Ma laguu oggolaaday home care (daryeelka guriga)? Daryeelka aad adigu hagto (client-directed care), adiga ayaa dooranaya cidda ku siinaysa.
Case manager-kaaga home care (qofka ka masuulka ah daryeelkaaga) wuxuu ka tirsan yahay Assisted Living Alberta (oo hore loo odhan jiray AHS Home Care). Case manager-ku wuxuu qiimeeyaa baahiyahaaga, wuxuuna oggolaadaa saacadahaaga. Daryeelka aad adigu hagto (CDHCI — barnaamij aad adigu ku doorato cidda ku daryeelaysa), adiga ayaa dooranaya bixiyaha. Dooro #1 Right Care: daryeele (caregiver) ku habboon qoyskaaga, jadwalkaaga iyo luqaddaada — annaguna si toos ah ayaan Alberta Blue Cross biil ugu dirnaa daryeelka la oggolaaday ee aan bixinno. Weli laguma qiimeyn? Tallaabooyinka ayaan kuu sharxaynaa.
Saddex tallaabo — tallaabada saddexaad annaga ayaa kuu qabanayna
Waxaa laguu sameeyaa qiimeyn home care
Na wac 587.443.1888 waxaanna kuu sharxaynaa waxa aad samaynayso, ama wac khadka codsiga home care (intake line) ee aaggaaga (hoos ku qoran). Adigu naftaada ayaad codsan kartaa — looma baahna gudbin dhakhtar. Case manager-kaaga ayaa go'aamiya saacadahaaga iyo in daryeelka aad adigu hagto (CDHCI) kugu habboon yahay — waad weydiisan kartaa. Horay ma laguu oggolaaday CDHCI? U gudub tallaabada 2.
Adiga ayaa dooranaya #1 Right Care
Marka case manager-kaagu oggolaado daryeelka aad adigu hagto, Alberta Blue Cross ayaa kuu soo diraysa warqad ay ku qoran yihiin saacadahaaga iyo taariikhda bilowga. Dooro #1 Right Care — khariidadda bixiyeyaasha Alberta Blue Cross waxaan ku qornahay magaca “# 1 Right Care” — warqaddaasna nala wadaag. Ma hubtid waxa aad weydiinayso case manager-kaaga? Noo soo dir foomka hoose, waxaanna kuu sharxaynaa ka hor intaadan wicin.
Annaga ayaa si toos ah biilka ugu dirna Blue Cross
Alberta Blue Cross waxaan biil ugu dirnaa oo keliya daryeelka la oggolaaday ee aan bixinno, waxaanna ku siinnaa nuqulka warbixin kasta oo sheegasho (claim statement). Adiga ayaa hagaya daryeelka; annaga ayaa qabanayna biilasha.
Ma hubtid khadka aad wacayso, ama waxa aad sheegayso? Marka hore na wac 587.443.1888. 811 (Health Link) sidoo kale wuu ku xiriirin karaa adigoo jooga meel kasta oo gudaha Alberta ah.
Khadadka codsiga home care — wac mid ka mid ah si aad u codsato qiimeyn:
- Aagga Edmonton — 780-496-1300
- Aagga Calgary — 403-943-1920 ama khadka aan wicitaankiisu lacag lahayn (toll-free) 1-888-943-1920
- Red Deer iyo Bartamaha Alberta — 1-855-371-4122
- Aagga Lethbridge — 403-388-6380 ama khadka aan wicitaankiisu lacag lahayn (toll-free) 1-866-388-6380
Sababta qoysasku noogu doortaan
- Isku-duwe (coordinator) dhab ah, ma aha xarun wicitaan. Hal qof ayaa yaqaan faylkaaga, daryeelahaaga iyo qoyskaaga.
- Waxaan kuu dooranaa daryeele ku habboon luqaddaada iyo dabeecaddaada. Tagalog, Punjabi, Hindi, Isbaanish, Carabi, Faransiis iyo kuwo kale — noo sheeg luqadda aad ku hadasho.
- Saacadahaaga la oggolaaday, si waafaqsan jadwalkaaga. Daryeelka shakhsiga ah (jirka iyo nadaafadda), nasasho (respite) loogu talagalay xubnaha qoyska ee daryeelka bixiya (maalin, fiid ama habeenka oo dhan), iyo shaqada guriga marka case manager-kaagu ku daro.
- Dabacsanaan maalinta lafteeda. Maanta ma diyaar u tihid qubeys? Daryeelahaagu wuxuu taa beddelkeeda kaa caawin karaa daryeel kale oo ku jira qorshahaaga la oggolaaday, sida labbiska ama jimicsiga. Adigaa hagaya booqasho kasta, gudaha daryeelka iyo saacadaha case manager-kaagu oggolaaday.
Maalgelinta home care-ka, qaabkee ayaad ku jirtaa?
Doorasho kasta oo aad ku jirto, case manager-kaaga ayaa go'aamiya u-qalmitaanka iyo saacadaha. Waxa isbeddeli kara waa cidda ku siisa daryeelka. Doorashooyinka ugu muhiimsan ee Alberta:
Waxaa habeeya case manager-kaaga
Shaqaalaha home care-ka laftiisa, ama shirkad uu home care-ku qandaraas la leeyahay, ayaa ku siiya daryeelkaaga. Adigu ma doorato shirkadda, badanaana ma doorato daryeelaha.
Daryeelka aad adigu hagto — CDHCI (boggan)
Adigaa dooranaya bixiye ka diiwaangashan Alberta Blue Cross — tusaale ahaan #1 Right Care — bixiyahaasna wuxuu Alberta Blue Cross biil ugu diraa saacadahaaga la oggolaaday. Adigaa dejiya jadwalka oo hagaya daryeelka; saacadahana weli case manager-kaaga ayaa go'aamiya.
Is-maamul (self-managed)
Lacagta adigaa qaata oo daryeelkaaga adigaa abaabula — adigoo shaqaale qudhaada shaqaaleysiinaya ama qandaraas la galaya shirkad — waxaadna xisaab ka bixisaa sida lacagta loo isticmaalay.
Sababta qoysasku ugu wareegaan daryeelka aad adigu hagto
Qoysasku sababo badan ayay u codsadaan daryeelka aad adigu hagto:
- Adigaa dooranaya bixiyaha daryeelkaaga. Daryeeleyaal ku hadla luqaddaada oo fahma dhaqankaaga.
- Go'aan dheeraad ah oo aad ku leedahay jadwalka. Adigu qudhaada ayaa dejiya oo hagaya daryeelka, adigoon qaadan qandaraas daryeel is-maamul ah.
- Daryeel uusan habka caadiga ahi si fudud u dabooli karin. Baahiyo culus oo muddo gaaban ah, ka soo laabashada isbitaalka, sugitaanka meel daryeel joogto ah (continuing care), daryeelka dhammaadka nolosha, baahiyaha habeenkii, ama ku noolaanshaha meel ay adag tahay in adeegyada home care-ka lagu habeeyo.
- Nasasho dhab ah oo qoyska loogu talagalay. Nasasho (respite) siisa xubnaha qoyska ee daryeelka bixiya fursad ay si dhab ah ugu nastaan.
- Xorriyad aad wax ku beddesho. Marka aad ku jirto CDHCI, waxaad beddeli kartaa bixiyahaaga wakhti kasta.
Case manager-kaaga ayaa go'aamiya haddii daryeelka aad adigu hagto ku habboon yahay xaaladdaada iyo inta saacadood laguu oggolaaday. Waxaa loogu talagalay dadka ku nool gurigooda — guud ahaan lagama heli karo lodge, assisted living ama supportive living, ama guri kooxeed (group home). Sidoo kale, adiga, ama qof aad doorato sida xubin qoyska ka mid ah, waa inaad awood u leedihiin inaad hagtaan daryeelka.
Ma ka daashay daryeeleyaal aan iman, booqashooyin la baajiyo daqiiqadda ugu dambeysa, ama weji cusub toddobaad kasta?
Horey ma ugu jirtaa CDHCI? Xeerarka barnaamijku waxay kuu oggolaanayaan inaad bixiyaha beddesho wakhti kasta. Haddii maanta case manager-kaagu habeeyo daryeelkaaga, weydii haddii daryeelka aad adigu hagto kugu habboon yahay — go'aanku waa kooda. Labada xaaladoodba, adiga ayaa wacaya case manager-kaaga. Waxaan kaa caawin doonnaa inaad isu diyaariso, waxaana diyaar u nahay inaan bilowno isla marka oggolaanshahaagu dhaqan galo.
- Daryeele joogto ah oo laguu xulay, iyo daryeele kaydka ah (backup) oo ka shaqeeya isla qorshaha daryeelka — waxa ugu muhiimsani waa joogtaynta.
- Isku-duwe telefoonka ka jawaaba oo xaqiijiya booqasho kasta.
- Waxaan kuu sharaxnaa waxa aad weydiin karto case manager-kaaga ka hor intaadan wicin.
Dooro #1 Right Care laba daqiiqo gudahood
Noo dhaaf macluumaadkaaga, isku-duwe ayaa dib kuu soo wacaya saacad gudaheed. Waxaan kula eegi doonnaa warqadda oggolaanshahaaga iyo qorshaha daryeelkaaga (care plan), marka oggolaanshaha CDHCI-gaagu dhaqan galona waxaan diyaarin doonnaa booqashada ugu horreysa. Wax waajib ah kuma saarna.
Waa maxay Client Directed Home Care Invoicing (CDHCI)?
Waa ikhtiyaar home care (daryeelka guriga) oo dowladdu maalgeliso. Case manager-kaaga home care ayaa ku qiimeeya, oggolaada saacadahaaga, oo go'aamiya in daryeelka aad adigu hagto uu kugu habboon yahay iyo in kale. Kadib adiga ayaa dooranaya bixiye ka diiwaangashan Alberta Blue Cross, bixiyahaasna si toos ah ayuu Alberta Blue Cross biil ugu diraa. Adiga, ama qof aad doorato sida xubin qoyska ka mid ah, ayaa haga daryeelka; case manager-kaaga ayaa go'aamiya saacadaha. Waxaa loogu talagalay dadka ku nool gurigooda — guud ahaan lagama heli karo lodge (hoyga waayeelka), assisted living ama supportive living (guryaha daryeelka la taageero), ama group home (guri wadaag ah oo daryeel leh). #1 Right Care waxay u diiwaangashan tahay inay Alberta Blue Cross biil ugu dirto saacadaha CDHCI ee la oggolaaday.
Wax ma bixinayaa?
Saacadaha la oggolaaday waxaa bixisa Alberta Blue Cross iyadoo ka wakiil ah dowladda gobolka (province) — biil laguuma soo dirayo saacadahaas. Booqashooyinkeennu ugu yaraan waa 2 saacadood, sida ku qoran liiskeenna Alberta Blue Cross, barnaamijkuna saacado kuma daro si loo buuxiyo xadka ugu yar ee booqashada. Haddii qorshaha daryeelkaagu leeyahay booqashooyin ka gaaban, ama aad rabto saacado dheeri ah, jadwalka waan kula dejin doonnaa, kharash kasta oo jirana waan kuu qori doonnaa ka hor inta daryeelku bilaabmin.
Weli lama i qiimeyn — ma i caawin kartaan?
Haa. Na wac 587.443.1888 waxaanna kuu sharxi doonnaa tallaabooyinka, ama si toos ah u wac khadka codsiga home care ee aaggaaga: Edmonton 780-496-1300, Calgary 403-943-1920, Red Deer iyo Bartamaha Alberta 1-855-371-4122, Lethbridge 403-388-6380. Adigu naftaada ayaad codsan kartaa. Xeerarka barnaamijku uma oggola bixiye inuu ka qayb galo qiimeyntaada ama uu qiyaaso inta saacadood ee aad heli doonto; taasi waa go'aanka case manager-kaaga. Marka saacadahaaga la oggolaado oo case manager-kaagu ku raaco in daryeelka aad adigu hagto kugu habboon yahay, waxaad na dooran kartaa bixiyahaaga ahaan.
Daryeelku intee dhakhso ah ayuu bilaaban karaa?
Isla marka oggolaanshaha CDHCI-gaagu dhaqan galo oo aad na doorato. Waxaan kula eegnaa qorshaha daryeelkaaga, waxaan kula kulannaa gurigaaga, waxaanna kuu xulnaa daryeele ku habboon jadwalkaaga iyo luqaddaada.
Ma u wareegi karaa #1 Right Care anigoo ka imanaya bixiye kale?
Haddii aad horeba ugu jirto CDHCI, haa — xeerarka barnaamijku waxay kuu oggolaanayaan inaad bixiyaha beddesho wakhti kasta. U sheeg case manager-kaaga inaad dooratay #1 Right Care, waxaanna bilaabaynaa isla marka oggolaanshahaagu dhaqan galo. Haddii maanta case manager-kaagu habeeyo daryeelkaaga, weydii haddii daryeelka aad adigu hagto kugu habboon yahay; go'aankaasi waa kooda. Marka hore waxaan kuu sharxi doonnaa waxa aad weydiinayso.
Daryeeluhu ma samayn karaa wax kale maalinta booqashada?
Haa, gudaha qorshaha daryeelka laguu oggolaaday. Haddii aad doorbidayso in maalintaas aan lagu qubeysiin, daryeelahaagu wuxuu kaa caawin karaa daryeel shakhsi ah oo kale oo case manager-kaagu oggolaaday, sida labbiska, ka caawinta cunidda cuntada, jimicsiga guriga ama caawinta daawada. Shaqada guriga, sida nadiifinta musqushaada ama dhaqidda dharka, waxay qayb ka noqon kartaa booqashada haddii ay ku jirto qorshahaaga — waxay la socotaa daryeelka shakhsiga ah ama nasashada (respite), kaligeed lama bixiyo. Nooc kasta oo daryeel ah wuxuu leeyahay saacado u gaar ah oo la oggolaaday. Waa inaad guriga joogtaa inta booqashadu socoto, waxaana diiwaangelinaa wakhtiga nooc kasta oo daryeel ah, sida barnaamijku u baahan yahay.
Ma idinka ayaa ila hadla case manager-kayga?
Maya. Marka aad ku jirto daryeelka aad adigu hagto, adiga ama qoyskaaga ayaa la xiriira case manager-kaaga, case manager-kaaguna nalama wadaagi karo macluumaadkaaga caafimaadka — sidaas darteed fadlan nala wadaag qorshaha daryeelkaaga. Intaadan wicin, waxaan kuu sharxi doonnaa waxa aad weydiinayso. U sheeg case manager-kaaga haddii baahiyahaagu isbeddelaan, haddii aad maqnaan doonto, ama haddii aad isbitaal gasho (CDHCI ma daboolo daryeelka inta aad isbitaalka ku jirto, case manager-kaaguna waa inuu mar kale xaqiijiyaa CDHCI-gaaga ka hor inta aan booqashooyinku dib u bilaabmin). Haddii aan aragno isbeddel, waan kuu sheegi doonnaa si aad adigu ugu sheegto case manager-kaaga.
Case manager-kaygu ma AHS buu ka tirsan yahay mise Assisted Living Alberta?
Home care waxay Alberta Health Services uga wareegtay Assisted Living Alberta. Waxaa suurtagal ah in waraaqahaaga iyo bogga internetka ee Alberta Blue Cross ay weli ku qoran yihiin AHS — si kastaba ha ahaatee, waa isla case manager-ka home care iyo isla barnaamijka.
Qaybtii adkayd waad dhammaysay. Adigaa hagaya daryeelka; annaguna daryeelka ayaan bixinnaa, biilashana waan maamulnaa.
Ma laguu oggolaaday daryeelka aad adigu hagto? Dooro #1 Right Care, nalana wadaag warqadda oggolaanshaha. Su'aalo ma qabtaa marka hore? Noo soo dir foomka kore, isku-duwe ayaana dib kuu soo wici doona.
Dooro #1 Right Care