Chii chinonzi Medicare Chakavhara Kana Iwe Une Dhementia?

Zvemukati

• Medicare inovhara dhementia kuchengetedza?
• Medicare inovhara nzvimbo kana inpatient kuchengetedza dhementia?
• Zvipatara
• Unyanzvi hunyanzvi hwekuchengetedza (SNFs)
• Medicare inovhara pamba kuchengetedza dhementia here?
• Medicare inovhara kuyedza kwedhementia?
• Medicare inovhara hospice kune vanhu vane dementia here?
• Ndezvipi zvikamu zveMedicare zvinovhara dhementia yekuchengetedza?
• Medicare kufukidza nechikamu
• Ndiani anokodzera Medicare kufukidzwa kwekutarisira dhementia?
• Chii chinonzi dementia?
• Chinokosha

• Medicare inovhara mimwe yemitengo inosanganisirwa neyekuchengetedza dementia, kusanganisira kugara kwevarwere, kuchengetwa kwehutano hwepamba, uye bvunzo dzinodiwa dzekuongorora.
• Zvimwe zvirongwa zveMedare, zvakadai sehurongwa hwakakosha hwezvinodiwa, zvakanyatso tariswa kune vanhu vane mamiriro asingaperi senge dementia.
• Medicare haiwanzo kufukidza kuchengetwa kwenguva refu, senge iyo inopihwa kumusha unochengeterwa vakwegura kana nzvimbo yekubatsira yakabatsirwa.
• Kune zviwanikwa zviripo, senge zvirongwa zveMedigap neMedicaid, izvo zvinogona kubatsira kuvhara masevhisi ekuchengetedza dementia ayo asina kuvharwa neMedicare.

Dementia izwi rinoshandiswa kureva nyika umo kufunga, ndangariro, uye kuita sarudzo kwave kukanganisa, kuchikanganisa zviitiko zvezuva nezuva. Chirwere cheAlzheimer ndiyo fomu ye dementia. Medicare chirongwa cheinishuwarenzi chehutano chehutano chinofukidza zvimwe zvekuchengetwa kweundangariro.

Zvinofungidzirwa kuti vanhu vekuAmerican vane chirwere cheAlzheimer kana imwe mhando yehungwaru. Vanenge makumi mapfumbamwe muzana muzana vevanhu ava vane makore makumi matanhatu nemashanu zvichikwira.

Ramba uchiverenga kuti udzidze kuti ndezvipi zvikamu zve dementia zvekutarisira Medicare inovhara uye nezvimwe.

Medicare inovhara dhementia kuchengetedza?

Medicare inovhara zvimwe, asi kwete zvese, zvemitengo inosanganisirwa neyekuchengetwa kweundangariro. Izvi zvinosanganisira:

• inpatient inogara pazvivakwa zvakaita sezvipatara uye nzvimbo dzekuyamwisa dzine hunyanzvi
• kuchengetwa kwehutano hwepamba
• kutarisira varwere
• kuongororwa kwekuziva
• bvunzo dzakadikanwa dze dementia kuongororwa
• mishonga yemishonga (Chikamu D)

Vanhu vazhinji vane dementia vanozoda rumwe rudzi rwekuchengetwa kwenguva refu uko kunosanganisira kuchengetedzwa kwekuchengetwa. Kuchengetwa kunosanganisira rubatsiro nezviitiko zvezuva nezuva sekudya, kupfeka, uye kushandisa imba yekugezera.

Medicare haiwanzo kuvhara kuchengetwa kwenguva refu. Izvo hazvifukidze kuchengetwa kwekuchengetedza.

Nekudaro, kune zvimwe zviwanikwa zvinogona kukubatsira iwe kubhadhara kwenguva refu uye kuchengetwa kwekuchengetwa. Izvi zvinosanganisira zvinhu zvakaita seMedicaid, maPurogiramu eAse-anosanganisira Kuchengeta Vakwegura (PACE), uye inishuwarenzi yekutarisira kwenguva refu.

Medicare inovhara nzvimbo kana inpatient kuchengetedza dhementia?

Medicare Chikamu A inovhara inpatient inogara munzvimbo dzakaita sezvipatara nenzvimbo dzevanamukoti vane hunyanzvi. Ngatitarisei izvi zvishoma padhuze.

Zvipatara

Medicare Chikamu A inovhara inpatient chipatara kugara. Izvi zvinogona kusanganisira zvivakwa senge zvipatara zvekuchengetedza zvakanyanya, zvipatara zvekurapa varwere, uye zvipatara zvekugara kwenguva refu. Mamwe masevhisi akafukidzwa ndeaya:

• Semi-yakavanzika kamuri
• kudya
• kuchengetwa kwese
• mishonga iri chikamu chekurapa kwako
• mamwe mabasa echipatara kana zvekushandisa

Zvekugara muchipatara zvekurapwa, Medicare Chikamu A chichavhara zvese zvinodhura kwemazuva makumi matanhatu ekutanga. Kwemazuva 61 kusvika 90, iwe uchabhadhara mari yezuva nezuva yemari yemadhora makumi matatu nemaviri. Mushure memazuva makumi mapfumbamwe semurwere, iwe unenge uine mutoro wezvese zvinodhura.

Kana iwe ukatambira masevhisi echiremba muchipatara, anozovharwa neMedicare Chikamu B.

Unyanzvi hunyanzvi hwekuchengetedza (SNFs)

Medicare Chikamu A zvakare inovhara inpatient kugara paSNF. Izvi zvivakwa zvinopa hunyanzvi hwekurapa hunogona kungopihwa chete nevezvehutano sevanachiremba, vanamukoti vakanyoreswa, uye varapi vemuviri.

Kana chiremba wako akafunga kuti iwe unoda kutarisirwa kwezuva nezuva zvine hunyanzvi mushure mekuchengetwa muchipatara, vanogona kukurudzira kugara paSNF. Kugara kwako kunogona kusanganisira zvinhu senge yemukati-yega kamuri, chikafu, uye zvekurapa zvinoshandiswa munzvimbo iyi.

Kwemazuva makumi maviri ekutanga muSNF, Medicare Chikamu A chinobhadhara zvese zvinodhura. Mushure memazuva makumi maviri, iwe uchazofanira kubhadhara mari yezuva nezuva yeinishuwarenzi yeUS $ 176. Kana iwe wave uri kuSNF kwemazuva anopfuura zana, iwe unobhadhara zvese zvinodhura.

Medicare inovhara pamba kuchengetedza dhementia here?

Kuchengetwa kwehutano hwepamba ndipo apo hutano hune hunyanzvi kana hwevanamukoti vanopihwa mumba. Yakafukidzwa nezvose zviri zviviri Medicare zvikamu A uye B. Aya masevhisi anowanzo rongedzwa nesangano rezvehutano repamba uye anogona kusanganisira:

• chikamu-chenguva hunyanzvi hwekuchengeta vakoti
• chikamu-nguva maoko-pane hanya
• kurapa kwepanyama
• kurapwa kurapa
• kurapa-mutauro mutauro
• zvekurapa zvemagariro

Kuti uve unokodzera kurapwa kumba, zvinotevera zvinofanirwa kuve zvechokwadi:

• Unofanirwa kuverengerwa seyakaenda kumba, zvichireva kuti une dambudziko rekusiya imba yako pasina rubatsiro rweumwe munhu kana mudziyo unobatsira sewiricheya kana chinofamba.
• Iwe unofanirwa kunge uri kugamuchira iko kuchengetwa kwemusha pasi pechirongwa icho chinowanzo kuongororwa nekuvandudzwa nachiremba wako.
• Chiremba wako anofanira kupupura kuti iwe unoda hunyanzvi hwekutarisirwa hunogona kupihwa kumba.

Medicare inovhara ese ehutano epamba mabasa. Kana iwe uchida zvekurapa zvekushandisa senge wiricheya kana mubhedha wechipatara, uchave uine chekuita ne20 muzana yemutengo.

Medicare inovhara kuyedza kwedhementia?

Medicare Chikamu B chinofukidza maviri marudzi ehutano kushanya:

• Kushanya kwe "Kugamuchirwa kuMedare", kwakapedzwa mukati memwedzi gumi nemaviri yekutanga mushure mekunyorwa kweMedicare.
• Kushanya Kwegore Negore Rekushanya kamwe chete pamwedzi gumi nembiri mumakore ese anotevera.

Uku kushanya kunosanganisira kuongorora kwekukanganisa kwekuziva. Izvi zvinobatsira chiremba wako kutarisa zvingangodaro zviratidzo zvekuora mwoyo. Kuti uite izvi, chiremba wako anogona kushandisa imwe kana mubatanidzwa weinotevera:

• kutarisa kwakanangana nechitarisiko chako, maitiro, uye mhinduro
• zvinonetsa kana mishumo kubva kwauri kana nhengo dzemhuri
• chishandiso chakasarudzika chekuongorora chishandiso

Pamusoro pezvo, Medicare Chikamu B chinogona kuvhara bvunzo dzinoonekwa dzakakodzera kubatsira kuongorora dementia. Mimwe mienzaniso inosanganisira zvinhu zvakaita sekuongororwa kweropa uye kufungidzira kwehuropi kuburikidza neCT scan kana MRI scan.

Medicare inovhara hospice kune vanhu vane dementia here?

Hospice rudzi rwekuchengetwa uko kunopihwa kuvanhu vanorwara zvakaipisisa. Kuchengetwa kwevagari vemo kunotarisirwa nechikwata chekuchengetedza varwere uye kunogona kusanganisira anotevera masevhisi:

• mabasa echiremba uye kuchengetwa kwevanamukoti
• mishonga yekubatsira kurerutsa zviratidzo
• kwenguva pfupi-inpatient kutarisirwa kubatsira kubata zviratidzo
• zvekurapa michina senge vanofamba uye mawiricheya
• zvigadzirwa zvakaita semabhandiji kana makateti
• kushungurudzwa kwekusuwa iwe kana mhuri yako
• pfupi-yenguva yekuzorora kuchengetwa, inova nguva pfupi yekurapa yekugara kubvumira wako wekutanga anotarisira kuti azorore

Medicare Chikamu A chichafukidza kuchengetwa kwehospital kune mumwe munhu ane dementia kana zvese zvinotevera zviri zvechokwadi:

• Chiremba wako akatsunga kuti une tarisiro yeupenyu yemwedzi mitanhatu kana pasi (kunyangwe ivo vachigona kugadzirisa izvi kana zvichidikanwa).
• Unobvuma kubvuma kutarisirwa kwakanangidzirwa kunyaradzo uye kusunungurwa kwechiratidzo panzvimbo yekutarisirwa kupora mamiriro ako.
• Iwe unosaina chirevo chinoratidza kuti iwe unosarudza kurapwa kwehospital kupesana nedzimwe nzira dzakaputirwa neMedare.

Medicare ichabhadhara zvese zvinodhura zvekuchengetedza varwere, kunze kwenzvimbo uye bhodhi. Iwe unogona zvakare dzimwe nguva kuve nemhosva yekukwereta diki kune chero mishonga yakatemwa kubatsira kubvisa zviratidzo.

Ndezvipi zvikamu zveMedicare zvinovhara dhementia yekuchengetedza?

Ngatiitei ongororo nekukurumidza yezvikamu zveMedicare zvinovhara kuchengetedza kwekutadza kuora mwoyo:

Medicare kufukidza nechikamu

Ndiani anokodzera Medicare kufukidzwa kwekutarisira dhementia?

Kuti uve unokodzera kufukidzwa neMedare kune dhementia, unofanirwa kusangana neyakajairika nzira yekukodzera yeMedare. Izvi ndezvekuti iwe uri:

• ane makore 65 kana kupfuura
• chero zera uye hurema
• chero zera uye ane magumo enhanho renal chirwere (ESRD)

Zvisinei, kune mamwe marongero akarongeka eMedare ayo vanhu vane dementia vanogona kukodzera. Mune zviitiko izvi, kuongororwa kwekuora mwoyo kunogona kudikanwa:

• Zvirongwa zvekuda zvakakosha (SNPs): SNPs iboka rakakosha reAdvantage zvirongwa zvinotarisana nezvinodiwa nevanhu vane mamwe mamiriro ehutano, kusanganisira kuora mwoyo. Kurongeka kwekutarisira kunowanzo kuverengerwa.
• Zvekuchengetedza manejimendi manejimendi masevhisi (CCMR): Kana iwe uine kuora mwoyo uye kana chimwe chete chisingaperi mamiriro, iwe unogona kuve unokodzera CCMR. CCMR inosanganisira kuvandudzwa kwehurongwa hwekuchengetedza, kubatana kwehutano nemishonga, uye 24/7 kuwana mukana kune anokwanisa wehutano nyanzvi yehutano zvinodiwa.

Chii chinonzi dementia?

Dementia inoitika kana iwe ukarasa kugona kwekuziva senge ndangariro, kufunga, uye kuita sarudzo. Izvi zvinogona kukanganisa zvakanyanya magariro mashandiro uye zviitiko zveupenyu hwezuva nezuva. Semuenzaniso, munhu ane dementia anogona kunetseka:

• kurangarira vanhu, ndangariro dzekare, kana mafambiro
• kuita mabasa ezuva nezuva zvakazvimiririra
• kutaurirana kana kutsvaga mazwi akakodzera
• kugadzirisa matambudziko
• kugara wakarongeka
• kuteerera
• kudzora manzwiro avo

Iko hakuna kungori chete imwe mhando ye dementia. Iko kune chaiko mhando dzinoverengeka, imwe neimwe iine hunhu hwakasiyana. Zvinosanganisira:

• Chirwere cheAlzheimer
• Lewy kuderera kwemuviri
• Frontotemporal kuora mwoyo
• Vascular dementia
• Dementia yakasanganiswa, inova mubatanidzwa wemhando mbiri kana kudarika dzedementia

Chinokosha

Medicare inovhara zvimwe zvikamu zvekuchengetedza dementia. Mimwe mienzaniso inosanganisira inpatient kugara kunzvimbo yevanamukoti vane hunyanzvi, kuchengetwa kwehutano hwepamba, uye zvekurapa zvinodikanwa zvekuongorora.

Pamusoro pezvo, vanhu vane dementia vanogona kuve vanokodzera kune mamwe marongero eMedare anoenderana nezvinodiwa zvavo. Izvi zvinosanganisira zvinhu zvakaita sekuronga zvidikanwi zvehurongwa uye manejimendi ekuchengetedza manejimendi.

Nepo vanhu vazhinji vane dementia vachida imwe mhando yekutarisirwa kwenguva refu, Medicare kazhinji haifukidze izvi. Mamwe mapurogiramu, akadai seMedicaid, anogona kubatsira kubhadhara mutengo wekutarisirwa kwenguva refu.