Medicare Pab Them Yog Dab Tsi Yog Tias Koj Muaj Dementia?

Zoo Siab

• Medicare puas pab them kev kho mob dementia?
• Medicare puas pab them nqi kho mob rau cov neeg mob?
• Tsev Kho Mob
• Cov chaw tu neeg (SNFs)
• Medicare puas pab them nqi kho mob hauv tsev rau kev dementia?
• Medicare puas pab them kev kuaj rau dementia?
• Medicare puas pab them nqi kho mob rau cov neeg muaj kab mob dementia?
• Dab tsi ntawm Medicare them dementia kev kho mob?
• Them rau Medicare los ntawm ib feem
• Leej twg thiaj li tsim nyog rau kev pab them Medicare rau kev saib xyuas dementia?
• Kev dementia yog dab tsi?
• Hauv qab kab

• Medicare pab them qee cov nuj nqis cuam tshuam nrog kev saib xyuas dementia, suav nrog cov neeg mob pw hauv tsev, kev saib xyuas kev noj qab haus huv hauv tsev, thiab kev kuaj mob tsim nyog.
• Qee qhov phiaj xwm Medicare, xws li cov phiaj xwm kev xav tau tshwj xeeb, tshwj xeeb rau cov tib neeg muaj mob xws li dementia.
• Feem ntau Medicare tsis them rau cov kev saib xyuas mus sij hawm ntev, xws li cov neeg muab kev pab hauv tsev laus lossis qhov chaw muaj tus pab tau nyob.
• Muaj ntau cov peev txheej muaj, xws li Medigap cov phiaj xwm thiab Medicaid, uas tuaj yeem pab them cov kev kho mob dementia uas tsis muaj Medicare them.

Dementia yog ib lo lus uas tau siv los hais txog lub xeev uas txoj kev xav, kev nco qab, thiab kev txiav txim siab tau dhau los ua qhov tsis taus, cuam tshuam nrog kev ua si txhua hnub. Alzheimer's mob yog daim ntawv ntawm dementia. Medicare yog tsoomfwv txoj kev npaj fajseeb khomob uas tau hais txog qee yam kev khomob dementia.

Nws tau kwv yees hais tias cov neeg Asmeskas muaj Alzheimer's tus kab mob lossis qee yam lwm yam kev dementia. Kwv yees li ntawm 96 feem pua ​​ntawm cov neeg no hnub nyoog 65 thiab laus dua.

Kav tsij nyeem kom thiaj kawm paub cov feem dementia kev saib xyuas Medicare npog thiab ntau yam ntxiv.

Medicare puas pab them kev kho mob dementia?

Medicare pab them qee tus nqi, cuam tshuam nrog kev kho mob dementia. Qhov no suav nrog:

• pw hauv tsev kho mob xws li tsev kho mob thiab cov chaw tu neeg laus
• saib xyuas kev noj qab haus huv hauv tsev
• tsev kho mob
• kev ntsuas kev txawj ntse
• tsim nyog kuaj mob dementia
• cov tshuaj (Tshooj D)

Coob tus neeg uas dementia yuav xav tau qee yam kev saib xyuas mus sij hawm ntev uas suav nrog kev saib xyuas menyuam. Kev saib xyuas menyuam suav nrog kev pabcuam ua haujlwm txhua hnub xws li kev noj mov, hnav khaub ncaws thiab siv chav dej.

Medicare tsis them rau cov kev pab tu mus sij hawm ntev. Nws kuj tsis duav txog kev tu neeg saib xyuas.

Txawm li cas los xij, muaj lwm cov kev pab uas tuaj yeem pab koj them rau kev saib xyuas ncua ntev thiab kev saib xyuas. Cov no suav nrog ntau yam xws li Medicaid, Cov Kev Pabcuam rau Txhua Tus Neeg Laus (PACE), thiab cov cai tuav pov hwm kev saib xyuas mus sij hawm ntev.

Medicare puas pab them nqi kho mob rau cov neeg mob?

Medicare Tshooj A pab them rau cov neeg mob pw ntawm cov chaw kho mob thiab cov tsev laus. Peb saib qhov no me ntsis kom zoo dua.

Tsev Kho Mob

Medicare Tshooj A npog cov neeg mob pw hauv tsev kho mob. Qhov no tuaj yeem suav nrog cov chaw zoo li cov tsev khomob loj, cov neeg pw hauv tsev kho mob rov tuaj, thiab cov tsev kho mob ntev. Qee cov kev pabcuam uas kam them rau yog:

• ib chav tsev ib nrab
• zaub mov
• kev saib xyuas mob dav dav
• cov tshuaj uas yog ib feem ntawm txoj kev kho mob
• kev pabcuam hauv tsev kho mob lossis khoom siv ntxiv

Hais txog kev pw hauv tsev kho mob, Medicare Tshooj A yuav them rau txhua tus nqi rau thawj 60 hnub. Rau hnub 61 txog 90, koj yuav them ib hnub li ntawm $ 352. Tom qab 90 hnub ua tus neeg mob pw, koj yuav tau lav txhua tus nqi.

Yog tias koj tau txais kev kho mob hauv tsev kho mob, lawv yuav them rau Medicare Tshooj B.

Cov chaw tu neeg (SNFs)

Medicare Tshooj A puav leej them rau kev pw kho mob hauv SNF. Cov no yog cov chaw uas muab kev saib xyuas kev noj qab haus huv uas tuaj yeem tsuas yog muab los ntawm cov kws kho mob zoo li cov kws kho mob, cov kws tu neeg mob, thiab cov kws kho lub cev.

Yog tias koj tus kws kho mob txiav txim siab tias koj xav tau kev saib xyuas txhua hnub tom qab mus pw hauv tsev kho mob, lawv yuav pom zoo kom nyob hauv SNF. Koj nyob yuav suav nrog tej yam xws li chav ib nrab chav, pluas noj thiab khoom siv kho mob uas siv hauv qhov chaw.

Thawj 20 hnub hauv SNF, Medicare Tshooj A yuav them rau txhua tus nqi. Tom qab 20 hnub, koj yuav tsum tau them tus nqi them txhua hnub ntawm $ 176. Yog tias koj tau nyob hauv SNF ntev dua 100 hnub, koj them txhua tus nqi.

Medicare puas pab them nqi kho mob hauv tsev rau kev dementia?

Kev saib xyuas kev noj qab haus huv hauv tsev yog thaum kev pabcuam kev noj qab haus huv lossis kev saib xyuas mob hauv tsev. Nws tau them los ntawm Medicare seem A thiab B. Cov kev pabcuam no ib txwm koom tes nrog ib lub chaw saib xyuas kev noj qab haus huv hauv tsev thiab tuaj yeem suav nrog:

• kawm ib nrab sijhawm kev tu xyuas neeg laus
• part-time hands-on zov
• kev pab kho lub cev
• kev kho kom lub cev
• kev kho hais lus
• kev pab kho mob

Yuav kom tsim nyog rau kev saib xyuas kev noj qab haus huv hauv tsev, hauv qab no yuav tsum muaj tseeb:

• Koj yuav tsum tau faib ua cov neeg nyob sab hauv tsev, txhais tau tias koj muaj teeb meem tawm hauv koj lub tsev yam tsis muaj kev pab los ntawm lwm tus neeg lossis cov cuab yeej pabcuam zoo li lub rooj muaj log lossis tus taug kev.
• Koj yuav tsum tau txais kev saib xyuas hauv tsev raws li txoj kev npaj khomob tau tshuaj xyuas thiab kho dua tshiab los ntawm koj tus kws khomob.
• Koj tus kws kho mob yuav tsum lees tias koj xav tau kev saib xyuas uas tuaj yeem muab hauv tsev.

Medicare pab them tag nrho cov kev pab saib xyuas kev noj qab haus huv hauv tsev. Yog tias koj xav tau cov cuab yeej siv kho mob xws li lub rooj muaj log lossis lub tsev kho mob, koj yuav tau lav 20 feem pua ​​ntawm tus nqi.

Medicare puas pab them kev kuaj rau dementia?

Medicare Tshooj B npog ob hom kev mus ntsib kws nyab xeeb:

• Qhov “Zoo Siab Txais Tos rau Medicare”, ua tiav hauv thawj 12 lub hlis tom qab tso npe Medicare.
• Qhov Kev Noj Qab Nyob Zoo Txhua Xyoo ib zaug txhua 12 lub hlis nyob rau txhua xyoo tom qab.

Cov kev mus ntsib no suav nrog kev ntsuas qhov ua tsis taus. Qhov no pab koj tus kws kho mob saib txog tej yam tshwm sim ntawm dementia. Ua li no, koj tus kws kho mob siv tau ib qho los yog sib xyaw ua ke hauv qab no:

• Saib qhov ncaj qha txog koj tus yam ntxwv, yam ntxwv, thiab lus teb
• txhawj xeeb lossis ntawv ceeb toom los ntawm koj tus kheej lossis tsev neeg
• cov cuab yeej ntsuas kev ntsuas pom tseeb

Ib qho ntxiv, Medicare Tshooj B tuaj yeem them cov kev kuaj uas pom tias tsim nyog los pab kuaj mob dementia. Qee qhov piv txwv suav nrog qee yam xws li kuaj ntshav thiab ntsuas lub hlwb los ntawm CT scan lossis MRI scan.

Medicare puas pab them nqi kho mob rau cov neeg muaj kab mob dementia?

Hospice yog ib hom kev saib xyuas uas tau muab rau cov neeg uas tau mob. Hospice kev saib xyuas mob yog tswj hwm los ntawm pab pawg saib xyuas tsev kho mob thiab yuav suav nrog cov kev pabcuam hauv qab no:

• kws kho mob cov kev pab thiab kev saib xyuas mob
• tshuaj los pab txo cov tsos mob kom yooj yim
• Kev mus pw hauv ib lub sijhawm luv los pab tswj cov tsos mob
• cov cuab yeej siv kho mob xws li cov taug kev thiab lub rooj muaj log
• cov khoom siv xws li cov ntaub qhwv lossis cov uas co cov tawv
• pab qhia kev tu siab rau koj lossis koj tsev neeg
• Chaw nyob xyuas lub sijhawm luv, uas yog lub sijhawm pw hauv tsev ntev kom tso cai rau koj thawj tus neeg saib xyuas pw

Medicare Tshooj A yuav them rau kev saib xyuas tsev kho mob rau lwm tus neeg uas muaj dementia yog tias txhua yam hauv qab no yog qhov tseeb:

• Koj tus kws kho mob tau txiav txim siab tias koj lub neej muaj kev cia siab rau lub hlis los yog luv dua (txawm tias lawv tuaj yeem kho qhov no yog tsim nyog).
• Koj pom zoo lees txais kev saib xyuas mob siab rau kev nplij siab thiab kev mob tshwm sim es tsis yog saib xyuas kom kho koj tus mob.
• Koj kos npe rau nqe lus taw qhia tias koj xaiv kev saib xyuas lub tsev laus tsis raws li lwm txoj kev pab tiv thaiv los ntawm Medicare.

Medicare yuav them txhua tus nqi rau kev saib xyuas tsev kho mob, tshwj tsis yog chav thiab khoom noj haus. Tej zaum koj kuj yuav tau them rau qhov them me me rau cov tshuaj noj kom pab txo cov tsos mob.

Dab tsi ntawm Medicare them dementia kev kho mob?

Cia peb tshuaj xyuas sai ntawm ntu ntawm Medicare uas hais txog kev saib xyuas cov nyom dementia:

Them rau Medicare los ntawm ib feem

Leej twg thiaj li tsim nyog rau kev pab them Medicare rau kev saib xyuas dementia?

Yuav kom tsim nyog rau Medicare pab them rau dementia, koj yuav tsum ua raws li ib qho ntawm cov qauv dav dav kev tsim nyog Medicare. Cov no yog koj:

• hnub nyoog 65 lossis laus dua
• hnub nyoog li cas thiab muaj ib qho tsis taus
• muaj hnub nyoog li cas thiab muaj mob rau raum ntu kawg (ESRD)

Txawm li cas los xij, kuj tseem muaj qee cov phiaj xwm Medicare tshwj xeeb uas cov neeg muaj kev dementia tuaj yeem tsim nyog. Hauv cov xwm txheej no, kev kuaj mob ntawm kev dementia yuav tsum:

• Cov phiaj xwm tshwj xeeb (SNPs): SNPs yog ib pab pawg tshwj xeeb ntawm Advantage cov phiaj xwm tshwj xeeb hais txog kev xav tau ntawm cov neeg muaj mob tshwj xeeb, suav nrog kev dementia. Kev ua haujlwm ntawm kev saib xyuas kuj tseem suav nrog.
• Cov kev pab tswj xyuas tus mob tsis tu ncua (CCMR): Yog tias koj muaj kab mob dementia thiab tsawg kawg ib yam mob, koj kuj yuav tsim nyog muaj npe rau CCMR. CCMR suav nrog kev tsim kho phiaj xwm kev saib xyuas, kev sib koom ua ke ntawm kev saib xyuas thiab tshuaj noj, thiab 24/7 nkag mus rau cov kws tshaj lij kev noj qab haus huv rau cov kev xav tau kev noj qab haus huv.

Kev dementia yog dab tsi?

Dementia tshwm sim thaum koj poob peev xwm ntawm kev paub zoo li nco, xav thiab txiav txim siab. Qhov no tuaj yeem cuam tshuam kev cuam tshuam ntawm tib neeg kev ua haujlwm thiab kev ua si ntawm lub neej txhua hnub. Piv txwv li, ib tug neeg uas muaj dementia tuaj yeem muaj teeb meem:

• nco qab cov neeg, puas nco qab, lossis cov lus qhia
• nqa tawm cov haujlwm txhua hnub ntawm nws tus kheej
• sib txuas lus lossis nrhiav cov lus raug
• daws cov teeb meem
• nyob koom
• Them sai sai
• tswj hwm lawv lub siab

Nws tsis yog tsuas yog ib hom kev mob dementia. Muaj tseeb ntau ntau hom, txhua tus muaj qhov sib txawv. Lawv suav nrog:

• Alzheimer tus kab mob
• Lub cev qog ua haujlwm dementia
• Frontotemporal dementia
• Mob vascular dementia
• Mixed dementia, uas yog kev sib txuas los ntawm ob lossis ntau ntau hom kev dementia

Hauv qab kab

Medicare them qee yam ntawm kev kho mob dementia. Qee cov piv txwv suav nrog kev mus pw hauv cov chaw tu neeg laus, kev saib xyuas mob hauv tsev, thiab kev tshuaj xyuas kab mob uas tsim nyog.

Ib qho ntxiv, cov neeg mob dementia tuaj yeem tsim nyog rau Medicare cov phiaj xwm tshwj xeeb uas haum rau lawv cov kev xav tau tshwj xeeb. Cov no suav nrog cov phiaj xwm xws li cov kev xav tau tshwj xeeb thiab cov kev tswj xyuas cov kev saib xyuas mob siab.

Txawm hais tias ntau tus neeg uas muaj dementia xav tau ib co kev pab tu mus sij hawm ntev, Medicare feem ntau tsis hais txog qhov no. Lwm cov kev pab cuam, xws li Medicaid, tuaj yeem pab them cov nqi kho mob ncua ntev.