'Wamkelekile kwiMedicare' ngokwasemzimbeni: Ngaba Ngokwenyani yinto yokwenyama?

Umxholo

• Loluphi ulwamkelo kukhenketho lothintelo lonyango?
• Imbali yezonyango neyentlalo
• Uviwo
• Ukhuseleko kunye nokuphononongwa komngcipheko
• Imfundo
• Yintoni eyamkelekileyo kutyelelo lokuthintela lweMedicare AKUKHO
• Ukutyelelwa qho ngonyaka
• Ngubani onokwenza uKwamkelwa kutyelelo lweMedare?
• Zeziphi ezinye iinkonzo zokuthintela ezifunyanwa nguMedare?
• Ukuvavanywa kovavanyo kwi-Medicare
• Ukugonywa
• Ezinye iinkonzo zokuthintela
• Umgca wezantsi

Unonophelo lothintelo lubalulekile ekuncedeni ekuboneni nasekuthinteleni izifo ezahlukeneyo okanye iimeko ebomini bakho bonke. Ezi nkonzo zinokubaluleka ngakumbi njengoko usiya ukhula.

Xa uqala i-Medicare, uvumelekile ukuba "wamkelwe kwi-Medicare" ukutyelela. Ngelixesha lotyelelo, ugqirha wakho uza kujonga kwakhona imbali yakho yezonyango kwaye akunike ulwazi malunga neenkonzo ezahlukeneyo zokuthintela.

Ulwamkelo kutyelelo lweMedicare lwalusetyenziswa ngabantu abaqala kwiMedicare ngo-2016.

Kodwa yintoni kanye kanye engafakwanga kolu tyelelo? Eli nqaku liphonononga uLwamkelo kuTyelelo lweMedare ngokweenkcukacha.

Loluphi ulwamkelo kukhenketho lothintelo lonyango?

I-Medicare Icandelo B ligubungela ixesha elinye lokwamkelwa kutyelelo lweMedicare. Ungalugqiba olu tyelelo ngaphakathi kweenyanga ezili-12 zokuqala iMedare.

Awuyi kuhlawula nantoni na ngoKwamkelwa kwakho kwi-Medicare ngaphandle kokuba unikwe iinkonzo ezingafakwanga, ezinje ngeemvavanyo zaselebhu kunye nokuhlolwa kwezempilo.

Nantsi into eyamkelweyo kutyelelo lukaMedare.

Imbali yezonyango neyentlalo

Ugqirha wakho uyakujonga kwakhona imbali yakho yezonyango kunye neyentlalo. Oku kunokubandakanya izinto ezinje:

• izigulo zangaphambili, iimeko zonyango, okanye utyando okhe wahlangabezana nalo
• naziphi na izifo okanye iimeko ezihamba kusapho lwakho
• amayeza kunye nezongezo zokutya okwenzayo ngoku
• izinto zokuphila, ezinje ngokutya kwakho, inqanaba lokuzilolonga, kunye nembali yokusebenzisa icuba okanye utywala

Uviwo

Olu vavanyo lusisiseko lubandakanya:

• ukurekhoda ubude bakho kunye nobunzima
• ukubala ubunzima bomzimba wakho (BMI)
• ukuthatha uxinzelelo lwegazi
• ukwenza uvavanyo umbono olula

Ukhuseleko kunye nokuphononongwa komngcipheko

Ugqirha wakho unokusebenzisa amaphepha emibuzo okanye izixhobo zovavanyo ukunceda ukumisela izinto ezinje:

• nayiphi na imiqondiso yokulahleka kwendlebe
• umngcipheko wokuwa
• ukhuseleko kwikhaya lakho
• umngcipheko wokukhula koxinzelelo

Imfundo

Ngokusekwe kulwazi abaluqokelelayo, ugqirha wakho uya kusebenza ekucebiseni kwaye akwazise ngezihloko ezahlukeneyo, kubandakanya:

• nakuphi na ukuvavanywa kwezempilo okucetyiswayo
• izitofu, ezinje ngomkhuhlane kunye nepneumococcal vaccine
• Ukuthunyelwa kukhathalelo lweengcali
• Imiyalelo yokuqhubela phambili, efana nokuba ufuna ukuvuselelwa ukuba intliziyo okanye ukuphefumla kuyayeka

Yintoni eyamkelekileyo kutyelelo lokuthintela lweMedicare AKUKHO

Kubalulekile ukuba uqaphele ukuba Ukwamkelwa kutyelelo lweMedicare ayisiyiyo eyomzimba yonyaka. I-Medicare yoqobo (iinxalenye A kunye no-B) azigubungeli ii-physicals zonyaka.

Umzimba wonyaka ucaciswe ngakumbi kunokwamkelwa kwi-Medicare. Ukongeza ekuthatheni imiqondiso ebalulekileyo, inokubandakanya ezinye izinto, ezinje ngeemvavanyo zaselebhu okanye ukuphefumla, imithambo-luvo kunye novavanyo lwesisu.

Ezinye izicwangciso ze-Medicare Part C (i-Advantage) zingabandakanya ii-physicals zonyaka. Nangona kunjalo, oku kungahluka ngesicwangciso esithile. Ukuba unesicwangciso seCandelo C, qiniseka ukuba ujonge kwinto egqunyiweyo ngaphambi kokucwangcisa ukuqeshwa komzimba.

Ukutyelelwa qho ngonyaka

Nje ukuba usebenzise i-Medicare Part B ngaphezulu kweenyanga ezili-12, iya kubandakanya ukutyelelwa qho ngonyaka. Utyelelo lonyaka lwempilo-ntle lunokucwangciswa kube kanye kwiinyanga ezili-12.

Olu hlobo lotyelelo lubandakanya uninzi lwamacandelo oKwamkelwa kutyelelo lweMedare. Inokuba luncedo kakhulu ekuhlaziyeni imbali yakho yezonyango kunye neengcebiso zokhathalelo.

Ukongeza, uvavanyo lokuqonda lwenziwa njengenxalenye yotyelelo lwentlalo-ntle minyaka le. Oku kunokusetyenziselwa ukunceda ukufumanisa iimeko ezinjenge-dementia okanye isifo se-Alzheimer kwangoko.

Njengotyelelo olwamkelekileyo kwi-Medicare, kuyakufuneka uhlawulele ezinye okanye zonke izinto ezongeziweyo zokuvavanywa okanye iimvavanyo ezingagutyungelwanga kutyelelo lwempilo-ntle.

Ngubani onokwenza uKwamkelwa kutyelelo lweMedare?

Ugqirha wakho unokukwenza ukuba wamkelwe kwi-Medicare ukuba bayavuma ukwabelwa. Oku kuthetha ukuba bayavuma ukwamkela intlawulo ngokuthe ngqo kwi-Medicare kwisixa esivunyiweyo se-Medicare seenkonzo ezinikezelwe kutyelelo.

Ugqirha wakho kufuneka akwazise ngaphambi kokuba benze naziphi na iinkonzo ezingafakwanga kuLwamkelo kwi-Medicare. Ngale ndlela, unokukhetha ukuba ufuna ukufumana ezo nkonzo ngelo xesha.

Zeziphi ezinye iinkonzo zokuthintela ezifunyanwa nguMedare?

Unonophelo lothintelo lunokunceda ekufumaneni iimeko ezinzulu kwangethuba. Ngokutsho kwamaZiko okuLawula nokuLawula izifo (CDC), abathathu kubantu abaneminyaka engama-65 nangaphezulu ba:

• isifo sentliziyo
• umhlaza
• isifo esinganyangekiyo sokuphefumla

Unonophelo lothintelo lunokunceda ekufumaneni le meko kunye nezinye, ukuqinisekisa unyango kwangoko.

Ukuvavanywa kovavanyo kwi-Medicare

Ukugonywa

Olunye ugonyo lukwagutyungelwa, njengale:

• IHepatitis B. Iyasebenza kubantu abanomngcipheko ophakathi okanye ophezulu wokufumana isifo se-hepatitis B.
• Umkhuhlane. Unokufumana umkhuhlane udubule kube kanye ngexesha lomkhuhlane.
• Isifo sepneumococcal. Amachiza amabini e-pneumococcal agqityiwe: isitofu sokugonya se-23-valent pneumococcal polysaccharide (PPSV23) kunye ne-13-valent pneumococcal conjugate vaccine (PCV13).

Ezinye iinkonzo zokuthintela

Ukongeza, i-Medicare igubungela ezinye iinkonzo zonyaka zokuthintela, kubandakanya:

• Utywala usebenzisa iingcebiso gwenxa. Fumana ukuya kuthi ga kwiseshini zokunxibelelana ubuso ngobuso ukuba ubusebenzisa kakubi utywala.
• Unyango lokuziphatha kwisifo sentliziyo. Dibana kanye ngonyaka nogqirha wakho ukuxoxa ngeendlela zokunceda ukunciphisa umngcipheko wesifo sentliziyo.
• Uqeqesho kulawulo lweswekile. Fumana iingcebiso zokujonga iswekile yegazi, ukutya ukutya okusempilweni, kunye nokwenza umthambo.
• Unyango lwesondlo. Sebenza nengcali yesondlo ukuba unesifo seswekile, isifo sezintso, okanye ufumene ukufakelwa kwezintso kwiinyanga ezingama-36 ezidlulileyo.
• Ukucebisa ngokutyeba kakhulu. Iiseshini zokucebisa ubuso nobuso zinokukunceda ukunciphisa umzimba ukuba une-BMI engama-30 okanye nangaphezulu.
• Iingcebiso nge-STI. Iiseshoni ezimbini zokunxibelelana ubuso ngobuso ziyafumaneka kubantu abadala abasebenza ngokwesondo abanomngcipheko owandayo we-STIs.
• Ukucebisa ngokusetyenziswa kwecuba. Fumana iiseshoni zobuso ngobuso ezisibhozo kangangexesha leenyanga ezili-12 ukuba usebenzisa icuba kwaye ufuna uncedo lokuyeka.

• Yisebenzise! Ngaphantsi kwabantu abadala abangaphezu kweminyaka engama-65 ubudala banolwazi ngononophelo lothintelo, njengokuhlolwa kunye nokugonywa.
• Rhoqojonga ugqirha wakho. Ngumgaqo olungileyo wesithupha ukutyelela ugqirha wakho ukuze ahlolwe ubuncinci kube kanye ngonyaka, ngokweKliniki yaseMayo.
• Gcina indlela yokuphila esempilweni. Ukwenza ukhetho olusempilweni malunga nokuzilolonga, ukutya, kunye nokusetyenziswa kwecuba kunokunceda ekuphuculeni impilo yakho iyonke kunye nokunciphisa umngcipheko weemeko ezinjengesifo sentliziyo kunye nomhlaza.
• Nxibelelana ngokukhululekileyo nogqirha wakho. Ukuthetha nogqirha wakho malunga nempilo yakho kunokubanceda benze izigqibo malunga novavanyo kunye novavanyo. Bazise ukuba unembali yosapho yokugula okanye imeko ethile, iimpawu ezintsha okanye ezothusayo, okanye ezinye iingxaki zempilo.

Ukuhlolwa kwezempilo okudingayo kunokuxhomekeka kwizinto ezininzi, ezinje ngeminyaka yakho, impilo yonke, umngcipheko, kunye nezikhokelo zeMedare.

Umgca wezantsi

Unonophelo lothintelo lubalulekile kuthintelo kunye nokuchongwa kweemeko ezahlukeneyo okanye izifo. Ukwamkelwa kutyelelo lweMedicare kunokunceda ugqirha wakho kuvavanyo lwempilo yakho kunye nokwenza izindululo zokhathalelo.

Unokwenza ishedyuli yokwamkela kwakho kwi-Medicare kwiinyanga ezili-12 zokuqala iMedare. Kubandakanya ukuthatha imbali yakho yezonyango, uvavanyo olusisiseko, ukuvavanya umngcipheko kunye nokukhuseleka, kunye nokwenza izindululo kukhathalelo lwempilo.

Ukwamkelwa kutyelelo lweMedicare ayisiyiyo eyomzimba yonyaka. Izinto ezinjengeemvavanyo zaselebhu kunye neemviwo zokuhlola azifakwanga.

Nangona kunjalo, i-Medicare inokugubungela ezinye zeenkonzo njengononophelo lothintelo ngamathuba athile.

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.