Medicare Inovhara Kumba Oxygen Therapy?

Zvemukati

• Medicare inovhara kumba oxygen therapy?
• Zvinodiwa zvekuvhara
• Zvinodikanwa zvekurapa
• Mariro
• Ndeapi machira uye zvishongedzo zvakafukidzwa?
• Ndingaite sei kuti ndikwanise kufukidzwa?
• Ko zvishandiso zvekushandisa zvinoshanda sei?
• Zvimwe nezve oksijeni kurapa
• Kushandisa zvigadzirwa zve okisijeni zvakachengeteka
• Kutora

• Kana iwe uchikodzera Medicare uye uine dhokotera odha reoksijeni, Medicare ichavhara kanenge chikamu chemitengo yako.
• Medicare Chikamu B inovhara kushandiswa kwemhepo yeoksijeni, saka unofanirwa kunyoreswa muchikamu ichi kuti uwane kufukidzwa.
• Ipo Medicare ichizobatsira kuvhara iyo mutengo weoksijeni kurapwa, iwe ungangodaro uchifanira kubhadhara chikamu chemitengo iyoyo.
• Medicare inogona kunge isingavhare ese marudzi eoksijeni kurapwa.

Kana usingakwanise kufema, zvese zvinogona kuzonyanya kuoma. Mabasa ezuva nezuva anogona kuita senge akaoma. Uyezve, mamwe matambudziko mazhinji ehutano anogona kukonzerwa neakaderera eropa oxygen mazinga, anozivikanwa sehypoxemia.

Kana iwe uchiona zvichinetsa kufema kana uine mamiriro anodzikisa muviri wako oxygen level, ungangoda oxygen oxygen kumba. Verenga pamusoro kuti uone kana Medicare ichizobatsira kuvhara mitengo yeoksijeni yekumba uye zvaunofanira kuita kuti uve nechokwadi chekuti une michina iwe yaunoda.

Medicare inovhara kumba oxygen therapy?

Medicare inovhara kumba oksijeni kurapa pasi peChikamu B. Medicare Chikamu B inovhara mutengo wekunze kwekurapa uye mamwe marapirwo epamba.

Zvinodiwa zvekuvhara

Kuti uve neokisijeni yekumba inodikanwa kuburikidza neMedare, unofanirwa:

• kunyoreswa muChikamu B
• une chekurapa chinoda oxygen
• Iva nachiremba wechiremba kumba okisijeni.

ICentre yeMedicare & Medicaid Services (CMS) inotsanangura zvakajeka zviyero zvinofanirwa kusangana kuitira kuti Medicare ifukidze oxygen yemumba. Zvinodikanwa zvinosanganisira:

• yakakodzera Medicare kufukidza
• zvinyorwa zvekurapa zveanoshanda mamiriro ekurapa
• murabhoritari uye mimwe mhedzisiro yekuedzwa inosimbisa kukosha kweoksijeni yekumba

Tichavhara ruzivo rwekuti ungakwanirise sei kufukidza gare gare muchinyorwa chino.

Zvinodikanwa zvekurapa

Imba okisijeni inowanzo gadzirirwa kune mamiriro akaita sekutadza kwemoyo uye chisingaperi obstructive pulmonary chirwere (COPD).

Icho chinodikanwa chekurapa che oxygen yemusha chinotemerwa nekuyedza kuti uone kana mamiriro ako ari kukonzera hypoxemia. Hypoxemia inoitika kana iwe uine mashoma ezasi eokisijeni muropa rako.

Mamiriro akaita sepfupi kufema pasina yakaderera oxygen mazinga angangodaro haazofukidzwe neMedicare.

Rairo yechiremba wako inofanira kusanganisira ruzivo nezve chirwere chako, kuti yakawanda sei oxygen yaunoda, uye kuti unoida kangani. Medicare haiwanzo kufukidza maodha ePNN okisijeni, inova okisijeni inodikanwa pane inodikanwa hwaro.

Mariro

Kana mamiriro ako akasangana nezvinodiwa neCMS, iwe unofanirwa kutanga wazadzisa yako Medicare Chikamu B chakabviswa. Iyi ndiyo huwandu hwekunze-kwe-muhomwe mari yaunofanirwa kubhadhara Medicare isati yatanga kuvhara zvinhu zvakagamuchirwa uye masevhisi.

Chikamu B chinobvisirwa gore ra2020 i $ 198. Iwe unofanirwa zvakare kubhadhara mari yemwedzi. Muna 2020, iyo premium inowanzoita $ 144.60 - kunyangwe inogona kunge iri yepamusoro, zvichienderana nemari yaunowana.

Kana uchinge wasangana neChipiri B chako chinobvisirwa gore, Medicare inobhadhara makumi masere muzana emutengo wemidziyo yako yekuhaya oxygen midziyo. Imba okisijeni michina inoonekwa seyakareba mishonga yezvokurapa (DME). Iwe uchabhadhara makumi maviri kubva muzana emitengo yeDME, uye unofanira kutora michina yako yekurenda kuburikidza neMedare-anotenderwa DME mutengesi.

Medicare Kubatsira (Chikamu C) zvirongwa zvinogona zvakare kushandiswa kubhadhara okisijeni yekurejesa michina. Aya marongero anodikanwa nemutemo kufukidza zvakaringana zvakaringana sepakutanga maMedare (zvikamu A neB).

Yako chaiyo yekuvhara uye mutengo zvinoenderana nechirongwa cheMedicare Advantage chaunosarudza, uye sarudzo yako yevanopa inogona kunge yakaganhurirwa kune avo vari muchirongwa chenetwork.

Ndeapi machira uye zvishongedzo zvakafukidzwa?

Medicare inovhara chikamu chemutengo wemidziyo yekurenda iyo inopa, inochengeta, uye inopa oxygen. Mhando dzinoverengeka dzeokisijeni masisitimu aripo, anosanganisira akamanikidzwa gasi, emvura okisijeni, uye inotakurika okisijeni concentrators.

Heino mhedziso yekuti yega yega masystem anoshanda sei:

• Yakatsindirwa gasi masisitimu. Idzi ndidzo nzvimbo dzakamira dzeoksijeni dzakanangana nemamirimita makumi mashanu emubhubhu unobatanidza kune madiki, akasarudzika matangi eoksijeni. Matangi anoendeswa kumba kwako zvichibva pauwandu hweokisijeni inodiwa kurapa mamiriro ako. Okisijeni inomhanya kubva mutangi kuburikidza nemudziyo unochengetedza iyo oxygen. Izvi zvinobvumira kuti iendeswe kwauri mumapurses pane kuenderera kurukova.
• Liquid oxygen masisitimu. Okijeni dhamu ine mvura yemojeni yaunoshandisa kuzadza tangi diki, sezvazvinodiwa. Iwe unobatanidza kudura kuburikidza nemamirimita makumi mashanu yetubhu.
• Inotakurika okisijeni concentrator. Iyi ndiyo diki, inosarudzika sarudzo uye inogona kupfekwa sehombodo kana kutamiswa pamakumbo. Aya magetsi emagetsi haadi kuti matangi azadzwe uye anouya nemamita manomwe chete etubhu. Asi zvakakosha kuti uzive kuti Medicare inovhara inotakurika okisijeni concentrators chete mune yakatarwa mamiriro.

Medicare ichafukidza yakamira oxygen mayuniti ekushandisa pamba. Izvi zvinosanganisira:

• okisijeni Tubing
• nasal cannula kana muromo
• mvura kana gasi oxygen
• kuchengetedza, kusevha, uye kugadzirisa kweiyo oxygen unit

Medicare inovharawo mamwe marapiro ane chekuita neoksijeni, akadaro anoenderera mberi akanaka mweya nzira yekumanikidza (CPAP) kurapa. CPAP kurapa kunogona kudikanwa kune mamiriro senge anovhiringidza kurara kufema.

Ndingaite sei kuti ndikwanise kufukidzwa?

Ngationgororei maitiro aunofanira kusangana nawo Medicare kuvhara imba yako oksijeni yekurapa michina yekurenda:

• Kuti uve nechokwadi chekuti oxygen yako yakafukidzwa pasi peMedare Chikamu B, iwe unofanirwa kuongororwa uine hutano hwakakodzera uye uine odha yechiremba yekurapa kweoksijeni.
• Iwe unofanirwa kuenda kune imwe bvunzo inoratidza kuda kwako kweoksijeni kurapwa. Imwe ndeyekuongorora gasi reropa, uye mhedzisiro yako inofanira kuwira mune yakatarwa renji.
• Chiremba wako anofanirwa kuraira iyo yakatarwa huwandu, nguva, uye kuwanda kweoksijeni iwe yaunoda. Mirairo yeoksijeni pane inodikanwa hwaro haigone kukodzera kufukidzwa pasi peMedicare Chikamu B.
• Kuti ukwanise kufukidzwa, Medicare inogona zvakare kuda chiremba wako kuti aratidze kuti waedza dzimwe nzira dzekurapa, senge pulmonary rehabilitation, pasina kubudirira kwakazara.
• Iwe unofanirwa kutora michina yako yekuroja kunyangwe mutengesi anotora chikamu muMedare uye achibvuma kupihwa basa. Iwe unogona kuwana vanotenderwa-vanobvumidzwa neMedicare pano.

Ko zvishandiso zvekushandisa zvinoshanda sei?

Kana iwe uchikodzera kurapwa kweoksijeni, Medicare hainyatso kutengera iyo michina iwe. Panzvimbo iyoyo, inovhara kubhadharwa kweiyo oxygen system kwemwedzi makumi matatu nematanhatu.

Munguva iyoyo, une basa rekubhadhara makumi maviri muzana emari yekubhadhara. Mari yekurenda inovhara iyo oxygen unit, tubing, masks uye nasal cannula, gasi kana emvura okisijeni, uye mutengo webasa nekugadzirisa.

Kana iyo yekutanga-yemwedzi makumi matatu nematanhatu yekurenda nguva yapera, mutengesi wako anodikanwa kuti aenderere mberi nekupa nekuchengetedza zvishandiso kweanosvika makore mashanu, sekureba sekunge uchine chinodikanwa chekurapa icho. Mutengesi achiri nemidziyo, asi muripo wemwedzi wekubhadhara unopera mushure memwedzi makumi matatu nematanhatu.

Kunyangwe mushure mekubhadhara kwemaroja kwapera, Medicare ichaenderera ichibhadhara chikamu chayo chemidziyo inodiwa kushandisa michina, senge kuendesa gasi kana okisijeni yemvura. Sezvakaita nemidziyo yekubhadhara midziyo, Medicare ichabhadhara makumi masere muzana emari inoenderera yekupa mari. Iwe uchabhadhara yako Medicare Chikamu B inobvisirwa, mwedzi wega wega, uye makumi maviri muzana emari yasara.

Kana iwe uchiri kuda okisijeni kurapwa mushure memakore mashanu, imwe nyowani-yemwedzi makumi matatu nenhatu yekurenda nguva uye mashanu-makore emakore nguva mutsara ichatanga.

Zvimwe nezve oksijeni kurapa

Iwe ungangoda oxygen kurapwa kuti ubate imwe yemazhinji akasiyana mamiriro.

Mune zvimwe zviitiko, kushungurudzika kana chirwere chakakomba kunogona kudzikisira kugona kwako kufema zvakanaka. Dzimwe nguva, chirwere senge COPD chinogona kuchinja kemesitiri yemagasi muropa rako, ichideredza huwandu hweoxygen iyo muviri wako unogona kushandisa.

Heino rondedzero yemamwe mamiriro angangoda kuti iwe ushandise dzimwe nguva kana kuenderera kurapwa kweoksijeni kumba:

• COPD
• chirwere chemabayo
• asima
• kutadza kwemoyo
• cystic fibrosis
• kurara kufema
• chirwere chemapapu
• mweya wekufema

Kuti uone kana mamiriro ako achida oxygen kurapwa kumba, chiremba wako achaita akasiyana bvunzo dzinoyera kugona kwekufema kwako. Zviratidzo zvinogona kutungamira chiremba wako kuti ataure izvi bvunzo zvinosanganisira:

• mweya wekufema
• cyanosis, inova izwi rakachenuruka kana bhuruu kune rako ganda kana miromo
• kuvhiringidzika
• kukosora kana kufema
• vangadikitira
• kufema nekukurumidza kana kurova kwemoyo

Kana iwe uine izvi zviratidzo, chiremba wako achaita zvimwe bvunzo. Izvi zvinogona kusanganisira zviitiko zvekufema kana kurovedza muviri, kuyerwa kweropa, uye kuyerwa kweoksijeni. Zvishandiso zvakakosha zvinogona kushandiswa mukuyedza zviitiko, uye kuongororwa kweropa kweropa kunoda kukweva kweropa.

Kwayedza oxygen saturation ine pulse oximeter pamunwe wako ndiyo nzira isinganetsi yekuongorora yako oxygen level.

Kazhinji, vanhu vane oxygen inodonha kusvika pakati pe88 muzana uye 93 muzana papulse oximeter inoda kurapwa kweoksijeni, zvirinani dzimwe nguva. Nhungamiro yekuti yakawanda sei oxygen yekushandisa uye riini zvinoenderana nemamiriro ako chaiwo.

Mune zvimwe zviitiko, chiremba wako anogona kuraira kugadzirisa mapapu nekuwedzera pakurapwa kweoksijeni.

Pulmonary rehab inobatsira vanhu vane mamiriro akaita seCOPD kudzidza kuitarisira uye kunakirwa nehupenyu huri nani. Kugadziriswa kwepulmonary kunowanzo sanganisira dzidzo pamusoro pemaitiro ekufema uye mapoka ekutsigira vezera. Iyi yekurapa kwekurapa inowanzo kuvharwa neMedare Chikamu B.

Oxygen therapy inofanira kurapwa seimwe mimwe mishonga. Iwe unofanirwa kushanda nachiremba wako kuti uwane kurapwa kwakakodzera, chipimo chemushonga, uye hurefu hwenzvimbo yako chaiyo. Kungofanana neoxygen shoma kwazvo inogona kukukuvadza, oxygen yakawandisa inogonawo kutakura njodzi. Dzimwe nguva, iwe unongoda kushandisa oxygen kwenguva pfupi. Ive neshuwa yekutaura nachiremba wako uye ongorora mukati nguva dzose kana uchida - kana kufunga kuti ungangoda - kumba okisijeni kurapwa.

Kushandisa zvigadzirwa zve okisijeni zvakachengeteka

Oxygen igasi rinopisa zvikuru, saka unofanirwa kutora matanho ekuchengetedza kana uchishandisa midziyo yemumba yeoksijeni. Heano matipi mashoma:

• Usapute fodya kana kushandisa marimi akavhurika pese pese pamba pekushandisa oxygen.
• Isa chikwangwani pamusuwo wako kuti vashanyi vazive kuti pane imba yeokisijeni yekushandisa iri kushandiswa.
• Isa maalarm emoto mumba mako uye ugare uchitarisa kuti ari kushanda here.
• Iva nehanya zvakanyanya paunenge uchibika.
• Ngwarira kuti okisijeni tubing uye zvimwe zvishandiso zvinogona kuunza njodzi yekudonha nekuti unogona kugumbuka pamusoro pazvo.
• Chengetedza matangi eoksijeni munzvimbo yakavhurika asi yakachengeteka.

Kutora

• Oxygen inofanirwa kushandiswa nguva dzose pasi pekutarisirwa uye kutungamirirwa nachiremba wako.
• Ngwarira paunenge uchishandisa okisijeni, uye uteedzere matanho ese ekuchengetedza.
• Kana iwe uchida kumba okisijeni uye wakanyoreswa muChikamu B, Medicare inofanirwa kuvhara yakawanda yemitengo yako.
• Medicare inogona kunge isingavhare mimwe michina yeoksijeni, senge inotakurika inogadzika.
• Shanda nachiremba wako kuti uwane yakanyanya kurapa mamiriro ako uye kufukidza.
• Gara uchitaura nachiremba wako kana iwe uchifunga yako okisijeni zvido zvachinja.