Ngaba i-Eliquis igutyungelwe ngamayeza?

Umxholo

• Ngaba iyeza liyayigubungela i-Eliquis?
• Ixabisa malini i-Eliquis ngeMedicare?
• Ngaba unyango ngamayeza alugubungela i-AFib?
• Yise kude

I-Eliquis (apixaban) igutyungelwe luninzi lwezicwangciso zonyango zokugubungela amayeza.

I-Eliquis yi-anticoagulant esetyenziselwa ukunciphisa amathuba okubetha kubantu abane-atrial fibrillation, uhlobo oluqhelekileyo lokubetha kwentliziyo engaqhelekanga (arrhythmia). Isetyenziselwa ukuthintela okanye ukunyanga amahlwili egazi emilenzeni, ekwabizwa ngokuba yi-vein thrombosis enzulu, kunye namahlwili egazi kwimiphunga yakho, okanye kwimiphunga yemiphunga.

Qhubeka ufunda ukuze ufunde okungakumbi malunga nokugubungela i-Medicare ye-Eliquis kunye nolunye unyango lwe-atrial fibrillation (AFib).

Ngaba iyeza liyayigubungela i-Eliquis?

Ukuze i-Medicare igubungele i-Eliquis prescription, kufuneka ube ne-Medicare Part D okanye i-Medicare Advantage plan (ngamanye amaxesha ibizwa ngokuba yi-Medicare Part C). Zombini ezi ndlela zithengiswa ziinkampani zeinshurensi zabucala ezivunyiweyo yiMedicare.

Isicwangciso soNyango lweeMithi zoNyango (Icandelo D) songeza ukugubungela amayeza amayeza kwi-Medicare yoqobo (Icandelo le-inshurensi yesibhedlele kunye neCandelo B iinshurensi yezonyango).

Izicwangciso ze-Medicare Advantage (Icandelo C) zibonelela ngeCandelo A kunye neCandelo B lokugubungela. Uninzi lwezicwangciso zeCandelo C zikwabonelela ngeCandelo D kunye nokugubungela izibonelelo ezongezelelweyo ezingagutyungelwanga yiMedicare, ezinje ngamazinyo, umbono kunye nokuva.

Uninzi lwezicwangciso zeCandelo D kunye neCandelo C ziza kunye:

• ipremiyamu (into oyihlawulela ukugubungela)
• Unciphiso lonyaka (oko ukuhlawulela iziyobisi / ukhathalelo lwempilo ngaphambi kokuba isicwangciso sakho siqale ukuhlawula isabelo)
• Iikopayment / i-coinsurance (emva kokuba i-deductible yakho idibeneyo, isicwangciso sakho sihlawula isabelo seendleko kwaye uhlawula isabelo seendleko)

Ngaphambi kokuzibophelela kwicandelo D okanye kwiCandelo C, jonga ubukho. Izicwangciso ziyahluka ngokwexabiso kunye nokufumaneka kweziyobisi. Izicwangciso ziya kuba nefomula yazo, okanye uluhlu lwamayeza amayeza kunye nezitofu zokugonya.

Ixabisa malini i-Eliquis ngeMedicare?

Eliquis sisiyobisi esinexabiso eliphezulu. Ukuba uhlawula malini kuxhomekeke kwisicwangciso osikhethileyo. Ukutsalwa kwakho kunye nepopay iya kuba zizinto eziphambili zokumisela kwiindleko zakho.

Ngaba unyango ngamayeza alugubungela i-AFib?

Ngaphandle kwamachiza amiselweyo anjenge-Eliquis egutyungelwe licandelo le-Medicare Part D kunye ne-Medicare Advantage, i-Medicare inokugubungela olunye unyango lwe-atrial fibrillation (AFib).

Ukuba ulaliswe esibhedlele ngenxa ye-AFib yakho, icandelo le-Medicare A linokugubungela isibhedlele esibhedlele kunye nononophelo lweziko lononophelo.

Icandelo le-Medicare Icandelo B ngokubanzi ligubungela ukhathalelo lwezigulana ezingaphandle kwe-AFib, ezinje

• utyelelo logqirha
• iimvavanyo zokuqonda isifo, ezinje nge-EKG (electrocardiogram)
• izibonelelo ezithile zokuthintela, ezinje ngokuhlolwa

Kubaxhamli abafanelekileyo abaneemeko ezithile zentliziyo, iMedicare ihlala igubungela iinkqubo zokuvuselela iintliziyo, ezinje:

• iingcebiso
• imfundo
• ukusebenzisa unyango

Yise kude

I-Medicare iya kugubungela i-Eliquis ukuba une-Medicare yokugubungela iziyobisi. Unokufumana i-Medicare yokugunyazisa iziyobisi kwi-inshurensi zabucala ezivunyiweyo ze-Medicare. Ezi nkqubo zimbini zezi:

• Icandelo leMedare D. Esi sisongezo sokongezwa kumacandelo e-Medicare A kunye no-B.
• Isicwangciso sokuXhamla kwiMedare (Icandelo C). Lo mgaqo-nkqubo ubonelela ngeCandelo A kunye neCandelo B lokugubungela kunye neCandelo D lokugubungela.

I-Eliquis isetyenziselwa ukunyanga i-atrial fibrillation. I-Medicare inokugubungela olunye ukhathalelo kunye nonyango kubantu abane-AFib.

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.