Ukuhlolwa Komdlavuza Ne-Medicare: Ingabe Uyambozwa?

-Delile

• I-Mammogram yokuhlolwa umdlavuza webele
• Ukuhlolwa komdlavuza ocacile
• Ukuhlola i-colonoscopy
• Ukuhlolwa kwegazi lomlingo we-Fecal
• Izivivinyo zebhu le-DNA eziningi ezihlosiwe
• Ukuhlolwa kwe-Pap kokuhlolwa umdlavuza wesibeletho
• Ukuhlolwa komdlavuza wendlala yesinye
• Ukuhlolwa umdlavuza wamaphaphu
• Ukuthatha

I-Medicare ihlanganisa izivivinyo eziningi zokuhlola ezisetshenziselwa ukuxilonga umdlavuza, kufaka phakathi:

• ukuhlolwa komdlavuza webele
• ukuhlolwa komdlavuza omhlophe
• ukuhlolwa komdlavuza womlomo wesibeletho
• ukuhlolwa komdlavuza wesinye
• ukuhlolwa komdlavuza wamaphaphu

Isinyathelo sakho sokuqala ukukhuluma nodokotela wakho ngengozi yakho yomdlavuza kanye nanoma yikuphi ukuhlolwa kokuhlolwa ongakudinga. Udokotela wakho angakwazisa uma i-Medicare ihlanganisa izivivinyo ezithile ezinconyiwe.

I-Mammogram yokuhlolwa umdlavuza webele

Bonke abesifazane abaneminyaka engama-40 ubudala nangaphezulu bahlanganiswa ukuhlolwa okukodwa kwe-mammogram njalo ezinyangeni eziyi-12 ngaphansi kweMedicare Part B. Uma uphakathi kweminyaka yobudala engama-35 nengama-39 nakuMedicare, i-mammogram eyodwa eyisisekelo iyahlanganiswa.

Uma udokotela wakho amukela isabelo, lezi zivivinyo ngeke zikubize lutho. Ukwamukela lesi sabelo kusho ukuthi udokotela wakho uyavuma ukuthi bazokwamukela inani eligunyaziwe le-Medicare lokuhlolwa njengenkokhelo ephelele.

Uma udokotela wakho enquma ukuthi ukuhlolwa kwakho kuyadingeka kwezokwelapha, ama-mammograms wokuxilonga ambozwe yi-Medicare Part B. Ingxenye B idonswa iyasebenza, kanti iMedicare izokhokha amaphesenti angama-80 emali evunyelwe.

Ukuhlolwa komdlavuza ocacile

Ngeziqondiso ezithile, i-Medicare ihlanganisa:

• ukuhlola i-colonoscopy
• ukuhlolwa kwegazi komlingo
• ama-multi-target stool DNA lab test

Qhubeka ufundele ukuthola eminye imininingwane ekuhlolweni ngakunye.

Ukuhlola i-colonoscopy

Uma usengozini enkulu yomdlavuza onamabala futhi une-Medicare, umbozwa i-colonoscopy yokuhlola kanye ezinyangeni ezingama-24.

Uma ungekho engcupheni enkulu yomdlavuza onamabala, ukuhlolwa kuhlanganiswa kanye ezinyangeni eziyi-120, noma njalo eminyakeni eyishumi.

Akunasidingo seminyaka ephansi futhi uma udokotela wakho amukela isabelo, lezi zivivinyo ngeke zikubize lutho.

Ukuhlolwa kwegazi lomlingo we-Fecal

Uma uneminyaka engama-50 nangaphezulu nge-Medicare, ungahle umbozwe ukuhlolwa kwegazi okulumba okukodwa ukuze kuhlolwe umdlavuza obala njalo ezinyangeni eziyi-12.

Uma udokotela wakho amukela isabelo, lezi zivivinyo ngeke zikubize lutho.

Izivivinyo zebhu le-DNA eziningi ezihlosiwe

Uma uneminyaka engama-50 kuya kwengama-85 ubudala futhi une-Medicare, ukuhlolwa kwelebhu yama-multi-target stool DNA kumbozwa kanye njalo eminyakeni emithathu. Kufanele uhlangabezane nemibandela ethile kubandakanya:

• usengozini emaphakathi yomdlavuza obala ngokobala
• awunazo izimpawu zesifo esiyimbala

Uma udokotela wakho amukela isabelo, lezi zivivinyo ngeke zikubize lutho.

Ukuhlolwa kwe-Pap kokuhlolwa umdlavuza wesibeletho

Uma une-Medicare, ukuhlolwa kwe-Pap nokuhlolwa kwezitho zangasese kumbozwa njalo ezinyangeni ezingama-24 yi-Medicare Part B. Ukuhlolwa kwesifuba somtholampilo ukuhlola umdlavuza webele kufakiwe njengengxenye yokuhlolwa kwezitho zangasese.

Ungavikelelwa ukuhlolwa kokuhlolwa njalo ezinyangeni eziyi-12 uma:

• usengozini enkulu yomdlavuza wesitho sangasese sowesifazane noma wesibeletho
• uneminyaka yobudala yokuzala futhi uke wahlolwa iPap ngendlela engajwayelekile ezinyangeni ezingama-36 ezedlule.

Uma uneminyaka yobudala engama-30 kuya kwengama-65, ukuhlolwa kwe-human papillomavirus (HPV) kufakwa njengengxenye yokuhlolwa kwePap njalo eminyakeni emihlanu, futhi.

Uma udokotela wakho amukela isabelo, lezi zivivinyo ngeke zikubize lutho.

Ukuhlolwa komdlavuza wendlala yesinye

Ukuhlolwa kwegazi kwe-antigen (PSA) kanye nokuhlolwa kwe-digital rectal (DRE) kumbozwa yi-Medicare Part B kanye ezinyangeni eziyi-12 kubantu abaneminyaka engama-50 noma ngaphezulu.

Uma udokotela wakho amukela isabelo, izivivinyo ze-PSA zaminyaka yonke ngeke zikubize lutho. Kwi-DRE, kusebenza Ingxenye B ebanjwayo, kanti iMedicare izokhokha amaphesenti angama-80 emali evunyelwe.

Ukuhlolwa umdlavuza wamaphaphu

Uma uneminyaka yobudala engama-55 kuya kwengama-77, ukuhlolwa komdlavuza wamaphaphu we-low-computed tomography (LDCT) kumbozwa yi-Medicare Part B kanye ngonyaka. Kufanele uhlangabezane nemibandela ethile, kufaka phakathi:

• awunazimpawu (azikho izimpawu zomdlavuza wamaphaphu)
• njengamanje ubhema ugwayi noma uyekile eminyakeni eyi-15 edlule.
• umlando wakho wokusebenzisa ugwayi ufaka phakathi isilinganiso sephakethe elilodwa likagwayi ngosuku iminyaka engama-30.

Uma udokotela wakho amukela isabelo, lezi zivivinyo ngeke zikubize lutho.

Ukuthatha

I-Medicare ihlanganisa izivivinyo eziningi ezihlola izinhlobo ezahlukahlukene zomdlavuza, kufaka phakathi:

• umdlavuza webele
• umdlavuza obomvu
• umdlavuza wesibeletho
• umdlavuza wendlala yabesilisa
• umdlavuza wamaphaphu

Khuluma nodokotela wakho mayelana nokuhlolwa komdlavuza nokuthi ngabe kunconywa ngokuya ngomlando wakho wezokwelapha noma izimpawu.

Kubalulekile ukuqonda ukuthi kungani udokotela wakho ezwa ukuthi lezi zivivinyo ziyadingeka. Babuze ngezincomo zabo nixoxe ngokuthi kuzobiza malini ukuhlolwa nokuthi uma kukhona okunye ngokulinganayo njengokuhlolwa okusebenzayo okungabiza kakhulu. Kuwumqondo omuhle futhi ukubuza ukuthi kuzothatha isikhathi esingakanani ukuthola imiphumela yakho.

Lapho ulinganisa izinketho zakho, cabanga ngalokhu:

• uma isivivinyo simbozwe ngabakwaMedicare
• uzodinga ukukhokha malini kuma-deductibles nama-copay
• noma ngabe uhlelo lweMedicare Advantage lungaba yini inketho yakho engcono kakhulu yokutholakala okuphelele
• omunye umshuwalense ongaba nawo njengeMedigap (Umshuwalense wokungezelela weMedicare)
• uma udokotela wakho amukela isabelo
• uhlobo lwesikhungo lapho kwenziwa khona ukuhlolwa

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.