Medicare puas Pab Kho Kho Kev Kho Mob Oxygen Hauv Tsev?

Zoo Siab

• Medicare puas pab them cov pa oxygen hauv tsev?
• Cov hauv paus ntsiab lus rau kev duav tau
• Kho mob kom tu ncua
• Cov nqi
• Dab tsi yog cov khoom siv thiab cov khoom siv them?
• Kuv yuav tsim nyog tau li cas rau kev pab them nyiaj?
• Cov khoom qev ua haujlwm li cas?
• Ntau txog kev kho mob oxygen
• Siv cov khoom siv oxygen kom nyab xeeb
• Cov nqa mus

• Yog tias koj tsim nyog rau Medicare thiab muaj kws kho mob xaj kom oxygen, Medicare yuav them tsawg kawg yog ib feem ntawm koj cov nqi.
• Medicare Tshooj B npog txog kev siv pa oxygen hauv tsev, yog li koj yuav tsum rau npe rau ntu ntu no kom thiaj li tau txais kev pov hwm.
• Thaum Medicare yuav pab them cov nqi kho mob oxygen, tej zaum koj tseem yuav tau them ib feem ntawm cov nqi ntawd.
• Medicare yuav tsis pab them tag nrho cov kev kho pa oxygen.

Thaum koj ua tsis tau pa, txhua yam yuav nyuaj. Kev ua haujlwm txhua hnub tuaj yeem xav qhov nyuaj. Ntxiv rau, ntau lwm yam teeb meem kev noj qab haus huv tuaj yeem ua los ntawm cov ntshav cov ntshav oxygen tsawg kawg, hu ua hypoxemia.

Yog tias koj nyuaj ua pa lossis muaj tus mob uas ua rau koj lub cev nqus tau pa tsawg, koj yuav tsum tau muaj kev kho pa oxygen hauv tsev. Nyeem ntxiv mus xyuas seb Medicare puas yuav pab them cov nqi pa hauv tsev thiab dab tsi koj yuav tsum ua kom ntseeg tau tias koj muaj cov khoom siv koj xav tau.

Medicare puas pab them cov pa oxygen hauv tsev?

Medicare them rau kev kho pa oxygen hauv tsev raws Ntu B. Medicare Tshooj B pab them tus nqi kho mob sab nrauv thiab qee cov kev kho mob hauv tsev.

Cov hauv paus ntsiab lus rau kev duav tau

Txhawm rau kom muaj cov pa oxygen hauv tsev tau them los ntawm Medicare, koj yuav tsum:

• rau npe rau Ntu B
• muaj mob xav tau pa oxygen
• kom kws kho mob xaj kom muab pa oxygen hauv tsev.

Cov Chaw rau Medicare & Medicaid Cov Kev Pab Cuam (CMS) qhia meej txog cov kev cai tshwj xeeb uas yuav tsum tau ua kom thiaj li ua rau Medicare pab them cov pa oxygen hauv tsev. Yuav tsum muaj:

• kev pab them nqi Medicare tsim nyog
• cov ntaub ntawv kho mob ntawm cov mob uas siv tau
• kev sim thiab lwm yam kev sim uas pom tseeb tias yuav tsum muaj cov pa oxygen hauv tsev

Peb yuav npog cov ntsiab lus ntawm yuav ua li cas thiaj li tsim nyog tau txais kev pab them nyiaj tom qab hauv tsab xov xwm no.

Kho mob kom tu ncua

Cov pa oxygen hauv tsev feem ntau tau hais txog kev mob xws li lub plawv tsis ua hauj lwm thiab mob ntsws ntsws (COPD).

Qhov yuav tsum tau kho mob hauv tsev oxygen yog txiav txim los ntawm kev ntsuam xyuas seb koj tus mob puas ua rau hypoxemia. Hypoxemia tshwm sim thaum koj muaj oxygen tsawg hauv koj cov ntshav.

Cov mob uas nyiam ua pa siav luv uas tsis muaj cov pa oxygen tsawg yuav tsis tau them los ntawm Medicare.

Koj tus kws kho mob xaj yuav tsum muaj cov ntaub ntawv hais txog koj qhov kev kuaj mob, koj xav tau oxygen ntau npaum li cas, thiab koj xav tau ntau npaum li cas. Feem ntau Medicare tsis them rau cov ntawv xaj rau PRN oxygen, uas yog oxygen yuav tsum siv raws li qhov xav tau.

Cov nqi

Yog tias koj tus mob ua tau raws li cov txheej txheem CMS, koj yuav tsum xub ua tiav koj feem Medicare Part B txo tawm. Nov yog tus nqi ntawm hnab tshos uas koj yuav tsum them ua ntej Medicare pib them cov khoom thiab kev pabcuam uas pom zoo.

Tshooj B rho tawm rau 2020 yog $ 198. Koj kuj yuav tsum them tus nqi them txhua hli. Hauv xyoo 2020, tus nqi them ntau yog $ 144.60 - txawm tias nws yuav siab dua, nyob ntawm koj cov nyiaj tau los.

Thaum koj tau ntsib koj Tshooj B uas rho tawm tau hauv lub xyoo, Medicare yuav them rau 80 feem pua ​​ntawm cov nqi ntawm koj cov cuab yeej siv pa oxygen hauv tsev. Cov cuab yeej siv pa oxygen hauv tsev yog suav tias yog cov cuab yeej siv kho mob ntev (DME). Koj yuav tsum them 20 feem pua ​​ntawm cov nqi rau DME, thiab koj yuav tsum nqa koj cov khoom qev los ntawm DME cov neeg xa khoom.

Medicare Advantage (Tshooj C) cov phiaj xwm kuj tseem siv tau los them cov khoom tso pa oxygen. Cov phiaj xwm no yuav tsum los ntawm kev tuav pov hwm kom npog tsawg kawg li ntau daim Medicare (seem A thiab B).

Koj cov kev fajseeb khomob tshwjxeeb thiab cov nuj nqi yuav nce raws Medicare Advantage txoj kev pabcuam koj xaiv, thiab koj cov kev pabcuam ntawm cov kws khomob suav nrog cov neeg hauv lub hom phiaj xwm kho mob.

Dab tsi yog cov khoom siv thiab cov khoom siv them?

Medicare yuav them rau ib feem ntawm tus nqi rau cov khoom qev tsev uas muab, khw muag khoom, thiab xa pa oxygen. Muaj ntau hom tshuab pa muaj nyob nrog, nrog rau cov roj cua, cov pa oxygen, thiab cov pa oxygen txawj nkag siab.

Nov yog tus txheej txheem cej luam ntawm txhua cov kab ke no ua haujlwm li cas:

• Kev kaw haujlwm roj cav. Cov no yog cov pa oxygen nyob ruaj ruaj nrog 50 taw ntawm cov raj uas txuas rau me me, tso cov pa oxygen tso tsheb hlau luam. Lub tso tsheb hlau luam tau xa mus rau koj lub tsev raws li cov pa oxygen xav tau los kho koj tus mob. Cov pa oxygen khiav tawm lub tank los ntawm kev tswj cov cuab yeej uas tswj lub pa oxygen. Qhov no tso cai nws yuav xa rau koj hauv pulses es tsis muaj dej ntws tas li.
• Cov pa ua kua dej ua pa. Lub tshuab nqus oxygen muaj cov pa oxygen uas koj siv los ntim cov pob dej me me, raws li qhov xav tau. Koj txuas rau lub taub dej mus txog 50 taws ntawm tubing.
• Portable oxygen concentrator. Qhov no yog qhov tsawg tshaj plaws, kev xaiv mobile feem ntau thiab tuaj yeem hnav raws li lub hnab ev khoom lossis tsiv ntawm lub log. Cov khoom siv hluav taws xob no tsis tas yuav muaj cov tso tsheb hlau luam thiab muaj cov kav tub ntev li 7 feet xwb. Tab sis nws yog ib qho tseem ceeb kom paub tias Medicare pab them cov pa oxygen thiaj li muaj qee yam tshwm sim tshwj xeeb.

Medicare yuav them rau cov pa oxygen nyob hauv tsev rau siv nyob hauv tsev. Cov kev pab no suav nrog:

• cov pa pa tubing
• qhov ntswg cannula lossis qhov ncauj
• kua los yog cov pa oxygen
• kev saib xyuas, kev pabcuam, thiab kho lub tsev ua pa oxygen

Medicare tseem pab them rau lwm yam kev kho mob ntsig txog pa oxygen, xws li kev ua pa zoo li qub (CPAP). Yuav tsum tau siv CPAP kev kho mob rau cov mob xws li pw tsaug zog tsis tsaug zog.

Kuv yuav tsim nyog tau li cas rau kev pab them nyiaj?

Cia tshawb nrhiav cov qauv uas koj yuav tsum tau ua rau Medicare los pab them cov cuab yeej siv kho tsev oxygen:

• Txhawm rau kom paub tseeb tias koj txoj kev kho pa oxygen tau them nyob rau Medicare Part B, koj yuav tsum paub hais tias koj muaj mob uas tsim nyog thiab muaj kws kho mob xaj kom kho pa oxygen.
• Koj yuav tsum yauv mus kuaj qee yam kev ntsuas uas pom tau tias koj xav tau kev kho mob oxygen. Ib qho yog kuaj cov roj ntshav, thiab koj cov txiaj ntsig yuav tsum poob rau qhov ntau.
• Koj tus kws kho mob yuav tsum tau txiav qhov ntau npaum li cas, ntev li cas, thiab pes tsawg ntawm oxygen uas koj xav tau. Kev txiav txim rau cov pa oxygen raws li qhov xav tau tsis tau muaj feem tsim nyog tau txais kev pab them rau Medicare Tshooj B.
• Kom tsim nyog tau txais kev pab them, Medicare kuj tseem yuav kom koj tus kws kho mob qhia tias koj tau sim lwm txoj kev kho mob, xws li kev kho mob ntsws, tsis muaj qhov ua tiav.
• Koj yuav tsum tau txais koj cov khoom qev tsev txawm hais tias tus neeg xa khoom tuaj koom rau hauv Medicare thiab lees ua txoj haujlwm. Koj tuaj yeem nrhiav cov kws kho mob pom zoo los ntawm Medicare nyob ntawm no.

Cov khoom qev ua haujlwm li cas?

Thaum koj tsim nyog tau txais kev kho mob oxygen, Medicare tsis yuav cov khoom siv rau koj. Hloov chaw, nws npog cov qev ntawm cov pa oxygen rau 36 lub hlis.

Lub sijhawm ntawd, koj yuav tsum them 20 feem pua ​​ntawm tus nqi xauj tsev. Tus nqi xauj tsev yog suav nrog chav ua haujlwm oxygen, tubing, lub qhov ncauj qhov ntswg thiab lub qhov ntswg qhov ntswg, roj av lossis ua kua oxygen, thiab tus nqi pabcuam thiab kho.

Thaum lub sijhawm 36-lub hlis qev los xaus, koj tus xa khoom yuav tsum tau txuas ntxiv muab khoom thiab tswj cov cuab yeej siv tau ntev txog 5 xyoos, tsuav yog koj tseem muaj mob nyob rau ntawd. Tus neeg xa khoom tseem yog tus tswv cuab cov khoom, tab sis tus nqi xauj tsev txhua hli xaus tom qab 36 lub hlis.

Txawm hais tias tom qab cov nyiaj them nqi xev tas lawm, Medicare yuav txuas ntxiv them nws cov feem uas xav tau los siv cov khoom siv, xws li kev xa cov roj lossis kua oxygen. Ib yam li cov nqi xauj tsev cov cuab yeej siv, Medicare yuav them 80 feem pua ​​ntawm cov nqi mov txuas ntxiv no. Koj yuav them koj li Medicare Part B uas yus them yus, them txhua hli, thiab 20 feem pua ​​ntawm tus nqi ntxiv.

Yog tias koj tseem xav tau kev kho mob oxygen thaum tom qab 5 xyoos, lub sijhawm tshiab 36 lub hlis thiab lub caij 5 xyoo yuav pib.

Ntau txog kev kho mob oxygen

Koj yuav xav tau kev kho oxygen los kho ib qho ntawm ntau yam mob.

Muaj qee kis, kev raug mob lossis mob hnyav tuaj yeem txo koj txoj kev ua pa zoo. Lwm lub sijhawm, kab mob xws li COPD tuaj yeem hloov cov chemical ntawm cov roj cua hauv koj cov ntshav, txo qis cov pa oxygen uas koj lub cev siv tau.

Ntawm no yog cov npe ntawm qee qhov mob uas yuav xav kom koj siv qee zaus los pab kho cov pa oxygen hauv tsev:

• COPD
• mob ntsws o
• hawb pob
• lub plawv tsis ua hauj lwm
• cov leeg nqaij hlav
• pw apnea
• mob ntsws
• ua pa raug mob

Txhawm rau txiav txim siab koj qhov mob yuav tsum muaj kev kho oxygen thaum nyob hauv tsev, koj tus kws kho mob yuav ua ntau yam kev ntsuas uas ntsuas qhov ua pa tau zoo. Cov tsos mob uas tuaj yeem ua rau koj tus kws kho mob qhia cov kev kuaj no muaj xws li:

• txog siav
• cyanosis, uas yog cov nplais daj lossis xiav xiav rau koj cov tawv nqaij lossis daim di ncauj
• tsis meej pem
• hnoos lossis hawb pob
• hws
• ua pa ceev lossis lub plawv dhia

Yog tias koj muaj cov tsos mob no, koj tus kws kho mob yuav ua qee yam kev kuaj mob. Cov no suav nrog kev ua pa lossis kev tawm dag zog, kuaj ntshav roj, thiab ntsuas lub cev oxygen. Cov cuab yeej tshwj xeeb tuaj yeem siv hauv kev sim ua si, thiab kuaj ntshav roj yuav tsum tau tso ntshav tawm.

Kev ntsuas cov pa oxygen saturation nrog lub mem tes oximeter ntawm koj cov ntiv tes yog txoj kev tsis zoo tshaj plaws los tshuaj xyuas koj cov pa oxygen.

Feem ntau, cov neeg uas lawv cov pa oxygen tso rau nruab nrab ntawm 88 feem pua ​​thiab 93 feem pua ​​ntawm cov mem tes oximeter yuav tsum muaj kev kho pa oxygen, tsawg kawg. Cov lus qhia rau ntau npaum li cas oxygen siv thiab thaum twg yuav cia siab rau koj cov kev mob tshwj xeeb.

Muaj qee kis, koj tus kws kho mob tuaj yeem sau tshuaj kho lub ntsws muaj kev pab ntxiv rau kev kho pa oxygen.

Kev rov ua kom zoo nkauj pulmonary pab cov neeg uas muaj kev mob zoo li COPD kawm paub tswj hwm nws thiab kom lub neej zoo dua. Kev rov mob siab ntsig feem ntau suav nrog kev kawm txog kev ua pa thiab pab pawg sib txhawb. Txoj kev kho rau cov neeg mob sab nrauv no feem ntau yuav duav tau los ntawm Medicare Tshooj B.

Kev kho pa oxygen yuav tsum tau kho zoo li lwm yam tshuaj noj. Koj yuav tsum ua haujlwm nrog koj tus kws kho mob txhawm rau txhawm rau nrhiav txoj kev kho mob, tshuaj noj thiab sijhawm ntev li cas rau koj tus mob tshwj xeeb. Ib yam li cov pa oxygen tsawg yuav ua rau koj phem, cov pa oxygen ntau dhau kuj tuaj yeem ua kom txaus ntshai. Qee zaum, koj tsuas xav tau siv pa oxygen rau lub sijhawm luv. Nco ntsoov nrog koj tus kws kho mob tham thiab kuaj xyuas kom tsis tu ncua yog tias koj xav tau - lossis xav tias koj xav tau - kev kho oxygen oxygen hauv tsev.

Siv cov khoom siv oxygen kom nyab xeeb

Cov pa yog cov pa taws heev, yog li koj yuav tsum ua qee yam ntsuas kev nyab xeeb thaum siv cov khoom siv oxygen hauv tsev. Nov yog ob peb lub tswv yim:

• Tsis txhob haus luam yeeb lossis siv nplaim hluav taws qhov twg cov pa oxygen hauv tsev siv.
• Siv daim paib ntawm koj lub qhov rooj kom cov neeg tuaj saib paub tias muaj tsev siv pa oxygen hauv tsev.
• Tso lub tswb ntsuas hluav taws thoob plaws koj lub tsev thiab xyuas saib lawv puas ua haujlwm.
• Ua zoo saib ntxiv thaum ua noj.
• Nco ntsoov tias cov pa oxygen thiab lwm cov khoom siv tuaj yeem ua rau muaj kev phom sij poob vim tias koj tuaj yeem hla lawv.
• Khaws cov pa oxygen tso rau hauv qhov chaw qhib tab sis nyab xeeb.

Cov nqa mus

• Oxygen yuav tsum siv raws li kev tswj hwm thiab kev coj ntawm koj tus kws kho mob.
• Ua tib zoo siv thaum siv oxygen, thiab ua raws txhua qhov kev tiv thaiv kev nyab xeeb.
• Yog tias koj xav tau oxygen hauv tsev thiab tau tso npe rau Tshooj B, Medicare yuav tsum them feem ntau ntawm koj cov nqi.
• Medicare yuav tsis them rau qee cov khoom siv oxygen, zoo li cov tsom taus siv tau.
• Ua haujlwm nrog koj tus kws kho mob txhawm rau nrhiav kev kho mob zoo tshaj plaws rau koj tus mob thiab kev tiv thaiv.
• Nco ntsoov tham nrog koj tus kws kho mob yog tias koj xav tias koj cov pa xav tau hloov lawm.