Ndeapi maMedare Ekubatsira Zvirongwa Anopa Zvakanaka Kupa muna 2021?
Zvemukati
- WellCare Medicare Kubatsira kuronga sarudzo
- WellCare HMO zvirongwa
- WellCare PPO zvirongwa
- WellCare Medicare Kubatsira Zvakakosha Zvidimbu Zvirongwa
- WellCare Yakavanzika Fee-ye-Service zvirongwa
- Ndeapi matunhu anopa WellCare Medicare Advantage zvirongwa?
- Chii chinonzi WellCare Medicare Kubatsira zvirongwa zvinofukidza?
- Yakawanda zvakadii WellCare Medicare Advantage zvirongwa zvinodhura?
- Chii chinonzi Medicare Kubatsira (Medicare Chikamu C)?
- Kutora
- WellCare inopa Medicare Advantage zvirongwa mumatunhu 27.
- WellCare inopa PPO, HMO, uye PFFF Medicare Advantage zvirongwa.
- Zvirongwa zvacho zvinowanikwa kwauri zvinoenderana nekwaunogara.
- WellCare yakawanikwa neCentene Corporation, iyo inoshandira mamirioni makumi maviri nenomwe kumatunhu ese makumi mashanu.
WellCare Hutano Zvirongwa ndeye Tampa, Florida-yakavakirwa inishuwarenzi mupi uyo anopa Medicare Advantage (Chikamu C) uye Medicare Chikamu D (mishonga yemishonga) inoronga kune vanobatsirwa neMedare mumatunhu akati wandei.
Ichi chinyorwa chichaongorora akasiyana Medicare Advantage mapurani mhando ayo WellCare anopa, pamwe nekupa mimwe mienzaniso yemitengo pasi pezvakasiyana zvirongwa zveWellCare munyika yese.
WellCare Medicare Kubatsira kuronga sarudzo
Iyi inotevera mienzaniso yemhando dzeMedicare Advantage zvirongwa zvinogona kuwanikwa munzvimbo yemunhu yekuvhara. Zvirongwa zvinowanzo kuve zvakanangana nedunhu, uye WellCare inogona kusapa mhando dzese dzehurongwa mune imwe nharaunda.
WellCare HMO zvirongwa
WellCare inopa Health Maintenance Organisation (HMO) marongero sechikamu chemipiro yavo yeMedicare Advantage. Kazhinji, WellCare HMO chirongwa chinosanganisira kusarudza wekutanga wekupa (PCP) uyo anotarisira kuchengetwa kwemunhu. Izvi zvinoreva kuti PCP ichaendesa kune vanoona nezvehutano vari mu-network yeWellCare.
Kana munhu ari nhengo yeHMO, vanogona kubhadhara mari yepamusoro kana izere kana vakaona chiremba ari kunze kwenetiweki.
WellCare PPO zvirongwa
WellCare inopa Yakasarudzika Provider Sangano (PPO) zvirongwa mumatunhu anosanganisira Florida, Georgia, New York, uye South Carolina. Aya masangano anopa mitengo yakadzikiswa yekusarudza in-network vanopa, zvakadaro munhu anogona achiri kuwana kudzorerwa kana vachiona vekunze-ve-network vanopa.
Kazhinji, munhu haazofanirwe kuwana kutumira kuti aone nyanzvi. Nekudaro, panogona kuve nezviitiko zvekuti kuwana kutumirwa kana kuwana pre-mvumo yemaitiro kunogona kukurudzirwa, kunyanya kana mupi ari wekunze-kwenetiweki.
WellCare Medicare Kubatsira Zvakakosha Zvidimbu Zvirongwa
Special Needs Plans (SNPs) zvirongwa zveMedare zvinobatsira zvakagadzirirwa kune avo vane imwe mamiriro ehutano kana kudiwa kwemari.
Heano marudzi akasiyana eSNPS anowanikwa kune avo vanosangana nezvinodiwa:
- Chisingaperi Mamiriro Zvakakosha Zvirongwa (C-SNPs): kune vanhu vane hutano husingaperi mamiriro
- Institutional Special Needs zvirongwa (I-SNPs): kune vanhu vanogara mumisha inochengeterwa vakwegura kana nzvimbo dzekuchengetedza kwenguva refu
- Dual Eligible SNPs (D-SNPs): yevarwere vanokodzera zvese Medicare uye Medicaid kufukidzwa
Aya marongero ega ega anopa zvakakwana kuchipatara, kurapwa, uye kupihwa mishonga asi zvakaparadzaniswa zvichibva nevarwere vavanoshandira.
WellCare Yakavanzika Fee-ye-Service zvirongwa
WellCare inopa Yakavanzika Fee-ye-Service (PFFS) zvirongwa munzvimbo dzakasarudzika dzenyika. Iri izano rinowanzo kupa mwero wakatarwa wezvaichabhadhara zvipatara navanachiremba pamasevhisi, iine copay yakatarwa, kana kusimbiswa kwemari, muridzi wemitemo achabhadhara futi.
Chirongwa chePFFS chinogona kuve neanopa network kana munhu anogona kuona chero mupi waanosarudza. Iye mupi anofanira kazhinji kubvuma kupihwa basa kubva kuMedare kana kutambira zvirevo zvePFSS zvechaizobhadhara.
Ndeapi matunhu anopa WellCare Medicare Advantage zvirongwa?
WellCare inopa Medicare Advantage zvirongwa mumatunhu akati wandei. Izvi zvinosanganisira:
- Alabama
- Arizona
- Arkansas
- California
- Connecticut
- Florida
- Jojiya
- Hawaii
- Illinois
- Sravana Sameeralu Serial 4th Indiana
- Kentucky
- Louisiana
- Maine
- Michigan
- Mississippi
- Missouri
- New Hampshire
- New Jersey
- New York
- North Carolina
- Ohio
- Rhode Island
- South Carolina
- Tennessee
- Texas
- Vermont
- Washington
Huwandu uye mhando yezvirongwa zvinopihwa WellCare mumatunhu aya zvinogona kusiyana.
Chii chinonzi WellCare Medicare Kubatsira zvirongwa zvinofukidza?
WellCare Medicare Advantage zvirongwa zvinogona kusiyana nedunhu nedunhu. Zvisinei, zvirongwa zvakawanda zvinopa zvinotevera mabhenefiti mukuwedzera kune Medicare zvikamu A uye B. Izvi zvinosanganisira:
- nhengo dzegore negore dzehutano
- mazino masevhisi, kusanganisira ekudzivirira uye ekurapa kufukidza
- kunyorerwa zvinodhaka
- kutakurwa kuenda kushanyo kwachiremba nemishonga
- kuona masevhisi uye kubatsira kubhadhara magirazi uye malensi ekutaurirana
Paunenge uchiongorora imwe chirongwa, nyatsoverenga rondedzero yetsananguro yemabhenefiti kuti iwe ugone kuona mhando dzemamwe masevhisi anopa WellCare.
Yakawanda zvakadii WellCare Medicare Advantage zvirongwa zvinodhura?
WellCare inopa mamwe maMedare eAdvantage zvirongwa pamutengo we $ 0. Unofanirwa kubhadhara mari yako yeMedare Chikamu B mwedzi wega wega kuMedare asi unogona kuwana mamwe masevhisi asina mari yemwedzi kubva kuWellCare. Hazvina mhosva kuti iwe unobhadhara marii yepayimendi, unozobvisirwa mari dzinobvisirwa mari, macopayments, kana mari yeinishuwarenzi yemasevhisi, sekugadzwa nehurongwa hwako uye Medicare.
Iyi inotevera mimwe mienzaniso yezvirongwa zveWellCare Medicare Advantage zviripo munyika yese uye zvaunogona kubhadhara muna 2021.
| Guta / kuronga | Nyeredzi chiyero | Mwedzi wepamberi | Hutano hunobviswa / zvinodhaka zvinobviswa | Kunze kwehomwe max | Chiremba wepakutanga copay / coinsurance pakushanya | Nyanzvi copay / coinsurance pakushanya |
|---|---|---|---|---|---|---|
| Cleveland, OH: WellCare Chikamu (HMO) | 3.5 | $0 | $0; $0 | $3,450 mune network | 20% | 20% |
| Little Rock, AK: WellCare Inosarudzwa (HMO) | 3 | $0 | $0; $0 | $6,000 mune network | $0 | $35 |
| Portland, ME: WellCare Nhasi Sarudzo Advantage Plus 550B (PPO) | 3.5 | $0 | $0; $0 | $5,900 mune network | $5 mune network; $ 25 kunze kwenetiweki | $ 30 mune network |
| Springfield, MO: WellCare Mutungamiriri (PPO) | N / A. | $0 | $0; $0 | $5,900 mumambure; $10,900 kunze kwenetiweki | $ 0 mune network; 40% kunze kwenetiweki | $ 35 munetiweki; 40% kunze kwenetiweki nekutenderwa |
| Trenton, NJ: WellCare Kukosha (HMO-POS) | 3.5 | $0 | $0; $0 | $7,500 mukati uye kunze kwenetiweki | $ 5 munetiweki; 40% kunze kwenetiweki | $ 30 munetiweki; 40% kunze kwenetiweki nekutenderwa |
Zvirongwa zviripo uye mutengo zvinogona kusiyana gore rega. Kana iwe uine chaiyo WellCare Medicare Advantage chirongwa, chirongwa chinokuzivisa iwe mukudonha kweshanduko kune mutengo.
Chii chinonzi Medicare Kubatsira (Medicare Chikamu C)?
Medicare Advantage (Chikamu C) chirongwa che "bundled" chehutano apo kambani yeinishuwarenzi yakazvimiririra ine basa rekupa munhu Medicare kufukidza. Medicare Chikamu C chinowanzo sanganisira Chikamu A (kufukidzwa kwechipatara), Chikamu B (kufukidzwa kwekurapa), uye Chikamu D (chinyoreso chemushonga). Nekudaro, mamwe marongero eWellCare haafukidze Chikamu D.
Paunotenga chirongwa cheMedicare Advantage, Medicare inobhadhara yako inishuwarenzi kambani yekusarudza kukupa iwe hutano mabhenefiti. Kuti ugare uchikwikwidza, chirongwa chako cheinishuwarenzi chinogona kukupa iwe mamwe mabhenefiti asingawanikwe mune yekutanga Medicare. Izvi zvinosanganisira masevhisi akadai mazino, kuona, kana kunzwa kwekuvhara.
Makambani anopa Medicare Advantage kazhinji kondirakiti navanachiremba nezvipatara kuti vataurirane mutengo wezvekurapwa. Kana chiremba kana chipatara chikabvuma kupa masevhisi pane imwe nhanho nekambani yeinishuwarenzi, kambani inowanzovasarudza semubatsiri we "in-network".
Medicare Advantage zvirongwa zvakanyanyisa nyika- uye nharaunda-yakatarwa nekuda kwenzira iyo chirongwa chinotaurirana nezvipatara navanachiremba munzvimbo yega yega. Nekuda kweizvozvo, haasi ese marongero emhando WellCare zvinopihwa zvinowanikwa mumatunhu ese.
Kutora
WellCare inopa Medicare Advantage uye Medicare Chikamu D zvirongwa mumatunhu makumi maviri neshanu, nezvirongwa zvinosiyana nedunhu. Aya marongero anogona kusanganisira PPOs, HMOs, uye PFFFs, uye zvinogona kukubatsira iwe kubata nezvehutano uye mishonga yemishonga yemitero isina kuvharwa pasi pezvirongwa zveMedare.
Iwe unogona kuziva kana WellCare inopa chirongwa munzvimbo yako nekutsvaga Medicare kuti uwane chirongwa chekushandisa.
Ichi chinyorwa chakagadziridzwa munaNovember 20, 2020, kuratidza 2021 Medicare ruzivo.
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.
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