.gov/orr/grant-funding/key-state-contacts for the contacts in your state.

 

Bantuan Medis Pengungsi (RMA) tersedia selama delapan bulan. Biasanya, Badan Penempatan Kembali telah menjalin hubungan dengan fasilitas medis setempat untuk meninjau catatan-catatan ini dan mengunggah catatan medis pasien baru ke dalam sistem. Vaksinasi ditinjau dan diperbarui sesuai kebutuhan. Anda akan memerlukan catatan vaksinasi baru yang dikeluarkan oleh fasilitas medis AS untuk pendaftaran anak-anak usia sekolah DAN pada suatu waktu kemudian untuk formulir I-485, Aplikasi untuk Mendaftarkan Tempat Tinggal Tetap atau Menyesuaikan Status dalam amplop TERSEGEL.

Refugee Medical Assistance (RMA) is available for up to eight months. Resettlement Agencies have usually established a relationship with a local medical facility to review these records and upload newcomer patient medical records into the system.  Vaccinations are reviewed and updated as needed.  You will need a new vaccination record issued by the US medical facility for enrollment of school aged children AND sometime later for the I-485, Application to Register Permanent Residence or Adjust Status in a SEALED envelope.

 

Pengungsi dan Undang-Undang Perawatan Terjangkau – (lihat tautan/PDF Kantor Penempatan Kembali Pengungsi di bawah) Pengungsi yang diterima di Amerika Serikat memenuhi persyaratan kelayakan status imigrasi untuk akses langsung ke Medicaid, Program Asuransi Kesehatan Anak-Anak (CHIP), dan opsi jaminan kesehatan di bawah Undang-Undang Perawatan Terjangkau (ACA). Banyak kelompok imigran lain di Amerika Serikat harus menunggu selama lima tahun sebelum mereka memenuhi syarat untuk manfaat publik seperti Medicaid.

Refugees and the Affordable Care Act – (see Office of Refugee Resettlement link/PDF below) 

Refugees who are admitted to the United States meet the immigration status eligibility requirements

for immediate access to Medicaid, the Children’s Health Insurance Program (CHIP) and the health

coverage options under the Affordable Care Act (ACA). Many other immigrant groups in the U.S. have to

wait five years before they are eligible for public benefits like Medicaid. 

 

Enam kelompok lainnya memenuhi syarat untuk manfaat dan layanan yang sama yang tersedia untuk pengungsi. Mereka adalah:

1. Pencari suaka
2. Pemohon dari Kuba dan Haiti
3. Amerasia
4. Pemegang Visa Imigran Khusus dari Irak atau Afghanistan
5. Penduduk Tetap Sah (yang telah memiliki salah satu dari status ini sebelumnya)
6. Korban perdagangan manusia yang bersertifikat

Six other groups are eligible for the same benefits and services available to refugees. These are:

1. Asylees
2. Cuban and Haitian Entrants
3. Amerasians
4. Special Immigrant Visa Holders from Iraq or Afghanistan
5. Lawful Permanent Residents (who have held one of these statuses in the past)
6. Certified victims of human trafficking
   

 

Seperti warga Amerika lainnya, kelompok-kelompok yang terdaftar di atas dapat mengajukan asuransi kesehatan melalui Bursa Asuransi Kesehatan di HealthCare.gov. Bursa ini membantu orang menemukan perlindungan kesehatan yang sesuai dengan anggaran mereka dan memenuhi kebutuhan mereka. Dengan satu aplikasi, seseorang dapat melihat semua pilihan dan mendaftar. Bursa Asuransi Kesehatan dapat memverifikasi status imigrasi untuk semua kelompok yang disebutkan di atas, kecuali korban tertentu perdagangan manusia. Kantor Penempatan Kembali Pengungsi (ORR) di HHS mengeluarkan sertifikasi atau surat kelayakan kepada korban tertentu perdagangan manusia untuk mengkonfirmasi kelayakan mereka untuk manfaat publik.

Like other Americans, the groups listed above can apply for health insurance through the Health

Insurance Marketplace at HealthCare.gov. The Marketplace helps people find health coverage that fits

their budget and meets their needs. With one application, a person can see all the options and enroll.

The Health Insurance Marketplace can verify immigration status for all of the groups mentioned above,

except certain victims of human trafficking. The Office of Refugee Resettlement (ORR) in HHS issues

certain victims of human trafficking certification or eligibility letters to confirm their eligibility for public

benefits.

 

Program Asuransi Kesehatan Anak-Anak (CHIP) – Jika anak-anak Anda membutuhkan perlindungan kesehatan, mereka mungkin memenuhi syarat untuk Program Asuransi Kesehatan Anak-Anak (CHIP).

CHIP menyediakan perlindungan kesehatan dengan biaya rendah untuk anak-anak dalam keluarga yang mendapatkan penghasilan terlalu tinggi untuk memenuhi syarat untuk Medicaid. Di beberapa negara bagian, CHIP juga mencakup wanita hamil. Setiap negara menawarkan cakupan CHIP dan bekerja sama erat dengan program Medicaid negara tersebut.

The Children’s Health Insurance Program (CHIP) – If your children need health coverage, they may be eligible for the Children’s Health Insurance Program (CHIP).

CHIP provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid. In some states, CHIP covers pregnant women. Each state offers CHIP coverage and works closely with its state Medicaid program.

 

Dokumen Pendukung – Jenis Dokumen Imigrasi – Anda mungkin perlu memiliki satu atau lebih dari dokumen atau nomor berikut ketika Anda mengajukan dan mendaftar untuk cakupan di Bursa Asuransi Kesehatan. Dokumen yang Anda perlukan bergantung pada status imigrasi Anda. Lihat https://www.healthcare.gov/immigrants/documentation/ untuk daftar lengkap.

Supporting Documents – Immigration documentation types – You may need to have one or more of the following documents or numbers when you apply for and enroll in Marketplace coverage. The documents you need depend on your immigration status.  See https://www.healthcare.gov/immigrants/documentation/ for a full listing.

 

• Rekodi ya Kuwasili/Kuondoka kwenye Pasipoti ya Kigeni (I-94)** – Rekodi ya kuonyesha kuwasili au kuondoka kwa mtu kwenye pasipoti ya kigeni (I-94)

• Pasipoti ya Kigeni** – Kitambulisho cha kusafiria kutoka nchi nyingine

• Kadi ya Mkazi wa Kudumu, “Kadi ya Kijani” (I-551)** – Kadi inayothibitisha hali ya mkazi wa kudumu, inayojulikana kama “kadi ya kijani” (I-551)

• Cheti cha Kuidhinishwa kufanya Kazi (I-766)** – Cheti kinachoidhinisha mtu kufanya kazi nchini Marekani (I-766)

• Muhuri wa Muda wa I-551 (kwenye pasipoti au I-94/I-94A)** – Muhuri wa muda unaowekwa kwenye pasipoti au karatasi ya I-94/I-94A kuonyesha hali ya mkazi wa kudumu (I-551)

• Cheti kutoka Idara ya Afya na Huduma za Binadamu ya Marekani (HHS) – Idara ya Kuweka Upya Wakimbizi (ORR)** – Cheti kinachotolewa na Idara ya Afya na Huduma za Binadamu ya Marekani (HHS) – Idara ya Kuweka Upya Wakimbizi (ORR)

• Barua ya Uhalali kutoka Idara ya Kuweka Upya Wakimbizi (ORR) – Ikiwa ni Chini ya Miaka 18** – Barua inayoonyesha uhalali kutoka Idara ya Kuweka Upya Wakimbizi (ORR) kwa mtu mwenye umri chini ya miaka 18

• Namba ya Kigeni (inayoitwa pia namba ya usajili wa kigeni au namba ya USCIS) au Namba ya I-94** – Namba inayotolewa kwa mtu kigeni (inayoitwa pia namba ya usajili wa kigeni au namba ya USCIS) au namba ya I-94

Please note that the translation of technical terms may vary, and it’s always a good idea to verify with native speakers or official sources for specific legal or technical documents.

1. Arrival/Departure Record in foreign passport (I-94)
2. Foreign Passport
3. Permanent Resident Card, “Green Card” (I-551)
4. Employment Authorization Document (I-766)
5. Temporary I-551 Stamp (on passport or I-94/I-94A)
6. Certification from U.S. Department of Health and Human Services (HHS) Office of Refugee Resettlement (ORR)
7. Office of Refugee Resettlement (ORR) eligibility letter (if under 18)
8. Alien number (also called alien registration number or USCIS number) or I-94 number
   

 

Lini Kupiga 911 – Nambari ya dharura ya 911 – au nambari ya dharura ya eneo lako la jamii – ni kwa ajili ya dharura za kweli. Dharura inatishia maisha, viungo, au viungo vya hisia vya mtu. Mifano ni mashambulio ya moyo, kiharusi, matatizo ya kupumua, majeraha ya kichwa na shingo, kutokwa na damu kwa wingi, na majeraha ya jicho. Unaweza pia kupiga simu 911 wakati huwezi kimwili kuendesha mtu hospitalini, na hali ya mtu inazidi kuwa mbaya.

When to call 911 – The 911 emergency number — or your community’s local emergency number — is for true emergencies. An emergency threatens a person’s life, limbs, or sense organs. Examples are heart attacks, strokes, breathing problems, head and neck injuries, severe bleeding, and eye injuries. You can also call 911 when you are not physically able to drive the person to the hospital, and the person has a condition that is growing worse.

 

Lini Kwenda Hospitalini – Madaktari wanaojitolea kwa dharura hushughulika na kila aina ya hali, kutoka dharura za kweli hadi watu wanaokuja kwa matatizo madogo kwa sababu hawana mahali pengine pa kwenda. Lakini matibabu ya dharura hospitalini ni ghali kutokana na upatikanaji wake wa saa 24 na gharama kubwa za uendeshaji.

When to go to a hospital – Doctors who specialize in emergency medicine see just about everything, from real emergencies to people who come in for minor problems because they have nowhere else to go. But hospital emergency treatment is expensive because of its 24-hour availability and high overhead costs.

 

Lini Kumpigia Daktari Wako – Ikiwa unadhani mtu anahitaji matibabu ya dharura hospitalini, mara nyingine ni muhimu kwanza kumpigia daktari wako kwa ushauri. Fanya hivyo tu ikiwa unayo muda na daktari yupo mara moja. Vinginevyo, unapaswa kupiga simu 911 au kwenda hospitali ya karibu. Daktari wako anaweza kukushauri ikiwa hali ya dharura kweli ipo.

When to call your doctor – If you think a person needs emergency treatment at a hospital, it’s sometimes helpful to first call your doctor for advice. Do this only if you have the time and the doctor is immediately available. If not, then you should call 911 or go to the nearest hospital. Your doctor can advise you as to whether an emergency situation actually exists.

 

Baadhi ya Chaguo Nyingine

Vitu vya Huduma za Dharura. Vituo hivi vya matibabu vilivyo na madaktari, vinavyofunguliwa bila kuhitaji miadi, hutoa chaguo wakati hakuna dharura na hauwezi kufikia daktari wako binafsi. Mara nyingi gharama yake ni kubwa kuliko kuona daktari wako wa kawaida lakini ni nafuu kuliko kutembelea chumba cha dharura. Kituo hicho kawaida kina ufikiaji wa haraka wa taratibu za maabara za kawaida.

Some other options

Urgent care centers. These doctor-staffed, walk-in medical facilities offer an alternative when there isn’t an emergency and you don’t have access to your personal doctor. They are generally more expensive than seeing your own physician but less expensive than an emergency room visit. The center usually has immediate access to simple laboratory procedures.

 

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FQHCs (Federally Qualified Health FQHCs (Kituo cha Afya cha Kufuzu Kitaifa). https://findahealthcenter.hrsa.gov/. FQHCs hutoa msaada na huduma za ziada kama vile 1) Msaada wa Kustahiki kwa kuomba programu za serikali na za mitaa kama vile Medicaid na SNAP, 2) Huduma za Tafsiri kwa wagonjwa ambao Kiingereza sio lugha yao kuu, na 3) Usafiri kwa wagonjwa wenye vizuizi vya kufikia huduma za FQHC kutokana na matatizo ya usafiriCenter). https://findahealthcenter.hrsa.gov/.  FQHCs offer additional support and services such as 1) Eligibility Assistance for applying to state and local programs such as Medicaid and SNAP, 2) Interpretation services for patients for whom English is not their primary language, and 3) Transportation for patients who have barriers to accessing FQHC services due to transportation issues.

 

Vituo vya Kudhibiti Sumu. Vituo hivi vina wafanyakazi waliofundishwa vizuri kushughulikia simu zinazohusiana na dharura za sumu. Weka namba hii kando ya simu yako, hasa ikiwa una watoto nyumbani.

Poison control centers. These centers are staffed by people well trained to handle telephone calls dealing with poisoning emergencies. Keep the number by your phone, especially if you have children at home.

 

Vituo Vinavyohusiana kwenye Wavuti

Wakimbizi na Sheria ya Huduma ya Afya ya Bei Nafuu (2013): [Kiungo kwa Waraka](https://www.acf.hhs.gov/sites/default/files/documents/orr/fact_sheet_refugees_and_the_affordable_care_act_508_8_27_13b_508.pdf)

 

2) Kwa habari zaidi kuhusu wakimbizi:Tembelea tovuti ya ORR kwenye [http://www.acf.hhs.gov/programs/orr](http://www.acf.hhs.gov/programs/orr).

   Kwa habari zaidi kuhusu nyaraka za uhamiaji ambazo zinaweza kuhitajika au kutumiwa, kulingana na hali ya mtu binafsi, tembelea Soko kwenye [https://www.healthcare.gov/immigration-status-and-themarketplace/](https://www.healthcare.gov/immigration-status-and-themarketplace/).

 

3) Mpango wa Bima ya Afya ya Watoto:[Kiungo kwa Taarifa za CHIP](https://www.healthcare.gov/medicaid-chip/childrens-health-insurance-program/)

 

4) https://findahealthcenter.hrsa.gov/ – Vituo vya Afya:[Kiungo kwa Mtafuta wa Vituo vya Afya](https://findahealthcenter.hrsa.gov/) Vituo vya afya ni mashirika yanayotokana na jamii na yanayosimamiwa na wagonjwa yanayotoa huduma za matibabu ya msingi za bei nafuu, zenye upatikanaji rahisi na ubora wa hali ya juu kwa watu binafsi na familia, ikiwa ni pamoja na watu wasio na makazi, wakulima, wakazi wa nyumba za umma, na wapiganaji wastaafu.

Related Websites

1) Refugees and the Affordable Care Act (2013) https://www.acf.hhs.gov/sites/default/files/documents/orr/fact_sheet_refugees_and_the_affordable_care_act_508_8_27_13b_508.pdf

2) For more information about refugees, visit the ORR website at http://www.acf.hhs.gov/programs/orr.  For more information about immigration documents that may be required or used, depending on the individual situation, visit the Marketplace at https://www.healthcare.gov/immigration-status-and-themarketplace/.

3) Childrens Health Insurance Plan – https://www.healthcare.gov/medicaid-chip/childrens-health-insurance-program/

4) https://findahealthcenter.hrsa.gov/ – Health centers are community-based and patient-directed organizations that provide affordable, accessible, high-quality primary health care services to individuals and families, including people experiencing homelessness, agricultural workers, residents of public housing, and veterans.