Kurapa Kubhadhara kuMedare, Medicaid, uye Tricare

Kunzwisisa zvidzidzo zvehutano hwehutano hwehutano uye vateresi vanoita kuti vashandi vemahofisi ezvokurapa vataure zvakanaka nevarwere nezvehutano hwavo hwehutano inshuwarano uye kurukurai nezvemagariro ehutano nezvevashandi nevasimiri vekambani. Kana iwe uchida kuva chiremba wezvechiremba, heino chidzidzo pamusoro peMedare, Medicaid, Tricare, uye vamwe vatengi.

1 -

Kunzwisisa Medicare

Zvakakosha kunzwisisa zvinorehwa neMurengeti zveMedare zvinogona kunge zvakaoma. Funga kuenda kunekudzidzira zviitiko nemikana. Vapiro vanofanira kuve nechokwadi kuti avo vane basa rokugadzirira uye kuendesa zvirevo kuMedarere vanoziva zvakakodzera kutumira mitemo nemirau.

Kune zvikamu zvina zvinokosha zveMedare Programme:

1. Medicare Chikamu A: Medicare Chikamu A chikamu cheMedarere kuti vanhu vazhinji havafaniri kubhadhara iyo inonzi inshuwarisi yepatara. Medicare Chikamu A inonzi inshuwarhu yepatara nokuti inobatsira kubhadhara kuchengetwa kwomurwere anogamuchira muchipatara chirwere chekushaya chirwere, chirwere chakakosha chinosvika, chiremba unyanzvi hwekuziva (SNF), hospice uye kutarisira utano hwepamusha.
2. Medicare Chikamu B: Medicare Chikamu B chikamu cheMedare chinonzi mishonga yehutano. Chikamu B inosanganisira zvizhinji zvisingabatanidzwi neChikamu A chakadai sechiremba anoshanyira, kunze kwekurapa, kurapwa kwekuchengetedza, zvigadzirwa zvemishonga, zvekuchengetedzwa kwemagetsi, nezvimwewo.
3. Medicare Chikamu C: Medicare Part C inonziwo Medicare + Kusarudza asi inonzi Medicare Advantage Plans. Medicare Makomborero Mapurogiramu anobvumira kuti Medicare vabatsirwe kunyoresa mu inshuwarisi yehutano yega yega kana chirongwa chekuchengeta kuchengetedza chavanosarudza. Pane zvirongwa zvakasiyana-siyana zvokusarudza kubva kune izvo zvipi zvese zvinowanikwa pasi pemutambo weMedare.
4. Medicare Chikamu D: Chikamu ichi chepurogiramu yeMedricare ndiyo Prescription Drug Benefit. Kuvhara zvinodhaka kunowanika kuburikidza neMurereti Advantage Plans.

Zvimwe

2 -

Kunzwisisa Medicaid

Medicaid inogara iri mubhadharo wekupedzisira kusarudza . Izvi zvinongoreva kuti Medicaid inogara ichibhadhara pakupedzisira apo dzimwe hurongwa hwehutano hwehutano huripo. Vakagamuchirwa vanodikanwa kuchengetedza Medicaid kuziviswa nezvehupi hwehutano hwehutano hwehutano.

Vapiro vanewo basa rekuzivisa Medicaid yechitatu yepururu yveshuwarisi ivo vanoziva pamusoro pezvo uye nekuzivisa Medicaid zvepi zvese zvekupemberera mari dzavanowana muzita remupi.

Medicaid inotongwa nehurumende, saka, humwe hurumende ine zvido zvayo zvekubhadhara. VaBillers vanofanira kutora chirongwa cheMedicaid munzvimbo yavo pachavo kuti vawane ruzivo rwakakwana rwekubhadhara.

Zvimwe

3 -

Kunzwisisa Tricare

TRICARE, chikamu cheMasoja Health System, chirongwa chekuchengetedza hutano kune avo vanoshingaira, vakasiya basa uye avo veMarindi / Reserve Reserve nemhuri dzavo. Kune dzimwe nzvimbo dzakasiyana dzakasiyana-siyana dzenharaunda dzinopa rubatsiro kune TRICARE vanobatsirwa:

• Mawodzanyemba
• Chamhembe
• Madokero
• Overseas

4 -

Kunzwisisa Vamwe Vatengi

Kuva neruzivo rwekutanga rwemhando imwe neimwe ye inshuwarisi ichaderedza zvinetso zvekutumira zvirevo uye kubhadhara mari. Kune miviri miviri mikuru yehutano hwehutano inshuwarheni:

• Indemnity Insurance : Indemnity inshuwarano zvirongwa zvinokweretesa kuhofisi yezvokurapa zvichienderana nemari yekubhadhara-ye-service model.
• Kugadziriswa Kuchengetedza Zvirongwa : Chengetedza zvirongwa zvekuchengetedza zvinoda kuchengetedza zvinodiwa zvehutano hwevamwe nhengo kuburikidza nekuronga uye kuronga kutarisirwa nehutano hwechiremba, nyanzvi, uye zvipatara. Kune marudzi mana ezvirongwa zvekutarisira zvakachengetedzwa:
  • Health Maintenance Organizations (HMOs)
  • Zvipo Zvokupa Zvokuda (PPOs)
  • Exclusive Provider Organizations (EPOs)
  • Point-of-Service (POS) Zvirongwa