Blue Cross Medicare Kubatsira Zvirongwa muna 2021

Zvemukati

• Ndeapi ari Blue Cross Medicare Kubatsira zvirongwa?
• Blue Cross Medicare Kubatsira HMO zvirongwa
• Blue Cross Medicare Kubatsira PPO zvirongwa
• Blue Cross Medicare inorongwa zvirongwa zvemishonga
• Blue Cross Medicare Kubatsira PFFS zvirongwa
• Bhuruu Muchinjikwa Medicare SNPs
• Yakawanda zvakadii Blue Cross Medicare Advantage zvirongwa zvinodhura?
• Chii chinonzi Medicare Kubatsira (Medicare Chikamu C)?
• Kutora

• Blue Cross inopa dzakasiyana siyana zvirongwa zveMedare zvinobatsira uye mhando mumatunhu mazhinji muUnited States.
• Zvirongwa zvakawanda zvinosanganisira kunyorerwa zvinodhaka, kana kuti unogona kutenga rakasiyana Chikamu D chirongwa.
• Mazhinji eBlue Cross Medicare Advantage zvirongwa zvinopa madhora 0 emwedzi pamwedzi pamwe chete nemishonga yekunyorera mishonga.

Medicare Advantage ndiyo imwe nzira kune yekutanga Medicare uko yakazvimiririra yeinishuwarenzi yehutano kambani inopa yako Medicare mabhenefiti, pamwe nemamwe mabhenefiti epakutanga Medicare haagare achipa. Mienzaniso inosanganisira kuona, mazino, uye mabasa ekudzivirira ehutano. Blue Cross Blue Shield ndeimwe yemakambani aya.

Ichi chinyorwa chinokupa iwe kutarisa kune anowanikwa Blue Cross Medicare Advantage zvirongwa muUnited States.

Ndeapi ari Blue Cross Medicare Kubatsira zvirongwa?

Bhuruu Muchinjikwa inopa akasiyana siyana Medicare Advantage zvirongwa. Kuwanikwa kwavo kunogona kusiyana nedunhu nenyika.

Ngationgororei dzakasiyana mhando tMedicare Advantage marongero Blue Cross inopa.

Blue Cross Medicare Kubatsira HMO zvirongwa

Blue Cross inopa Health Maintenance Organisation (HMO) zvirongwa mumatunhu akati wandei, anosanganisira Arizona, California, Florida, Massachusetts, nedzimwe dzakawanda. Mune chirongwa ichi, iwe unenge uine in-network primary care provider (PCP).

Kana iwe waizoda hunyanzvi hwekuchengetwa, iwe waizotanga kuona PCP yako, ivo vanobva vakupa iwe kutumira kuti uone nyanzvi. Yako inishuwarenzi chirongwa chaizotanga kufanira kubvumidza hunyanzvi kuendeswa kwachiremba.

Kunze kweBlue Cross ndechekuti vakadzi vazhinji havangade kutumirwa kuti vaone in-network OB / GYN yekuchengetwa kwakanaka-kwevakadzi, senge Pap smear.

Blue Cross Medicare Kubatsira PPO zvirongwa

Blue Cross inopa Yakasarudzika Provider Sangano (PPO) zvirongwa mumatunhu anosanganisira Alabama, Florida, Hawaii, neMontana (kungodaidza mashoma). Semutemo wenguva dzose, PPO ichave nemari yepamusoro yakati rebei kupfuura HMO. Izvi zvinodaro nekuti iwe hauwanzo fanirwa kuwana kuendesa kunoona nyanzvi kana iwe uine PPO.

Zvisinei, iwe unogona kuchengetedza mari nekusarudza mu-network vanopa kubva kunishuwarenzi yekambani yemupi webhu. Iwe unogona kubhadhara zvakanyanya kana ukasarudza kunze-kwe-network mubatsiri.

Blue Cross Medicare inorongwa zvirongwa zvemishonga

Medicare Chikamu D inoronga kufukidza mishonga yako yekunwa. Mamwe maMedare maAdvantage anoronga kuburikidza neBlue Cross inopa mishonga yemishonga inovhara. Nekudaro, kana chirongwa chacho chikasapa kufukidzwa, unogona kusarudza yakazvimirira chirongwa chemushonga.

Blue Cross inopa "ekutanga" uye "akawedzeredzwa" marongero muchirongwa chemishonga chinwiwa pamwe neyakajairwa, Yakawedzerwa, Yakawedzerwa, Yakasarudzika, Yekutanga, Sarudza, uye mamwe marongedzero esarudzo yemishonga. Imwe neimwe inoratidzira fomu, kana rondedzero yemishonga inorongwa nehurongwa uye huwandu hwemitengo. Unogona kutarisa izvi zvinyorwa kana mafomura kuve nechokwadi chero chirongwa chaunofunga chinosanganisira mishonga yaunotora.

Blue Cross Medicare Kubatsira PFFS zvirongwa

Yega Mari Yekubhadharira Service (PFFS) chirongwa cheMedicare Kubatsira chirongwa icho Blue Cross inopa muA Arkansas chete. Urongwa hwerudzi urwu haudi kuti iwe ushandise imwe PCP, in-network vanopa, kana kugamuchira mareferenzi. Panzvimbo iyoyo, chirongwa chinoisa kuti ichabhadhara zvakadii chiremba uye ndiwe une basa rekubhadhara iyo yasara yemubhadharo wemupi.

Dzimwe nguva, vanopa vanobvumirana nePFS chirongwa chekupa masevhisi. Kusiyana nezvimwe zvirongwa zveMedare, mupi wezano reFFS haafanire kukupa masevhisi nekuti vanobvuma Medicare. Vanogona kusarudza kana vachizopa sevhisi pamutengo wekubhadhara weMedare kana kwete.

Bhuruu Muchinjikwa Medicare SNPs

Iyo Yakakosha Needs Chirongwa (SNP) chirongwa cheMedicare Kubatsira chakatsaurirwa kune avo vane imwe mamiriro kana hunhu. Sezvineiwo, chirongwa ichi chinopa hukuru hwekufukidza zvinhu izvo munhu angangoda. Medicare inoda kuti ese SNP ape anonyorerwa mishonga yekuvhara mishonga.

Mienzaniso yeBlue Cross SNPs inosanganisira:

• Yakawanda zvakadii Blue Cross Medicare Advantage zvirongwa zvinodhura?

  Iyo Medicare Advantage musika iri kuwedzera inokwikwidza imwe. Kana iwe uchigara mudhorobha redunhu, panogona kunge paine gumi nemaviri ezvirongwa zvekusarudza kubva.

  Iyi inotevera mimwe mienzaniso yeBlue Cross Medicare Advantage zvirongwa munzvimbo dzakasiyana nemabhadharo avo emwedzi nemwedzi uye nezvimwe zvinodhura. Aya marongero haasanganisi mutengo wemubhadharo wako wemwedzi wega Part B.

  Guta / chirongwa	Nyeredzi nyeredzi	Mwedzi wepamberi	Hutano hunobviswa, zvinodhaka inobviswa	In-network kunze-kwe-muhomwe max	PCP copay pakushanya	Nyanzvi copay pakushanya
  Los Angeles, CA: Nhetembo MediBlue KutangaSmart Plus (HMO)	3.5	$0	$0, $0	$3,000	$5	$0–$20
  Phoenix, AZ: BluePathway Chirongwa 1 (HMO)	Haisipo	$0	$0, $0	$2,900	$0	$20
  Cleveland, OH: Anthem MediBlue Access Core (Dunhu PPO)	3.5	$0 (haisanganisiri kufukidza zvinodhaka)	$ 0, isina kuiswa	$4,900	$0	$30
  Houston, TX: Bhuruu Muchinjikwa Medicare Kubatsira Kwekutanga (HMO)	3	$0	$0, $0	$3,400	$0	$30
  Trenton, NJ: Horizon Medicare Bhuruu Kubatsira (HMO)	4	$31	$0, $250	$6,700	$10	$25

  Iyi ingori mienzaniso mishoma yeanowanikwa Blue Cross Advantage zvirongwa kubva kuMedare.gov kuronga webhusaiti webhusaiti. Panogona kuve nezvimwe zvakawanda zvingasarudzwa munzvimbo yeZIP kodhi.

  Chii chinonzi Medicare Kubatsira (Medicare Chikamu C)?

  Kuva neMedicare Advantage (Chikamu C) zvinoreva kuti kambani yeinishuwarenzi iyo inopa hurongwa hwako ichapa kufukidzwa kweMedare Chikamu A (chipatara), Medicare Chikamu B (kufukidzwa kwekurapa). Zvimwe zvirongwa zvinopawo kunyorerwa kwemishonga yekunyorera. Medicare Advantage zvirongwa zvinosiyana mumari yavo yekunze-yehomwe uye kufukidzwa, kusanganisira macopayments uye mari yemari.

  Mazuva ekupedzisira ekunyoresa mukati kana kushandura yako Medicare Advantage chirongwa

  Aya anotevera mazuva akakosha ekunyoresa mukati kana kuchinja chirongwa chako cheMedare Renzvimbo:

  • Yekutanga kunyoresa nguva. Mwedzi mitatu yekutanga usati wasvika makore makumi matanhatu nemashanu ekuberekwa, mwedzi wako wekuzvarwa, uye mwedzi mitatu mushure mekuzvarwa kwako makumi matanhatu nemashanu.
  • Vhura nguva yekunyora. Gumiguru 15 kusvika Zvita 7 ndiyo yakavhurika kunyoreswa nguva yeMedare Advantage. Zvirongwa zvitsva zvinotanga kushanda muna Ndira 1.
  • Medicare Kubatsira kuvhura kunyoresa. Munguva ino yenguva, munhu anogona kuchinjira kune imwe chirongwa cheMedicare Advantage kana vatove neMedicare Advantage.
  • Medicare Kubatsira kwakakosha kunyoresa nguva. Nguva yenguva iyo iwe yaunogona kushandura yako Yakanakira hurongwa nekuda kwenzvimbo yakasarudzika senge kufamba kana chirongwa chakadonhedzwa munzvimbo yako.

  Kutora

  Blue Cross ndeimwe yemakambani einishuwarenzi mazhinji ayo anopa Medicare Advantage zvirongwa. Unogona kuwana marongero aripo nekutsvaga pamusika weMedare.gov kana kuburikidza neBlue Cross webhusaiti. Chengetedza misi yakakosha mupfungwa kana uchisarudza kuti unyore rinhi chirongwa cheMedare.

  Ichi chinyorwa chakagadziridzwa munaNovember 19, 2020, kuratidza 2021 Medicare ruzivo.

  

  Ruzivo ruri pane ino webhusaiti runogona kukubatsira mukuita sarudzo pachako nezve inishuwarenzi, asi haina kuitirwa kupa zano maererano nekutenga kana kushandiswa kweinishuwarenzi kana zvigadzirwa zveinishuwarenzi. Healthline Media haifambise bhizinesi reinishuwarenzi munzira ipi neipi uye haina kupihwa rezenisi sekambani yeinishuwarenzi kana mugadziri mune chero hutongi hweU.S. Healthline Media haina kukurudzira kana kutsigira chero mapato echitatu anogona kuita bhizinesi reinishuwarenzi.