I 'Welcome to Medicare' Engokomzimba: Ingabe Ngempela Kungokwenyama?
-Delile
- Kuyini ukuvakashelwa kokuvimbela kweMedicare?
- Umlando wezokwelapha nowenhlalo
- Isivivinyo
- Ukubuyekezwa kwesici sokuphepha nobungozi
- Ezemfundo
- Lokho ukuvakashelwa kokuvimbela ukwamukelwa eMedicare AKUYONA
- Ukuvakashelwa kwempilo njalo ngonyaka
- Ubani ongenza ukuvakashelwa kokwamukela eMedare?
- Yiziphi ezinye izinsizakalo zokuvimbela ezenziwa yiMedicare?
- Ukuhlolwa kokuhlolwa kwesembozo seMedicare
- Ukugoma
- Ezinye izinsizakalo zokuvimbela
- Okubalulekile
Ukunakekelwa kokuvikela kubalulekile ekusizeni ukuthola nokuvikela izifo noma izimo ezahlukahlukene empilweni yakho yonke. Lezi zinsizakalo zingabaluleka kakhulu njengoba ukhula.
Lapho uqala i-Medicare, uyafaneleka ukuba nokuvakashelwa kokuvimbela okuthi "Siyakwamukela ku-Medicare". Phakathi nalolu hambo, udokotela wakho uzobuyekeza umlando wakho wezokwelapha futhi akunikeze imininingwane mayelana nezinsizakalo ezahlukahlukene zokuzivikela.
Ukuvakashelwa kwe-Welcome to Medicare kwasetshenziswa ngabantu abaqala eMedicare ngo-2016.
Kepha yini ngqo futhi engafakiwe kulokhu kuvakashela? Lo mbhalo ubheka ngokuningiliziwe ukuvakashelwa kwe-Welcome to Medicare.
Kuyini ukuvakashelwa kokuvimbela kweMedicare?
I-Medicare Part B ihlanganisa ukuvakashelwa kwesikhathi esisodwa eMedicare. Ungaqedela lokhu kuvakasha zingakapheli izinyanga eziyi-12 uqale iMedicare.
Ngeke ukhokhe lutho ngokuvakashelwa kwakho Ukwamukelwa kwi-Medicare ngaphandle kokuthi unikezwe ngezinsizakalo ezingafakiwe, njengokuhlolwa kwelabhorethri nokuhlolwa kwezempilo.
Nakhu okubandakanya ukuvakashelwa kwe-Welcome to Medicare.
Umlando wezokwelapha nowenhlalo
Udokotela wakho uzobuyekeza umlando wakho wezokwelapha nowenhlalo. Lokhu kungafaka izinto ezifana:
- ukugula kwangaphambilini, izimo zezokwelapha, noma ukuhlinzwa oke wabhekana nakho
- noma yiziphi izifo noma izimo ezihlasela umndeni wakho
- imithi nezithako zokudla ozithathayo njengamanje
- izici zokuphila, njengokudla kwakho, izinga lokuvivinya umzimba, nomlando wokusetshenziswa kukagwayi noma kotshwala
Isivivinyo
Lokhu kuhlolwa okuyisisekelo kufaka:
- ukuqopha ubude bakho nesisindo
- ukubala inkomba yomzimba wakho (BMI)
- ukuthatha umfutho wegazi lakho
- ukwenza ukuhlolwa kombono okulula
Ukubuyekezwa kwesici sokuphepha nobungozi
Udokotela wakho angasebenzisa imibuzo noma amathuluzi wokuhlola ukusiza ukunquma izinto ezinjengalezi:
- noma yiziphi izimpawu zokulahlekelwa ukuzwa
- ingozi yakho yokuwa
- ukuphepha kwekhaya lakho
- ingozi yakho yokuthuthukisa ukucindezeleka
Ezemfundo
Ngokususelwa olwazini abaluqoqayo, udokotela wakho uzosebenza ukukululeka futhi akwazise ngezihloko ezahlukahlukene, kufaka phakathi:
- noma yikuphi ukuhlolwa kwezempilo okunconyiwe
- ukugoma, okufana nomkhuhlane kanye nomuthi wokugoma we-pneumococcal
- ukudluliselwa kokunakekelwa okuyisipesheli
- izinkombandlela ezithuthukisiwe, njengokuthi ufuna ukuvuselelwa uma inhliziyo noma ukuphefumula kwakho kuyeka
Lokho ukuvakashelwa kokuvimbela ukwamukelwa eMedicare AKUYONA
Kubalulekile ukuqaphela ukuthi ukuvakashelwa kwe-Welcome to Medicare akuyona into eyenzeka minyaka yonke. I-Original Medicare (izingxenye A no-B) ayihlanganisi imishanguzo yonyaka.
Umzimba wonyaka unemininingwane eminingi kunokuvakashelwa kwe-Welcome to Medicare. Ngaphezu kokuthatha izimpawu ezibalulekile, kungafaka ezinye izinto, njengokuhlolwa kwelabhorethri noma izivivinyo zokuphefumula, ezenzwa nezesisu.
Ezinye izinhlelo zeMedicare Part C (Advantage) zingabandakanya imishini yonyaka. Noma kunjalo, lokhu kungahluka ngohlelo oluthile. Uma unohlelo lwengxenye C, qiniseka ukuthi uhlola lokho okuhlanganisiwe ngaphambi kokuhlela i-aphoyintimenti yenyama.
Ukuvakashelwa kwempilo njalo ngonyaka
Uma ususebenzise i-Medicare Part B izinyanga ezingaphezu kwezingu-12, izofaka ukuvakashelwa kwempilo njalo ngonyaka. Ukuvakashelwa kwempilo minyaka yonke kungahlelelwa kanye ezinyangeni eziyi-12.
Lolu hlobo lokuvakasha lubandakanya iningi lezinto zokuvakashelwa kwe-Welcome to Medicare. Kungaba wusizo olukhulu ekuvuseleleni umlando wakho wezokwelapha nezincomo zokunakekelwa.
Ngokwengeziwe, ukuhlolwa kokuqonda kwenziwa njengengxenye yokuvakashelwa kwempilo kahle minyaka yonke. Lokhu kungasetshenziswa ukusiza ukuthola izimo ezifana nokuwohloka komqondo noma isifo i-Alzheimer's's early.
Njengokuvakasha kwe-Welcome to Medicare, uzodinga ukukhokhela okunye noma konke okunye ukuhlolwa noma ukuhlolwa okungekho emvakwemvelo.
Ubani ongenza ukuvakashelwa kokwamukela eMedare?
Udokotela wakho angenza ukuvakashelwa kwakho kwe-Welcome to Medicare uma bemukela isabelo. Lokhu kusho ukuthi bayavuma ukwamukela inkokhelo evela ngqo kwi-Medicare ngenani eligunyazwe yi-Medicare ngezinsizakalo ezinikezwe ekuvakasheni.
Udokotela wakho kufanele akwazise ngaphambi kokwenza noma yiziphi izinsizakalo ezingafakiwe ekuvakasheni kwe-Welcome to Medicare. Ngaleyo ndlela, ungakhetha uma ufuna ukuthola lezo zinsizakalo ngaleso sikhathi.
Yiziphi ezinye izinsizakalo zokuvimbela ezenziwa yiMedicare?
Ukunakekelwa kokuvikela kungasiza ukuthola izimo ezinzima ngaphambi kwesikhathi. Ngokusho kweCenters for Disease Control and Prevention (CDC), abathathu kubantu abaneminyaka engama-65 nangaphezulu yile:
- Isifo senhliziyo
- umdlavuza
- izifo ezingapheli zokuphefumula
Ukunakekelwa kokuvikela kungasiza ukuthola lezi zimo nezinye, kuqinisekiswe ukwelashwa ngaphambi kwesikhathi.
Ukuhlolwa kokuhlolwa kwesembozo seMedicare
| Isimo | Ukuhlolwa kokuhlola | Imvamisa |
|---|---|---|
| isisu se-aortic aneurysm | i-ultrasound yesisu | kanye |
| ukusetshenziswa kabi kotshwala | ingxoxo yokuhlola | kanye ngonyaka |
| umdlavuza webele | mammogram | kanye ngonyaka (ngaphezulu kweminyaka engama-40) |
| isifo senhliziyo nemithambo yegazi | ukuhlolwa kwegazi | kanye ngonyaka |
| umdlavuza wesibeletho | I-Pap smear | kanye ezinyangeni ezingama-24 (ngaphandle uma kusengozini enkulu) |
| umdlavuza obomvu | ikholoscopy | kanye ezinyangeni ezingama-24-120, kuya ngobungozi |
| umdlavuza obomvu | sigmoidoscopy eguquguqukayo | kanye ezinyangeni ezingama-48 (ngaphezulu kwama-50) |
| umdlavuza obomvu | ama-multi-target stool DNA test | kanye njalo ezinyangeni ezingama-48 |
| umdlavuza obomvu | ukuhlolwa kwegazi lokusebenzisa imfihlakalo | kanye ngonyaka (ngaphezulu kwama-50) |
| umdlavuza obomvu | i-barium enema | kanye ezinyangeni ezingama-48 (esikhundleni se-colonoscopy noma i-sigmoidoscopy eguquguqukayo engaphezu kuka-50) |
| ukudana | ingxoxo yokuhlola | kanye ngonyaka |
| isifo sikashukela | ukuhlolwa kwegazi | kanye ngonyaka (noma kabili ngengozi ephakeme noma ama-prediabetes) |
| i-glaucoma | ukuhlolwa kwamehlo | kanye ngonyaka |
| i-hepatitis B | ukuhlolwa kwegazi | kanye ngonyaka |
| i-hepatitis C | ukuhlolwa kwegazi | kanye ngonyaka |
| I-HIV | ukuhlolwa kwegazi | kanye ngonyaka |
| umdlavuza wamaphaphu | umthamo ophansi owenziwe ngekhompuyutha (LDCT) | kanye ngonyaka |
| ukukhumuzeka kwamathambo | ukulinganiswa kwamathambo | kanye ezinyangeni ezingama-24 |
| umdlavuza wendlala yabesilisa | ukuhlolwa kwe-prostate specific antigen (PSA) nokuhlolwa kwamakholomu edijithali | kanye ngonyaka |
| izifo ezithathelwana ngocansi (STIs) | ukuhlolwa kwegazi le-gonorrhea, i-chlamydia, i-syphilis, ne-hepatitis B | kanye ngonyaka |
| umdlavuza wangasese | ukuhlolwa okhalo | kanye ezinyangeni ezingama-24 (ngaphandle kwalapho kuba sengcupheni enkulu) |
Ukugoma
Eminye imigomo nayo iyahlanganiswa, njengaleyo:
- I-hepatitis B. Kusebenza kubantu abanobungozi obumaphakathi noma obuphezulu bokuthola i-hepatitis B.
- Umkhuhlane. Ungathola umkhuhlane kanye ngesizini yomkhuhlane.
- Isifo se-pneumococcal. Imishanguzo emibili ye-pneumococcal imboziwe: umuthi wokugoma we-23-valent pneumococcal polysaccharide (PPSV23) kanye nomuthi wokugoma we-13-valent pneumococcal conjugate (PCV13).
Ezinye izinsizakalo zokuvimbela
Ngokwengeziwe, iMedicare ihlanganisa ezinye izinsizakalo zokuvikela zonyaka, kufaka phakathi:
- Ukwelulekwa ngokusebenzisa kabi utshwala. Thola izikhathi ezine zokwelulekwa ubuso nobuso uma uphuza kabi.
- Ukwelashwa kokuziphatha kwesifo senhliziyo. Hlangana kanye nodokotela wakho kanye ngonyaka ukuxoxa ngamasu okusiza ukunciphisa ingozi yesifo senhliziyo.
- Ukuqeqeshwa kokuphathwa kwesifo sikashukela. Thola amathiphu wokuqapha ushukela wegazi, ukudla ukudla okunempilo, nokuzivocavoca umzimba.
- Ukwelashwa kokudla okunomsoco. Sebenza nochwepheshe wezokudla uma unesifo sikashukela, isifo sezinso, noma uthole ukufakelwa izinso ezinyangeni ezingama-36 ezedlule.
- Ukwelulekwa ngokweqile. Izikhathi zokwelulekwa ubuso nobuso zingakusiza wehlise isisindo uma une-BMI engama-30 noma ngaphezulu.
- Ukwelulekwa ngezifo ezithathelana ngokocansi. Izikhathi ezimbili zokwelulekwa ubuso nobuso ziyatholakala kubantu abadala abaya ocansini abanobungozi obandayo bezifo ezithathelana ngokocansi.
- Ukwelulekwa ngogwayi. Thola izikhathi eziyisishiyagalombili zobuso nobuso esikhathini esiyizinyanga eziyi-12 uma usebenzisa ugwayi futhi udinga usizo lokuyeka.
- Yisebenzise! Ngaphansi kwabantu abadala abangaphezu kweminyaka engama-65 basesikhathini ngokunakekelwa okuyisisekelo kokuvikela, njengokuhlolwa nokugonywa.
- Njalohlola nodokotela wakho. Kungumthetho omuhle ukuvakashela udokotela wakho ukuyohlolwa okungenani kanye ngonyaka, ngokusho kweMayo Clinic.
- Gcina indlela yokuphila enempilo. Ukwenza izinqumo ezinempilo ngokuzivocavoca umzimba, ukudla, nokusetshenziswa kukagwayi konke kungasiza ekuthuthukiseni impilo yakho yonke futhi kunciphise ubungozi bezimo ezinjengesifo senhliziyo nomdlavuza.
- Khuluma ngokukhululekile nodokotela wakho. Ukukhuluma nodokotela wakho ngempilo yakho kungabasiza benze izinqumo mayelana nokuhlolwa nokuhlolwa. Bazise uma unomlando womndeni wesifo noma isimo esithile, izimpawu ezintsha noma ezikhathazayo, noma okunye ukukhathazeka ngempilo.
Ukuhlolwa kwezempilo okudingayo kungaxhomeka ezicini eziningana, njengobudala bakho, impilo yonke, ubungozi kanye nemihlahlandlela yamanje ye-Medicare.
Okubalulekile
Ukunakekelwa kokuvikela kubalulekile ekuvikeleni nasekutholakaleni kwezimo ezahlukahlukene noma izifo. Ukuvakashelwa kwe-Welcome to Medicare kungasiza udokotela wakho ekuhloleni impilo yakho nokwenza izincomo zokunakekelwa.
Ungahlela ukuvakashelwa kwakho kwe-Welcome to Medicare kungakapheli izinyanga eziyi-12 uqale iMedicare. Kubandakanya ukuthatha umlando wakho wezokwelapha, ukuhlolwa okuyisisekelo, ukuhlola ubungozi nokuphepha, nokwenza izincomo zokunakekelwa kwezempilo.
Ukuvakashelwa kwe-Welcome to Medicare akuyona into eyenzeka minyaka yonke. Izinto ezifana nokuhlolwa kwelabhoratri nokuhlolwa kokuhlolwa akufakiwe.
Kodwa-ke, i-Medicare ingafaka ezinye zalezi zinsizakalo njengokunakekelwa kokuvikela ngezikhathi ezithile.
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.
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