Mawallafi: Monica Porter
Ranar Halitta: 19 Maris 2021
Sabuntawa: 19 Nuwamba 2024
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Principles of Case Management | Comprehensive Case Management Certification
Video: Principles of Case Management | Comprehensive Case Management Certification

Wadatacce

  • Kuna da dama da dama don canza shirin Amfani da Medicare a duk shekara.
  • Kuna iya canza shirin ku don Amfani da Medicare da kuma siyarwar magani na Medicare yayin lokacin yin rajista na Medicare ko kuma lokacin buɗe ribar Medicare Advantage.
  • Hakanan zaka iya canza shirin Amfani da Medicare yayin wani lokacin yin rijista na musamman wanda babban canji ya haifar a rayuwarka.

Idan yanayinku ya canza tun lokacin da kuka fara rajista a cikin shirin Amfani da Medicare, yanzu kuna iya neman wani tsari daban wanda zai dace da bukatunku. Amma zaku iya sauke shirin ɗaya ku canza zuwa wani?

Amsar a takaice ita ce, a. Amsar doguwa: Kuna iya canza shirin Amfani da Medicare amma a lokacin takamaiman lokacin yin rajista a cikin shekara. Ba shi da wahala, amma yana da muhimmanci a yi shi a lokacin da ya dace. In ba haka ba, zaka iya rasa ɗaukar hoto ko ƙirƙirar rata a cikin ɗaukar hoton ka.

Anan ga abin da yakamata ku sani game da yaushe da yadda zaku canza shirin Amfani da Medicare.


Ta yaya zan sauya shirye-shiryen Amfani da Medicare?

Kasuwancin inshora masu zaman kansu suna ba da shirin Medicare Advantage (Sashe na C). Idan kuna da shirin Amfani da Medicare, zaku iya:

  • canza zuwa shirin Amfani da Medicare daban daban wanda ke ba da maganin ƙwayoyi
  • canza zuwa shirin Amfani da Medicare daban daban wanda baya bayar da ɗaukar magunguna
  • sauya zuwa Asibiti na asali (sassan A da B) tare da shirin Sashi na D (takardar sayan magani)
  • sauya zuwa Asibiti na asali ba tare da ƙara shirin Sashe na D ba

Yawancin lokaci zaku iya canza sau ɗaya kawai zuwa shirinku yayin lokacin rijistar buɗe ribar Medicare.

Don sauya tsare-tsaren, tuntuɓi mai ba da inshora na shirin da kuke so kuma nema don ɗaukar hoto. Idan baku da tabbacin yadda za a tuntuɓi mai ba da sabis ɗin, mai neman kayan aikin shirin na Medicare na iya zama da amfani. Za a cire ku daga shirinku na baya da zaran sabon shirinku ya fara aiki.


Idan kuna canzawa daga shirin Amfani da Medicare zuwa ainihin Medicare, zaku iya kiran tsohon shirinku ko yin rajista ta hanyar Medicare ta hanyar kiran 800-MEDICARE.

Yaushe zan iya sauya shirin Amfani da Medicare?

Kuna iya canza shirin Amfani da Medicare a lokacin saita lokacin yin rajista kowace shekara kuma a cikin wani takamaiman lokaci da ke biye da wasu al'amuran rayuwa. Anan akwai takamaiman ranaku da ƙa'idodi don lokacin da zaku iya sauya tsare-tsaren Amfanin Medicare.

Lokacin yin rajista na farko

Kuna iya canza shirin Amfani da Medicare a kowane lokaci yayin lokacin rijistar ku na farko.

Idan kun cancanci zuwa Medicare gwargwadon shekarunku, to rijistar ku ta farko zata fara watanni 3 kafin watan haihuwar ku na 65, ya haɗa da watan haihuwar ku, kuma zai ci gaba har tsawon watanni 3 daga baya. Gabaɗaya, lokacin yin rajista na farko yana ɗaukar watanni 7.

Idan kun cancanci aikin Medicare bisa ga nakasa, lokacin yin rajistar ku zai fara watanni 3 kafin watan ku na 25 na samun Inshorar Tsaro na Tsaro ko Amfanin Jirgin Ritaya na Railroad, ya haɗa da watan 25 ɗin ku, kuma zai ci gaba tsawon watanni 3 bayan haka.


Amfani da Medicare Amfani a buɗe rajista

Kuna iya yin canje-canje ga shirinku a kowane lokaci yayin buɗe rijistar buɗe ribar Medicare daga Janairu 1 zuwa Maris 31 kowace shekara. Wannan kuma shine lokacin rajista na gaba daya.

Canje-canjen da kuka yi zasu fara aiki a ranar farko ga watan da ke bi ma watan da kuka yi canji.

Bude lokacin yin rajista

Kuna iya yin canje-canje ga shirin Amfanin ku na Medicare a kowane lokaci yayin lokacin zaɓen shekara, wanda aka sani da rijistar buɗewa. Wannan yana farawa daga 15 ga Oktoba zuwa 7 ga Disamba kowace shekara. Canje-canjen da kuka yi zasu fara aiki a ranar 1 ga Janairu na shekara mai zuwa.

Lokaci na yin rajista na musamman

Wasu al'amuran rayuwa na iya haifar da dama don sauya shirin Amfani da Medicare. Idan ka ƙaura zuwa sabon wuri, zaɓuɓɓukan ɗaukar hoto naka sun canza, ko kuma ka haɗu da wasu yanayi na rayuwa, Medicare na iya ba ka lokacin yin rajista na musamman.

A nan ne taƙaitaccen abubuwan da suka faru da zaɓuɓɓukan da zaku samu:

Idan wannan ya faru…Zan iya…Ina da wannan dogon don yin canje-canje…
Na fita daga yankin sabis na shirinsauya zuwa wani sabon amfani na Medicare ko kuma Sashe na DWatanni 2 *
Na matsa kuma ana samun sabbin tsare-tsare a inda nake zaunesauya zuwa wani sabon amfani na Medicare ko kuma Sashe na DWatanni 2 *
Na koma Amurkashiga cikin Medicarin Kula da Lafiya ko Tsarin Sashe na DWatanni 2 *
Na tashi daga ko cikin wani ƙwararrun wuraren kula da tsofaffi ko kuma wurin kulawa na dogon lokacishiga cikin Tsarin Kula da Lafiya ko Tsarin Sashe na D,
sauya shirin Amfani da Medicare, ko
sauke Amfanin Medicare kuma canza zuwa asalin Medicare		don duk lokacin da kake zaune a cikin makaman da watanni 2 bayan fitarka
An sake ni daga kurkukushiga cikin Medicarin Kula da Lafiya ko Tsarin Sashe na DWatanni 2 *
Ban cancanci samun Medicaid ba shiga cikin Tsarin Kula da Lafiya ko Tsarin Sashe na D,
sauya shirin Amfani da Medicare, ko
sauke Amfanin Medicare kuma canza zuwa asalin Medicare		Watanni 3 *
Ba ni da inshorar lafiya daga mai aikina ko ƙungiyar bashiga cikin Medicarin Kula da Lafiya ko Tsarin Sashe na D Watanni 2 *
Na shiga cikin shirin PACESauke Amfanin Medicare ko Tsarin Sashe na Dkowane lokaci
Shirin na Medicare ya sanya takunkumi ga shirin nasauya shirin Amfani da Medicareshari'ar da aka yanke ta hanyar shari'ar
Medicare ya ƙare shirin nasauya shirin Amfani da Medicaredaga watanni 2 kafin shirin ya ƙare har zuwa wata 1 bayan ya ƙare
Medicare bata sabunta shiri nasauya shirin Amfani da Medicaredaga Disamba 8 zuwa ranar ƙarshe a Feb.
Na isa biyu don Medicare da Medicaidshiga, canzawa, ko sauke tsare-tsaren Amfani da Medicaresau ɗaya a lokacin Jan – Mar, Apr – Jun, and Jul – Sep
Na shiga cikin shirin Taimakon Magungunan Jiha (ko rasa shirin)shiga shirin Amfani da Medicare tare da Sashe na Dsau ɗaya a shekara ta kalanda
Na watsar da manufofin na Medigap lokacin da na shiga shirin Amfani da Medicaresauke Amfani da Medicare kuma shiga asalin Medicare Watanni 12 bayan fara shiga shirin Amfani da Medicare
Ina da Tsarin Buƙatu na Musamman amma ba ni da buƙata ta musammansauya zuwa Amfanin Medicare ko Tsarin Sashe na DWatanni 3 bayan lokacin alheri ya ƙare
Na shiga shirin ba daidai ba saboda kuskuren ma'aikacin tarayyashiga cikin Tsarin Kula da Lafiya ko Tsarin Sashe na D,
sauya tsare-tsaren Amfani da Medicare, ko sauke Amfanin Medicare kuma canza zuwa asalin Medicare		Watanni 2 *
Medicare tana ba da darajar tauraro 5 zuwa wani shiri a yankinacanza zuwa shirin Amfani da Medicare mai tauraro 5sau ɗaya tsakanin Disamba 8 da Nuwamba 30

*Yi shawara Medicare.gov don cikakkun bayanai kan lokacin da agogo ya fara motsi.


Wanene ya cancanci Amfanin Medicare?

Don samun cancanta ga shirin Masarufin Amfani, dole ne a sanya ku cikin asalin Medicare (Sashi na A da Sashin B). Hakanan kuna buƙatar zama a cikin yankin da mai ba da inshora ke rufewa wanda ke ba da shirye-shiryen Amfani da Medicare don sababbin masu cin gajiyar.

Don samun cancanta ga Medicare na asali, dole ne ya zama ɗan ƙasar Amurka ko mazaunin dindindin naƙalla aƙalla shekaru 5 kuma ya dace da ɗaya ko fiye daga waɗannan rukunan:

  • sun cika shekaru 65 ko sama da haka
  • da nakasa
  • suna da amyotrophic lateral sclerosis (ALS)
  • suna da ƙarshen ƙwayar koda (ESRD)

Menene shirye-shiryen Amfani da Medicare?

Shirye-shiryen inshorar lafiya (Sashi na C) shirye-shiryen inshorar lafiya ne waɗanda kamfanonin inshora masu zaman kansu suka siyar. Suna bayar da ɗaukar hoto ɗaya kamar na Medicare na asali (Sashi na A da Sashi na B), tare da ƙarin fa'idodi.

Dogaro da shirin, wasu daga waɗancan ƙarin fa'idodin na iya haɗawa da haƙori, ji, gani, da ɗaukar magani. Kuna iya kwatanta shirye-shirye ta amfani da kayan aikin nemo shirin Medicare. Wannan zai baka damar ganin ɗaukar hoto da ƙididdigar da ke kusa da kai.


Takeaway

Kuna iya yin canje-canje ga shirin Amfanin ku na Medicare ta:

  • ko dai ƙara ko faduwa ɗaukar magani
  • sauyawa zuwa wani shirin Amfani da Medicare daban
  • komawa asalin Medicare, tare da ko ba tare da shirin magani ba

Abu mai mahimmanci a lura shine cewa zaka iya canza shirinka kawai a wasu takamaiman lokaci a shekara. Kuna iya canzawa a kowane lokaci yayin lokacin rijista na farko na watanni 7. Hakanan zaka iya canzawa yayin lokacin rijistar buɗe kowace kaka.

Wani lokaci da zaku iya yin canje-canje shine lokacin buɗe rijistar buɗe ribar Medicare a farkon kowace shekara. Ari da, wasu canje-canje na rayuwa suna ba ka damar canza shirinka yayin lokutan yin rajista na musamman.

Lokacin da ka shirya canzawa, ka sani cewa zaka iya samun taimako wurin nemowa da shiga cikin shirin da ya dace da kai.

An sabunta wannan labarin a Nuwamba 17, 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.


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