Ziva tsanangudzo uye zviratidzo zvekubhadhara mishonga yekubiridzira
Purogiramu ye Medicare inotsigira zvakanyanya pane zvinyorwa zvekuvabatsira pakuona nekudzivirira kweUkwereta hweMedare kusanganisira vadzidzisi vehutano hwehutano. Izvi zvinosanganisira avo vanoshanda mumahofisi ezvokurapa - vanachiremba, vanamukoti, vashandi vepamberi, vashandi vekubhadhara, uye vamwe. Pasina rubatsiro rwedu, avo vanhu vane mhosva yekunyengera vanoenderera mberi vachienda.
Kwemakore, Centers for Medicare neMedicaid Services (CMS) yakashanda nesimba mukuedza kwayo kuunza ruzivo kuMudhadhi hwekubiridzira, dambudziko renyika iro rinotora chirongwa chemamiriyoni emadhora gore negore.
Mhedziso yeMurepa Wechibharo
Medicare unyengeri inowanzoreva nezvekuda uye nokuziva kubhadhara zvikwereti zvekurapa muedza kubiridzira chirongwa cheMedareri chemari. Ani naani anowanikwa mhaka yeMedare yeupombwe inokonzerwa nokusabatanidzwa kubva pakupinda muchirongwa cheMedare, pamwe nekubhadharwa kwemari uye zvichida kuiswa mujeri. Kunyanya urwere hweMedare hunowanikwa munzvimbo idzi:
- Kubhadhara DME
- Kubhadhara vanachiremba mabasa
- Kubhadhara mabasa emasangano akadai semisha inochengetedza vana, zvipatara, hospice, nezvimwewo.
Iva Nehanya Nevanhu Vanowanzoita Mishonga Yokunyengera
Iko kune zvirongwa zvina zveMedare zvesheni uye miitiro inogona kuonekwa muhofisi yehutano iripo.
- Zvirwere Zvokurapa Hazvina Kupihwa: Inzvimbo inowanikwa yakawanda yeMedare unyengeri kuribhadharira Chirwere Chisingagumi Zvirwere (DME). DME inoreva chero mishonga yezvokurapa inodiwa kumurwere wehutano kana muviri. Inosanganisira maguruvhesi, mabhedha echipatara, uye zvimwe zvigadzirwa zvechimiro ichocho. Mupiki achabhadhara Medicare pamidziyo iyo murwere asina kumbobvumirwa. Kufamba kwevadzidzi vanove vachinyanyozivikanwa nokuda kwezvirongwa zvekubiridzira zveMedare.
- Nheyo Dzisina kumboitwa: Muchiitiko ichi, mvumo yekupa mupiro yekuongorora, kurapwa kana nzira dzisina kumboitwa. Izvi zvinogona kuwedzerwa kune urongwa hwekuedzwa murwere akawana zvechokwadi uye akarega kuonekwa. Mupiki anganganisawo kuongorora zvirongwa kuitira kuti awedzere pazviedzo zvisingakoshi kana mabasa.
- Kudhura kwekodzero: Kutaura zvisina kukodzera huwandu hwebasa kana nzira inogadziriswa kuitira kuti uwane mari yakawanda kana kuti uwane yepamusoro yebhadharo yekutengesa kunonzi kubvunzurudzwa. Kukwidziridzwa kunowanikwawo kana basa rinoitwa risati rakafukidzwa neMedare asi mabhizimisi anopa mvumo basa rinovharidzirwa panzvimbo yayo.
- Kubhadhara Mitero: Dzimwe maitiro anotorwa sezvose. Kusunungura kubhadhara kune nzira dzakasiyana zvakasiyana-siyana dzinowanzobhadharwa semhosva imwe chete. Semuenzaniso, mupiro wemupiro wekudzivirirwa kwemairi maviri ekudzivirira kuongorora mammograms, panzvimbo yekubhadhara kune rimwechete rekuongorora mammogram.
Medicare Zvokunyengera Zviratidzo
Kune dzimwe humwe zviratidzo zvinowanzoonekwa pakuonekwa kweChirwere chekubiridzira. Iwe unofambisa:
- Ko ofisi yako yezvechiremba inowanzotora mapepa emari uye inokonzerwa nevarwere veMedare pasina chekuona kuti inokwanisa kubhadhara here?
- Iko hofisi yako yezvechiremba inotengesa mazinga akakwirira kuvarwere veMedarera vachienzaniswa nevamwe vanhu kune mamwe maitiro akafanana?
- Iko hofisi yako yezvokurapa inowanzoshaya mushonga mishonga, yakadai sechiremba kana nyanzvi manotsi?
Chii Chingaita Kana Iwe Uchinge Uchinge Uchinyengera?
Kana iwe ukashanda mune imwe hofisi yezvokurapa, iwe uri panotangira mutsara pakuona uye kuudza basa rekubhadhara basa. Ndiyo mutoro wako semumiriri wekambani yehutano yehutano kuti azive uye anyore chero basa ripi zvaro rinonyangadza rinofungidzirwa.
Kana iwe uchida kurondedzera kukanganisa kwaMedare unyengeri, taura neDhipatimendi reZvipatano neHuman Services kana eHhovisi reAppector General kuti uwedzere rubatsiro.