Dialysis Yakafukidzwa Na Medicare?

Zvemukati

• Medicare kukodzera
• Kana iwe ukasanyoresa ipapo
• Kana iwe uri pane dialysis
• Kana iwe uri kutora itsvo kuisirwa
• Kana Medicare kufukidza kunopera
• Dialysis masevhisi uye zvigadzirwa zvakafukidzwa neMedicare
• Kuvhara zvinodhaka
• Chii chandichabhadhara dialysis?
• Tora woenda nazvo

Medicare inovhara dialysis uye mazhinji marapirwo ayo anosanganisira ekupedzisira nhanho renal chirwere (ESRD) kana itsvo kutadza.

Kana itsvo dzako dzisingakwanise kushanda zvakasununguka, muviri wako unopinda muESRD. Dialysis kurapwa kubatsira muviri wako kushanda nekuchenesa ropa rako kana itsvo dzako dzakamira kushanda dzoga.

Pamwe pamwe nekubatsira muviri wako kuchengetedza huwandu hwakafanira hwemvura uye kudzora BP, dialysis inobatsira kubvisa marara anokuvadza, zvinwiwa, uye munyu unovaka mumuviri wako. Kunyangwe ivo vachigona kukubatsira iwe kurarama kwenguva yakareba uye unzwe zvirinani, kurapwa kwedialysis haisi mushonga wekusingaperi itsvo kutadza.

Ramba uchiverenga kuti udzidze zvakawanda nezveMedicare's dialysis uye kurapwa kwekurapa, kusanganisira kukodzera uye mutengo.

Medicare kukodzera

Izvo zvinodiwa zvekufanirwa neMedare zvakasiyana kana kukodzera kwako kuri pamusoro peESRD.

Kana iwe ukasanyoresa ipapo

Kana iwe uchikodzera kuenda kuMedare zvichibva paESRD asi ukapotsa yako yekutanga kunyoresa nguva, iwe unogona kuve unokodzera kuwana retroactive kufukidza inosvika kumwedzi gumi nemaviri, kana iwe uchinge wanyora.

Kana iwe uri pane dialysis

Kana iwe ukanyoresa muMedare zvichibva paESRD uye uripo parizvino pane dialysis, yako Medicare kufukidza kazhinji inotanga pazuva rekutanga remushonga wako wedialysis mwedzi wechina. Kuvhara kunogona kutanga mwedzi wekutanga kana:

• Pakati pemwedzi mitatu yekutanga yedhialisi, iwe unotora chikamu mudzimba dialysis kudzidziswa kuchipatara chakasimbiswa neMedicare.
• Chiremba wako anoratidza kuti iwe unofanirwa kupedzisa kudzidziswa kuti iwe ugone kuzviitira wega dialysis kurapwa.

Kana iwe uri kutora itsvo kuisirwa

Kana iwe ukabvumirwa kuchipatara chakasimbiswa neMedicare chekuisirwa itsvo uye kuiswa kwacho kunoitika mwedzi iwoyo kana mumwedzi miviri inotevera, Medicare inogona kutanga mwedzi iwoyo.

Kuvharidzirwa kweMedare kunogona kutanga mwedzi miviri usati waiswa kana kuiswa kwacho kuchinonoka kupfuura mwedzi miviri mushure mekugamuchirwa kuchipatara.

Kana Medicare kufukidza kunopera

Kana iwe uchikodzera chete kune Medicare nekuda kwekusingaperi itsvo kutadza, kufukidzwa kwako kunomira:

• Mwedzi gumi nemaviri mushure memwedzi dialysis kurapwa kwakamiswa
• Mwedzi makumi matatu nematanhatu zvichitevera mwedzi unove nekuiswa kweitsvo

Medicare kufukidza kuchatangazve kana:

• mukati memwedzi gumi nemiviri mushure memwedzi, unomira kuwana dialysis, unotanga dialysis zvakare kana kuve neimpso yekuisira
• mukati memwedzi makumi matatu nematanhatu mushure memwedzi unowana kuisirwa itsvo iwe unowana kumwe kuisirwa kweitsvo kana kutanga dialysis

Dialysis masevhisi uye zvigadzirwa zvakafukidzwa neMedicare

Original Medicare (Chikamu A inishuwarenzi yechipatara uye Chikamu B inishuwarenzi yekurapa) inovhara zvakawanda zvekushandisa uye masevhisi anodikanwa kune dialysis, inosanganisira:

• inpatient dialysis mishonga: yakavharwa neMedare Chikamu A
• outpatient dialysis mishonga: yakavharwa neMedare Chikamu B
• masevhisi ekurapa ekurapa: akafukidzwa neMedicare Chikamu B
• imba dialysis kudzidziswa: yakavharwa neMedare Chikamu B
• imba dialysis zvishandiso uye zvekushandisa: zvakafukidzwa neMedicare Chikamu B
• mamwe masevhisi ekutsigira epamba: akafukidzwa neMedare Chikamu B
• mazhinji madhiragi e-mu-nzvimbo uye epamba dialysis: yakavharwa neMedare Chikamu B
• mamwe masevhisi uye zvekushandisa, senge bvunzo dzeLabhoritari: yakavharwa neMedare Chikamu B

Medicare inofanirwa kuvhara mabasa eamburenzi kuenda uye kubva kumba kwako kuenda kune yepedyo dialysis nzvimbo kana chiremba wako achipa zvakanyorwa mirairo ichisimbisa kuti icho chinodikanwa chekurapa.

Services uye zvekushandisa zvisina kuvharwa neMedare zvinosanganisira:

• kubhadhara kwevanobatsira kubatsira neimba dialysis
• akarasikirwa mubhadharo panguva yekudzidziswa dialysis kumba
• pekugara panguva yekurapwa
• ropa kana rakazara masero matsvuku eropa reimba dialysis (kunze kwekunge yaverengerwa nachiremba)

Kuvhara zvinodhaka

Medicare Chikamu B chinofukidza jekiseni uye intravenous zvinodhaka uye biology uye avo emumuromo mafomu anopiwa neiyo dialysis nzvimbo.

Chikamu B hachifukidze mishonga inowanikwa chete mumuromo fomu.

Medicare Chikamu D, icho chinotengwa kuburikidza nekambani inishuwarenzi yakazvimirira yeMedicare, inopa mishonga yemishonga inovhara iyo, zvichibva pamutemo wako, inowanzovhara rudzi urwu rwemishonga.

Chii chandichabhadhara dialysis?

Kana iwe ukawana dialysis mushure mekugamuchirwa kuchipatara, Medicare Chikamu A inovhara izvo zvinodhura.

Vanachiremba vekunze 'masevhisi akafukidzwa neMedicare Chikamu B.

Iwe une basa remaprimiyamu, anobviswa pagore, mari yemari, uye macopay:

• Iyo yegore inodonhedzwa yeMedicare Chikamu A iri $ 1,408 (painobvumirwa kuchipatara) muna 2020. Izvi zvinovhara mazuva makumi matanhatu ekutanga ekuchengetwa kwechipatara munguva yekubatsirwa. Sekureva kweU.S. Centers yeMedicare & Medicare Services, vangangoita makumi mapfumbamwe kubva muzana ezana revabatsiri veMedare havana mari yeChikamu A.
• Muna 2020, mari yemwedzi nemwedzi yeMedare Chikamu B ndeye $ 144.60 uye inobviswa pagore yeMedare Chikamu B ndeye $ 198. Kana iwo maprimiyamu uye zvakabviswa zvabhadharwa, Medicare inowanzobhadhara makumi masere muzana emitengo uye iwe unobhadhara makumi maviri muzana.

Kune edzimba dialysis yekudzidzisa masevhisi, Medicare inowanzobhadhara yakabhadharwa mari kune yako dialysis nzvimbo yekutarisira imba dialysis kudzidziswa.

Mushure mekunge Chikamu B chakabviswa pagore chasangana, Medicare inobhadhara 80 muzana yemubhadharo, uye iyo yasara makumi maviri muzana ibasa rako.

Tora woenda nazvo

Mazhinji marapirwo, kusanganisira dialysis, ayo anosanganisira end end renal chirwere (ESRD) kana itsvo kutadza inovharwa neMedare.

Izvo zvine chekuita nezve kufukidzwa kwekurapwa, masevhisi uye zvekushandisa, uye mugove wako wemitengo unogona kuongororwa newe neboka rako rezvehutano, rinosanganisira:

• vanachiremba
• manesi
• vashandi vezvemagariro
• dialysis technicians

Kuti uwane rumwe ruzivo funga kushanyira Medicare.gov, kana kufonera 1-800-MEDICARE (1-800-633-4227).

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.