Ngaba i-Medicare igubungela i-Acupuncture?

Umxholo

• I-Medicare igubungela nini i-acupuncture?
• Ixabisa malini iacupuncture?
• Ngaba i-Medicare igubungela enye indlela yokhathalelo?
• Unyango lokuphulula
• Unyango lweChiropractic
• Ulungiso lwenyama
• Ngaba ikho indlela yokufumana unyango ngamanye amayeza?
• Umgca wezantsi

• Ukusukela nge-21 kaJanuwari ngo-2020, i-Medicare Icandelo B ligubungela iiseshoni ze-acupuncture ezili-12 kwisithuba se-90 sokunyanga iintlungu ezifumanekayo ezingapheliyo.
• Unyango lokunyanga kufuneka lwenziwe ngugqirha oqeqeshiweyo, onelayisensi.
• Icandelo leMedicare B linokufihla iiseshoni zokucoca umzimba ezingama-20 ngonyaka.

Unyango ngamayeza acocekileyo sisixhobo esipheleleyo esiqheliselwe amawaka eminyaka. Uncwadi lwezonyango lubonisa ukuba, ngokuxhomekeke kwiimeko, i-acupuncture inokuba lunyango olusebenzayo lwentlungu ebuhlungu nengapheliyo.

Ngokuyinxalenye njengempendulo kwingxaki ye-opioid, ngoJanuwari 21, 2020, amaZiko eeNkonzo zeMedicare kunye neMedicaid Services (i-CMS) akhuphe imigaqo emitsha ngokubhekisele kwi-Medicare yokugubungela unyango lwonyango. I-Medicare ngoku igubungela iiseshoni ezili-12 zokucoca umzimba kwisithuba seentsuku ezingama-90 zokunyanga iintlungu ezisezantsi kunye neeseshoni ezingama-20 zokucoca umzimba ngonyaka.

I-Medicare igubungela nini i-acupuncture?

Ukusukela ngeyoMqungu yowama-2020, icandelo leMedicare B ligubungela unyango lwonyango olwenziwe ngonyango lweentlungu ezisezantsi. Olu nyango kufuneka luqhutywe ngugqirha okanye omnye umntu oqeqeshiweyo ononophala lwempilo njengomongikazi okanye umncedisi kagqirha onalo Zombini ezi ziqinisekiso:

• isidanga se-masters okanye inqanaba lobugqirha kwi-acupuncture okanye kwi-Oriental Medicine kwisikolo esivunyiweyo yiKhomishini yoQinisekiso kwi-Acupuncture kunye ne-Oriental Medicine (ACAOM)
• ilayisensi yangoku, epheleleyo, esebenzayo, kunye engathintelwanga yokwenza i-acupuncture kwimeko apho unonophelo lubonelelwa khona

Icandelo leMedicare B ligubungela iiseshoni ezili-12 zokucoca umzimba kwiintsuku ezingama-90 ukuya kuthi ga kwiseshoni engama-20 ngonyaka. Iiseshoni ezisi-8 ezongezelelweyo zinokugqunywa ukuba ubonakalisa ukuphucula ngexesha lonyango.

Ukulungele ukugubungela ukhuseleko kunyango ukuba:

• Unesifo seentlungu ezisezantsi eziye zahlala iiveki ezili-12 okanye ngaphezulu.
• Intlungu yakho yangemva ayinaso isizathu esichongiweyo okanye ayihambelani nesifo se-metastatic, sokuvuvukala, okanye esosulelayo.
• Intlungu yakho yangemva ayihambelani nokuhlinzwa okanye ukukhulelwa.

I-Medicare igubungela kuphela unyango lokunyanga ngamayeza okunyanga iintlungu ezifumanekayo ezingapheliyo.

Ixabisa malini iacupuncture?

Iindleko ze-Acupuncture ziyahluka ngokuya kumboneleli wakho nalapho uhlala khona. Ukuqeshwa kwakho kokuqala kunokuba yeyona nto ibiza kakhulu, njengoko kuya kufuneka ukuba uhlawule umrhumo wokubonisana kunye nalo naluphi na unyango.

I-Medicare ayikayikhuphi imali abaza kuyihlawula kunyango lwe-acupuncture. Nje ukuba le ntlawulo ivunyiweyo isungulwe, ukuba uneCandelo B leMedare, uya kuba noxanduva lweepesenti ezingama-20 zaloo mali kunye neCandelo B lakho elitsalelweyo.

Ngaphandle kweMedare, unokulindela ukuhlawula i-100 yeedola okanye ngaphezulu kunyango lokuqala naphakathi kwe- $ 50 kunye ne- $ 75 kunyango emva koko. Kwenziwe ngonyaka we-2015 iindleko zenyanga zabantu abasebenzisa i-acupuncture kwiintlungu ezisezantsi kwinyanga enye kwaye baqikelela ukuba yi- $ 146.

Ngenxa yokuba amaxabiso ayahluka, buza ingcali yakho ukuba iseshoni yakho iya kubiza malini. Fumana uqikelelo ngokubhaliweyo, ukuba unako, ngaphambi kokuba uvume ukunyangwa ngumboneleli wakho we-acupuncture okhethiweyo. Ukuhlawulwa yi-Medicare, nawuphi na umntu osebenza ngamayeza kufuneka ahlangane neemfuno ze-Medicare kwaye avume ukwamkela intlawulo ye-Medicare.

Ngaba i-Medicare igubungela enye indlela yokhathalelo?

Ngelixa i-Medicare ingagubungeli ezinye iindlela zonyango, unokugutyungelwa nolunye unyango oluphantsi kweemeko ezithile.

Unyango lokuphulula

Ngeli xesha, i-Medicare ayigubungeli unyango lokuthambisa, nkqu nakwiimeko xa kumiselwe ngugqirha wakho.

Unyango lweChiropractic

Icandelo lonyango i-Medicare Icandelo B ligubungela uhlengahlengiso kumqolo wakho olwenziwe yi-chiropractor. Ukuba unesifo sokuqaqanjelwa kwethambo elityibilikiweyo kumqolo wakho, unokulungela unyango lwezamayeza oluyimfuneko.

Ngokwemigaqo-nkqubo ye-Medicare, uya kuba noxanduva lweepesenti ezingama-20 zeendleko zonyango, kunye ne-Medicare Part B yakho yonyaka etsalwayo.

I-Medicare ayigubungeli ezinye iinkonzo ezinokunikezelwa okanye zichazwe ngugqirha, kunye nokuthanjiswa komzimba, kwaye i-Medicare ayigubungeli iimvavanyo ezi-odolwe yingcali yezonyango efana ne-X-ray.

Ulungiso lwenyama

Icandelo leMedicare B ligubungela unyango olufunekayo kunyango. Olu nyango kufuneka lwenziwe ngugqirha othatha inxaxheba kwi-Medicare kwaye amiselwe ngugqirha ohambisa amaxwebhu abonisa ukuba uyalufuna unyango.

Uya kuba noxanduva lweepesenti ezingama-20 zeendleko zonyango, kunye ne-Medicare Part B yakho ngonyaka.

Ngaba ikho indlela yokufumana unyango ngamanye amayeza?

Ukongeza kwiCandelo leMedicare A kunye neMedicare Part B, kukho izicwangciso ezongezelelweyo onokuzithenga ukonyusa ukogquma kwakho.

Izicwangciso ze-Medicare Part C (i-Medicare Advantage) zizicwangciso ze-inshurensi zabucala ezibonelela ngezibonelelo zeMedicare yoqobo kunye nokudibana neenkampani zabucala zeinshurensi. Izicwangciso eziluncedo mazibandakanye iinkonzo ezigutyungelwa yicandelo B, ngoko ke nasiphi na isicwangciso seMedicare Advantage kufuneka sigubungele i-acupuncture ubuncinci ngokufanayo neMedicare Icandelo B.

Icandelo C linokulikhaba ibango lolunye unyango. Ukuba unesicwangciso seMedicare Advantage, cela umboneleli wakho ngemigaqo-nkqubo yazo ngezinye iindlela zonyango.

Izicwangciso zokuncedisa iMedigap zingathengwa ukonyusa izibonelelo zokugubungela uMdabu. Ezi zicwangciso zoncediso zigubungela izinto ezinjengezokutsalwa kunye nezinye iindleko zonyango ezingaphandle kweepokotho.

Izicwangciso ze-inshurensi zabucala zezona zinokwenzeka ekuhlawuleni ezinye iindlela zonyango. Ngelixa iindleko zokuqala zezicwangciso zeinshurensi yabucala zinokuphakama, ezi zicwangciso zinokunciphisa iindleko zezinye iindlela zonyango.

Unyango lunokudideka kwaye kube nzima ukuhamba. Nokuba uyazibhalisa okanye unceda umntu omthandayo, Nazi ezinye zeengcebiso ezincedisayo ngexesha lenkqubo:

• Yenza uluhlu lweemeko zakho zonyango kunye nawo onke amayeza owathathayo. Ukwazi iimfuno zakho zonyango ngoku kuya kukunceda xa ukhangela i-Medicare.gov okanye uthethe noLawulo loKhuseleko loLuntu.
• Khangela iMedicare.gov ngeenkcukacha ezithile kuzo zonke izicwangciso zeMedare. I-Medicare.gov inezixhobo zokukunceda ukhangele ukukhutshwa ngokusekelwe kwizinto ezininzi, ezifana nobudala bakho, indawo, umvuzo kunye nembali yonyango.
• Nxibelelana noLawulo loKhuseleko loLuntu ngayo nayiphi na imibuzo. Ubhaliso lweMedicare lulawulwa nguLawulo loKhuseleko lweNtlalo. Nxibelelana nabo ngaphambili uyabhalisa. Ungatsalela umnxeba, ujonge kwi-Intanethi, okanye ucwangcise intlanganiso nomntu.
• Thatha amanqaku xa ufowuna okanye iintlanganiso zilungiselela ukubhaliswa. La manqaku anokunceda ukucacisa ulwazi malunga nokhathalelo lwempilo kunye nokugubungela.
• Yenza uhlahlo-lwabiwo mali. Kubalulekile ukuba wazi ngokuthe ngqo ukuba ungafikelela phi ukuhlawula izibonelelo zakho zeMedare.

Umgca wezantsi

Ukunyangwa kwamayeza kunokuba lunyango olusebenzayo kwezinye iimeko zempilo ezichaphazela abantu abadala, ezinje ngesifo samathambo okanye iintlungu ezingapheliyo zangasemva.

Ukususela ngoJanuwari 21, 2020, i-Medicare Icandelo B ligubungela unyango lokunyanga iintlungu kwintlungu ezisezantsi ukuya kwiiseshoni ezili-12 kwiintsuku ezingama-90 ukuya kuthi ga kwiiseshoni ezingama-20 ngonyaka.

Ulwazi olukule webhusayithi lunokukunceda ekwenzeni izigqibo malunga neinshurensi, kodwa ayenzelwanga ukunika iingcebiso malunga nokuthengwa okanye ukusetyenziswa kwayo nayiphi na i-inshurensi okanye iimveliso zeinshurensi. I-Healthline Media ayihambelani neshishini leinshurensi nangayiphi na indlela kwaye ayinayo ilayisensi njengenkampani yeinshurensi okanye umvelisi kulo naliphi na igunya laseMelika. I-Healthline Media ayikhuthazi okanye ixhase nabani na onokuthi enze ishishini leinshurensi.