Kodi Chikhalidwe Choyang'anira Zipatala N'chiyani?

Tanthauzo:

Pamene wodwala aikidwa kuchipatala, amapatsidwa udindo. Chikhalidwe cha anthu odwala matenda odwala matenda osagwidwa ndi matenda komanso zochitika zapamwamba ndizoziŵiri kwambiri. Mukavomerezedwa ku chipatala, sizingakhale zosavuta kuti muone ngati mukuloledwa ngati munthu wodwala matenda opatsirana pogonana kapena kuvomerezedwa pakadali pano.

Kusiyanitsa Pakati pa Matenda Opanda Pakati ndi Maonekedwe Otsatira

Chikhalidwe cha anthu odwala matendawa ndi chomwe timaganiza kuti munthu amaloledwa kuchipatala.

Chikhalidwe choyang'ana ndi mtundu wa chikhalidwe cha odwala. Komabe, munthu wina yemwe ali m'ndondomeko yowonongeka m'chipatala akhoza kukhala masiku angapo ndi usiku ndithu mkati mwa chipatala, ngakhale kuti iye ali wodwalayo. Ndipotu, akhoza kukhala mu bedi lachipatala chomwecho, pomwepo pafupi ndi munthu wodwala matenda opatsirana.

Kuwonetseredwa kunali njira yopezera munthu kuchipatala kwa kanthaŵi kochepa pamene madokotala amayesa kusankha ngati iye akudwala mokwanira kuti akusowe odwala. Tsopano, odwala owona nthawi zina akhoza kusungidwa kuchipatala kwa masiku ambiri pazomwe akuyang'ana.

N'chifukwa Chiyani Wodwala Akudwala Matendawa?

Ngati mukugona mu chipatala chomwecho komanso kupeza chisamaliro chomwecho, ndichifukwa chiyani muyenera kusamala ngati muli ndi matenda odwala kapena oyembekezera? Muyenera kusamala chifukwa kusiyana kukutheketsani mazana kapena zikwi za madola.

Kwa anthu omwe ali pa Medicare, kusiyana pakati pa chilakolako cha thupi ndi chidziwitso n'kofunika kwambiri pakufotokozera chisamaliro kwa odwala omwe ali ndi luso lodziwa zachipatala.

Izi zikufotokozedwa mwatsatanetsatane.

Kampani yako ya inshuwalansi ya mankhwala kapena Medicare sichidzalipira kuchipatala chako monga wodwala owona mofanana momwe zikanakhalira ngati wodwala. M'malo mwake, amalipiritsa kuchipatala chanu pogwiritsa ntchito chithandizo chamankhwala kuchipatala.

Gawo lanu la ndalama zothandizira anthu odwala matenda opatsirana pogonana monga momwe mukuwonera ndi zazikulu kusiyana ndi ndalama zanu za hospital hospital.

Ngakhale zovuta komanso zosokoneza, pali malamulo, kapena malangizo, dokotala wanu ndi chipatala akutsatira posankha ngati akukupatsani udindo woyang'anira chipatala kapena malo odwala.

Kuti mumvetse momwe ziwonetserozi zikugwirira ntchito komanso chifukwa chake zipatala zikugawira odwala kuti aziwona momwemo, onani Hospitalized in Observation Status? Mudzapindula: Wodwala v. Chikhalidwe cha Kuwonetsetsa ndi momwe Makhalidwe Otsogolera Akugwira Ntchito .

Chitsanzo:

Bambo Smith amabwera ku chipinda chodzidzimutsa ndi kupweteka pachifuwa. Sitingathe kudziŵa ngati Mr. Smith ali ndi matenda a mtima, katswiri wa zamoyo, Dr. Jones, amaika Bambo Smith kupita kuchipatala pomwe akuyang'ana.

Bambo Smith amakhala usiku m'chipinda cha chipatala chophatikizidwa ndi kuyang'anira mtima. Usiku wonse, anamwino amamuyang'anitsitsa nthawi zonse. Amapeza mpweya wabwino ndipo amayesa kuyesa magazi nthawi zonse. Dr Jones angakhale atayesanso mayesero ochulukirapo kuti adziwe momwe mtima wa Smith umakhalira.

Chakumadzulo madzulo, pambuyo pa masiku awiri ndi usiku wina kuchipatala, Dr. Jones ali ndi zambiri zokwanira kuti azindikire kuti Bambo Smith alibe matenda a mtima.

Bambo Smith akutumizidwa kunyumba.

Kampani ya inshuwalansi ya Smith imalipilira mbali zina za milandu yake yachipatala potsutsidwa ndi Smith. (Ngati Bambo Smith ali ndi Medicare, Medicare Part B idzawunikira mbali ya zomwe Smith akuwona pa chipatala.)

Popeza Smith akudwala inshuwalansi ali ndi 25% yothandizira ndalama zothandizira anthu odwala, Bambo Smith amapereka 25% ya chiwerengero cha mayeso onse a magazi ndi X-Ray. Amaperekanso ndalama zokwana 25 peresenti ya mpweya wa oxygen, ya msonkho wa kuunika kwa mtima, komanso ndalama zapatala zolipirira ma odwala omwe akudwala.

Ngati Bwana Smith adalandira ntchito yeniyeni yeniyeni monga wodwalayo m'malo moona momwe angapezere ndalama, malinga ndi mtundu wa chithandizo chomwe ali nacho, ayenera kuti anali ndi ngongole imodzi yokha yobwerekera kuchipatala ndipo inshuwalansi yake yathanzi ikanakhala yotsegula zina zonsezo.

Koma zimakhalanso zachilendo kuti inshuwalansi ya inshuwalansi iwerengere anthu ogwira ntchito kuchipatala kuti iwonongeke , ndikuyambanso kuwona ndalama zothandizira ndalama. Zikatero, malipiro onse omwe Bambo Smith analipira ngongole angakhale atatha.

Odwala Matenda ndi Kuwonetseredwa ndi Medicare Mapulogalamu Othandiza Osowa Mankhwala Odziwa Zabwino

Odwala nthawi zina amatha kuchoka kuchipatala, koma osakwanira kubwerera kwawo. Unamwino wothandizira amatha kugwiritsidwa ntchito kudzaza phokosoli. Mwachitsanzo, wodwala yemwe wagwadira bondo angafunikire masiku angapo kuchipatala, koma akadakali ndi chithandizo chamankhwala osamalidwa asanayambe kubwerera kwawo.

Medicare amalipira kokha chisamaliro pa malo osungirako odziwa luso lachipatala ngati zikuchitika ndi osachepera masiku atatu a chipatala omwe akudwala . Ngati muli mu chipatala koma pansi pa maonekedwe osati mmalo osalimba, sizikuwerengera masiku atatu. Zikatero, mutatulutsidwa, simungathe kupeza chithandizo cha Medicare kuti mukhalebe ndi malo osungirako anzeru. Ichi ndi chimodzi mwa zifukwa zomwe zili zofunikira kwa odwala komanso mabanja awo kuti adziwe ngati akudwala kapena akuwonetseredwa.

> Zotsatira:

> Medicare.gov. Kodi Ndiwe Chipatala Kapena Wachilendo? Ngati Muli ndi Matenda - Funsani! Mayendedwe a May 2014.