Chii chinonzi Medicare Chirwere cheshuga Kudzivirira Chirongwa?

Zvemukati

• Chii chinonzi Medicare Chirwere cheshuga Kudzivirira Chirongwa?
• Ndeipi kufukidza iyo Medicare inopa kune aya masevhisi?
• Medicare Chikamu B kufukidza
• Medicare Kubatsira kufukidza
• Ndeapi masevhisi anopihwa kuburikidza nechirongwa ichi?
• Phase 1: Zvikamu zvakakosha
• Phase 2: Zvikamu zvekuchengetedza zvakanyanya
• Phase 3: Inoenderera nguva yekuchengetedza
• Ndiani anokodzera chirongwa ichi?
• Ini ndinonyoresa sei muchirongwa?
• Ndingaite sei kuti ndiwane zvakanyanyisa kubva muchirongwa?
• Ndezvipi zvimwe zvakafukidzwa nezve chirwere cheshuga pasi peMedicare?
• Kutora

• Iyo Medicare Chirwere cheshuga Kudzivirira Chirongwa inogona kubatsira vanhu vari panjodzi yerudzi rwechipiri chirwere cheshuga.
• Ichi chirongwa chemahara chevanhu vanokodzera.
• Ichakubatsira iwe kutevedzera mararamiro ane hutano uye kudzikisa njodzi yako yeshuga.

Chirwere cheshuga ndechimwe chinonyanya kunetsa hutano muUnited States. Muchokwadi, vanhu vakuru veAmerica vaive nechirwere cheshuga kubva muna 2010. Muvanhu vane makore makumi matanhatu nemashanu zvichikwira, iyo nhamba inosvetukira kune anopfuura 1 mu4.

Medicare, pamwe chete nemamwe masangano ezvehutano seCenters for Disease Control and Prevention (CDC), inopa chirongwa chinonzi Medicare Diabetes Prevention Program (MDPP). Yakagadzirirwa kubatsira vanhu vari panjodzi yechirwere cheshuga kuti vadzivirire.

Kana iwe uchikodzera, iwe unogona kujoina chirongwa ichi mahara. Iwe unozowana kurairwa, rutsigiro, uye maturusi aunoda kuti utungamire hupenyu hune hutano uye udzikise mukana wako wekubata chirwere cheshuga.

Chii chinonzi Medicare Chirwere cheshuga Kudzivirira Chirongwa?

Iyo MDPP yakagadzirirwa kubatsira vanobatsirwa naMedare avo vane zviratidzo zve prediabetes kukudziridza tsika dzakanaka kudzivirira rudzi rwechipiri chirwere cheshuga. Iwo maCentre eMedicare neMedicaid Services (CMS) anotarisira chirongwa ichi padanho remubatanidzwa.

Kubva 2018, iyo MDPP yakapihwa kune vanhu vanokodzera Medicare. Yakagadziriswa mukupindura kuwanda kuri kuwedzera huwandu hwevaAmerica vane chirwere cheshuga.

Nhamba idzi dzakatokwirira pakati pevaAmerica vane makore makumi matanhatu nemashanu zvichikwira. Muchokwadi, sa2018, 26.8 muzana yevaAmerican vane makore anopfuura 65 vaive neshuga. Iyo nhamba inotarisirwa kupetwa kana kunyangwe katatu ne.

Chirwere cheshuga chirwere chisingaperi - uye chinodhura. Muna 2016 chete, Medicare akashandisa madhora makumi mana nemaviri emadhora mukuchengetedza chirwere cheshuga.

Kubatsira vanobatsirwa uye kuchengetedza mari, chirongwa chekuchaira chinonzi Diabetes Prevention Program (DPP) chakagadzirwa. Yakabvumidza Medicare kushandisa mari mukudzivirira chirwere cheshuga, netariro kuti izvi zvaizoreva mari shoma yakashandiswa gare gare pakurapa chirwere cheshuga.

Iyo DPP yakanangana neCDC nhungamiro yekudzikisa njodzi yeshuga mune vanhu vane prediabetes. Maitiro aisanganisira kudzidzisa vanhu vakanyoreswa muDPP maitiro ekuti:

• chinja kudya kwavo
• wedzera kuita kwavo muviri
• ita sarudzo dzakanaka dzehupenyu hwese

Chirongwa chepakutanga chakamhanya kwemakore maviri munzvimbo gumi nenomwe uye chakabudirira kwazvo. Yakabatsira vatori vechikamu kudzikisa huremu, kudzikisira mukana wavo wekubata chirwere cheshuga, uye kuwandirwa kuchipatara vashoma. Uyezve, yakachengetedza Medicare mari pakurapwa.

Muna 2017, chirongwa ichi chakawedzerwa kuva yazvino MDPP.

Ndeipi kufukidza iyo Medicare inopa kune aya masevhisi?

Medicare Chikamu B kufukidza

Medicare Chikamu B inishuwarenzi yekurapa. Pamwe chete neMedicare Chikamu A (inishuwarenzi yechipatara), inogadzira izvo zvinozivikanwa sekutanga Medicare. Chikamu B chinofukidza masevhisi sekushanya kwachiremba, kurapwa kwevarwere, uye kuchengetedza kwekudzivirira.

Kuchengetedza kwekudzivirira kwakafukidzwa zvakakwana kune vanhu vakanyoreswa muMedare. Izvi zvinoreva kuti haufanire kubhadhara makumi maviri kubva muzana emitengo iyi, sezvaungaita kune mazhinji masevhisi ePart B.

Kuchengetedza kuchengetedza kunosanganisira akasiyana zvirongwa uye masevhisi ekukubatsira iwe kugara uine hutano, kusanganisira:

• kushanya kwoutano
• kusvuta kusvuta
• mishonga
• kuongororwa gomarara
• hutano hwepfungwa kuongorora

Kufanana neese masevhisi ekudzivirira, iyo MDPP haizokubhadhare chero chinhu sekureba iwe sangana nezvinodiwa zvekukodzera (zvinokurukurwa pazasi) uye shandisa mupi anotenderwa.

Iwe unokodzera chete MDPP kamwe panguva yehupenyu hwako; Medicare haizobhadhare iyo kechipiri.

Medicare Kubatsira kufukidza

Medicare Advantage, inozivikanwawo seMedare Chikamu C, isarudzo inokutendera iwe kuti utenge chirongwa kubva kune yakazvimiririra inishuwarenzi kambani inobvumirana neMedare. Zvirongwa zvese zveMedare zvinobatsira kuti zvipe kufukidzwa kwakafanana neMedicare yekutanga.

Mazhinji Advantage zvirongwa zvinowedzera kuwedzera kufukidzwa, senge:

• kutarisirwa mazino
• kuona kutarisira
• zvinobatsira kunzwa uye kuongorora
• mishonga yemishonga
• kugadzikana zvirongwa

Medicare Advantage zvirongwa zvinopawo emahara ekudzivirira masevhisi. Asi mamwe marongero ane network, uye uchafanirwa kugara mumambure kuti ufukidze zvizere. Kana iyo MDPP nzvimbo yaunofarira isiri mu network, ungangoda kubhadhara imwe kana yese yemitengo kunze kwehomwe.

Kana iri yega MDPP nzvimbo munzvimbo yako, chirongwa chako chinogona kuchiri kufukidza zvizere. Kana iwe uine yemuno mu-network sarudzo, zvakadaro, iyo yekunze-kwe-network nzvimbo haifukidzwe Iwe unogona kufonera wako wezve mupi zvakananga kune zvekuvhara ruzivo

Sezvakangoita neChikamu B, unogona kufukidzirwa iyo MDPP kamwe chete.

Ndeapi masevhisi anopihwa kuburikidza nechirongwa ichi?

Iwo masevhisi aunowana kubva kune MDPP anozove akafanana kunyangwe chikamu chipi cheMedare chauri kushandisa.

Iyi 2-gore chirongwa chakakamurwa muzvikamu zvitatu. Pakati pechikamu chimwe nechimwe, unenge uine zvinangwa uye iwe unowana rutsigiro rwekubatsira kuti usangane nazvo.

Phase 1: Zvikamu zvakakosha

Chikamu 1 chinogara kwemwedzi mitanhatu yekutanga iwe yaunyoresa muMDC. Pakati peiyi nhanho, iwe unenge uine gumi neshanu mapoka eboka. Imwe neimwe ichaitika kamwechete pasvondo kweinenge awa.

Zvikamu zvako zvinotungamirwa nemudzidzisi weMDPP. Iwe unozodzidza matipi ekudya zvine hutano, kugwinya, uye kuonda. Murairidzi anozoyerawo huremu hwako pachikamu chega chega kuteedzera mafambiro ako

Phase 2: Zvikamu zvekuchengetedza zvakanyanya

Pakati pemwedzi 7 kusvika 12, unenge wave muchikamu 2. Iwe uchaenda kumisangano mitanhatu panguva ino, asi chirongwa chako chinogona kupa zvimwe. Iwe unowana rubatsiro rwunopfuurira nekukudziridza maitiro ane hutano, uye huremu hwako huchaenderera uchiteverwa.

Kuti ufambe chikamu chechipiri, unofanirwa kuratidza kuti urikufambira mberi muchirongwa. Kazhinji, izvi zvinoreva kuenda pachirongwa chimwe chete mumwedzi yegumi kusvika yegumi nembiri uye kuratidza kurasikirwa uremu kweinenge 5 muzana.

Kana usiri kufambira mberi, Medicare haizobhadhare iwe kuti uende kuchikamu chinotevera.

Phase 3: Inoenderera nguva yekuchengetedza

Phase 3 ndiyo yekupedzisira nhanho yechirongwa uye inogumira kwegore rimwe. Gore rino rakakamurwa kuita nguva ina dzemwedzi mitatu imwe neimwe, inonzi nguva.

Iwe unozofanirwa kuenda kweanenge maviri masisitimu mune yega yega nguva uye kuramba uchingosangana nehuremu hwezvinangwa zvekuenderera muchirongwa. Iwe unenge uine zvikamu kanenge kamwe chete pamwedzi, uye murairidzi wako acharamba achikubatsira iwe paunenge uchichinjira kuchikafu chako chitsva nemararamiro.

Medicare inobvumidza vanopa kupa zvikamu zvekugadzira asi hazvidi izvozvo. Izvi zvinoreva kuti zviri kumupi wako.

Wako MDPP mupi anofanira kukuzivisa iwe paunosaina izvo zvaunogona kusarudza kana ukarasikirwa nesangano. Vamwe vanopa vanogona kukubvumidza kujoina rimwe boka pahusiku hwakasiyana, nepo vamwe vangape imwe-on-one kana kunyange chaiwo zvikamu.

Ndiani anokodzera chirongwa ichi?

Kuti utange MDPP, unofanirwa kunyoreswa muMedare Chikamu B kana Chikamu C. Unozofanira kusangana nezvimwe zvinowedzerwa. Kunyoresa, haugone kuve uri:

• akawanikwa aine chirwere cheshuga, kunze kwekunge aive gestational chirwere cheshuga
• akaonekwa aine kupera chikamu renal chirwere (ESRD)
• akanyoresa MDPP pamberi

Kana ukasangana nezvinodiwa izvi, iwe unofanirwa kuratidza kuti une zviratidzo zve prediabetes. Izvi zvinosanganisira body mass index (BMI) inopfuura makumi maviri neshanu (kana kupfuura makumi maviri nematatu evatori vechikamu vanoziva seAsia). Yako BMI ichaverengerwa kubva pauremu hwako panguva dzako dzekutanga zvikamu.

Iwe unodawo basa rebhu rinoratidza kuti une prediabetes. Unogona kushandisa imwe yemitatu mhedzisiro kuti uwane:

• hemoglobin A1c bvunzo ine mhedzisiro ye5.7 muzana kusvika 6.4 muzana
• kutsanya plasma glucose bvunzo nemhedzisiro ye110 kusvika 125 mg / dL
• muromo glucose kushivirira bvunzo nemhedzisiro ye140 kusvika 199 mg / dL

Zviwanikwa zvako zvinofanirwa kunge zvichibva kumwedzi gumi nembiri yekupedzisira uye unofanirwa kuve nechokwadi chezvechiremba wako.

Ini ndinonyoresa sei muchirongwa?

Imwe yematanho ako ekutanga ekunyoresa inofanirwa kunge iri kutaura nachiremba wako nezve ako preiabetes zviratidzo. Chiremba wako anogona kuongorora BMI yako yazvino uye odha rebhu basa rauchazoda usati wajoinha chirongwa.

Unogona kutsvaga zvirongwa munzvimbo yako uchishandisa mepu iyi.

Ita shuwa kuti chero chirongwa chaunoshandisa ndeye Medicare inogamuchirwa. Kana iwe uine chirongwa cheMedicare Advantage (Chikamu C), iwe uchazoda kuve nechokwadi chekuti chirongwa chiri munetiweki.

Iwe haufanire kugamuchira bhiri remasevhisi aya. Kana ukadaro, unogona kubata Medicare ipapo nekufonera 800-Medicare (800-633-4227).

Ndingaite sei kuti ndiwane zvakanyanyisa kubva muchirongwa?

Izvo zvakakosha kuti uve wakagadzirira shanduko dzinouya ne MDPP. Ungangoda kuti uchinje mararamiro ako, kusanganisira:

• kubika zvimwe zvekudya kumba
• kudya shuga shoma, mafuta, uye makabhohaidhiretsi
• kunwa soda shoma uye zvimwe zvinwiwa zvine shuga
• kudya nyama dzakaonda uye miriwo
• kuwana mamwe maekisesaizi uye kuita

Haufanire kuita shanduko dzese idzi kamwechete. Shanduko diki pane nguva dzinogona kuita mutsauko mukuru. Uyezve, murairidzi wako anogona kukubatsira nekupa maturusi senge mabikirwo, matipi, uye zvirongwa.

Zvinogona zvakare kubatsira kuve newawakaroorana naye, nhengo yemhuri, kana shamwari kuzvipira kune dzimwe shanduko idzi newe, kunyangwe vasiri mu MDPP. Semuenzaniso, kuva nemumwe munhu wekufamba naye zuva nezuva kana wekubika naye kunogona kukuchengetedza iwe pakati pezvikamu.

Ndezvipi zvimwe zvakafukidzwa nezve chirwere cheshuga pasi peMedicare?

Iyo MDPP inoitirwa kudzivirira chirwere cheshuga. Kana iwe uchitova nechirwere cheshuga kana kuchikudziridza gare gare, unogona kuwana kufukidzwa kwehuwandu hwetarisiro yezvinodiwa. Pasi peChikamu B, kufukidza kunosanganisira:

• Chirwere cheshuga kuongorora. Iwe unowana kufukidzwa kwekuvhenekwa kuviri gore rega.
• Chirwere cheshuga kuzvitonga. Kuzvibata-wega kunokudzidzisa iwe kujekesa insulin, kuongorora shuga yako yeropa, uye nezvimwe.
• Dhiyabhorosi zvigadzirwa. Chikamu B chinofukidza zvigadzirwa senge bvunzo dzekuyedza, glucose monitors, uye insulin mapombi.
• Tsoka bvunzo uye kutarisirwa. Chirwere cheshuga chinogona kukanganisa hutano hwetsoka dzako. Nechikonzero ichi, iwe uchafukidzirwa bvunzo dzetsoka pamwedzi mitanhatu yega. Medicare inobhadharirawo kuchengetwa uye zvekushandisa, senge shangu dzakasarudzika kana ma prostheses.
• Kuongorora kwemaziso. Medicare ichakubhadhara iwe kuti utore glaucoma kuongorora kamwe pamwedzi, nekuti vanhu vane chirwere cheshuga vari panjodzi yakawedzera.

Kana iwe uine Medicare Chikamu D (inonyorwa mishonga yekuvhara), unogona zvakare kuwana kufukidzwa kwe:

• antidiabetic mishonga
• jekiseni
• tsono, majekiseni, nezvimwe zvinhu

Chero chirongwa cheMedicare Advantage chichafukidza iwo ese masevhisi seChikamu B, uye mazhinji anosanganisira zvimwe zvezvinhu zvakafukidzwa neChikamu D futi.

Kutora

Kana iwe uine prediabetes, iyo MDPP inogona kukubatsira iwe kudzivirira rudzi rwechipiri chirwere cheshuga. Rangarira izvo:

• Kutora chikamu muMDPP mahara kana uchikodzera.
• Iwe unogona chete kuve mune MDPP kamwe chete.
• Iwe unofanirwa kuve nezviratidzo zve prediabetes kuti ukwanise.
• Iyo MDPP inogona kukubatsira iwe kuita hutano mararamiro shanduko.
• Iyo MDPP inotora kwemakore maviri.

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.