Virginia Medicare Cov Tswv Yim Kho Mob hauv 2021

Zoo Siab

• Medicare yog dab tsi?
• Cov phiaj xwm Medicare Advantage twg muaj nyob hauv Virginia?
• Leej twg muaj feem tsim nyog tau txais Medicare hauv Virginia?
• Thaum twg kuv thiaj tuaj yeem tso npe rau hauv Medicare Virginia cov phiaj xwm?
• Cov lus qhia rau kev cuv npe hauv Medicare hauv Virginia
• Virginia Medicare cov chaw muab kev pab
• Kuv yuav ua licas txuas ntxiv mus?

Medicare muab ntawv them nqi kho mob rau ntau dua 62 lab Asmeskas, suav nrog 1.5 lab ntawm Virginians. Txoj kev pabcuam hauv tsoomfwv no muaj pab rau cov neeg hnub nyoog tshaj 65 xyoos, thiab cov neeg laus uas tsis taus.

Hauv tsab xov xwm no, peb yuav tshawb nrhiav seb Medicare yuav ua haujlwm li cas, leej twg thiaj tsim nyog, yuav cuv npe li cas, thiab cov lus qhia rau kev yuav khoom rau cov phiaj xwm Medicare hauv Virginia

Medicare yog dab tsi?

Yog tias koj nyob hauv Virginia, koj tuaj yeem xaiv nruab nrab ntawm Medicare thawj thiab Medicare Advantage txoj kev npaj. Ob qho tib si yog Medicare, tab sis lawv muab koj cov txiaj ntsig hauv txoj kev sib txawv.

Original Medicare yog tswj los ntawm tsoomfwv, hos Medicare Advantage cov kev npaj raug muag los ntawm cov tuam txhab nyiaj pov hwm ntiag tug.

Original Medicare muaj ob ntu:

• Ntu A (ntawv pov hwm tsev kho mob). Cov kev pab uas them rau Ntu A suav nrog kev mus pw hauv tsev khomob thiab hauv tsev laus tu cov neeg laus lub sijhawm luv luv. Ntu A yog tau them los ntawm Medicare se, yog li feem ntau cov neeg tsis tas yuav them tus nqi txhua hli rau nws.
• Tshooj B (ntawv pov hwm kho mob). Tshooj B yog hais txog txhua yam xws li kev pabcuam ntawm kws khomob, kev khomob rau sab nraud, thiab cov kev pab tiv thaiv. Feem B nqi sib txawv raws li koj cov nyiaj tau los.

Thawj qhov Medicare tsis them rau 100 feem pua ​​ntawm cov nqi pabcuam. Tom qab sib tham qhov txiav tawm tau, koj yuav tsum them nqi pabcuam los them lossis them nyiaj ntxiv. Yog tias koj xav tau kev pab them rau cov nqi no, koj tuaj yeem tau txais ntawv tuav pov hwm Medicare ntxiv, tseem hu ua Medigap. Cov cai no yog muag los ntawm cov tuam txhab ntiag tug.

Nyob rau hauv Virginia, koj kuj tuaj yeem tso npe rau cov ntawv sau tshuaj. Cov phiaj xwm no hu ua Medicare Seem D, thiab lawv tau muab los ntawm cov tuam txhab ntiag tug. Txoj kev npaj yuav tshuaj noj tuaj yeem pab koj them rau cov nqi tshuaj uas tsis nrov npe thiab cov muaj npe lag luam.

Medicare Advantage (Tshooj C) cov phiaj xwm yog lwm txoj hauv kev koj xaiv hauv Virginia. Lawv muab tag nrho Medicare cov kev pab cuam A thiab B, thiab feem ntau Ntu D, nyob rau hauv ib qhov phiaj xwm yooj yim. Nyob ntawm txoj kev pab koj xaiv, lawv yuav them rau cov kev pab ntxiv, xws li kho hniav, hnov ​​lus, thiab kho qhov muag. Qee qhov phiaj xwm Medicare Advantage kuj tseem suav nrog kev ua koom tes ua si thiab lwm yam kev cuam tshuam.

Cov phiaj xwm Medicare Advantage twg muaj nyob hauv Virginia?

Muaj ntau lub tuam txhab pov hwm muab cov phiaj xwm Medicare Advantage hauv Virginia, suav nrog cov hauv qab no:

• Aetna
• Anthem Cov Khaub Ncaws Xiav Blue Xiav
• Anthem HealthKeepers
• Neej Neeg Dab
• Tswvyim Kev Noj Qab Haus Huv
• Kaiser Permanente
• Optima
• UnitedHealthcare

Cov tuam txhab no muaj cov phiaj xwm hauv ntau lub nroog hauv Virginia. Txawm li cas los xij, Medicare Advantage txoj kev npaj them nyiaj sib txawv nyob hauv nroog, yog li sau koj tus lej ZIP tshwj xeeb thaum tshawb cov phiaj xwm koj nyob.

Leej twg muaj feem tsim nyog tau txais Medicare hauv Virginia?

Muaj ob peb txoj kev koj tuaj yeem tsim nyog tau txais Medicare hauv Virginia, suav nrog:

• Koj hnub nyoog 65 xyoos los yog tshaj saud. Yog tias koj yog neeg Amelikas lossis neeg nyob hauv lub tebchaws uas nyob hauv tebchaws tau tsawg kawg tsib xyoos, koj yuav muaj cai thaum koj muaj 65 xyoos.
• Yget Tau Nyiaj Pov Hwm Xaus Saus (SSDI). Yog tias koj muaj ib tus mob xiam oob qhab thiab tau txais SSDI, koj yuav tsim nyog rau Medicare tom qab ncua 2-xyoos tos.
• Koj muaj mob raum ntu kawg (ESRD) lossis amyotrophic lateral sclerosis (ALS). Koj yuav tsim nyog rau Medicare txhua lub hnub nyoog yog tias koj tau kuaj mob nrog ESRD lossis ALS.

Thaum twg kuv thiaj tuaj yeem tso npe rau hauv Medicare Virginia cov phiaj xwm?

Tej zaum koj yuav rau npe hauv Medicare seem A thiab B yog tias koj nyob rau ib qho ntawm cov xwm txheej hauv qab no:

• Koj hnub nyoog qis dua 65 xyoos thiab xiam oob qhab. Thaum koj tau txais cov txiaj ntsim kev pab Xaus Saus rau 24 lub hlis, koj yuav tau txais Medicare tsis siv neeg.
• Koj hnub nyoog 65 xyoos thiab tau txais Xaus Saus. Yog tias koj twb tau txais cov txiaj ntsig so haujlwm Xaus Saus, koj qhov kev pabcuam Medicare yuav pib rau thaum koj muaj 65 xyoos.

Yog tias koj yuav tsis tau Medicare ua ke, koj tuaj yeem tso npe nkag tau hauv ib lub sijhawm teev npe hauv qab no:

• Lub Sij Hawm Rau Npe Pib. 7 lub hlis no yog thawj zaug koj tau txais Medicare thaum koj muaj 65 xyoo. Nws pib 3 lub hlis ua ntej lub hlis uas koj muaj 65 xyoos thiab xaus 3 lub hlis tom qab koj lub hlis yug.
• Lub Sij Hawm Qhib Rau Npe Medicare. Lub Kaum Hli 15 txog Kaum Ob Hlis 7 txhua txhua xyoo, koj tuaj yeem pauv koj cov kev pab them nqi Medicare. Lub sijhawm no, koj raug tso cai sau npe rau Medicare Advantage txoj kev npaj khomob.
• Medicare Advantage Qhib Rau Npe Nkag Tos Lub Sij Hawm. Txij Lub Ib Hlis 1 txog Lub Peb Hlis 31 txhua txhua xyoo, koj tuaj yeem hloov mus rau lwm qhov kev pab Medicare Advantage.

Yog tias koj tau ntsib qee yam xwm txheej hauv lub neej, koj tuaj yeem tsim nyog rau lub sijhawm tshwj xeeb. Qhov no txhais tau tias koj tuaj yeem tso npe rau Medicare sab nraud ntawm lub sijhawm tso npe nkag txhua xyoo. Piv txwv, koj yuav muaj lub sijhawm sau npe tshwj xeeb yog tias koj poob koj qhov chaw ua haujlwm txoj kev npaj khomob.

Cov lus qhia rau kev cuv npe hauv Medicare hauv Virginia

Thaum txiav txim siab ntawm Medicare thiab Medicare Advantage qub, thiab cov ntu sib txawv thiab cov tshuaj ntxiv, khaws cov no rau hauv siab:

• Kev Ntsuas Ntsuas Lub Hnub Qub CMS. Cov Chaw rau Medicare & Medicaid Cov Kev Pab Cuam (CMS) siv 5 lub hnub qub ua kom tau txais txiaj ntsig zoo los pab koj piv qhov zoo ntawm Medicare cov phiaj xwm. Cov phiaj xwm raug ntsuas tsawg ntawm 45 yam, suav nrog kev saib xyuas kev sib koom tes thiab kev pabcuam cov qhua tuaj noj mov.
• Kws kho mob network. Thaum koj koom nrog Medicare Advantage txoj kev pab them nqi, feem ntau koj yuav tsum mus ntsib kws kho mob hauv txoj kev pab them nqi kho mob network. Yog tias koj muaj ib tus kws kho mob ntxim nyiam, nrhiav saib lawv koom nrog dab tsi ua ntej koj xaiv koj txoj kev npaj khomob.
• Npaj cov nqi. Thaum koj sau npe rau Medicare Advantage txoj kev pab them nqi, koj yuav tsum tau them tus nqi them txhua hli nyob saum cov nqi Medicare feem B. Lwm yam nuj nqis uas yuav tau txiav txim siab suav nrog qhov phiaj xwm them nqi txo, nyiaj them nqi tus nqi, thiab them tus nqi them.
• Pab them. Medicare Advantage cov kev pab yuav them rau cov kev pab uas Medicare tsis yog, xws li kev kho hniav, hnov ​​lus, lossis kho qhov muag. Yog tias muaj qee qhov kev pabcuam koj paub tias koj yuav xav tau, nco ntsoov tias koj txoj kev npaj yuav nrog lawv.

Virginia Medicare cov chaw muab kev pab

Medicare yog ib txoj haujlwm nyuaj, yog li tsis txhob yig nug cov lus nug. Xav paub ntau ntxiv, koj tuaj yeem tiv tauj:

• Virginia Kev Pov Hwm Kev Pab Tswv Yim & Kev Pab Nyiaj: 800-552-3402
• Lub Social Security Administration: 800-772-1213

Kuv yuav ua licas txuas ntxiv mus?

Thaum koj npaj tau pib yuav khoom ntawm Medicare txoj kev pab them nqi kho mob, koj tuaj yeem:

• Hu rau Social Security Administration txhawm rau sau npe rau Medicare. Koj tuaj yeem xaiv thov online, ntawm tus kheej, lossis hauv xov tooj.
• Mus saib Medicare.gov kom pom cov phiaj xwm Medicare hauv Virginia.
• Hu rau Virginia Kev Pov Hwm Kev Pov Hwm Kev Pab & Kev Pab yog tias koj xav tau kev pab sib piv Medicare cov kev xaiv.

Kab lus no tau raug hloov kho thaum Lub Kaum Ib Hlis 20, 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.