Karya gumi: Medicare da SilverSneakers

Wadatacce

• Menene SilverSneakers?
• Shin Medicare tana rufe SilverSneakers?
• Wadanne sassa ne na Medicare ke rufe SilverSneakers?
• Nawa ne kudin Sneakers na Azurfa?
• Layin kasa

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Motsa jiki yana da mahimmanci ga duka rukunin shekaru, gami da tsofaffi.

Tabbatar da cewa ka dage da motsa jiki zai iya taimakawa wajen kiyaye motsi da motsa jiki, ɗaga halinka, da saukaka ayyukan yau da kullun.

SilverSneakers shiri ne na kiwon lafiya da dacewa wanda ke ba da damar motsa jiki da azuzuwan motsa jiki don tsofaffi. An rufe shi da wasu shirye-shiryen Medicare.

Wani daga cikin mahalarta SilverSneakers ya gano cewa mutane da yawa da yawan ziyartar motsa jiki suna da ƙimar rahoton lafiyar jiki da hankali sosai.

Ci gaba da karatu don ƙarin koyo game da SilverSneakers, wanda shirin Medicare ke rufe shi, da ƙari.

Menene SilverSneakers?

SilverSneakers shiri ne na kiwon lafiya da dacewa wanda aka keɓance musamman ga manya shekaru 65 zuwa sama.

Ya haɗa da fa'idodi masu zuwa:

• amfani da wuraren motsa jiki masu shiga, gami da kayan motsa jiki, wuraren waha, da waƙoƙin tafiya
• azuzuwan motsa jiki da aka tsara musamman don tsofaffi na duk matakan motsa jiki, gami da wasan motsa jiki, horo mai ƙarfi, da yoga
• samun dama ga albarkatun kan layi, gami da bidiyon motsa jiki tare da abinci mai gina jiki da nasihun motsa jiki
• inganta ƙungiyar tallafi na 'yan uwanmu mahalarta kai tsaye da kan layi

SilverSneakers na da dubunnan wuraren wasan motsa jiki a duk faɗin ƙasar. Domin neman wuri kusa da kai, yi amfani da kayan aikin bincike kyauta akan gidan yanar gizon SilverSneakers.

Yin amfani da shirye-shiryen motsa jiki na iya taimakawa inganta lafiyar ku gaba ɗaya kuma na iya rage farashin ku na kiwon lafiya.

Daya ya bi mahalarta SilverSneakers tsawon shekaru 2. A shekara ta biyu, an gano cewa mahalarta suna da ƙarancin kuɗaɗen kuɗin kiwon lafiya gami da ƙara haɓaka cikin ƙimar kula da lafiya idan aka kwatanta da waɗanda ba su saka hannu ba.

Shin Medicare tana rufe SilverSneakers?

Wasu Sashe na C (Amfanin Medicare) tsare-tsaren sun rufe SilverSneakers. Bugu da ƙari, wasu shirye-shiryen Medigap (ƙarin aikin likita) sun rufe shi kuma.

Idan shirin ku ya rufe shirin SilverSneakers, zaku iya yin rijista da shi akan gidan yanar gizon SilverSneakers. Bayan ka yi rajista, za a ba ka katin membobin SilverSneakers tare da lambar ID na memba.

Membobin SilverSneakers suna da damar zuwa kowane dakin motsa jiki da ke shiga cikin shirin. Kuna iya amfani da katin membobin ku don yin rijista a gidan motsa jikin da kuka zaɓa. Sannan za ku sami dama ga duk fa'idodin SilverSneakers kyauta.

Don haka ta yaya zaku zabi shirin Medicare wanda ya dace da bukatunku? Bi nasihun da ke ƙasa don farawa:

• Yi tunani game da bukatun lafiyar ku. Tunda kowa yana da bukatun kiwon lafiya daban-daban, yana da mahimmanci a yi la’akari da wane irin kiwon lafiya ko ayyukan likita da za ku buƙaci a shekara mai zuwa.
• Dubi zaɓuɓɓukan ɗaukar hoto. Kwatanta ɗaukar hoto da aka bayar a cikin tsare-tsaren Medicare daban-daban tare da bukatun lafiyar ku. Mayar da hankali kan shirye-shiryen da zasu sadu da waɗannan buƙatun a cikin shekara mai zuwa.
• Yi la'akari da farashi. Farashi zai iya bambanta ta hanyar shirin Medicare daka zaba. Lokacin da kake duban tsare-tsaren, yi tunani game da abubuwa kamar farashi, rarar kuɗi, da kuma nawa za ku iya biya daga aljihu.
• Kwatanta shirin Sashi na C da Sashi na D. Idan kana kallon shirin Sashi na C ko Sashi na D, ka tuna cewa abin da aka rufe ya bambanta da kowane shirin kowane mutum. Yi amfani da rukunin yanar gizon Medicare don kwatanta shirye-shirye daban-daban kafin yanke shawara akan ɗayan.
• Duba likitocin da ke halartar. Wasu tsare-tsaren suna buƙatar amfani da mai ba da lafiya a cikin hanyar sadarwar su. Tabbatar da sake dubawa sau biyu don ganin idan an haɗa mai ba da kiwon lafiya a cikin tsarin sadarwar shirin kafin yin rajista.

Wadanne sassa ne na Medicare ke rufe SilverSneakers?

Asalin Asibiti (Sassan A da B) baya rufe mambobin motsa jiki ko shirye-shiryen motsa jiki. Tunda SilverSneakers sun faɗi a ƙarƙashin wannan rukunin, Asibitin asali ba ya rufe shi.

Koyaya, membobin motsa jiki da shirye-shiryen motsa jiki, gami da SilverSneakers, galibi ana rufe su azaman ƙarin fa'ida a cikin shirye-shiryen Medicare Part C.

Kamfanonin inshora masu zaman kansu waɗanda Medicare ta amince da su suna ba da waɗannan tsare-tsaren.

Shirye-shiryen Sashe na C sun haɗa da fa'idodin da sassan A da B. ke rufe kuma galibi suna da ƙarin fa'idodi kamar haƙori, hangen nesa, da ɗaukar maganin magani (Sashe na D).

Wasu manufofin Medigap suma zasu rufe membobin gidan motsa jiki da shirye-shiryen motsa jiki. Kamar shirye-shiryen Sashe na C, kamfanonin inshora masu zaman kansu suna ba da shirye-shiryen Medigap. Shirye-shiryen Medigap suna taimakawa wajen biyan kuɗin da Asibitin Asali bai yi ba.

Nawa ne kudin Sneakers na Azurfa?

Membobin SilverSneakers suna da damar yin amfani da abubuwan da aka haɗa kyauta. Dole ne ku biya duk wani abin da ba a rufe shi ba a cikin shirin SilverSneakers.

Idan ba ku da tabbas game da abin da aka haɗa a wani takamaiman gidan motsa jiki, tabbatar da tambaya.

Bugu da ƙari, yana da mahimmanci a lura cewa takamaiman abubuwan jin daɗi da azuzuwan da kuke da su na iya bambanta ta wurin motsa jiki. Wataƙila ku bincika gidan motsa jiki mai shiga wanda ya dace da takamaiman bukatun ku na dacewa.

Shin za ku shiga cikin Medicare don shekara mai zuwa? Bi matakan da ke ƙasa don taimakawa kan tsarin yin rajista:

• Kuna buƙatar rajista? Idan kun riga kuna karɓar fa'idodin Tsaro na Social, za ku shiga cikin ta atomatik a Asalin Asibiti (Sassan A da B) lokacin da kuka cancanci. Idan baku tattara Social Security ba, kuna buƙatar sa hannu.
• San lokacin bude rajista ne. Wannan shine lokacin lokacin da zaku iya shiga ko yin canje-canje ga tsare-tsaren Medicare. Kowace shekara, buɗe rajista shine Oktoba 15 zuwa 7 ga Disamba.
• Kwatanta shirye-shirye. Kudin kuɗi da ɗaukar hoto na shirin Medicare Sashe na C da Sashe na D na iya bambanta da tsari. Idan kuna la'akari da Sashe na C ko Sashi na D, tabbatar da kwatanta shirye-shirye da yawa waɗanda suke akwai a yankinku kafin zaɓar ɗaya.

Layin kasa

SilverSneakers shiri ne na musamman wanda ya dace da manya. Ya hada da:

• samun damar zuwa wuraren motsa jiki
• musamman motsa jiki azuzuwan
• albarkatun kan layi

Ana bayar da fa'idodin SilverSneakers ga mambobi kyauta. Idan kana son amfani da dakin motsa jiki ko ayyukan motsa jiki da ba a haɗa su a cikin SilverSneakers ba, dole ne ka biya su.

Asalin Medicare ba ya rufe membobin gidan motsa jiki ko shirye-shiryen motsa jiki kamar SilverSneakers. Koyaya, wasu shirin Medicare Part C da Medigap sunyi.

Idan kuna sha'awar SilverSneakers, bincika don ganin an saka shi cikin shirinku ko kowane shirin da kuke la'akari.