Umbhali: Randy Alexander
Umhla Wokudalwa: 23 Utshazimpuzi 2021
Hlaziya Umhla: 18 Eyenkanga 2024
Anonim
Ngaba i-Medicare iyaligquma i-Shingles Vaccine? - Zempilo
Ngaba i-Medicare iyaligquma i-Shingles Vaccine? - Zempilo

Umxholo

  • Amaziko oLawulo lweNtsholongwane kunye noThintelo (CDC) acebisa abantu abadala abasempilweni abaneminyaka engama-50 nangaphezulu ukuba bafumane isitofu sokugonya i-shingles.
  • I-Medicare yoqobo (Icandelo A kunye neCandelo B) ayinakugubungela iyeza lokugonya.
  • Uncedo lweMedicare okanye i-Medicare Icandelo D iiplani zinokugubungela zonke okanye isahlulo seendleko zokugonya i-shingles.

Njengokuba usiba mdala, kunokwenzeka ukuba ube ne-shingles. Ngethamsanqa, kukho isitofu sokugonya esinokuthintela imeko.

Icandelo leMedicare A kunye neCandelo B alizukugubungela izitofu ze-shingles (zimbini ezahlukeneyo). Nangona kunjalo, unokukwazi ukufumana inkxaso kwi-Medicare Advantage okanye kwi-Medicare Part D isicwangciso.

Qhubeka ufunda ukuze ufumane ukuba ungayifumana njani i-Medicare yokugonya izitofu ze-shingles okanye ufumane uncedo lwezezimali ukuba isicwangciso sakho asiyigubungeli iyeza lokugonya.

Ngawaphi amalungu e-Medicare agubungela i-shingles vaccine?

I-Medicare yoqobo, iCandelo A (ukugubungela isibhedlele) kunye neCandelo B (ukhuseleko lwezonyango), alugubungeli isitofu sokugonya i-shingles. Nangona kunjalo, kukho ezinye izicwangciso zeMedare ezinokuthi zigubungele ubuncinci beendleko. Oku kubandakanya:


  • Icandelo lonyango kwiCandelo C. Eyaziwa nangokuthi yi-Medicare Advantage, i-Medicare Part C isicwangciso onokuyithenga kwinkampani ye-inshurensi yabucala. Inokubonelela ngezibonelelo ezongezelelweyo ezingagutyungelwanga yiMedicare yoqobo, kubandakanya neenkonzo zokuthintela. Izicwangciso ezininzi ze-Medicare Advantage zibandakanya ukugubungela amayeza amayeza, anokugubungela isitofu sokugonya.
  • Icandelo leMedare D. Eli licandelo lokugubungela amayeza kagqirha kwaye ligubungela “amayeza okugonya athengiswayo.” I-Medicare ifuna izicwangciso zeCandelo D zokugubungela i-shingles shot, kodwa isixa esigqumayo sinokuhluka kakhulu kwisicwangciso sokucwangcisa.
Ukuqinisekisa ukuba uyagutyungelwa

Kukho amanyathelo ambalwa onokuwathatha ukuqinisekisa ukuba isitofu sakho sokugonya sigubungele ukuba unayo i-Medicare Advantage kunye ne-drug coverage okanye i-Medicare Part D:

  • Shayela ugqirha wakho ukuba ufumanise ukuba banakho ukuhlawula ityala lakho kwiCandelo D ngokuthe ngqo.
  • Ukuba ugqirha wakho akakwazi ukuhlawula ityala lakho ngokuthe ngqo, cela ugqirha wakho ukuba adibanise nekhemisi ekwi-network. Ikhemesti inokukwazi ukukunika isitofu sokugonya kwaye uhlawule ityala lakho ngqo.
  • Fayilisha ityala lakho lokugonya ukuze ulibuyisele kwisicwangciso sakho ukuba awunako ukwenza olunye kwezi ndlela zilapha ngasentla.

Ukuba kufuneka ufake ifayile yokubuyiselwa kwemali, kuya kufuneka uhlawule ixabiso elipheleleyo xa usifumene. Isicwangciso sakho kufuneka sikubuyisele imali, kodwa imali egutyungelweyo iya kwahluka ngokuya ngesicwangciso sakho kwaye ukuba ikhemesti ibikunethiwekhi yakho.


Ixabisa malini iyeza lokugonya i-shingles?

Imali oyihlawulayo yokugonya i-shingles iya kuxhomekeka ekubeni isicwangciso sakho seMedicare sigubungela malini. Khumbula ukuba ukuba une-Medicare yoqobo kuphela kwaye akukho kugqitywa kweziyobisi kugqirha ngeMedicare, ungahlawula ixabiso elipheleleyo ngeyeza lokugonya.

Amacandelo amayeza amayeza acwangcisa amaqela amayeza abo ngokwamanqanaba. Apho iyeza liwela khona kwinqanaba linokumisela ukuba kubiza malini. Uninzi lwezicwangciso zamachiza e-Medicare zigubungela ubuncinci iipesenti ezingama-50 zexabiso lentengiso yeziyobisi.

Uluhlu lwamaxabiso e-shingles vaccines

I-Shingrix (inikezwe njengeziqhushumbisi ezibini):

  • Ipopay ekhutshiweyo: yasimahla ukuya kwi- $ 158 kwibhotile nganye
  • Emva kokutsalwa kudityanisiwe: simahla ukuya kwi-158 yeedola kwibhotile nganye
  • Umngxunya wedonut / umsantsa wokugubungela uluhlu: simahla ukuya kuthi ga kwi-73 yeedola kwibhotile nganye
  • Emva komngxuma wokunikela: $ 7 ukuya kwi-8

I-Zostavax (inikwe njengefoto enye):

  • Ipopay ekhutshiweyo: simahla ukuya ku- $ 241
  • Emva kokutsalwa kudityanisiwe: simahla ukuya ku- $ 241
  • Umngxunya wedonut / umsantsa wokugubungela uluhlu: simahla kwi- $ 109
  • Emva komngxuma we-donut: $ 7 ukuya kwi-12

Ukufumanisa ngokuthe ngqo ukuba uza kuhlawula malini, jonga kwifomula yesicwangciso sakho okanye unxibelelane ngqo nesicwangciso sakho.


Iingcebiso zokonga iindleko

  • Ukuba ufanelekile kwi-Medicaid, jonga kwi-ofisi yakho ye-Medicaid yelizwe malunga nokugonywa kwe-shingles vaccine, enokuthi isimahla okanye inikwe ngexabiso eliphantsi.
  • Khangela uncedo lwamayeza kunye namakhuphoni kwiiwebhusayithi ezinceda ngeendleko zonyango. Imizekelo ibandakanya iGoodRx.com kunye neNeedyMeds.org. Ezi ndawo zinokukunceda ukuba ukhangele eyona nto ibalulekileyo malunga nokuba ungalufumana phi ugonyo.
  • Nxibelelana nomenzi wesitofu ngqo ukucela izaphulelo ezinokubakho okanye izaphulelo. IGlaxoSmithKline yenze iyeza lokugonya likaShingrix. UMerck wenza iZostavax.

Isebenza njani iyeza lokugonya i-shingles?

Okwangoku, zimbini iindlela zokugonya ezivunyiweyo nguLawulo lwezoKutya kunye noLawulo lweziyobisi (FDA) ukuthintela i-shingles: isitofu sokugonya se-zoster siphile (iZostavax) kunye nesitofu sokugonya se-zoster (Shingrix). Ngamnye usebenza ngeendlela ezahlukeneyo zokuthintela i-shingles.

I-Shingrix

I-FDA yavuma iShingrix ngo-2017. Yisitofu sokugonya esicetyiswayo sothintelo lwe-shingles. Isitofu sokugonya siqulathe iintsholongwane ezingasebenziyo, nto leyo eyenza ukuba kube nokunyamezeleka kubantu abanamajoni omzimba abuthathaka.

Ngelishwa, i-Shingrix ihlala i-backorder ngenxa yokuthandwa kwayo. Unokuba nobunzima bokuyifumana, nokuba isicwangciso sakho seMedicare siyayihlawula.

Zostavax

I-FDA yavuma i-Zostavax ukuthintela i-shingles kunye ne-postherpetic neuralgia ngo-2006. Isitofu sokugonya sisitofu esiphilayo, okuthetha ukuba sineentsholongwane ezincitshisiweyo. Isitofu sokuthintela imasisi, uqwilikana, kunye nerubella (MMR) luhlobo olufanayo lokugonya okuphilayo.

I-Shingrix vs iZostavax

I-ShingrixZostavax
Xa uyifumanaUnokufumana isitofu sokugonya siqala kubudala beminyaka engama-50, nokuba ubukhe waba ne-shingles ngaphambili, awuqinisekanga ukuba ukhe wanayo na irhashalala, okanye sele ufumene olunye ugonyo lwe-shingles ngaphambili. Kubantu abaneminyaka engama-60-69 ubudala.
Ukusebenza ngempumeleloAmanani amabini eShingrix angaphezulu kwama-90 epesenti asebenzayo ekuthinteleni i-shingles kunye ne-postherpetic neuralgia.Eli yeza lokugonya alisebenzi njengeShingrix. Unobungozi obuncitshisiweyo be-shingles kunye neepesenti ezingama-67 ezinciphise umngcipheko we-postherpetic neuralgia.
UkungqinelanaOku kubandakanya ukungabikho komzimba kwisitofu sokugonya, i-shingles yangoku, ukukhulelwa okanye ukuncancisa, okanye ukuba kuvavanyiwe ungenawo umkhuhlane kwintsholongwane ebangela irhashalala (kuloo meko, unokufumana isitofu sokugonya inkuku). Akufanele ufumane i-Zostavax ukuba unembali ye-allergen reaction kwi-neomycin, i-gelatin, okanye naliphi na elinye icandelo elenza isitofu se-shingles. Ukuba awunasifo ngenxa ye-HIV / AIDS okanye umhlaza, ukhulelwe okanye uncancisa, okanye uthatha iziyobisi zokucinezela amajoni omzimba, eli chiza alikhuthazwa.
ImiphumelaUnokuba nengalo ebuhlungu, ukuba bomvu kunye nokudumba kwindawo yenaliti, intloko ebuhlungu, umkhuhlane, iintlungu esiswini, kunye isicaphucaphu. Ezi zihlala zihamba malunga neentsuku ezi-2 ukuya kwezi-3.Oku kubandakanya iintloko, ubomvu, ukudumba, kunye nokukrala kunye nokurhawuzelela kwindawo yenaliti. Abanye abantu banokukhulisa into encinci, enje yenkuku kwindawo yenaliti.

Yintoni i-shingles?

I-Shlesles sisikhumbuzo esibuhlungu sokuba i-herpes zoster, intsholongwane ebangela irhashalala, ikhona emzimbeni. Uqikelelo lwabantu baseMelika iminyaka engama-40 nangaphezulu banenkukhu (nangona abaninzi bengakhumbuli ukuba nayo).

I-Shingles ichaphazela malunga nesinye kwisithathu sabantu abaye banenkukhu yenkukhu, ekhokelela ekutshiseni, ekubethekiseni nasekudubuleni iintlungu zentlungu. Iimpawu zinokuhlala iiveki ezi-3 ukuya kwezi-5.

Nangona ukukhawuleza kunye neentlungu zentlungu zihamba, usenokufumana i-neuralgia ye-postherpetic. Olu luhlobo lweentlungu ezihlala ixesha elide apho i-shingles rash iqala khona. I-postherpetic neuralgia inokubangela ezi mpawu zilandelayo:

  • ixhala
  • ukudakumba
  • iingxaki zokugqiba imisebenzi yemihla ngemihla
  • iingxaki zokulala
  • ukuhla ukusinda

Umdala wena, kunokwenzeka ukuba ube ne-neuralgia ye-postherpetic. Kungenxa yoko ukuthintela i-shingles kunokuba kubaluleke kakhulu.

Ukuthatha

  • Uncedo lweMedicare kunye neMedicare Icandelo D kufuneka ligubungele ubuncinci ubuncinci beendleko zokugonya i-shingles.
  • Jonga ugqirha wakho ngaphambi kokufumana iyeza ukuze ufumanise ukuba liza kuhlawulwa njani.
  • I-CDC icebisa iyeza lokugonya likaShingrix, kodwa alisoloko lifumaneka, ngoko jonga kwiofisi kagqirha wakho okanye ekhemesti kuqala.

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