医疗补助(Medicaid)
面向低收入者的公费医疗保险,由联邦与州政府共同出资,覆盖门诊、住院、处方药、孕产、儿童等医疗服务。由各州在联邦规则下经办,每州有自己的名称和细则(加州称 Medi-Cal)。
本州关键差异
与大多数人的预期相反的一条,放在最前面:在华盛顿特区,「不符合 Medicaid 资格」本身就是另一个项目的服务对象。DHCF 对 Health Care Alliance 的官方定义逐字是「一个由本地出资的项目,专为不符合 Medicaid 资格的特区居民提供医疗援助」。多数人默认「不符合 Medicaid = 只能自费」;特区专门为这批人建了一个用本地税款出资的项目。 本站在 DHCF 的 Alliance 页面上,未查到关于移民身份的字句 —— 该页列出的条件只有三条:特区居民、符合财务标准、且「没有任何其它健康或医疗保险」。本站不替它写身份口径,也不重述联邦规则(重述即产生第二个版本,迟早与真相源漂移)。请直接向 DHCF 问清你的情况((202) 442-5988)。 ( 附带说明,免得你以为我们没查:DC Health Link 上有一页专讲「因移民身份不符合多数项目的居民有哪些医保选择」,该页对本站返回 403,打不开 —— 这是本站的取数限制,不是那一页不存在;它值得你自己去看一眼。) 有三项变更,自 2025 年 10 月 1 日起已经生效(不是「即将」,是已经),请按现状理解: ① 合并:官方逐字「自 2025 年 10 月 1 日起,Health Care Alliance 与移民儿童项目(ICP)合并为一个项目」,现名 DC Health Care Alliance。 ② 26 岁及以上不再接受新申请。官方逐字:「自 2025 年 10 月 1 日起,Health Care Alliance 项目将不再把 26 岁或以上的新申请人纳入项目」。 但「新申请人」是官方定义过的,这一点最要紧,别被上面那句吓走:官方在同一句里逐字写明,新申请人指「目前未参加本项目、且不在续期期间的人」;并另起一句解释「新申请人是指目前没有在领 Health Care Alliance、但想要申请的人」。→ 如果你已经在保,或正处在续期期间,你不属于「新申请人」——这一条不是在赶你走。 ③ 21 岁及以上的收入上限从 215% FPL 降到 138% FPL。 没有变的三件(官方逐字列在「What's Not Changing」下):0–20 岁的收入上限没有变;没有面谈要求;认证期仍为每 12 个月一次。 ③ 那一条会在什么时候砸到你,值得说清楚:收入线的下调不是当天就把人踢出去,而是在你 12 个月一次的复核那天才作用到你身上。所以「我现在还有保险」不代表这条与你无关 —— 若你 21 岁以上、家庭收入在 138% 到 215% FPL 之间,请现在就去问 DHCF「我下次复核会怎么样、我还有什么别的路」,而不是等收到终止通知才问。 一件顺手能做、而且有用的事:DHCF 把 Alliance 手册出了中文、西班牙文、阿姆哈拉文、韩文、越南文版本。去要一份你看得懂的,别只靠别人转述。 实务提醒:若家中成员的身份情况不一,在递交之前可先咨询持牌移民律师或经司法部认可的机构(DOJ-accredited representative),许多提供免费或低收费服务。 公共负担:联邦结论(含 2026-09-18 起的变化、法定豁免、以及境外签证与口岸的口径)见本页项目级说明,本行不重复 —— 重复即第二真相源。个案请咨询持牌移民律师。
依据:DC Department of Health Care Finance (DHCF) · 查阅于 2026-08-07
- 查看官方原文: "DC Health Care Alliance for Adults (‘Alliance’)" — DC Department of Health Care Finance (DHCF). Definition: "DC Health Care Alliance for Adults (‘Alliance’) Program is a locally-funded program designed to provide medical assistance to District residents who are not eligible for Medicaid." Income: "Have income at or below 138% of the federal poverty level (‘FPL’)" with the composition noted as "133% + 5% disregard"; published monthly limits run from $1,836 (1 person) to $6,408 (household of 8). Conditions: "To be eligible for Health Care Alliance, you must be a resident of the District of Columbia, meet financial eligibility requirements, and not have any other health or medical health coverage." Agency contact: 441 4th Street NW, 900S, Washington DC 20001; phone (202) 442-5988; TTY 711; office hours Monday to Friday 8:15 am to 4:45 pm. 🔴 Negative evidence: this page states nothing about immigration status, does not say where to apply, and does not list required documents. (在新标签页打开)
- 查看官方原文: "Health Care Alliance Program Changes 2026" — DHCF (page title carries the programme year; the changes it describes are "Health Care Alliance Changes Effective October 1, 2025"). Verbatim from the page: "Name Change: Alliance and Immigrant Children's Program (ICP) becomes one program called DC Health Care Alliance." "No new enrollments in the Alliance program for individuals 26 and older." "DC Health Care Alliance income limit for individuals 21 years of age or older decreases from 215% to 138% of the federal poverty limit (FPL)." Under "What's Not Changing in Health Care Alliance": "No income limit changes for children (0-20). No face-to-face requirements. Certification spans remain every 12 months." 🌟 From DHCF's companion FAQ PDF (dated August 2025, "Health Care Alliance Frequently Asked Questions"): "New! Effective October 1, 2025, The Health Care Alliance and [Immigrant Children's] Program (ICP) will merge into one program called the Health Care Alliance Program for Adults and Children." and "Starting October 1, 2025, the Health Care Alliance program will no longer enroll new applicants (those not currently enrolled in the program or in a renewal period) aged 26 or older into the program. A new applicant is someone who is not currently receiving Health Care Alliance but would like to apply for the program." The page also links the Alliance Health Care Handbook 2026 in English, Spanish and Amharic, and "Benefit Changes - for Enrolled Alliance Members" in English, Amharic, Spanish, Korean, Chinese and Vietnamese; and announces beneficiary/stakeholder meetings every other Wednesday. (在新标签页打开)
- 查看官方原文: "Medicaid Income Limits" — DC Department of Health Care Finance (DHCF). Verbatim: "Medicaid income limits for Parent/Caretaker Relatives and Childless Adults decreases to 138% of the federal poverty limit (FPL). See samples of income changes below." Table — Current Childless Adult (Ending 12/31/2025): 210% + 5% disregard; 1 person monthly $2,806; 2-person $3,790; 3-person $4,775; 4-person $5,762. Current Parent or Caretaker (Ending 12/31/2025): 216% + 5% disregard; $2,884 / $3,896 / $4,908 / $5,923. New Childless Adult and Parent/Caretaker (Effective 1/1/2026): 133% + 5% disregard; $1,800 / $2,432 / $3,065 / $3,697. 🔴 Verbatim: "Parent/Caretaker Relatives and Childless Adults whose income exceeds 138% of the federal poverty limit will lose Medicaid on 12/31/2025." 🔴 Negative evidence: this page carries no household sizes above four, and says nothing about how affected people were notified or what alternatives they were offered. (在新标签页打开)