Medicare Kuvhara kwePasinson Hosha

Zvemukati

• Ndezvipi zvikamu zveMedicare zvinovhara marapirwo echirwere chePasinson?
• Chikamu A kufukidza
• Chikamu B kufukidza
• Chikamu C kufukidza
• Chikamu D kufukidza
• Kufungidzirwa kweMedigap
• Ndeapi mishonga, masevhisi, uye kurapwa kwechirwere chePasinson chakafukidzwa?
• Mishonga
• Services uye kurapwa
• Inotarisa ultrasound
• Hwakadzika huropi hunosimudzira
• Pombi yeDuopa
• Unyanzvi hwekuchengeta
• Kubasa uye kurapa kwemuviri
• Kurapa kwekutaura
• Kuraira kwepfungwa
• Midziyo yekurapa inogara (DME)
• Chii chisina kuvharwa?
• Ndezvipi mari zvandinofanira kutarisira kubhadhara?
• Chikamu A chinodhura
• Chikamu B chinodhura
• Chikamu C chinodhura
• Chikamu D chinodhura
• Medigap mutengo
• Chii chinonzi Parkinson chirwere?
• Kutora

• Medicare inovhara mishonga, kurapwa, uye mamwe masevhisi anosanganisira kurapa chirwere chePasinson nezviratidzo zvacho.
• Kurapa kwepanyama, kurapa kwekuita basa, uye kurapa kwekutaura zvese zvinosanganiswa mune ino kufukidza.
• Iwe unogona kutarisira zvimwe zvekunze-kwehomwe kudhura, kunyangwe uine yako Medicare kufukidza.

Medicare inovhara marapirwo anodiwa ekurapa kwechirwere chePasinson, kusanganisira mishonga, marudzi akasiyana erapi, uye kugara muchipatara. Zvichienderana nerudzi rwekuvhara kwauinako, unogona kunge uine zvekunze-muhomwe mari, senge copays, coinsurance, uye maprimiyamu.

Medicare inogona kunge isingavhare ese masevhisi auchazoda, senge rubatsiro rwekurarama kwemazuva ese.

Kana iwe kana munhu waunoda ane chirwere chePasinson, zvakakosha kuti iwe unzwisise kuti ndeapi mativi eMedare anovhara marapirwo ekudzivirira makuru, asingatarisirwi mari.

Ndezvipi zvikamu zveMedicare zvinovhara marapirwo echirwere chePasinson?

Medicare inoumbwa nezvikamu zvakawanda. Chikamu chega chega chinofukidza akasiyana masevhisi uye marapirwo auchazoda kubata aParkinson.

Yekutanga Medicare inoumbwa neChikamu A uye Chikamu B. Chikamu A chinofukidza chikamu cheako inpatient chipatara mari. Chikamu B chinopa kufukidzwa kwezvipatara zvekurapa zvekunze zvinosanganisira izvo zvekuongororwa, kurapwa uye kudzivirira.

Chikamu A kufukidza

Chikamu A chinovhara anotevera masevhisi ane chekuita nechirwere chePasinson:

• inpatient chipatara kutarisirwa kusanganisira kudya, kushanya kwachiremba, kuwedzerwa ropa, onsite mishonga, uye kurapa kurapa
• nzira dzekuvhiya
• kutarisira varwere
• mashoma kana epakati ane hunyanzvi hunyanzvi hwekuchengeta nzvimbo
• hunyanzvi mabasa ehutano epamba

Chikamu B kufukidza

Chikamu B chichafukidza zvinotevera zvinhu nemasevhisi ane chekuita nekutarisira kwako:

• kunze kwekurapwa sevazhinji varapi uye nyanzvi dzekugadzwa
• kuongorora
• kuongororwa bvunzo
• kushomeka kwehutano hwepamusha rubatsiro
• midziyo yezvokurapa yakasimba (DME)
• amburenzi sevhisi
• basa uye kurapwa kwemuviri
• kurapa kwekutaura
• hutano hwepfungwa mabasa

Chikamu C kufukidza

Chikamu C (Medicare Advantage) chirongwa cheinishuwarenzi chehutano chaunogona kutenga kubva kune wega inshuwarisi. Chikamu C kufukidza kunosiyana kubva pakuronga kuronga asi chinodikanwa kuti chipe zvakafanana kufukidzwa seyaMedare yepakutanga. Zvimwe zveChikamu C zvinorongedza zvakare mishonga uye ekuwedzera-pane masevhisi, senge chiratidzo uye kutarisirwa kwemazino.

Chikamu C zvirongwa zvinowanzoda kuti iwe usarudze vanachiremba vako uye vanopa kubva mukati me network yavo.

Chikamu D kufukidza

Chikamu D chinofukidza mishonga yekunyorera uye chinotengwawo kubva kune yakazvimiririra inishuwarenzi kambani. Kana iwe uine Chikamu C chirongwa, iwe ungangodaro usade chikamu Chikamu D.

Zvirongwa zvakasiyana zvinofukidza akasiyana mishonga, inozivikanwa seye formulary. Nepo zvese Chikamu D chinoronga kuvhara mimwe yemishonga iwe yaungade yekurapa yaPasinson, zvakakosha kuti utarise kuti chero mishonga yaunotora kana yaungazoda gare gare yakavharwa pasi pechirongwa chako.

Kufungidzirwa kweMedigap

Medigap, kana Medicare yekuwedzera inishuwarenzi, inovhara zvimwe kana ese makara emari akasara kubva kune yekutanga Medicare. Mari idzi dzinogona kusanganisira dzinobviswa, macopay, uye coinsurance. Kana iwe uine Chikamu C chirongwa, hauna kukodzera kutenga chirongwa cheMedigap.

Kune akawanda Medigap zvirongwa zvekusarudza kubva. Vamwe vanopa kufukidza kwakazara kupfuura vamwe asi vanouya nemitengo yepamberi yepamusoro. Mari yemishonga yekunyorera haina kuvharwa pasi peMedigap.

Ndeapi mishonga, masevhisi, uye kurapwa kwechirwere chePasinson chakafukidzwa?

Chirwere cheParkinson chinogona kuuya nemhando dzakasiyana dzemota uye nonmotor zviratidzo. Zviratidzo zveichi chiitiko zvinogona kuve zvakasiyana kune vakasiyana vanhu.

Sezvo chiri chirwere chinofambira mberi, zviratidzo zvinogona kuchinja nekufamba kwenguva. Medicare inovhara akasiyana marapirwo akasiyana, mishonga, uye masevhisi aungangoda kubata chirwere chePasinson muhupenyu hwako hwese.

Mishonga

Chirwere cheParkinson chinozivikanwa nekukonzera kudzikisira huwandu hwedopamine muuropi. Izvo zvakare zvinokonzeresa mamwe marudzi emaseru ehuropi kuputsika kana kufa. Izvi zvinotungamira mukudedera uye mamwe matambudziko ane mota basa.

Medicare inovhara mishonga inogona kuita nenzira imwechete kana kutsiva dopamine. Iyo inovharawo mimwe mishonga inonzi COMT inhibitors, iyo inowedzera kana kusimudzira mhedzisiro yedopamine zvinodhaka.

Matambudziko emafungiro akadai sekusava nehanya, kushushikana, uye kushushikana, pamwe ne psychosis, zvakajairika pakati pevanhu vane Parkinson's. Mishonga inogadzirisa aya mamiriro inovharwawo neMedare. Mimwe mienzaniso yemhando idzi dzemishonga dzinosanganisira:

• MAO inhibitors, senge isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Zelapar), uye tranylcypromine (Parnate)
• antipsychotic mishonga, yakadai sepimavanserin (Nuplazid) uye clozapine (Versacloz)

Services uye kurapwa

Kurapa kwechirwere chePasinson chinotarisa pazviratidzo zvekudzora. Services uye marapirwo ayo Medicare anovhara pane ino mamiriro anosanganisira iwo anotsanangurwa muzvikamu zvinotevera.

Inotarisa ultrasound

Uku kurapwa kusinga tsvete kunounza simba re ultrasound mukati meguropi. Inogona kushandiswa mumatanho ekutanga eParkinson ekuderedza kudedera uye kugadzirisa mota mashandiro.

Hwakadzika huropi hunosimudzira

Kana mishonga yakakubatsira munguva yakapfuura asi isisina simba rakakwana rekurapa zviratidzo zvakaita sekudedera, kuomarara, uye mhasuru, chiremba wako anogona kukurudzira kudzika kwehuropi.

Aya maitiro ekuvhiya uko chiremba anovhiya anoisa electrode muuropi. Iyo electrode inosunganidzwa newaya ekuvhiya kune bhatiri-inoshandiswa neurostimulator mudziyo, inoiswa mubhokisi.

Pombi yeDuopa

Kana yako carbidopa / levodopa yemumuromo dopamine mishonga yave kushomeka kupfuura zvayaimboita, chiremba wako anogona kukurudzira pombi yeDuopa. Ichi chishandiso chinoburitsa mushonga mune fomu rejel zvakananga mudumbu remukati kuburikidza nekaburi kadiki (stoma) rakagadzirwa mudumbu.

Unyanzvi hwekuchengeta

Pamba-pamba, chikamu-chenguva-hunyanzvi hwekuchengetwa kwevanamukoti chakafukidzwa neMedare kwenguva shoma yenguva. Iyo muganho wenguva unowanzo kuve mazuva makumi maviri nemana emasevhisi-emahara masevhisi. Chiremba wako anogona kuwedzera muganhu uyu kana paine nguva inofungidzirwa kuti inguvai yauchada masevhisi aya uye wotumira tsamba inotaura zvaunoda pakurapwa.

Kuchengetedza kunzvimbo yevanamukoti vane hunyanzvi inovharwa pasina muripo kwemazuva makumi maviri ekutanga, uyezve kubva pamazuva 21 kusvika 100, iwe unobhadhara kopi yezuva nezuva. Mushure memazuva zana, iwe unobhadhara iyo yakazara mutengo wekugara kwako uye masevhisi.

Kubasa uye kurapa kwemuviri

Parkinson inogona kukanganisa mapoka makuru uye madiki emhasuru. Therapy yebasa inotarisa pamapoka madiki emhasuru, senge mune zvigunwe. Kurapa kwepanyama kunotarisana nemapoka akakura emhasuru, senge mumakumbo.

Varapi vanogona kudzidzisa vanhu vane akasiyana maPasinson ekurovedza muviri ekuchengetedza zviitiko zvezuva nezuva uye nekuvandudza hupenyu hwavo. Izvi zviitiko zvinosanganisira kudya nekumwa, kufamba, kugara, kuchinja chinzvimbo uku wakatsenhama, uye kunyora.

Kurapa kwekutaura

Kunetsekana nekutaura uye kumedza kunogona kukonzerwa nekupera simba kwemhasuru dziri muhuro (izwi bhokisi), muromo, rurimi, miromo, nehuro. Nyanzvi yemitauro yekutaura kana murapi wekutaura anogona kubatsira vanhu vane Parkinson kuchengetedza hunyanzvi hwekutaura uye hwekutaura.

Kuraira kwepfungwa

Kushungurudzika, kushushikana, psychosis, uye matambudziko ane kugona kuziva zvese izvo zvinogona kuve nonmotor zviratidzo zvehosha yaPasinson. Medicare inovhara kushushikana kuongororwa uye hutano hwepfungwa hwekupa mazano.

Midziyo yekurapa inogara (DME)

Medicare inovhara chaiwo marudzi eDME. Mimwe mienzaniso inosanganisira:

• mibhedha yechipatara
• vanofamba
• mawiricheya
• magetsi emagetsi
• tsvimbo
• commode chair
• midziyo yeoksijeni yekumba

Iyi tafura inotevera inopa kutarisa-kutarisa-izvo zvakafukidzwa pasi pechikamu chimwe nechimwe cheMedare:

Chii chisina kuvharwa?

Zvinosuruvarisa, Medicare haifukidze zvese zvaungafunga kuti zvakakosha pakurapwa. Aya masevhisi anosanganisira asiri ekurapa ekuchengetedza mabasa ezuva nezuva ehupenyu, senge kupfeka, kugeza, uye kubika. Medicare zvakare haifukidze kuchengetwa kwenguva refu kana kutenderera-kwe-wachi.

Midziyo inogona kuita kuti hupenyu huve nyore kumba haiwanzo kuvharwa. Izvi zvinosanganisira zvinhu zvakaita sekufamba-mubhavhu kana kukwira masitepisi.

Ndezvipi mari zvandinofanira kutarisira kubhadhara?

Medicare inobhadhara iyo yakawanda yemitengo inobvumidzwa yemishonga, kurapwa, uye masevhisi. Mari yako yekunze-yehomwe inogona kusanganisira copays, coinsurance, maprimiyamu emwedzi, uye zvinokamurwa. Kuti ugamuchire kuzara kuzere, hanya yako inofanira kupihwa neMupiare-anotenderwa mupi.

Tevere, isu tichaongorora izvo zvemari zvaunogona kutarisira kubhadhara nechimwe nechimwe chikamu cheMedare.

Chikamu A chinodhura

Medicare Chikamu A haina mubhadharo kune vanhu vazhinji. Nekudaro, mu2020, unogona kutarisira kubhadhara chinobviswa che $ 1,408 yenguva imwe neimwe yekubatsira masevhisi ako asati avharwa.

Iwe unogona zvakare kubhadharirwa mari yekuwedzera yemari yemari yemadhora makumi masere nemakumi mairi nemaviri kana iwe ukagara muchipatara kwemazuva anopfuura makumi matanhatu. Mushure memazuva makumi mapfumbamwe, mutengo iwoyo unokwira kusvika kumadhora mazana manomwe nemakumi mana ezuva rezuva rega rega rekuchengetedza zuva rinoshandiswa kudzamara zvashandiswa. Mushure meizvozvo, iwe unozobhadharira iyo yakazara mutengo wekurapwa muchipatara.

Chikamu B chinodhura

Muna 2020, iyo yakajairwa pamwedzi mubhadharo wechikamu B ndeye $ 144.60. Kune zvakare Medicare Chikamu B chegore rinobviswa, rinova $ 198 muna 2020. Mushure mekunge yako yakabvisirwa yasangana, iwe unenge uchingova nebasa rekubhadhara makumi maviri muzana emasevhisi akavharirwa anopiwa kuburikidza neChikamu B.

Chikamu C chinodhura

Kunze kwehomwe-mitengo kweChikamu C zvirongwa zvinogona kusiyana. Vamwe havana maprimiyamu emwedzi, asi vamwe vanowana. Iwe unogona kazhinji kutarisira kubhadhara macopays, coinsurance, uye zvinokamurwa neChikamu C chirongwa.

Iyo yepamusoro inogona kubviswa muna 2020 yechikamu cheC Part C iri $ 6,700.

Zvimwe zveChikamu C zvirongwa zvinoda kuti iwe ubhadhare makumi maviri muzana yemari yekusimbiswa kusvikira iwe wasvika kune yekunze-kwehomwe yakakwira, iyo inosiyanawo pachirongwa. Nguva dzose tarisa chako chaicho kufukidza kuti uone kunze-kwe-muhomwe mari iwe yaunogona kutarisira.

Chikamu D chinodhura

Chikamu cheD zvirongwa chinosiyanawo maererano nemitengo, pamwe neyakavakirwa pakubata kwezvinodhaka. Unogona kuenzanisa akasiyana Chikamu C uye Chikamu D zvirongwa pano.

Medigap mutengo

Zvirongwa zveMedigap zvakasiyana mumitengo uye kufukidza zvakare. Vamwe vanopa sarudzo dzakaderedzwa dzakakwira. Unogona kuenzanisa maMedigap marongero pano.

Chii chinonzi Parkinson chirwere?

Chirwere cheParkinson chirwere chinofambira mberi, chinonzi neurodegenerative kusagadzikana. Ndicho chechipiri chinowanzoitika neurodegenerative kusagadzikana mushure mechirwere cheAlzheimer.

Chikonzero cheParkinson hachina kunyatsonzwisiswa. Parizvino, hapana mushonga. Kurapa kwechirwere chePasinson kunoenderana nekutarisa kwechiratidzo uye manejimendi.

Kune mhando dzakasiyana dzehosha yaPasinson, pamwe nezvinetso zveitsinga zvinozivikanwa se "parkinsonism." Aya marudzi akasiyana anosanganisira:

• chikuru parkinsonism
• yechipiri parkinsonism (atypical parkinsonism)
• chinodhaka-chinokonzera parkinsonism
• vascular parkinsonism (chirwere cheperebrovascular)

Kutora

Chirwere cheParkinson chiitiko chinotungamira mukudzikira kwekuziva uye mota kushanda nekufamba kwenguva. Medicare inovhara akasiyana marapirwo uye mishonga inogona kushandiswa kurwisa zviratidzo zveichi chiitiko uye nekuvandudza hupenyu hwako.

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.