Oregon Medicare Cov Tswv Yim Hauv Xyoo 2021

Zoo Siab

• Medicare yog dab tsi?
• Cov phiaj xwm Medicare pab txhawb ntxiv
• Cov kev npaj yuav tshuaj
• Medicare Advantage (Tshooj C) cov phiaj xwm
• Cov phiaj xwm Medicare Advantage twg muaj nyob hauv Oregon?
• Leej twg thiaj li tsim nyog tau txais Medicare hauv Oregon?
• Kuv yuav rau npe rau Medicare Oregon hom phiaj xwm kho mob thaum twg?
• Cov lus qhia rau kev cuv npe hauv Medicare hauv Oregon
• Cov chaw muab kev pab los ntawm Medicare Oregon
• Kuv yuav ua licas txuas ntxiv mus?

Txawm hais tias koj tab tom yuav khoom rau Medicare cov kev pab them nqi hauv Oregon thawj zaug los yog tab tom xav hloov pauv koj qhov kev pab them nqi Medicare tam sim no, nws yog ib qho tseem ceeb kom nkag siab txog tag nrho koj cov kev xaiv.

Nyeem rau kom paub txog Medicare cov phiaj xwm sib txawv muaj nyob hauv Oregon, lub sijhawm sau npe, thiab ntau dua.

Medicare yog dab tsi?

Medicare yog phiaj xwm pov hwm kev noj qab haus huv hauv tebchaws tswj hwm los ntawm tsoomfwv. Nws muaj rau cov neeg muaj hnub nyoog 65 thiab tshaj saud, thiab cov hnub nyoog twg uas muaj qee yam kev tsis taus lossis kev mob nkeeg.

Ntu A thiab B ua cov Medicare qub uas koj tau los ntawm tsoomfwv. Tau ntau xyoo, thawj qhov kev pabcuam Medicare tau nthuav dav ntxiv nrog cov phiaj xwm koj tuaj yeem yuav tau los ntawm cov tswv tuav pov hwm ntiag tug. Cov phiaj xwm no tuaj yeem ntxiv rau lossis hloov cov kev pab them nqi koj tau txais nyob hauv Medicare thawj.

Ntu A yog kev tuav pov hwm hauv tsev kho mob. Nws pab them cov nqi ntawm:

• Pab kho mob rau pw khomob koj tau txais hauv tsev kho mob
• txwv nyob hauv ib lub tsev laus
• tsev kho mob
• qee qhov kev pabcuam saib xyuas mob nkeeg hauv tsev tsawg

Yog tias koj lossis koj tus txij nkawm tau them Medicare them se them thaum lub xyoo koj ua haujlwm, koj tsis tas yuav them tus nqi them rau Tshooj A.

Tshooj B pab them cov nqi khomob sab nrauv, xws li kev pabcuam lossis cov khoom siv uas koj tau txais los ntawm koj tus thawj kws khomob lossis tus kws tshaj lij, suav nrog kev saib xyuas tiv thaiv. Koj them tus nqi them rau Tshooj B. Qhov nyiaj ntawd nyob ntawm ntau yam, nrog rau koj cov nyiaj tau.

Ntu A thiab B npog ntau yam kev pab, tab sis muaj ntau yam uas Medicare tsis pab them. Nws tsis muaj kev pab them rau cov tshuaj, kev kho mob mus ntev, lossis kho hniav, kho qhov muag, lossis hnov ​​lus.

Txawm hais tias cov kev pab cuam Medicare them rau, kev tiv thaiv tsis yog 100 feem pua. Koj tseem yuav tau them cov nqi tseem ceeb hauv cov hnab tshos thaum koj mus ntsib kws kho mob, xws li them nyiaj ntxiv, cov nyiaj tau them, thiab cov nyiaj them tawm.

Koj tuaj yeem nthuav qhov kev pab them nyiaj los ntawm kev yuav khoom txoj kev npaj muaj los ntawm cov pab kas phais ntiag tug. Cov no suav nrog Medicare ntxiv, tshuaj noj, thiab Medicare Advantage cov phiaj xwm.

Cov phiaj xwm Medicare pab txhawb ntxiv

Cov phiaj xwm Medicare pab qee, qee zaum hu ua Medigap, ntxiv kev pab them rau koj thawj Medicare. Lawv yuav pab txo tus nqi koj them tawm hauv hnab tshos thaum koj nrhiav kev pab tu. Tej zaum lawv yuav ntxiv kev kho hniav, kho qhov muag, kho mob mus ntev, lossis lwm yam kev pab them.

Cov kev npaj yuav tshuaj

Tshooj D cov phiaj xwm yog cov phiaj xwm tshuaj. Lawv tsom tsuas yog pab them cov nqi tshuaj.

Medicare Advantage (Tshooj C) cov phiaj xwm

Medicare Advantage (Tshooj C) cov kev npaj muaj "tag nrho-hauv-ib qho" hloov rau thawj qhov Medicare ntxiv rau cov nyiaj pab ntxiv. Hloov chaw kom muaj kev sib koom ua ke ntawm cov phiaj xwm pej xeem thiab ntiag tug, koj tuaj yeem tau txais Medicare Advantage txoj kev npaj uas suav nrog cov txiaj ntsig zoo, suav nrog kev pab them cov tshuaj, kho qhov muag thiab kho hniav, kho mob mus ntev, hnov ​​lus, thiab ntau dua.

Ntxiv rau, Medicare Advantage cov phiaj xwm feem ntau muaj ntau qhov ntxiv, xws li kev txo nqi thiab cov phiaj xwm kev noj qab haus huv thiab kev noj qab haus huv.

Cov phiaj xwm Medicare Advantage twg muaj nyob hauv Oregon?

Cov tuam txhab muag pov hwm ntiag tug nram qab no muab cov phiaj xwm Medicare Advantage hauv Oregon:

• Aetna Medicare
• Atrio Cov Tswv Yim Npaj Noj Qab Haus Huv
• Kev Noj Qab Haus Huv Net
• Neej Neeg Dab
• Kaiser Permanente
• Lasso Kho Mob
• Moda Health Plan, Inc.
• PacificSource Medicare
• Providence Medicare Advantage Plans
• Regence BlueCross BlueShield Ntawm Oregon
• UnitedHealthcare

Cov kev pab them nqi kho mob sib txawv los ntawm county, yog li koj cov kev xaiv yuav nyob ntawm seb muaj dab tsi hauv lub nroog uas koj nyob.

Leej twg thiaj li tsim nyog tau txais Medicare hauv Oregon?

Kev tsim nyog Medicare yog nyob ntawm koj lub hnub nyoog lossis koj li kev noj qab haus huv. Koj tsim nyog rau npe yog koj:

• hnub nyoog 65 lossis laus dua
• hnub nyoog qis dua 65 xyoos thiab muaj qhov tsis taus tsim nyog
• hnub nyoog li cas thiab muaj mob rau cov mob raum ntu kawg (ESRD) lossis amyotrophic lateral sclerosis (ALS)

Kuv yuav rau npe rau Medicare Oregon hom phiaj xwm kho mob thaum twg?

Yog tias koj qhov tsim nyog Medicare tau txais hnub nyoog raws li hnub nyoog, koj tuaj yeem pib sau npe nkag 3 lub hlis ua ntej lub hlis uas koj muaj 65 xyoos. Nov yog koj thawj lub sijhawm nkag. Nws tom qab ntawd kav li 3 lub hlis tom qab lub hlis uas koj hnub nyoog 65 xyoo.

Nws yog ib qho ua rau nkag siab qhov tsawg kawg ntawm Tshooj A nyob rau thawj lub sijhawm tso npe nkag, vim tias koj yuav tsim nyog tau txais txiaj ntsig Part A yam tsis tau them tus nqi.

Yog tias koj lossis koj tus txij nkawm xaiv ua haujlwm txuas ntxiv thiab txuas ntxiv tsim nyog rau kev pabcuam tuav pov hwm los ntawm chaw ua haujlwm, koj yuav xav tso npe nkag rau Tshooj B lossis lwm qhov kev tiv thaiv ntxiv. Thaum zoo li no, koj yuav tsim nyog rau lub sijhawm nkag tshwj xeeb tom qab.

Koj tuaj yeem hloov pauv rau hom phiaj xwm Medicare qub uas twb muaj lawm lossis cuv npe rau Medicare thawj zaug thaum lub sijhawm qhib sau npe txij lub Kaum Hlis 15 txog Kaum Ob Hlis 7.

Nws kuj tseem muaj Medicare Advantage qhib kev rau npe nkag txhua xyoo. Lub sijhawm no, koj tuaj yeem hloov pauv cov kev pab them nyiaj los ntawm Medicare qub rau Medicare Advantage phiaj xwm. Lub sijhawm qhib rau npe rau Medicare Advantage cov phiaj xwm pib txij lub Ib Hlis 1 txog rau Peb Hlis 31.

Cov lus qhia rau kev cuv npe hauv Medicare hauv Oregon

Thaum mus yuav cov kev pab them nqi kho mob hauv Oregon, koj yuav tsum nco ntsoov tias cov tuam txhab tuav pov hwm ntiag tug muaj kev yoog raws ntau dua, yog li lawv tuaj yeem tsim lawv cov phiaj xwm sib txawv.

Piv txwv, qee qhov Medicare Advantage cov phiaj xwm yuav yog Lub Koom Haum Saib Xyuas Kev Noj Qab Haus Huv (HMO) cov phiaj xwm, xav kom koj xaiv cov thawj kws kho mob uas saib xyuas koj thiab saib xyuas koj yuav tsum xa koj yog tias koj xav ntsib cov kws tshaj lij.

Lwm qhov yuav yog Cov Tswv Yim Tswj Xyuas Kev Nyab Xeeb (PPO) cov phiaj xwm uas muab rau koj nkag mus rau cov muab kev pabcuam ntawm txhua qhov tshwj xeeb tsis tas yuav xa mus.

Hom phiaj xwm twg ua rau koj xav paub? Qhov ntawd nyob ntawm koj tus kheej qhov xwm txheej thiab kev nyiam. Koj tuaj yeem xav xav txog cov lus nug nram qab no thaum ntsuas qhov koj xaiv:

• Tus qauv no yuav raug nqi npaum li cas rau kuv? Tus nqi muas ntau npaum li cas? Puas muaj cov nqi kho mob hnab ris thaum kuv mus ntsib kws khomob lossis sau daim ntawv yuav tshuaj?
• Kuv puas txais tau cov kws kho mob thiab tsev kho mob uas yooj yim rau kuv? Puas yog lub network puas suav nrog cov chaw muab kev pabcuam Kuv twb muaj kev sib raug zoo nrog? Puas yuav kam kuv yog kuv xav tau kev saib xyuas thaum kuv mus ncig?
• Yuav muaj hom kev pab twg? Cov kev pab cuam no puas pab tau kuv?

Cov chaw muab kev pab los ntawm Medicare Oregon

Cov peev txheej no tuaj yeem siv tau yog tias koj xav paub ntau ntxiv txog Medicare cov phiaj xwm hauv Oregon:

• Kev Pab Nyiaj Them Nqi Kho Mob Laus, hauv OregonHealthCare.gov
• Medicare.gov, lub vev xaib Medicare hauv lub vev xaib
• Social Security Administration

Kuv yuav ua licas txuas ntxiv mus?

Thaum koj npaj tau los ua cov kauj ruam tom ntej rau kev cuv npe hauv Medicare, xav txog cov yeeb yam no:

• Ua ib co kev tshawb fawb ntxiv rau hauv koj cov phiaj xwm phiaj xwm kev xaiv. Cov npe saum no tuaj yeem yog qhov chaw pib zoo rau kev saib rau Medicare Advantage cov kev npaj hauv Oregon. Nws kuj yuav muaj txiaj ntsig sib txuas nrog tus neeg tuav pov hwm uas tuaj yeem muab cov lus qhia ntxiv rau tus kheej.
• Yog tias tam sim no koj tsim nyog rau npe, koj tuaj yeem pib ua cov txheej txheem los ntawm ua tiav cov ntawv thov online ntawm SSA lub vev xaib. Tus xaib tseem suav nrog daim ntawv txheeb xyuas cov ntsiab lus cov ntaub ntawv koj yuav xav tau thov.

Kab lus no tau raug hloov kho thaum Lub Kaum Ib Hlis 13, 2020, kom pom zoo 2021 Cov ntaub ntawv Medicare.

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.