Unyango lweMedicare kwiSifo sikaParkinson

Umxholo

• Ngawaphi amacandelo eMedicare agubungela unyango lwesifo sikaParkinson?
• Icandelo A ukugubungela
• Icandelo B ukugubungela
• Icandelo le-C
• Icandelo D lokugubungela
• Inkcazo yeMedigap
• Ngawaphi amayeza, iinkonzo, kunye nonyango lwezifo zikaParkinson ezigutyungelweyo?
• Amayeza
• Iinkonzo kunye nonyango
• I-ultrasound egxile
• Ukuvuselelwa kwengqondo enzulu
• Impompo yeDuopa
• Unonophelo lwezakhono
• Unyango emsebenzini nasemzimbeni
• Unyango lwentetho
• Ingcebiso ngezempilo yengqondo
• Izixhobo zonyango ezizinzileyo (I-DME)
• Yintoni engagutyungelwanga?
• Zeziphi iindleko endinokulindela ukuzihlawula?
• Icandelo A iindleko
• Iindleko zeCandelo B
• Iindleko zeCandelo C
• Icandelo D iindleko
• Iindleko zeMedigap
• Siyintoni isifo sikaParkinson?
• Ukuthatha

• I-Medicare igubungela amayeza, unyango, kunye nezinye iinkonzo ezibandakanya ukunyanga isifo sikaParkinson kunye neempawu zaso.
• Unyango lomzimba, unyango lwasemsebenzini, kunye nonyango lokuthetha zonke zibandakanyiwe kule ngxelo.
• Unokulindela ezinye iindleko zokuphuma kweepokotho, nditsho nokugubungela i-Medicare yakho.

I-Medicare igubungela unyango oluyimfuneko kwisifo sika-Parkinson, kubandakanya amayeza, iintlobo ezahlukeneyo zonyango, kunye nokuhlala esibhedlele. Ngokusekwe kuhlobo lokugubungela onalo, unokuba neendleko zokuphuma epokothweni, ezinje ngee-copays, i-coinsurance, kunye neepremiyamu.

I-Medicare ayinakho ukugubungela zonke iinkonzo oya kuzifuna, ezinjengoncedo lokuphila imihla ngemihla.

Ukuba wena okanye umntu omthandayo unesifo sika-Parkinson, kubalulekile ukuba uqonde ukuba zeziphi iinxalenye ze-Medicare ezigubungela ukuba loluphi unyango ukuze kuthintelwe iindleko ezinkulu, ezingalindelekanga.

Ngawaphi amacandelo eMedicare agubungela unyango lwesifo sikaParkinson?

I-Medicare yenziwe ngamacandelo amaninzi. Icandelo ngalinye ligubungela iinkonzo ezahlukeneyo kunye nonyango oya kuthi ulawule iParkinson.

I-Medicare yoqobo yenziwe ngeCandelo A kunye neCandelo B. Icandelo A ligubungela isahlulo seendleko zokulaliswa esibhedlele. Icandelo B libonelela ngemfuno zonyango yezigulana ezingalaliswayo kubandakanya nezo zokufumanisa isifo, unyango kunye nothintelo.

Icandelo A ukugubungela

Icandelo A ligubungela ezi nkonzo zilandelayo ezinxulumene nesifo sika-Parkinson:

• ukhathalelo lwezibhedlele ezingalaliswayo kubandakanya ukutya, utyelelo logqirha, utofelo-gazi, amayeza asesiteshini, kunye nonyango
• iinkqubo zotyando
• Unonophelo lwehosisi
• ukhathalelo lweziko labongikazi elinomda okanye elifutshane
• Iinkonzo zempilo ekhaya abanezakhono

Icandelo B ukugubungela

ICandelo B liza kubandakanya ezi zinto zilandelayo kunye neenkonzo ezinxulumene nokukhathalela kwakho:

• Iinkonzo zezigulane ezingalaliswayo ezifana neengcali jikelele kunye nokuqeshwa kweengcali
• uhlolo
• iimvavanyo zokuqonda isifo
• iinkonzo zoncedo lwezempilo ezinqongopheleyo
• izixhobo zonyango ezizinzileyo (i-DME)
• Inkonzo yeenqwelo yezigulana
• unyango kunye nokusebenza komzimba
• unyango lokuthetha
• iinkonzo zempilo yengqondo

Icandelo le-C

Icandelo C (i-Medicare Advantage) sisicwangciso seinshurensi yezempilo onokuyithenga kwi-inshurensi yabucala. Icandelo lokugubungela iCandelo C liyahluka kwisicwangciso sokucwangcisa kodwa liyafuneka ukubonelela ubuncinci bokugubungela okufanayo neMedicare yoqobo. Ezinye izicwangciso zeCandelo C zikwagubungela amayeza kunye neenkonzo zokongeza, ezinje ngombono kunye nokunakekelwa kwamazinyo.

Izicwangciso zeCandelo C zifuna ukuba ukhethe oogqirha kunye nabanikezeli bakho ngaphakathi kwenethiwekhi.

Icandelo D lokugubungela

Icandelo D ligubungela amayeza amiselweyo kwaye liyathengwa nakwinkampani yabucala yeinshurensi. Ukuba unesicwangciso seCandelo C, awunakudinga isicwangciso seCandelo D.

Izicwangciso ezahlukeneyo zigubungela amayeza ahlukeneyo, awaziwa njengefomula. Ngelixa zonke izicwangciso zeCandelo D zigubungela amanye amayeza onokuthi ufune ukunyanga iParkinson's, kubalulekile ukujonga ukuba nawaphi na amayeza owathathayo okanye onokuwadinga kamva ayagutyungelwa phantsi kwesicwangciso sakho.

Inkcazo yeMedigap

I-Medigap, okanye i-inshurensi yokuxhasa i-Medicare, igubungela ezinye okanye zonke izithuba zemali ezishiyekileyo kwi-Medicare yoqobo. Ezi ndleko zinokubandakanya ukuncitshiswa, iikopi kunye nokuqinisekiswa kwemali. Ukuba unesicwangciso seCandelo C, awufanelanga ukuthenga isicwangciso seMedigap.

Zininzi izicwangciso zeMedigap onokukhetha kuzo. Ezinye zibonelela ngokugubungela ngokubanzi kunabanye kodwa ziza neendleko eziphezulu zepremiyamu. Iindleko zamayeza kagqirha azigutyungelwanga phantsi kweMedigap.

Ngawaphi amayeza, iinkonzo, kunye nonyango lwezifo zikaParkinson ezigutyungelweyo?

Isifo sikaParkinson sinokuza noluhlu olubanzi lweemoto kunye neempawu ezingezozimoto. Iimpawu zale meko zinokwahluka kubantu abohlukeneyo.

Kuba sisifo esiqhubela phambili, iimpawu zinokutshintsha ngokuhamba kwexesha. I-Medicare igubungela uluhlu lweendlela ezahlukeneyo zonyango, amayeza, kunye neenkonzo onokufuna ukulawula isifo sika-Parkinson kubo bonke ubomi bakho.

Amayeza

Isifo sikaParkinson saziwa ngokubangela amanqanaba athotyiweyo e-dopamine kwingqondo. Ikwabangela ukuba iintlobo ezithile zeeseli zobuchopho zonakaliswe okanye zife. Oku kukhokelela kwiinyikima kunye nezinye iingxaki ngokusebenza kweemoto.

I-Medicare igubungela amayeza anokwenza ngendlela efanayo okanye athabathe indawo ye-dopamine. Ikwagubungela amanye amayeza abizwa ngokuba zii-COMT inhibitors, awandisa okanye aphucule ukusebenza kweziyobisi zedopamine.

Iziphazamiso zemood ezinje ngokungakhathali, unxunguphalo, noxinzelelo, kunye nengqondo, zixhaphakile kubantu abaneParkinson's. Amachiza ajongene nale miqathango agqunywe yiMedicare. Eminye imizekelo yezi ntlobo zeziyobisi zibandakanya:

• I-MAO inhibitors, ezinje nge-isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Zelapar), kunye ne-tranylcypromine (iParnate)
• amayeza antipsychotic, anje nge-pimavanserin (Nuplazid) kunye ne-clozapine (Versacloz)

Iinkonzo kunye nonyango

Unyango lwesifo sika-Parkinson sigxile kulawulo lweempawu. Iinkonzo kunye nonyango olugubungela le Medicare kule meko lubandakanya ezo zichazwe kula macandelo alandelayo.

I-ultrasound egxile

Olu nyango lungenasivesi luzisa amandla e-ultrasound nzulu kwingqondo. Ingasetyenziswa kumanqanaba okuqala eParkinson ukunciphisa ukungcangcazela kunye nokuphucula ukusebenza kweemoto.

Ukuvuselelwa kwengqondo enzulu

Ukuba amayeza akuncede kwixa elidlulileyo kodwa akasenamandla ngokwaneleyo okunyanga iimpawu ezinjengokungcangcazela, ukuqina, kunye nokuphazamiseka kwemisipha, ugqirha wakho unokucebisa ukukhuthaza okunzulu kwengqondo.

Le yinkqubo yotyando apho ugqirha oya kuthi afake i-electrode kwingqondo. I-electrode iqhotyoshelwe ngeengcingo zotyando kwisixhobo esisebenza ngebhetri, esityalwa esifubeni.

Impompo yeDuopa

Ukuba iyeza lakho le-carbidopa / levodopa ngomlomo alisebenzi kangako kunangaphambili, ugqirha wakho unokucebisa ngempompo yeDuopa. Esi sixhobo sihambisa amayeza kwifom yejel ngqo kumathambo emathunjini ngomngxunya omncinci (stoma) owenziwe esiswini.

Unonophelo lwezakhono

Ekhaya, ukhathalelo olunamava olunamava olugqityiweyo lugutyungelwa yiMedicare kangangexesha elithile. Umda wexesha uhlala ungangeentsuku ezingama-21 zeenkonzo ezingabizi mali. Ugqirha wakho angawandisa lo mda ukuba kukho ixesha eliqikelelweyo lokuba uza kuzifuna ixesha elingakanani ezi nkonzo kwaye ungenise ileta echaza isidingo sakho sonyango.

Unonophelo kwiziko lokonga elinobuchule ligutyungelwa ngaphandle kweendleko kwiintsuku zokuqala ezingama-20, kwaye ke ukusukela kwiintsuku ezingama-21 ukuya kwezili-100, uyakuhlawula ikopi yemihla ngemihla. Emva kweentsuku ezili-100, uya kuhlawula iindleko ezipheleleyo zokuhlala kwakho kunye neenkonzo.

Unyango emsebenzini nasemzimbeni

I-Parkinson inokuchaphazela amaqela amakhulu kunye namancinci emisipha. Unyango lomsebenzi lujolise kumaqela amancinci emisipha, njengakwiminwe. Unyango lomzimba lujolise kumaqela amakhulu emisipha, njengasemilenzeni.

Iingcali zonyango zingafundisa abantu ngeendlela ezahlukeneyo zikaParkinson ukugcina imisebenzi yemihla ngemihla kunye nokuphucula umgangatho wobomi. Le misebenzi ibandakanya ukutya nokusela, ukuhamba, ukuhlala, ukutshintsha indawo ngelixa uhleli, kunye nokubhala ngesandla.

Unyango lwentetho

Ubunzima bokuthetha kunye nokuginya kunokubangelwa kukudodobala kwezihlunu kwingqula (ibhokisi yelizwi), umlomo, ulwimi, imilebe nomqala. I-pathologist yolwimi-intetho okanye ingcali yokuthetha inokunceda abantu abane-Parkinson ukuba bagcine izakhono zonxibelelwano ngomlomo nangaphandle.

Ingcebiso ngezempilo yengqondo

Uxinzelelo, unxunguphalo, isifo sengqondo kunye neengxaki zokuqonda zizo zonke iimpawu ezinokubakho ezingezizo ezesondo zesifo sikaParkinson. I-Medicare igubungela ukuhlolwa koxinzelelo kunye neenkonzo zokucebisa ngempilo yengqondo.

Izixhobo zonyango ezizinzileyo (I-DME)

I-Medicare igubungela iintlobo ezithile ze-DME. Eminye imizekelo ibandakanya:

• iibhedi zasesibhedlele
• abahambahambayo
• izitulo ezinamavili
• izithuthuthu zombane
• imisimelelo
• izitulo zokuhamba
• izixhobo zeoksijini zasekhaya

Itheyibhile elandelayo ibonelela ngokujonga nje oko kugutyungelwe icandelo ngalinye leMedicare:

Yintoni engagutyungelwanga?

Ngelishwa, i-Medicare ayigubungeli yonke into onokucinga ukuba iyimfuneko kwezonyango. Ezi nkonzo zibandakanya ukhathalelo olunganyangekiyo lonyango kwimisebenzi yokuphila yemihla ngemihla, enjengokunxiba, ukuhlamba nokupheka. I-Medicare nayo ayigubungeli ukhathalelo lwexesha elide okanye ukhathalelo lwexesha.

Izixhobo ezinokwenza ubomi bube lula ekhaya azisoloko zigqunyiwe. Oku kubandakanya izinto ezinjengebhafu yokuhamba okanye isinyuko.

Zeziphi iindleko endinokulindela ukuzihlawula?

I-Medicare ihlawula uninzi lweendleko ezivunyiweyo zamachiza, unyango kunye neenkonzo. Iindleko zakho zokuphuma epokothweni zinokubandakanya ii-copays, i-coinsurance, iipremiyamu zanyanga zonke, kunye nokutsalwa kwemali. Ukufumana ukhuseleko olupheleleyo, ukhathalelo lwakho kufuneka lunikezwe ngumboneleli ovunyiweyo we-Medicare.

Emva koko, siza kuvavanya ukuba zeziphi iindleko onokulindela ukuzihlawula ngenxalenye nganye ye-Medicare.

Icandelo A iindleko

Icandelo leMedicare A alina-premium kubantu abaninzi. Nangona kunjalo, ngo-2020, unokulindela ukuhlawula i-deductible ye- $ 1,408 ngexesha ngalinye lesibonelelo ngaphambi kokuba iinkonzo zakho zigutyungelwe.

Unokuhlawulwa kwakhona ngeendleko ze-coinsurance ezongezelelweyo zama-352 zamaRandi ngosuku ukuba uhlala esibhedlele ngaphezu kweentsuku ezingama-60. Emva kweentsuku ezingama-90, loo ndleko inyuka iye kwi-704 yeedola yonke imihla kusuku ngalunye lokugcina olusetyenzisiweyo de kube sele kusetyenziswa. Emva koko, unoxanduva lokuhlawula iindleko zonyango olupheleleyo.

Iindleko zeCandelo B

Ngo-2020, i-premium esemgangathweni yenyanga kwiCandelo B yi- $ 144.60. Kukho i-Medicare Part B yonyaka exhuzulwayo, eyi- $ 198 ngo-2020. Emva kokuba kuthathwe imali yakho, uya kuba noxanduva lokuhlawula kuphela iipesenti ezingama-20 zeenkonzo ezigutyungelweyo ezibonelelwa ngeCandelo B.

Iindleko zeCandelo C

Iindleko eziphuma epokothweni zezicwangciso zeCandelo C zingohluka. Abanye abanazo iipremiyamu zanyanga zonke, kodwa abanye banazo. Ngokwesiqhelo unokulindela ukuhlawula ii-copays, i-coinsurance, kunye nokuncitshiswa kwesicwangciso seCandelo C.

Elona xabiso liphezulu linokutsalwa ngo-2020 kwisicwangciso seCandelo C yi- $ 6,700.

Ezinye izicwangciso zeCandelo C zifuna ukuba uhlawule iipesenti ezingama-20 zemali-mali uze ufike kwi-pocket ephezulu, eyahlukahluka kwisicwangciso ngasinye. Ngalo lonke ixesha jonga ukhuseleko lwakho ukumisela iindleko zeepokothweni onokuzilindela.

Icandelo D iindleko

Izicwangciso zeCandelo D ziyahluka ngokweendleko, kunye nefomula yokugubungela iziyobisi. Unokuthelekisa iiplani zeCandelo C kunye neCandelo D apha.

Iindleko zeMedigap

Izicwangciso zeMedigap ziyahluka ngokweendleko kunye nokugubungela ngokunjalo. Abanye banikezela ngeendlela ezinokutsalwa eziphezulu. Ungathelekisa imigaqo-nkqubo yeMedigap apha.

Siyintoni isifo sikaParkinson?

Isifo sikaParkinson sisifo esiqhubela phambili, esine-neurodegenerative. Sisifo sesibini esixhaphake kakhulu emva kwesifo sika-Alzheimer.

Isizathu seParkinson asiqondakali ngokupheleleyo. Okwangoku, akukho lunyango. Unyango lwesifo sika-Parkinson lusekwe kulawulo lweempawu kunye nolawulo.

Kukho iintlobo ezahlukeneyo zesifo sika-Parkinson, kunye nokuphazamiseka kwemithambo-luvo okufanayo okubizwa ngokuba yi "parkinsonism." Ezi ntlobo zahlukeneyo zibandakanya:

• parkinsonism ephambili
• parkinsonism yesibini (parkinsonism)
• Iparkinsonism ebangelwa sisiyobisi
• i-vascular parkinsonism (isifo se-cerebrovascular)

Ukuthatha

Isifo sikaParkinson yimeko ekhokelela ekwehleni kokuqonda nokusebenza kwemoto ngokuhamba kwexesha. I-Medicare igubungela uluhlu olubanzi lonyango kunye namayeza anokusetyenziswa ukulwa neempawu zeli meko kunye nokuphucula umgangatho wobomi.

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.