Uvavanyo loMhlaza kunye neMedicare: Ngaba Ukhuselekile?

Umxholo

• Imammogram yovavanyo lomhlaza wamabele
• Ukuvavanywa komhlaza ngokungalunganga
• Uvavanyo lwekholososcopy
• Uvavanyo lwegazi lokungcola kwegazi
• Uvavanyo lwelabhoratri ye-DNA ejolise kwindawo ezininzi
• Uvavanyo lwePap lokuvavanywa komhlaza womlomo wesibeleko
• Ukuvavanywa komhlaza wedlala lesinyi
• Uvavanyo lomhlaza wemiphunga
• Ukuthatha

I-Medicare igubungela uvavanyo oluninzi lokuhlola olusetyenziselwa ukufumanisa isifo somhlaza, kubandakanya:

• ukuhlolwa komhlaza wamabele
• Ukuvavanywa komhlaza omnyama
• Uvavanyo lomhlaza womlomo wesibeleko
• Ukuvavanywa komhlaza wedlala lobudoda
• Uvavanyo lomhlaza wemiphunga

Inyathelo lakho lokuqala kukuthetha nogqirha wakho malunga nomngcipheko wakho womhlaza kunye nolunye uvavanyo lokuvavanya onokulufuna. Ugqirha wakho unokukwazisa ukuba ngaba i-Medicare igubungela uvavanyo oluthile olucetyiswayo.

Imammogram yovavanyo lomhlaza wamabele

Bonke abantu ababhinqileyo abaneminyaka engama-40 ubudala nangaphezulu bayogqunywa kuvavanyo lwe-mammogram rhoqo kwiinyanga ezili-12 phantsi kwe-Medicare Icandelo B. Ukuba uphakathi kweminyaka engama-35 nama-39 ubudala nakwiMedicare, isigubungelo sokuqala esinye sigutyungelwe.

Ukuba ugqirha wamkela isabelo, ezi mvavanyo azizukuhlawula nto. Ukwamkela isabelo kuthetha ukuba ugqirha uyavuma ukuba bayakwamkela isixa esivunyiweyo seMedicare kuvavanyo njengentlawulo epheleleyo.

Ukuba ugqirha wakho ufumanisa ukuba ukuhlolwa kwakho kuyimfuneko kwezonyango, ii-mammograms zokuqonda isifo zigutyungelwe yiCandelo leMedicare B. Icandelo elichithwayo lisebenza, kwaye iMedicare iya kuhlawula iipesenti ezingama-80 zesixa esivunyiweyo.

Ukuvavanywa komhlaza ngokungalunganga

Ngezikhokelo ezithile, i-Medicare igubungela:

• Ukuhlola i-colonoscopy
• iimvavanyo zegazi zobugqi
• Uvavanyo lwe-DNA lwelabhoratri elijolise kwilitha ezininzi

Qhubeka ufunda ngolwazi oluthe kratya kwiscreen ngasinye.

Uvavanyo lwekholososcopy

Ukuba usemngciphekweni omkhulu womhlaza obomvu kwaye uneMedicare, uyagutyungelwa ikholonoscopy yokuhlola kanye kwiinyanga ezingama-24.

Ukuba awukho semngciphekweni omkhulu womhlaza ongalunganga, uvavanyo lugutyungelwa kanye kwiinyanga ezili-120, okanye rhoqo kwiminyaka eli-10.

Akukho mfuneko yeminyaka yobudala kwaye ukuba ugqirha wamkela isabelo, ezi mvavanyo azizukuhlawula nto.

Uvavanyo lwegazi lokungcola kwegazi

Ukuba uneminyaka engama-50 ubudala nangaphezulu nge-Medicare, unokugutyungelwa uvavanyo olunye lwe-fecal yegazi ukujonga umhlaza omnyama rhoqo kwiinyanga ezili-12.

Ukuba ugqirha wamkela isabelo, ezi mvavanyo azizukuhlawula nto.

Uvavanyo lwelabhoratri ye-DNA ejolise kwindawo ezininzi

Ukuba uneminyaka engama-50 ukuya kwengama-85 ubudala kwaye une-Medicare, uvavanyo lwelabhoratri ye-stool ye-stool egutyungelweyo igutyungelwa kanye kwiminyaka emithathu. Kuya kufuneka uhlangane neemeko ezithile kubandakanya:

• usemngciphekweni ophakathi wesifo somhlaza
• awunazo iimpawu zesifo esimdaka

Ukuba ugqirha wamkela isabelo, ezi mvavanyo azizukuhlawula nto.

Uvavanyo lwePap lokuvavanywa komhlaza womlomo wesibeleko

Ukuba unayo i-Medicare, uvavanyo lwePap kunye novavanyo lwe-pelvic kugutyungelwa rhoqo kwiinyanga ezingama-24 yiMedicare Part B. Uvavanyo lwebele lweklinikhi lokujonga umhlaza wamabele lubandakanyiwe njengenxalenye yovavanyo lwenqatha.

Unokugqunywa kuvavanyo lokuvavanywa rhoqo kwiinyanga ezili-12 ukuba:

• usemngciphekweni omkhulu womhlaza welungu lobufazi okanye wesibeleko
• ukwiminyaka yokuzala kwaye uye wavavanywa ngokungaqhelekanga kwiPap kwiinyanga ezingama-36 ezidlulileyo.

Ukuba uneminyaka engama-30 ukuya kuma-65, uvavanyo lwe-papillomavirus lomntu (HPV) lubandakanyiwe njengenxalenye yovavanyo lwePap rhoqo kwiminyaka emi-5, nayo.

Ukuba ugqirha wamkela isabelo, ezi mvavanyo azizukuhlawula nto.

Ukuvavanywa komhlaza wedlala lesinyi

Uvavanyo lwegazi lwe-antigen (PSA) yegazi kunye novavanyo lweedigital rectal (DRE) zigutyungelwa yi-Medicare Part B kanye kwiinyanga ezili-12 kubantu abaneminyaka engama-50 okanye ngaphezulu.

Ukuba ugqirha wamkela isabelo, iimvavanyo ze-PSA zonyaka aziyi kukuhlawula nto. Kwi-DRE, iSahlulo B sinciphisiwe siyasebenza, kwaye i-Medicare iya kuhlawula iipesenti ezingama-80 zesixa esivunyiweyo.

Uvavanyo lomhlaza wemiphunga

Ukuba uneminyaka engama-55 ukuya kuma-77, idosi esezantsi yecomputer tomography (LDCT) yokuvavanywa komhlaza wemiphunga igutyungelwa yiCandelo leMedare B kanye ngonyaka. Kuya kufuneka uhlangane neemeko ezithile, kubandakanya:

• awunangqondo (akukho zimpawu zomhlaza wemiphunga)
• ngoku utshaya icuba okanye uyekile kwiminyaka eli-15 edlulileyo.
• Imbali yakho yokusebenzisa icuba ibandakanya umyinge wepakethi enye yeecuba ngeminyaka engama-30.

Ukuba ugqirha wamkela isabelo, ezi mvavanyo azizukuhlawula nto.

Ukuthatha

I-Medicare igubungela inani leemvavanyo ezikrola iintlobo ezahlukeneyo zomhlaza, kubandakanya:

• umhlaza webele
• umhlaza ongathandabuzekiyo
• umhlaza womlomo wesibeleko
• umhlaza wedlala lobudoda
• umhlaza wemiphunga

Thetha nogqirha wakho malunga nokuhlolwa komhlaza nokuba ngaba kuyacetyiswa ngokusekwe kwimbali yakho yezonyango okanye kwiimpawu.

Kubalulekile ukuqonda ukuba kutheni ugqirha wakho eziva ezi mvavanyo ziyimfuneko. Babuze malunga neengcebiso zabo kwaye nixoxe ngokuba ukuxabisa kuya kubiza malini kwaye ukuba ngaba kukho ezinye ngokulinganayo njengokuhlolwa okusebenzayo okunokuthi kufikeleleke ngakumbi. Ikwangumbono olungileyo ukubuza ukuba kuya kuthatha ixesha elingakanani ukufumana iziphumo zakho.

Xa ulinganisa ukhetho lwakho, qaphela:

• ukuba uvavanyo lugutyungelwe yiMedicare
• yimalini oya kuyidinga ukuhlawula kwiimali ezitsaliwe kunye neepopayi
• ingaba isicwangciso se-Medicare Advantage sinokuba lolona khetho lwakho lubalaseleyo lokugubungela ngokubanzi
• enye i-inshurensi onokuba nayo iMedigap (i-inshurensi yokuxhasa i-Medicare)
• ukuba ugqirha wamkela isabelo
• uhlobo lweziko apho kwenzeka khona uvavanyo

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.