Medicare puas npog ntsws hnoos qeev?

Zoo Siab

• Kev pab them nqi Medicare rau cov tshuaj tiv thaiv mob ntsws
• Cov tshooj B tiv thaiv
• Qhov C them
• Cov tshuaj tiv thaiv kab mob ntsws muaj nqi npaum li cas?
• Tshuaj tiv thaiv mob ntsws dej yog dabtsi?
• Mob ntsws yog dabtsi?
• Cov tsos mob ntawm kev mob ntsws pneumococcal
• Cov nqa mus

• Tshuaj tiv thaiv mob ntsws o tuaj yeem pab tiv thaiv qee hom kev mob ntsws.
• Cov txheej txheem CDC tam sim no qhia tias cov neeg 65 thiab laus dua yuav tsum tau txais tshuaj tiv thaiv.
• Medicare Tshooj B npog 100% ntawm ob hom tshuaj tiv thaiv kab mob ntsws.
• Medicare Part C cov phiaj xwm yuav tsum tau duav tag nrho cov tshuaj tiv thaiv mob ntsws, tab sis cov cai hauv network kuj tseem siv tau.

Mob ntsws yog ib hom mob uas muaj feem mob rau ob lub ntsws. Kev voos, ua paug, kua qog ua kua tuaj yeem tsim lub ntsws, ua rau nws ua pa nyuaj. Raws li Cov Chaw Tiv Thaiv thiab Tswj Xyuas Kabmob (CDC), tib neeg mus ntsib chav khomob kub ntxhov txhua xyoo vim muaj mob ntsws.

Tshuaj tiv thaiv mob ntsws o tuaj yeem tiv thaiv cov kab mob sib kis los ntawm Kab mob ntsws dej liabCov. Muaj ob hom tshuaj txhaj tiv thaiv mob ntsws muaj dej los tiv thaiv qee yam kab mob no.

Muaj hmoo, yog tias koj muaj Medicare Tshooj B lossis Tshooj C, koj yuav them rau ob hom tshuaj tiv thaiv cov mob pneumococcal.

Cias mus kom ze zog saib cov tshuaj txhaj tiv thaiv mob ntsws thiab ua li cas Medicare pab them.

Kev pab them nqi Medicare rau cov tshuaj tiv thaiv mob ntsws

Cov tshuaj tiv thaiv tiv thaiv feem ntau muaj nyob rau Ntu D, feem ntawm Medicare tshuaj. Medicare Tshooj B npog ob peb hom tshuaj tiv thaiv, zoo li ob koob tshuaj txhaj tiv thaiv mob ntsws. Cov phiaj xwm Medicare Advantage, qee zaum hu ua Tshooj C, kuj tseem duav tau cov tshuaj tiv thaiv mob ntsws, nrog rau lwm cov tshuaj tiv thaiv uas koj xav tau.

Yog tias koj muaj npe nyob rau hauv Medicare thawj (Tshooj A thiab Tshooj B), lossis C Part phiaj xwm kho mob, koj muaj feem tsim nyog txhaj tshuaj tiv thaiv kab mob ntsws. Txij li muaj ob hom tshuaj tiv thaiv kab mob rau mob ntsws, koj thiab koj tus kws kho mob yuav txiav txim siab yog tias koj xav tau ib qho lossis ob koob tshuaj tiv thaiv. Peb yuav tau nkag mus rau cov ntsiab lus ntawm ob hom sib txawv me ntsis tom qab.

Cov tshooj B tiv thaiv

Medicare Tshooj B tiv thaiv hom tshuaj tiv thaiv txuas mus ntxiv no:

• tshuaj tiv thaiv khaub thuas (mob npaws)
• Tshuaj tiv thaiv kab mob siab B (rau cov uas muaj pheej hmoo)
• tshuaj tivthaiv pneumococcal (rau kab mob Kab mob ntsws dej liab)
• tetanus shot (kev kho mob tom qab kis tau)
• txhaj tshuaj vwm (kho tom qab kis tau)

Tshooj B feem ntau them 80% ntawm cov nqi tiv thaiv yog tias koj mus ntsib cov chaw muab kev pab pom zoo Medicare. Txawm li cas los xij, tsis muaj nqi dab tsi ntawm cov hnab tshos them rau Ntu B. Uas txhais tau tias, koj yuav them $ 0 rau cov tshuaj tiv thaiv, tsuav yog tus kws kho mob lees txais Medicare txoj haujlwm.

Cov kws zov me nyuam uas lees txais cov haujlwm pom zoo rau Medicare tus nqi pom zoo, uas feem ntau yog qis dua tus nqi. Cov chaw muab tshuaj tiv thaiv tuaj yeem yog cov kws kho mob lossis kws muag tshuaj. Koj tuaj yeem nrhiav tus kws kho mob pom zoo rau Medicare nyob ntawm no.

Qhov C them

Medicare Tshooj C, lossis Medicare Advantage cov phiaj xwm, yog cov phiaj xwm kev fajseeb ntiag tug uas muaj ntau cov txiaj ntsig zoo ib yam li Medicare feem A thiab B nrog rau qee yam kev xaiv ntxiv. Raws li kev cai lij choj, Medicare Advantage cov kev npaj yuav tsum tau muaj tsawg kawg qhov kev pov hwm kev kho mob ib yam li Medicare qub, yog li koj tseem yuav them $ 0 rau cov tshuaj tiv thaiv mob ntsws uas ua los ntawm cov phiaj xwm no.

Medicare Advantage cov kev pab them nqi feem ntau muaj cov kev txwv uas xav kom koj siv cov chaw muab kev pab uas muaj nyob hauv phiaj xwm phiaj xwm. Xyuas koj daim phiaj teev npe hauv cov koom nrog koom tes ua ntej kev teem sijhawm txhaj tshuaj tiv thaiv kom ntseeg tau tias txhua tus nqi yuav them.

Cov tshuaj tiv thaiv kab mob ntsws muaj nqi npaum li cas?

Medicare Tshooj B npog 100% ntawm cov nqi txhaj tshuaj tiv thaiv tus mob pneumococcal uas tsis tau them nqi lossis lwm tus nqi. Kuaj xyuas seb koj tus kws kho mob lees txais cov haujlwm Medicare ua ntej hnub tuaj ntsib nws kom ntseeg tau tag nrho.

Tus nqi rau Part B daim phiaj xwm hauv 2020 muaj tus nqi them txhua hli yog $ 144.60 thiab qhov yus them tawm tau ntawm $ 198.

Muaj ntau ntau cov phiaj xwm Medicare Advantage muaj los ntawm cov tuam txhab tuav pov hwm ntiag tug. Txhua tus tuaj nrog cov nqi sib txawv. Txheeb xyuas cov txiaj ntsig thiab cov nqi ntawm txhua qhov phiaj xwm nrog koj cov peev nyiaj tshwj xeeb thiab cov kev xav tau hauv siab txhawm rau ua qhov kev xaiv zoo tshaj plaws rau koj cov xwm txheej.

Tshuaj tiv thaiv mob ntsws dej yog dabtsi?

Tam sim no muaj ob hom tshuaj tiv thaiv cov pneumococcal uas them rau ntau hom kab mob sib txawv (Kab mob ntsws dej liab) uas tuaj yeem ua rau mob ntsws. Hom kab mob no ua rau txaus ntshai rau menyuam yaus tabsis tseem tuaj yeem tsim kev phom sij rau cov neeg laus lossis muaj lub cev tsis haum xeeb.

Ob koob tshuaj tiv thaiv yog:

• tshuaj tivthaiv pneumococcal tiv thaiv kabmob (PCV13 lossis Prevnar 13)
• tshuaj tivthaiv pneumococcal polysaccharide (PPSV23 lossis Pneumovax 23)

Raws li cov ntaub ntawv tsis ntev los no, CDC Pawg Kws Pab Tswv Yim rau Kev Tshuaj Tiv Thaiv pom zoo tias cov neeg uas muaj hnub nyoog 65 thiab laus dua yuav tsum txhaj koob tshuaj Pneumovax 23.

Txawm li cas los xij, ob qho tshuaj tiv thaiv kuj yuav xav tau nyob hauv qee kis thaum muaj kev pheej hmoo ntau dua. Cov xwm txheej no tuaj yeem suav nrog:

• yog tias koj nyob hauv tsev laus lossis lub tsev laus
• yog tias koj nyob hauv ib thaj chaw uas muaj ntau tus menyuam tsis tuaj yeem saib xyuas
• yog tias koj taug kev mus rau thaj chaw uas muaj cov neeg coob ntawm cov menyuam yaus uas tsis raug kaw

Ntawm no yog qhov sib piv ntawm ob qho tshuaj txhaj muaj:

Tshuaj tiv thaiv mob ntsws tuaj yeem tiv thaiv cov mob hnyav los ntawm cov kab mob feem ntau ntawm cov kab mob pneumococcal.

Raws li qhov, nyob rau cov neeg laus 65 thiab laus dua, cov tshuaj tiv thaiv PCV13 muaj feem pua ​​75% thiab koob tshuaj PPSV23 muaj feem li 50% txog 85% rau kev tiv thaiv tib neeg tiv thaiv kab mob ntsws.

Sib tham nrog koj qhov txaus ntshai nrog koj tus kws kho mob txhawm rau txiav txim siab yog tias koj xav tau ob qho tib si PCV13 thiab PPSV23 lossis yog tias txhaj ib zaug txaus. Ntu B yuav them rau ob qho kev txhaj tshuaj yog tias xav tau thiab muab ncua tsawg kawg 1 xyoos. Rau cov neeg feem coob, ib koob PPSV23 txhaj txaus.

Kev phiv los ntawm koob tshuaj pneumococcal feem ntau yog mob me. Lawv suav nrog:

• mob ntawm chaw txhaj tshuaj
• o
• ua npaws
• mob taub hau

Mob ntsws yog dabtsi?

Pneumococcal mob los ntawm Kab mob ntsws dej liab tuaj yeem ua mob me thiab nquag zoo li mob pob ntseg lossis mob ntsws. Txawm li cas los xij, thaum tus kab mob kis mus rau lwm qhov ntawm lub cev, nws tuaj yeem hnyav thiab ua rau mob ntsws, mob hlwb, thiab bacteremia (kab mob hauv cov hlab ntshav).

Qee cov neeg yog cov muaj feem ntau yuav mob ntsws muaj dej. Lawv suav nrog cov menyuam yaus hnub nyoog qis dua 2 xyoos, cov neeg laus 65 thiab laus dua, cov uas tsis muaj zog tiv thaiv kab mob, thiab cov uas muaj lwm yam mob xws li ntshav qab zib, COPD, lossis mob hawb pob.

Kev mob ntsws yuav kis tau yooj yim los ntawm txham, hnoos, kov lub ntsej muag mob, thiab los ntawm thaj chaw uas muaj tus kab mob kis tau zoo li tsev kho mob. Raws li qhov, ntawm 1 ntawm 20 tus neeg laus dua tuag los ntawm kev mob ntsws (mob ntsws) yog tias lawv kis.

Cov tsos mob ntawm kev mob ntsws pneumococcal

Raws li Lub Koom Haum American Kev Mob ntsws ntsws, cov tsos mob ntawm tus mob ntsws o tuaj yeem muaj xws li:

• kub taub hau, ua daus no, tawm hws, tshee
• hnoos
• ua pa nyuaj
• mob hauv siab
• tsis qab los noj mov, xeev siab thiab ntuav
• nkees
• tsis meej pem

Nrhiav kev kho mob tam sim ntawd yog tias koj ua pa nyuaj, di ncauj xiav lossis ntiv tes, mob hauv siab, kub taub hau, lossis hnoos heev nrog hnoos qeev.

Nrog rau cov tshuaj tiv thaiv, koj tuaj yeem siv zog ntxiv los ntawm kev ntxuav tes nquag, noj zaub mov zoo, thiab txo qis kev cuam tshuam rau cov neeg mob thaum ua tau.

Cov nqa mus

• Kev mob pneumococcal yog ib hom muaj thiab ntau los ntawm mob loj txog ntua.
• Tshuaj tivthaiv mob ntsws txhawm rau txo cov kev pheej hmoo mob feem ntau ntawm kev mob ntsws qhua.
• Medicare Tshooj B npog 100% ntawm tus nqi rau ob hom tshuaj tiv thaiv mob ntsws zoo.
• Tham nrog koj tus kws kho mob yog koj xav tias koj yuav tsum tau txhaj ob yam tshuaj tiv thaiv. PCV13 tau muab ua ntej, tom qab los ntawm PPSV23 tsawg kawg 1 xyoos tom qab.