Sabbin Shirye-shiryen Magungunan Mexico a 2021

Wadatacce

• Menene Medicare?
• Asibiti na asali
• Maganin magani
• Shirye-shiryen Amfani da Medicare
• Waɗanne tsare-tsaren Fa'idodin Medicare suke akwai a New Mexico?
• Wanene ya cancanci Medicare a New Mexico?
• Yaushe zan iya shiga cikin shirin Medicare New Mexico?
• Lokacin yin rajista na farko
• Bude lokacin yin rajista (1 ga Janairu zuwa 31 ga Maris) da kuma lokacin yin rajista na shekara-shekara (15 ga Oktoba zuwa 7 ga Disamba)
• Lokacin yin rajista na musamman
• Nasihu don yin rajista a cikin Medicare a New Mexico
• Sabbin hanyoyin kiwon lafiya na Mexico
• Me zan yi a gaba?

Medicare New Mexico tana ba da kulawar kiwon lafiya ga mutanen da ke da shekaru 65 zuwa sama a cikin jihar, kuma a cikin 2018, mutane 409,851 sun shiga cikin shirin Medicare a New Mexico. Akwai tsare-tsare da dama da masu ba da inshora, don haka bincika zaɓinku sosai kafin ku yi rajista don Medicare New Mexico.

Menene Medicare?

Akwai manyan nau'ikan shirye-shiryen Medicare huɗu a cikin New Mexico, kuma fahimtar kowane ɗayan zai taimaka muku yanke shawara game da bukatun lafiyar ku. Kowane nau'i yana ba da zaɓuɓɓukan ɗaukar hoto daban-daban, daga asali zuwa cikakke.

Asibiti na asali

Hakanan an san shi da Sashi na A da Sashi na B, asali na Medicare New Mexico yana ba da kulawa ta kiwon lafiya na asali ga mutane masu shekaru 65 zuwa sama a duk faɗin Amurka. Idan kun cancanci fa'idodin tsaro na zamantakewar jama'a, da alama an riga an sa ku a cikin Sashi na A kuma mai yiwuwa ku cancanci samun tallafi kyauta.

Asalin Medicare na asali ya haɗa da:

• sabis na asibiti
• hospice kula
• sabis na kiwon lafiya na gida-lokaci
• ƙayyadaddun ƙwararrun wuraren kula da tsofaffi
• sabis na asibiti
• allurar rigakafin cutar mura ta shekara-shekara
• gwajin jini
• alƙawarin likita

Maganin magani

Shirye-shiryen Medicare Sashe na D a cikin New Mexico suna ba da izinin maganin magani. Akwai wasu tsare-tsaren da za a zaɓa daga, kowannensu tare da zaɓaɓɓun jerin takaddun saƙo waɗanda aka rufe.

Kuna iya ƙara ɗaukar sashi na D zuwa Asibitinku na asali don daidaita farashin magunguna.

Shirye-shiryen Amfani da Medicare

Shirye-shiryen Medicare Amfani (Sashe na C) a cikin New Mexico, wanda aka fi sani da Sashe na C, yana ba ku damar zaɓuɓɓukan ɗaukar hoto a duk matakan girma.

Waɗannan tsare-tsaren duka-ɗaya sun haɗa da duk ayyukan da asalin Medicare ya rufe, da kuma ɗaukar magunguna. Wasu shirye-shiryen Amfani da Medicare a cikin New Mexico suma sun haɗa da ƙarin ɗaukar hoto don shirye-shiryen lafiya da lafiya, kiwon lafiyar hana, kula da haƙori, ko buƙatun hangen nesa.

Waɗanne tsare-tsaren Fa'idodin Medicare suke akwai a New Mexico?

Masu ɗaukar shirin fa'ida a New Mexico sun haɗa da:

• Aetna
• Allwell
• Kula da Amungiyar Amerigroup na New Mexico
• Garkuwan Blue Cross na Blue Cross na NM
• Karnonin Kirsimeti na Kirsimeti
• Cigna
• Humana
• Kamfanonin Inshorar Imperial, Inc.
• Lafiya Lasso
• Kiwon Lafiya na Molina na New Mexico, Inc.
• Kamfanin Inshorar Presbyterian, Inc.
• UnitedHealthcare

Kowane ɗayan waɗannan masu jigilar kayayyaki suna ba da tsare-tsaren Amfani da dama na Medicare kuma suna ba da komai tun daga asali har zuwa cikakken kiwon lafiya da ɗaukar magani.

Ba duk masu jigilar kaya ke samar da inshora a duk yankuna ba, don haka bincika buƙatun wurin kowane mai ba da sabis, kuma yi amfani da lambar ZIP lokacin bincike don tabbatar da cewa kawai kuna duban shirye-shiryen da ke cikin yankin ku.

Wanene ya cancanci Medicare a New Mexico?

Yawancin mutane masu shekaru 65 da haihuwa sun cancanci Medicare New Mexico. Don samun cancanta dole ne:

• kasance shekaru 65 ko tsufa
• zama ɗan ƙasa ko mazaunin dindindin na Amurka a cikin shekaru 5 da suka gabata ko fiye

Idan kun kasance ƙasa da shekaru 65, zaku iya cancanta ga Medicare New Mexico idan kun:

• suna da nakasa ta dindindin
• sun cancanci fa'idodin nakasa ga Social Security tsawon watanni 24
• suna da ciwo mai tsanani kamar su amyotrophic lateral sclerosis (ALS) ko ƙarshen cutar koda (ESRD)

Hakanan kun cancanci karɓar sashin A kyauta kyauta idan kun cika ɗayan waɗannan buƙatun masu zuwa:

• ku ko abokiyar auren ku kun cancanci fa'idodi daga Social Security
• ku ko abokiyar auren ku kun cancanci fa'idodi daga Hukumar Ritaya ta Railroad
• kayi aiki a wurin aiki inda ka biya harajin Medicare

Yaushe zan iya shiga cikin shirin Medicare New Mexico?

Lokacin yin rajista na farko

Wannan ita ce damarku ta farko don yin rajista a cikin ɗaukar hoto na Medicare New Mexico. Wannan lokacin na watanni 7 yana farawa watanni 3 kafin watan da kuka cika shekaru 65, ya hada da watan haihuwar ku, kuma ya shimfida watanni 3 bayan juyawar ku 65. Kuna iya yin rajista a sassan Medicare A da B a wannan lokacin.

Bude lokacin yin rajista (1 ga Janairu zuwa 31 ga Maris) da kuma lokacin yin rajista na shekara-shekara (15 ga Oktoba zuwa 7 ga Disamba)

Samun damar ku na gaba don yin rajista a cikin Medicare shine waɗannan waɗannan lokutan kowace shekara.

A lokacin waɗannan lokuta biyu zaka iya:

• Partara ɗaukar hoto na D zuwa asalin likitanku
• canzawa daga Asibiti na asali zuwa shirin Amfani
• sauyawa daga shirin Amfani da baya zuwa Asibiti na asali
• sauyawa tsakanin shirye-shiryen Amfani da Medicare a cikin New Mexico

Lokacin yin rajista na musamman

Hakanan ƙila ku sami damar yin rajista a wannan lokacin idan kwanan nan kun rasa fa'idodin lafiyar mai aikinku ko kuma sun ƙaura zuwa wajen kewayon shirinku na yanzu. Hakanan zaka iya cancanci yin rajista na musamman idan kwanan nan ka koma gidan kula da tsofaffi, ko kuma idan ka cancanci shirin buƙatu na musamman saboda wata nakasa ko rashin lafiya mai tsanani.

Nasihu don yin rajista a cikin Medicare a New Mexico

Tare da tsare-tsaren Medicare da yawa a New Mexico, zai ɗauki lokaci kafin a sami shirin da ya dace don bukatun lafiyar ku da kasafin ku. Anan akwai wasu nasihu don taimaka muku kimanta zaɓuɓɓukan shirinku.

1. Gano idan likitan da kuka fi so ko kantin magani yana rufe. Kowane ɗayan Medicare Sashe na D da Mai Amfani da Shirye-shiryen mai amfani yana aiki tare da adadin adadin likitocin da aka amince da su da kuma kantin magani. Kira ofishin likitanku don gano waɗanne masu jigilar da suke aiki tare, kuma tabbatar cewa kawai kuna la'akari da tsare-tsaren da za su rufe alƙawarin likitanku.
2. Yi cikakken jerin magungunan ku na yanzu da kuma takardun magani. Kowane shiri yana da jerin magungunan da aka rufe, don haka kwatanta wannan jeren akan naka kuma kawai zaɓi shirin da zai samar muku da ingantaccen ɗaukar magani.
3. Kwatanta kimantawa. Don gano abin da wasu suka yi tunani game da kowane shiri, kwatanta ƙididdigar tauraruwa na kowane shiri don ganin wanne ya fi kyau. CMS tana amfani da tsarin kimantawa ta 1- zuwa 5, inda 4 ko 5 ke nuna cewa mutanen da suka shiga cikin shirin shekarar da ta gabata suna da ƙwarewa masu kyau tare da shi.

Sabbin hanyoyin kiwon lafiya na Mexico

Idan kuna buƙatar shawara kan yadda zaku zaɓi tsari, ko don fayyace cancanta ko kwanakin yin rajista, tuntuɓi kowane ɗayan ƙungiyoyin jihohi masu zuwa don taimako.

• Sabuwar Ma'aikatar tsufa da Tsawon Lokaci, 800-432-2080. Ma'aikatar Tsufa tana ba da shawara ba tare da son kai ba game da Medicare, sabis na Taimakon Inshorar Kiwan Lafiya na Jiha (SHIP), bayanan Ombudsman, da kuma samun dama ga ayyuka kamar abinci ko kayan masarufi.
• Biyan Babban Kulawa, 206-462-5728. Gano game da Taimakon Magungunan Magunguna a New Mexico, da taimakon kuɗi don kulawa da rayuwa mai taimako.
• Medicare, 800-633-4227. Tuntuɓi Medicare kai tsaye don tambaya game da shirin Medicare a New Mexico, tambaya game da Rimar Star, ko tambaya game da lokacin yin rajista na musamman.

Me zan yi a gaba?

Shin kuna shirye don shiga cikin Medicare New Mexico? Tabbatar kun cancanci Medicare sannan ku fara rajista ta:

• Ayyade lokacin da zaku iya yin rajista a cikin Medicare, ko dai a lokacin rijista na farko ko yayin buɗe rajista.
• Yi bitar zaɓuɓɓukan ɗaukar hotonku, ku zaɓi shirin da ke ba da kula da lafiya da ɗaukar ƙwayoyin magani da kuke buƙata a cikin ƙimar da ta dace.
• Kira Medicare ko mai ba da inshora don fara aikin rajista.

An sabunta wannan labarin a ranar Nuwamba 20, 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.