Medicare puas Pab Them Tshuaj Mob?
Zoo Siab
- Medicare pab them dab tsi rau kev tswj hwm qhov mob?
- Medicare Tshooj B
- Medicare Tshooj D
- Kev tswj hwm qhov mob thaum pw kho
- Kev tsim nyog tau txais kev pab
- Medicare Tshooj A cov nqi
- Medicare Tshooj C cov nqi
- Kev kho mob sab nrauv
- Kev tsim nyog tau txais kev pab
- Medicare Tshooj B cov nqi
- Cov Tshuaj Kho Mob
- Daim ntawv yuav tshuaj
- Cov tshuaj tsis sib haum (OTC) tshuaj
- Vim li cas kuv thiaj yuav tsum tswj kev mob?
- Lwm txoj hauv kev tswj kev mob
- Cov nqa mus
- Medicare pab them rau ntau yam kev kho mob thiab cov kev pab siv nyob rau hauv kev tswj hwm qhov mob.
- Cov tshuaj noj uas tswj kev mob yuav duav tau nyob hauv Medicare Tshooj D.
- Kev kho mob thiab kev pab rau kev tswj hwm qhov mob yog them nyob rau hauv Medicare Tshooj B.
- Medicare Advantage cov kev npaj kuj tseem them rau tsawg kawg yog tib cov tshuaj thiab cov kev pab raws li seem B thiab D.
Lo lus "tswj kev mob" tuaj yeem suav nrog ntau yam sib txawv. Qee tus neeg yuav xav tswj kev mob ncua sij hawm luv tom qab phais mob lossis raug mob. Lwm tus kuj yuav tsum tau tswj kav ntev mus ntev rau cov mob xws li mob caj dab, mob leeg, lossis lwm yam mob.
Kev tswj hwm qhov ncauj tuaj yeem yuav kim heev yog li koj yuav xav paub yog tias Medicare them rau nws. Medicare them ntau yam kev kho mob thiab kev pab cuam uas koj xav tau rau kev tswj hwm qhov mob.
Nyeem rau kom paub seb qhov twg hauv Medicare pab them cov kev kho mob thiab kev pab cuam sib txawv, cov nqi uas koj tuaj yeem xav tau, thiab ntau ntxiv txog ntau txoj kev mob yuav tswj tau.
Medicare pab them dab tsi rau kev tswj hwm qhov mob?
Medicare muab kev pab them nqi kho mob rau ntau yam kev kho mob thiab kev pab cuam uas xav tau los tswj kev mob. Nov yog qhia txog ntawm seem uas npog nws thiab dab tsi kho muaj nyob.
Medicare Tshooj B
Medicare Tshooj B, koj cov kev fajseeb khomob, yuav them rau cov kev pabcuam hauv qab no ntsig txog kev tswj hwm qhov mob:
- Kev tswj hwm tshuaj. Yuav tsum muaj kev tso cai ua ntej ua ntej koj tuaj yeem sau cov tshuaj kho mob sib tov. Koj tseem yuav muab pub tsawg tsawg.
- Kev pab kho tus cwj pwm coj ua kev noj qab haus huv. Qee zaum, cov tib neeg muaj tus mob tsis ntev kuj tseem tuaj yeem muaj teeb meem nrog kev ntxhov siab thiab kev ntxhov siab. Medicare pab them rau cov kev pabcuam kev noj qab haus huv los pab tswj cov mob no.
- Kev kho lub cev. Rau ob qho tib si mob hnyav thiab mob ntev, kev tuaj yeem kho lub cev yuav kho los ntawm koj tus kws kho mob kom pab tswj hwm koj qhov mob.
- Kev Kho Mob Ua Haujlwm. Hom kev kho mob no pab koj rov qab mus ua koj cov dej num txhua hnub uas koj yuav ua tsis tau thaum koj muaj mob.
- Chiropractic leeg nrob qaum. Tshooj B npog cov kev tuav pov hwm ntawm tus nqaj qaum yog tsim nyog los kho qhov subluxation.
- Haus dej cawv tsis zoo rau kev kuaj mob thiab kev tawm tswv yim. Qee zaum, mob ntev tuaj yeem ua rau quav tshuaj. Medicare pab them rau kev tshuaj xyuas thiab kev tawm tswv yim rau qhov no ib yam.
Medicare Tshooj D
Medicare Tshooj D (kev pab them tshuaj yuav tshuaj) yuav pab koj them rau koj cov tshuaj noj thiab cov phiaj xwm tswj hwm lawv. Cov kev pab tswj hwm tshuaj siv pab them thiab pab tuaj yeem nrhiav kev kho mob yooj yim. Feem ntau, siv tshuaj kho mob opioid, xws li hydrocodone (Vicodin), oxygencodone (OxyContin), morphine, codeine, thiab fentanyl, yog tshuaj kom pab txo koj cov tsos mob.
Kev tswj hwm qhov mob thaum pw kho
Koj tuaj yeem tau txais kev tswj hwm mob yog tias koj tuaj pw hauv tsev kho mob lossis chaw saib xyuas ntev ntev rau cov laj thawj hauv qab no:
- tsheb sib tsoo lossis loj raug mob
- kev phais mob
- kev kho mob rau mob nyhav (mob qog, piv txwv)
- qhov kawg ntawm lub neej (hospice) zov
Thaum lub sijhawm koj tseem nyob hauv tsev khomob, tej zaum koj yuav xav tau ntau yam kev pabcuam lossis tshuaj khomob los tswj koj qhov mob, suav nrog:
- epidural lossis lwm yam tshuaj tiv thaiv pob txha nrawm
- tshuaj kho mob (ob qho tib si narcotic thiab tsis-narcotic)
- kev kho kom lub cev
- kev pab kho lub cev
Kev tsim nyog tau txais kev pab
Yuav kom tsim nyog rau kev pab them nyiaj, koj yuav tsum tau cuv npe rau hauv Medicare txoj kev pab them nqi xub ntiag lossis Medicare Part C (Medicare Advantage) txoj kev pab them nqi. Koj lub tsev kho mob yuav tsum raug suav tias yog kev kho mob tsim nyog los ntawm kws kho mob thiab tsev kho mob yuav tsum koom nrog Medicare.
Medicare Tshooj A cov nqi
Medicare Tshooj A yog koj daim ntawv faj seeb tsev kho mob. Thaum lub sijhawm koj nyob hauv tsev khomob, koj yuav yog lub luag haujlwm rau cov nqi hauv qab Ntu A:
- $1,408 txiav tawm tau rau txhua lub txiaj ntsig ua ntej pib qhov kev pab them nqi
- $0 kev tiv nqi zoo rau txhua lub sijhawm ua haujlwm rau thawj 60 hnub
- $352 kev tiv nqi zoo nyob rau ib hnub ntawm txhua lub sijhawm pabcuam rau hnub 61 txog 90
- $704 cov nyiaj tau txais kev pab them nyiaj rau txhua “hnub tas sim neej” tom qab hnub 90 rau txhua lub sijhawm (txog 60 hnub hauv koj lub neej)
- 100 feem pua ntawm cov nqi dhau koj lub neej cia hnub
Medicare Tshooj C cov nqi
Cov nqi nyob rau hauv Medicare Part C txoj kev npaj yuav sib txawv thiab yuav nyob ntawm seb koj muaj cov kev pab them nqi thiab cov kev pab uas koj tau xaiv ntau npaum li cas. Cov kev fajseeb khomob uas koj muaj raws li Phaj C txoj kev npaj yuav tsum yog yam tsawg sib npaug li Medicare thawj duav dhau.
Kev kho mob sab nrauv
Qee yam qauv tswj xyuas qhov mob sab nrauv kuj tseem muaj nyob hauv Medicare Tshooj B. Qhov no suav nrog yam xws li:
- kev tswj tshuaj kho mob
- kev ntxias ntawm tus txha nraub qaum, yog tias tsim nyog
- kev txhaj tshuaj sab nrauv (hno steroid, tshuaj mob epidural)
- transcutaneous hluav taws xob cov leeg txav (TENS) rau qhov mob tom qab kev phais mob
- autogenous epidural ntshav pob txha (ntshav thaj) rau mob taub hau tom qab mob epidural lossis tus txha caj qaum
Kev tsim nyog tau txais kev pab
Ua ntej cov kev pabcuam no thiab cov txheej txheem yuav raug them, tus kws kho mob sau npe Medicare yuav tsum muaj ntawv pov thawj tias lawv yuav tsum siv tshuaj los kho koj tus mob.
Medicare Tshooj B cov nqi
Hauv Medicare Tshooj B, koj yuav tsum them:
- Ib $198 yuav tsum them txhua xyoo, uas yuav tsum tau ntsib txhua xyoo ua ntej cov kev pab kho mob uas yuav tsum tau muaj
- Koj tus nqi txhua hli, uas yog $144.60 rau cov neeg feem coob hauv 2020
Cov Tshuaj Kho Mob
Daim ntawv yuav tshuaj
Medicare Tshooj D muab kev pab them tshuaj. Ntu Ob Ntu thiab qee feem Medicare Part C / Medicare Advantage cov phiaj xwm duav tau ntau yam tshuaj uas tuaj yeem ua haujlwm rau kev tswj hwm qhov mob. Cov phiaj xwm no tseem yuav them rau cov kev pab tswj hwm kev kho mob yog tias koj xav tau kev saib xyuas mob nkeeg ntau dua.
Cov tshuaj uas nquag siv hauv kev tswj hwm qhov mob suav nrog, tab sis tsis txwv rau:
- Cov tshuaj pleev yeeb qaug cawv zoo li Percocet, Vicodin, lossis oxycodone
- gabapentin (tshuaj mob leeg)
- celecoxib (ib qho tshuaj tiv thaiv tshuaj lom neeg)
Cov tshuaj no muaj nyob rau ntawm cov qauv siv thiab cov npe lag luam. Cov tshuaj uas tau them yuav nyob ntawm koj qhov phiaj xwm tshwj xeeb. Cov nqi yuav sib txawv ntawm phiaj xwm phiaj xwm, raws li qhov yuav pab them rau cov tshuaj sib txawv. Cov nqi yuav nce raws koj li phiaj xwm daim phiaj qauv, uas siv ib theem ua tiav pawg tshuaj rau tus nqi siab, nruab nrab, thiab qis dua.
Nws yog ib qho tseem ceeb rau koj mus rau cov kws kho mob koom nrog thiab cov chaw muag tshuaj kom tau koj cov tshuaj noj rau Medicare Tshooj D. Rau Ntu C, koj yuav tsum siv cov kws khomob koom nrog txhawm rau kom tau txais txiaj ntsig zoo.
Cov lus sau ntawm cov tshuaj tua kab mob sib kisKoj tus kws kho mob yuav tsum muab ntau txoj kev xaiv los kho koj qhov mob, tsis yog siv cov tshuaj xwb. Nrog rau kev nce siab ntawm opioid overdoses hauv cov caij nyoog tsis ntev los no, ntau qhov tseem ceeb tau tso rau kev nyab xeeb siv.
Nws yuav tsim nyog txais lub tswv yim thib ob kom pom tias lwm txoj kev xaiv tsis siv tshuaj, xws li kev kho lub cev, tuaj yeem pab koj tus mob.
Cov tshuaj tsis sib haum (OTC) tshuaj
Cov tshuaj OTC uas tuaj yeem siv rau kev tswj hwm qhov mob suav nrog:
- tshuaj acetaminophen
- ibuprofen
- naproxen
- lidocaine thaj ua rau thaj lossis lwm yam tshuaj pleev
Medicare Tshooj D tsis duav txog OTC cov tshuaj, tsuas yog cov tshuaj noj. Qee ntu hauv phiaj xwm C tej zaum yuav suav nrog kev tso cai rau cov tshuaj no. Tshawb xyuas nrog koj txoj kev pab them nqi kho mob thiab tseem khaws cia hauv qhov kev xav thaum mus yuav khoom Medicare txoj kev pab them nqi.
Vim li cas kuv thiaj yuav tsum tswj kev mob?
Kev tswj hwm qhov mob suav nrog kev kho mob, kho mob, thiab cov kev pabcuam uas siv los kho tus mob thiab mob nyhav. Mob mob feem ntau cuam tshuam nrog kev mob tshiab lossis raug mob. Piv txwv ntawm cov mob zoo xws li:
- mob tom qab phais tas
- mob mob tom qab lub tsheb sib tsoo
- tawg pob txha los sis pob luj taws pob txha
- kov yeej kev mob
Piv txwv ntawm cov kev mob tshwm sim muaj xws li:
- mob qog noj ntshav
- fibromyalgia
- mob caj dab
- herniated discs hauv koj qab
- mob ntsws mob ntev
Lwm txoj hauv kev tswj kev mob
Ntxiv rau kev siv tshuaj kho mob thiab kev kho lub cev, muaj lwm txoj hauv kev los tswj kev mob mob ntev. Coob tus neeg pom kev kho mob raws li kev kho mob hauv qab no:
- acupuncture, uas tam sim no raug pab them rau Medicare rau cov neeg uas muaj teeb meem mob nraub qaum
- CBD lossis lwm cov roj yam tseem ceeb
- txias los yog kho cua sov
Feem ntau ntawm cov no tsis them los ntawm Medicare tab sis mus saib nrog koj phiaj xwm tshwj xeeb los saib seb puas yuav them nyiaj kho.
Cov nqa mus
- Kev kho thiab tswj qhov mob feem ntau yuav pab them los ntawm feem phiaj xwm Medicare feem ntau yog tias lawv muaj ntawv pov thawj kho mob los ntawm ib tus kws kho mob.
- Kev pab them nqi Medicare Advantage yuav txawv ntawm phiaj xwm mus rau lwm txoj kev npaj, yog li nco ntsoov nug koj lub chaw pov hwm kev pov hwm seb dab tsi raug pov hwm nyob rau hauv koj hom phiaj xwm tshwj xeeb.
- Muaj ntau ntau txoj kev xaiv los mus tshawb nrhiav tswj hwm kev mob ib cag ntawm cov tshuaj yeeb dej caw.
Cov ntaub ntawv ntawm lub vev xaib no tuaj yeem pab koj txiav txim siab tus kheej txog kev tuav pov hwm, tab sis nws tsis yog yuav pab tswv yim txog kev yuav khoom lossis kev siv cov khoom pov hwm lossis kev tuav pov hwm. Healthline Media yuav tsis hloov lag luam ntawm kev tuav pov hwm tsis hais yam twg thiab tsis tau ntawv tso cai raws li cov tuam txhab pov hwm lossis cov neeg tsim khoom hauv ib cheeb tsam ntawm Teb Chaws Asmeskas. Healthline Media tsis tau qhia lossis pom zoo rau ib tog neeg thib peb uas ua lag luam ntawm kev tuav pov hwm.