Shirye-shiryen Magungunan Massachusetts a cikin 2021

Wadatacce

• Menene Medicare?
• Waɗanne tsare-tsaren Amfani da Medicare suke samuwa a cikin Massachusetts?
• Wanene ya cancanci Medicare a Massachusetts?
• Yaushe zan iya yin rajista a cikin shirin na Medicare?
• Nasihu don yin rajista a cikin Medicare a Massachusetts
• Massachusetts Medicare albarkatun
• Me zan yi a gaba?

Akwai shirye-shiryen Medicare da yawa a Massachusetts. Medicare shiri ne na inshorar lafiya na gwamnati wanda aka tsara don taimaka muku biyan bukatun lafiyar ku.

Koyi game da tsare-tsaren Medicare daban-daban a Massachusetts a 2021 kuma sami madaidaicin shirin don ku.

Menene Medicare?

Asalin Medicare shine shirin Medicare na asali, gami da sassan A da B.

Kashi na A ya shafi dukkan kulawar asibiti, kamar kulawar marasa lafiya, takaitaccen aikin kula da lafiyar gida, da kulawar asibiti.

Sashe na B yana ba da ɗaukar hoto don kula da lafiya, gami da alƙawarin likita, sabis na motar asibiti, da gwaje-gwaje irin su x-ray da aikin jini.

A cikin Massachusetts, ku ma kuna da zaɓi don yin rijista don shirin Amfanin Medicare (Sashe na C). Wadannan tsare-tsaren duk tsare-tsaren-guda ne da aka bayar ta hanyar masu jigilar inshorar lafiya masu zaman kansu.

Shirye-shiryen Amfani da Medicare ya rufe dukkan ayyuka iri ɗaya kamar na Medicare na asali, tare da samar da ɗaukar magunguna tare da wasu shirye-shirye. Akwai ɗaruruwan shirye-shiryen Amfani da Medicare a cikin Massachusetts don zaɓar daga, kuma da yawa sun haɗa da ƙarin ɗaukar hoto don ayyuka kamar hangen nesa, ji, ko kulawar haƙori.

Sashe na D (ɗaukar magungunan magani) yana ɗaukar nauyin magunguna da kuma rage farashin takardar sayan aljihu. Wannan shirin koyaushe ana kara shi zuwa Medicare na asali don samar da ingantaccen ɗaukar hoto.

Hakanan kuna iya zaɓar don ƙara shirin Medigap. Waɗannan plansarin tsare-tsaren na iya taimakawa samar da ƙarin ɗaukar hoto don biyan kuɗin da ba a rufe ta hanyar Medicare na asali ba, kamar su biyan kuɗi, kuɗin kuɗaɗe, da ragi.

Waɗanne tsare-tsaren Amfani da Medicare suke samuwa a cikin Massachusetts?

Shirye-shiryen Amfanin Medicare a Massachusetts suna samuwa ga duk mazaunan da suka cancanci ɗaukar aikin Medicare. Wadannan tsare-tsaren Medicare a Massachusetts suna da farashi mai yawa amma sun haɗa da ƙarin ƙarin sabis na kiwon lafiya.

Masu ba da tallafi na shirin Medicare a Massachusetts sun haɗa da:

• Aetna Medicare
• Garkuwan Blue Blue na Garkuwa na Massachusetts
• Lafiya Fallon
• Harvard Pilgrim Health Care, Inc.
• Humana
• Lafiya Lasso
• Tsarin Kiwon Lafiya na Tufts
• UnitedHealthcare

Lokacin zabar shirin Amfani da Medicare, zaku so kwatanta ƙididdiga daban-daban da tsare-tsaren ɗaukar hoto. Tabbatar da shirin da kuke so an miƙa shi a yankinku. Shirye-shiryen sun bambanta ta gunduma, don haka yi amfani da lambar ZIP dinka don bincika idan tsare-tsaren da kuke kwatantawa suna nan a yankinku.

Wanene ya cancanci Medicare a Massachusetts?

Akwai wadatar magunguna ga dukkan U.S.an ƙasar Amurka da mazauna sama da shekaru 65, da kuma waɗanda ke da takamaiman nakasa ko cututtuka na yau da kullun.

Za a iya rajistar ku ta atomatik a cikin Medicare lokacin da kuka cika shekaru 65, amma idan ba a sa ku ba, ku tabbata kun cika waɗannan cancantar buƙatun masu zuwa:

• kai ɗan ƙasar Amurka ne ko kuma kana da ikon zama na dindindin
• kun biya rarar albashin Medicare yayin aikinku

Idan kasa da shekaru 65, zaka iya cancanta ga Medicare idan ka:

• suna da nakasa wanda kuka karɓi kuɗin inshorar nakasa na Social Security na aƙalla watanni 24
• suna da ƙarshen ƙwayar koda (ESRD) ko amyotrophic a kaikaice sclerosis (ALS)

Yaushe zan iya yin rajista a cikin shirin na Medicare?

Shin kuna shirye don shiga cikin shirin Medicare a Massachusetts?

Samun damar ku na farko da kuka yi rajista zai kasance a lokacin rijista na farko (IEP). Wannan wata ne na watanni 7 da suka fara watanni 3 kafin ranar haihuwar ku ta 65, gami da watan haihuwar ku, da kuma kawo karshen watanni 3 bayan ranar haihuwar ku. A wannan lokacin, kuna iya yin rajista ta atomatik a cikin Medicare na asali idan kuna karɓar fa'idodi daga Kwamitin Ritaya na Railroad ko daga Social Security. Wasu na iya buƙatar yin rajista da hannu.

A lokacin IEP ɗin ku, zaku iya shiga cikin ɗaukar shirin D, ko la'akari da Tsarin Amfani da Medicare a Massachusetts.

Bayan IEP ɗin ku, zaku sami dama biyu a kowace shekara don yin rajista a cikin Medicare na asali, ƙara ɗaukar hoto, ko sauya zuwa shirin Amfani da Medicare. Za ku iya canza canjinku yayin lokacin rajista na Medicare, wanda shine Janairu 1 zuwa Maris 31, kazalika da lokacin yin rajistar shekara-shekara na Medicare, yayin Oktoba 15 da 7 ga Disamba.

Hakanan zaka iya cancanta don lokacin yin rajista na musamman kuma ka sami damar yin rajista a cikin Medicare nan da nan idan ka kwanan nan ka sami canje-canje a cikin inshorar aikinka ko kuma kawai an gano ka tare da rashin lafiyar rashin lafiya.

Nasihu don yin rajista a cikin Medicare a Massachusetts

Akwai abubuwa da yawa da za a yi la’akari da su yayin zaɓar shirin Medicare. Anan akwai wasu ƙididdigar yin rajista don taimaka muku zaɓi tsarin shirin Medicare daidai:

• Kudin. Duba baya ga duk kudaden da aka kashe da aljihunan da kuka biya a shekarar da ta gabata. Shin shirin inshorar kiwon lafiyar da kuke ciki ya ba da isasshen ɗaukar hoto? Idan ba haka ba, nemi tsarin da zai ba ku ƙarin ɗaukar hoto kuma ya taimaka muku samun damar ayyukan da kuke buƙata don kiyaye lafiyar ku da lafiyar ku.
• Shirya hanyar sadarwa. Wani muhimmin mahimmanci da za a tuna shi ne cewa ba duk likitocin ke rufe kowane tsarin inshora ba. Idan kuna la'akari da tsare-tsaren Amfani da Medicare a Massachusetts, kira likitan ku kuma gano hanyoyin sadarwar da suke. Wannan zai taimaka muku wajen rage bincikenku don haka ba kwa buƙatar canza likitoci.
• Bukatun magani. Yi la'akari da ƙara Sashi na D ko ɗaukar magani zuwa ainihin shirin Medicare Massachusetts. Idan kwanan nan ka fara shan sabbin magunguna, ƙara Sashe na D ko nemo shirin Amfani na iya taimaka maka adana kuɗin aljihun a shekara mai zuwa.
• Maganin kantin magani. Kira kantin ku kuma tambayi wane ɗaukar hoto suka yarda. Kuna iya samun babban shiri wanda ke rufe magungunan ku amma ba ku yarda da kantin ku ba. Nemi wani kantin magani a yankinku wanda zai karɓi shirin don taimaka muku adana kuɗin maganin.

Massachusetts Medicare albarkatun

Don ƙarin koyo game da tsare-tsaren Medicare da Amfani da Masana a Massachusetts, zaku iya samun damar waɗannan albarkatu masu zuwa ko samun shawara daga masana.

• Medicare.gov (800-633-4227). Learnara koyo game da zaɓuɓɓukan ɗaukar hoto, samo tsare-tsaren PACE, kuma kwatanta Shirye-shiryen Amfanin Medicare daban-daban a Massachusetts
• SHINE (800-243-4636). Tare da SHINE, zaka iya samun damar bayar da shawarwari game da inshorar lafiya, koya yadda zaka kafa asusun MyMedicare, da samun damar shirye shiryen Mass Health.
• Hukumar Inshorar Rukuni (617-727-2310). Idan kuna da rahoton kiwon lafiya na GIC, sami cikakkun bayanai game da yin rajista a cikin Massachusetts na Medicare da kuma farashin ƙimar bincike.
• MassHealth (800-841-2900). Bincika idan kun cancanci Kulawa ɗaya da samun dama game da dokokin Medicare a Massachusetts.
• Mass Mass (844-422-6277). Tuntuɓi MassOptions don samun ƙarin bayani game da kulawa a cikin gida, rayuwa mai zaman kanta don manya da nakasa, da sauran albarkatu kyauta.

Me zan yi a gaba?

Idan kun cancanci yin rajista a cikin Medicare Massachusetts a 2021, a hankali kwatanta shirin Medicare don auna zaɓinku.

• Ayyade kuɗin da kuke son biya kuma ku nemi tsarin Medicare Massachusetts a cikin gundumar ku wanda zai samar da ɗaukar hoto da kuke buƙata.
• Kira likitan ku don gano hanyar sadarwar da suke ciki kuma ku gwada mafi ƙarancin shirin Medicare uku a Massachusetts.
  • Shiga cikin Medicare akan layi ko ta kiran mai ɗauke da tsarin shirin kai tsaye.

Ko kun kasance sabon zuwa Medicare ko la'akari da sauyawa zuwa shirin Amfani da Medicare a Massachusetts, zaka iya samun shirin da zai rufe duk bukatun lafiyar ka a 2021.

An sabunta wannan labarin a watan Oktoba 5, 2020 don yin tunani game da 2021 bayanin Medicare.

Bayanin da ke wannan gidan yanar gizon na iya taimaka muku wajen yanke shawara na kanku game da inshora, amma ba a nufin ba da shawara game da sayan ko amfani da kowane inshora ko samfuran inshora. Media na Lafiya ba ya canza kasuwancin inshora ta kowace hanya kuma ba shi da lasisi a matsayin kamfanin inshora ko mai samarwa a cikin kowane ikon Amurka. Media na Lafiya ba ya ba da shawara ko amincewa da wani ɓangare na uku da zai iya ma'amala da kasuwancin inshora.