I-Coronavirus Vaccine: Ngaba i-Medicare iya kuyigubungela?

Umxholo

• Ngaba i-Medicare iya kuligubungela iyeza lokugonya le-2019 le-coronavirus (COVID-19)?
• Liya kubakho nini isitofu sokugonya inoveli coronavirus ka-2019 (COVID-19)?
• Yintoni egqunywa nguMedicare yenoveli ye-coronavirus ka-2019 (COVID-19)?
• Ngaba iyabandakanya ukuvavanywa?
• Ngaba iyagubungela utyelelo loogqirha?
• Ngaba iyakugubungela ukulaliswa esibhedlele?
• Kuthekani ukuba ndifuna i-ambulensi?
• Kuthekani ukuba ndinesicwangciso seMedicare Advantage?
• Umgca wezantsi

• Xa ugonyo lwenoveli lwango-2019 lwe-coronavirus (SARS-CoV-2) lukhona, i-Medicare Part B kunye ne-Medicare Advantage ziya kuyigubungela.
• Umthetho weCARES wakutsha nje uthi i-Medicare Part B iya kugubungela isitofu sokugonya se-coronavirus senoveli se-2019.
• Ngenxa yokuba i-Medicare Advantage iyadingeka ukuba ibandakanye ukugubungela okusisiseko njenge-Medicare yoqobo (iinxalenye ze-A kunye ne-B), izicwangciso ze-Advantage ziya kuthi zigubungele iyeza lokugonya elitsha nje ukuba liphuhlisiwe.

Sithetha nje siphakathi kubhubhane obangelwe yi-2019 yenoveli coronavirus. Elona gama lale ntsholongwane nguSARS-CoV-2, kwaye esi sifo sisibizayo kuthiwa yi-COVID-19.

Okwangoku akukho sitofu sokugonya inoveli coronavirus ka-2019. Nangona kunjalo, izazinzulu zisebenza nzima ukuyiphuhlisa. Kodwa ngaba iMedare iya kuyigubungela xa ifumaneka?

I-Medicare iya kuyigubungela i-inoveli ye-coronavirus ye-2019 yenoveli. Qhubeka nokufunda apha ngezantsi ukuze ufunde ngakumbi.

Ngaba i-Medicare iya kuligubungela iyeza lokugonya le-2019 le-coronavirus (COVID-19)?

I-Medicare iya kugubungela iyeza lokugonya le-2019 inoveli coronavirus xa ifumaneka. Umthetho we-CARES wakutsha nje, uxela ngokukodwa ukuba i-Medicare Part B iya kugubungela isitofu sokugonya se-coronavirus senoveli se-2019.

Kodwa kuthekani ngabantu abanesicwangciso seMedicare Part C (Advantage)?

Ngenxa yokuba ezi zicwangciso ziyafuneka ukuba zibandakanye ukugubungela okusisiseko okunikezelwa yiMedicare yoqobo (icandelo A kunye no-B), abo banecebo lokuNceda baya kugutyungelwa.

Liya kubakho nini isitofu sokugonya inoveli coronavirus ka-2019 (COVID-19)?

Okwangoku kukholelwa ukuba kuya kuthatha ubuncinci ukuba isitofu sibekhona. Kungenxa yokuba izitofu zokugonya, njengezinye iziyobisi, kufuneka zivavanywe ngokungqongqo kunye novavanyo lweklinikhi ukuqinisekisa ukuba zombini zikhuselekile kwaye ziyasebenza.

Uphando kwizitofu zokugonya inoveli ye-coronavirus ka-2019 iqhume kwiinyanga nje ezidlulileyo. Ngapha koko, isuka kwiphephancwadi lendalo lokuPhononongwa kweziyobisi yaqikelela ukuba bali-115 abagqatswa bokugonya okwangoku abasakhulayo!

Nangona kunjalo, bambalwa kuphela aba bagqatswa abangene kwinqanaba lokuqala lonyango. Olu hlobo lolingo luyilelwe ukuvavanya ukhuseleko lwesitofu kwiqela lamavolontiya asempilweni.

Abaviwa bokugonya okwangoku kwizilingo zesigaba sokuqala:

• I-mRNA-1273 nguModerna
• I-Ad5-nCoV yi-CanSino Biologics
• I-INO-4800 ngu-Inovio Pharmaceuticals
• I-LV-SMENP-DC yiShenzhen Geno-Immune Medical Institute
• I-AAPC ekhethekileyo yePathogen yiShenzhen Geno-Immune Medical Institute

Izicwangciso ezisetyenzisiweyo ukuphuhlisa ezi zitofu zahluke kakhulu. Uninzi lwazo lujolise ekuveliseni ii-antibodies kwi-protein ye-SARS-CoV-2 S. Le yiprotein esetyenziswa yintsholongwane ukuncamathisela kuyo kwaye ingene kwiseli yokubamba.

Yintoni egqunywa nguMedicare yenoveli ye-coronavirus ka-2019 (COVID-19)?

Okwangoku kuvunyelwe i-COVID-19. Kusenokwenzeka ukuba abo bagulayo baya kudinga ukusebenzisa iintlobo zeenkonzo zezigulana ezingalaliswayo kunye nezingalaliswayo njengoko bechacha. Ke ngoku ithini i-Medicare?

Ukuba uyagula nge-COVID-19, i-Medicare iya kubandakanya uninzi lweemfuno zakho zempilo. Masiphendule eminye imibuzo onokuba nayo apha ngezantsi.

Ngaba iyabandakanya ukuvavanywa?

Icandelo leMedicare B ligubungela iindleko zovavanyo ukumisela ukuba unayo i-COVID-19. Awuyi kuhlawula nto kuvavanyo.

Icandelo B likwagubungela indleko zezinye iimvavanyo eziyimfuneko kwezonyango ukunceda ukufumanisa i-COVID-19. Omnye umzekelo woku kukuvavanywa kwemiphunga ye-CT. Ngokuqhelekileyo uya kuhlawula iipesenti ezingama-20 zeendleko ezipheleleyo emva kokudibana neCandelo B elitsaliwe ($ 198).

Ngaba iyagubungela utyelelo loogqirha?

Icandelo leMedicare B ligubungela iindleko zotyelelo logqirha abalaliswayo. Emva kokudibana nokutsalwa kwakho, uhlala unoxanduva lokuhlawula iipesenti ezingama-20 zexabiso lilonke.

Ukuba ugqirha wakho ukumisela amayeza ukunceda ukunyanga i-COVID-19, iCandelo leMedicare D linokukugubungela oku. Icandelo D kukugubungela amayeza amayeza.

Abantu abane-Medicare yoqobo bangathenga isicwangciso seCandelo D. Icandelo D libandakanyiwe kwizicwangciso ezininzi zeAdvantage.

Ukubonelelwa ngokutyelelwa kwe-telehealth kuye kwanda ngexesha lobhubhane. Olu lutyelelo logqirha lokwenyani olwenziwa endaweni yokutyelela e-ofisini. Emva kokuba udibene neCandelo B lakho elitsalwayo, uya kuhlawula iipesenti ezingama-20 zexabiso lilonke.

Ngaba iyakugubungela ukulaliswa esibhedlele?

Ukuba wamkelwe njengesigulana esibhedlele ngenxa ye-COVID-19, icandelo leMedicare A liya kuhlawula ezi ndleko. Uya kuba noxanduva lokutsala i-1,408 yeedola ngexesha lakho lokuxhamla kunye nokuqinisekiswa kwemali yonke imihla emva komhla wama-60.

Icandelo A ligubungela iinkonzo ezinje:

• igumbi lakho
• izidlo
• iinkonzo zokonga ngokubanzi
• amayeza enikwe njengenxalenye yonyango lwakho
• ezinye izinto zesibhedlele okanye iinkonzo

Icandelo A likwagubungela abantu ebenokuhlala bekhululwa kodwa badinga ukuhlala bodwa esibhedlele okanye kwesinye isibhedlele.

Ukongeza, iCandelo B ligubungela uninzi lweenkonzo zoogqirha ozifumanayo ngelixa ulaliswe esibhedlele.

Kuthekani ukuba ndifuna i-ambulensi?

Icandelo leMedicare B liya kugubungela ukuthuthwa komhlaba kwi-ambulensi iye kwisibhedlele esikufutshane. Emva kokudibana nokutsalwa kwakho, uya kuhlawula iipesenti ezingama-20 zexabiso lilonke.

Kuthekani ukuba ndinesicwangciso seMedicare Advantage?

Izicwangciso eziluncedo ziyafuneka ukuba zibonelele ngeseti efanayo yesibonelelo njengeMedicare yentsusa (icandelo A no-B). Ngenxa yoku, ukuba unesicwangciso se-Advantage, uya kugutyungelwa kwezi nkonzo sithethe ngazo ngasentla.

Ezinye izicwangciso zeAdvantage zinokubonelela ngezibonelelo ezandisiweyo zempilo. Ukongeza, ukumiselwa kweziyobisi ngugqirha kufakiwe kwizicwangciso ezininzi zeNzuzo.

Masenze ukuphindaphinda ngokukhawuleza ukuba ngawaphi amalungu e-Medicare agubungela inoveli ye-coronavirus ye-2019:

• Icandelo A: Icandelo A ligubungela ukuhlala kwabaguli kwindawo ezifana nesibhedlele okanye indawo yabongikazi abanezakhono.
• Icandelo B: Icandelo B ligubungela utyelelo kunye neenkonzo zonyango, ezinye iinkonzo zonyango, uvavanyo lwe-COVID-19, iyeza lokugonya le-coronavirus (xa likho), utyelelo lwe-telehealth kunye neenkonzo ze-ambulensi
• Icandelo C: ICandelo C ligubungela izibonelelo ezisisiseko ezifanayo nezamacandelo A no-B. Isenokubonelela nangokunatyiswa kwe-telehealth eyandisiweyo.
• Icandelo D: Icandelo D ligubungela amayeza amiselweyo.
• Ukuxhasa i-inshurensi (iMedigap): I-Medigap inceda ukuhlawulela ukuncitshiswa, ukuqinisekiswa kweemali, kunye neepopayi ezingagqitywanga ngamacandelo A kunye no-B.

Umgca wezantsi

• Okwangoku akukho sitofu sokugonya se-2019 coronavirus yenoveli. Oososayensi ngoku basebenzela ukuphuhlisa enye, kwaye uninzi lwabagqatswa bangene kwinqanaba lokuqala lonyango.
• Kungathatha unyaka okanye nangaphezulu ukuba isitofu sokugonya esisebenzayo siphuhliswe kwaye samkelwe. Xa iyeza lokugonya lifumaneka, i-Medicare Part B kunye ne-Medicare Advantage ziya kuyigubungela.
• I-Medicare ikwagubungela uninzi lweenkonzo zezempilo onokuzidinga ukuba uyagula yi-COVID-19. Imizekelo ibandakanya kodwa ayikhawulelwanga, kuvavanywa, utyelelo koogqirha, kunye nokulaliswa esibhedlele.