Ingabe i-Medicare Cover Cover Acupuncture?

-Delile

• Ngabe i-Medicare ikufihla nini ukutshopa?
• Kubiza malini ukutshopa?
• Ingabe i-Medicare ihlanganisa okunye ukunakekelwa okuhlukile noma okuhlangene?
• Ukwelashwa kokubhucunga umzimba
• Ukwelashwa kwe-Chiropractic
• Ukwelashwa ngokomzimba
• Ingabe ikhona indlela yokutholakala ngemithi ehlukile?
• Okubalulekile

• Kusukela ngoJanuwari 21, 2020, i-Medicare Part B ihlanganisa izikhathi eziyi-12 zokuthwebula phakathi nenkathi engu-90 yokwelapha ubuhlungu beqolo obungehli njalo obutholakale ngokwezokwelapha.
• Ukwelashwa nge-acupuncture kufanele kwenziwe ngudokotela oqeqeshiwe onelayisense.
• I-Medicare Part B ingahlanganisa iseshini engama-20 yokuthwebula ngonyaka.

Ukulungisa amathambo kuyikhambi eliphelele ebelisetshenziswa izinkulungwane zeminyaka. Imibhalo yezokwelapha ikhombisa ukuthi, ngokuya ngezimo, ukutshopa kungaba ukwelashwa okusebenzayo kobuhlungu obunzima nobungapheli.

Ngokwengxenye njengempendulo yenkinga ye-opioid, ngoJanuwari 21, 2020, iCenters for Medicare & Medicaid Services (CMS) yakhipha imithetho emisha maqondana nokutholakala kwe-Medicare yokwelashwa kwe-acupuncture. I-Medicare manje isimboza izikhathi eziyi-12 zokuthwebula ngosuku ngalinye lezinsuku ezingama-90 zokwelashwa kobuhlungu obuphansi beqolo kanye nezikhathi ezingaba ngu-20 zokuthwebula ngonyaka.

Ngabe i-Medicare ikufihla nini ukutshopa?

Kusukela ngoJanuwari 2020, i-Medicare Part B ihlanganisa izindlela zokwelapha ngokuhlinzwa ukuze kulashwe izinhlungu ezisezingeni eliphansi. Lezi zindlela zokwelashwa kufanele zenziwe ngudokotela wezokwelapha noma omunye uchwepheshe ofanelekayo wezokunakekelwa kwezempilo njengomhlengikazi noma umsizi kadokotela onakho Kokubili lezi ziqu:

• iziqu ze-masters noma zobudokotela ekuthweni komzimba noma e-Oriental Medicine esikoleni esivunyelwe yi-Accreditation Commission on Acupuncture and Oriental Medicine (ACAOM)
• ilayisense yamanje, ephelele, esebenzayo, futhi engavinjelwe yokwenza i-acupuncture esifundazweni lapho ukunakekelwa kunikezwa khona

I-Medicare Part B ifaka amaseshini ayi-12 okugcoba ngezinsuku ezingama-90 kanye nasesikhathini esingu-20 ngonyaka. Izikhathi ezingeziwe eziyi-8 zingahlanganiswa uma ukhombisa ukuthuthuka ngesikhathi sokwelashwa.

Ufanelekela ukumbozwa ngemithi yokwelashwa kokutholwa uma:

• Unesifo sobuhlungu obuphansi emuva obudonse amasonto ayi-12 noma ngaphezulu.
• Ubuhlungu bakho bangemuva abunayo imbangela yesistimu noma ayihlotshaniswa nesifo se-metastatic, inflammatory noma esithathelwanayo.
• Ubuhlungu bakho emuva abuhlotshaniswa nokuhlinzwa noma ukukhulelwa.

I-Medicare ihlanganisa kuphela ukwelashwa ngokutholwa kokuhlinzwa kokulashwa okungapheli kwezinhlungu ezisezingeni eliphansi.

Kubiza malini ukutshopa?

Izindleko zokutholwa kwe-Acupuncture zingahluka ngokuya ngomhlinzeki wakho nokuthi uhlala kuphi. Ukuqokwa kwakho kokuqala kungabiza kakhulu, ngoba uzodinga ukukhokhela imali yokubonisana nanoma yikuphi ukwelashwa.

I-Medicare ayikakhiphi inani abazolikhokhela ukwelashwa ngokutholwa. Uma le mali egunyaziwe isunguliwe, uma une-Medicare Part B, uzoba nesibopho samaphesenti angama-20 yaleyo mali kanye neNgxenye B yakho edonswayo.

Ngaphandle kweMedicare, ungalindela ukukhokha u- $ 100 noma ngaphezulu ukwelashwa kokuqala naphakathi kuka- $ 50 no- $ 75 wezokwelapha ngemuva kwalokho. Okwenziwe ngo-2015 kulinganiselwa izindleko zenyanga zonke zabantu abasebenzisa i-acupuncture ngezinhlungu ezisezingeni eliphansi enyangeni eyodwa futhi balinganiselwa ku- $ 146.

Ngoba amanani ayahluka, buza udokotela wakho ukuthi iseshini yakho izobiza malini. Thola ukulinganisela ngokubhala, uma ungakwazi, ngaphambi kokuba uvume ukwelashwa ngumhlinzeki wakho wokukhetha ukuthena. Ukumbozwa yi-Medicare, noma yimuphi umsebenzi we-acupuncture kufanele ahlangabezane nezimfuneko ze-Medicare futhi avume ukwamukela inkokhelo ye-Medicare.

Ingabe i-Medicare ihlanganisa okunye ukunakekelwa okuhlukile noma okuhlangene?

Ngenkathi i-Medicare ingazibandakanyi ezinye izindlela zokwelashwa, ungambozwa ezinye izindlela zokwelashwa ngaphansi kwezimo ezithile.

Ukwelashwa kokubhucunga umzimba

Ngalesi sikhathi, i-Medicare ayihlanganisi ukwelashwa kokubhucungwa, noma ezimweni lapho kunqunywe udokotela wakho.

Ukwelashwa kwe-Chiropractic

I-Medicare Part B ihlanganisa ukulungiswa komgogodla wakho okwenziwa yi-chiropractor. Uma unesifo sokutholwa kwethambo elishibhile emgogodleni wakho, ungahle ufanelekele ukwelashwa okudingekayo kwezokwelapha kwe-chiropractic.

Ngokwezinqubomgomo ze-Medicare, usazoba nesibopho samaphesenti angama-20 ezindleko zokwelashwa, kanye ne-Medicare Part B yakho ekhishwa minyaka yonke.

I-Medicare ayihlanganisi ezinye izinsizakalo i-chiropractor engazinikeza noma izinikeze, njenge-acupuncture ne-massage, futhi i-Medicare ayihlanganisi izivivinyo ezi-odolwe yi-chiropractor efana ne-X-ray.

Ukwelashwa ngokomzimba

I-Medicare Part B ihlanganisa izindlela zokwelashwa ezidingekayo zokwelashwa. Lezi zindlela zokwelashwa kufanele zenziwe ngumelaphi obamba iqhaza kwiMedicare futhi anqunywe ngudokotela ohambisa imibhalo ekhombisa ukuthi uyakudinga ukwelashwa.

Usazoba nesibopho samaphesenti angama-20 ezindleko zokwelashwa, kanye ne-Medicare Part B yakho ekhishwa minyaka yonke.

Ingabe ikhona indlela yokutholakala ngemithi ehlukile?

Ngaphezu kwe-Medicare Part A ne-Medicare Part B, kunezinhlelo ezengeziwe ongazithenga ukukhuphula ukumbozwa kwakho.

Izinhlelo zeMedicare Part C (Medicare Advantage) yizinhlelo zomshuwalense wangasese ezinikeza izinzuzo zeMedicare yasekuqaleni ehlangene nezinketho ezivela ezinkampanini zomshuwalense wangasese. Izinhlelo zenzuzo kufanele zihlanganise izinsizakalo ezifakwa yiMedicare Part B, ngakho-ke noma yiluphi uhlelo lweMedicare Advantage kufanele lumboze ukukhishwa kwesikhumba okungenani okufanayo neMedicare Part B.

Ingxenye C ingaziphika izimangalo zezinye izindlela zokwelashwa. Uma unecebo le-Medicare Advantage, cela umhlinzeki wakho inqubomgomo yakhe ngokunye ukwelashwa okuhlukile.

Izinhlelo zokungezelela zeMedigap zingathengwa ukukhulisa izinzuzo zokutholakala kwendabuko kwe-Medicare. Lezi zinhlelo zokwengeza zimboza izinto ezinjengokudonswayo nezinye izindleko zokwelashwa ezingaphandle kwesikhwama.

Izinhlelo zomshuwalense wangasese zinamathuba amaningi okubandakanya ezinye izindlela zokwelashwa. Ngenkathi izindleko zokuqala zamasu omshwalense wangasese zingaphezulu, lezi zinhlelo zinganciphisa izindleko zezinye izindlela zokwelashwa.

I-Medicare ingadideka futhi kube nzima ukuyisebenzisa. Noma ngabe uyazibhalisela noma usiza othandekayo, nazi ezinye iziphakamiso zisiza ngesikhathi senqubo:

• Yenza uhlu lwezimo zakho zokwelashwa nayo yonke imithi oyiphuzayo. Ukwazi izidingo zakho zamanje zezokwelapha kuzosiza lapho usesha i-Medicare.gov noma ukhuluma ne-Social Security Administration.
• Sesha i-Medicare.gov ngemininingwane ethile kuzo zonke izinhlelo ze-Medicare. I-Medicare.gov inamathuluzi okukusiza ukuthi useshe ukumbozwa okusekelwe ezintweni eziningi, ezifana nobudala bakho, indawo, imali oyitholayo, nomlando wezokwelapha.
• Xhumana ne-Social Security Administration nganoma yimiphi imibuzo. Ukubhaliswa kweMedicare kuphethwe yi-Social Security Administration. Xhumana nabo ngaphambi uyabhalisa. Ungashayela, ubheke ku-inthanethi, noma uhlelele umhlangano ngaphakathi komuntu.
• Bhala amanothi nganoma yiziphi izingcingo noma imihlangano ulungiselela ukubhaliswa. Lawa manothi angasiza ukucacisa imininingwane emayelana nokunakekelwa kwezempilo nokusabalala.
• Yenza isabelomali. Kubalulekile ukwazi kahle ukuthi ungakhokhela malini ukukhokhela izinzuzo zakho ze-Medicare.

Okubalulekile

I-acupuncture ingaba ukwelashwa okusebenzayo kwezinye izimo zezempilo ezithinta abantu abadala, njenge-rheumatoid arthritis noma ubuhlungu obungapheli obubuhlungu emuva.

Kusukela ngoJanuwari 21, 2020, i-Medicare Part B ihlanganisa ukwelashwa ngokutholwa kokuhlunguphazwa kobuhlungu obungapheli beqolo kuze kufike kumaseshini ayi-12 ezinsukwini ezingama-90 kuze kufike kumaseshini angama-20 ngonyaka.

Imininingwane ekule webhusayithi ingakusiza ekwenzeni izinqumo eziphathelene nomshuwalense, kepha ayihloselwe ukunikeza iseluleko maqondana nokuthengwa noma ukusetshenziswa kwanoma imuphi umshwalense noma imikhiqizo yomshuwalense. I-Healthline Media ayisebenzisi ibhizinisi lomshwalense nganoma iyiphi indlela futhi ayinamalayisensi njengenkampani yomshuwalense noma umkhiqizi kunoma iyiphi indawo yase-U.S. I-Healthline Media ayincomi noma ivumele noma yiziphi izinkampani zangaphandle ezingase zenze ibhizinisi lomshwalense.