Kumvetsetsa Medicare Part D ndi Donut Hole

Kodi Mulipira Zambiri Zotani?

Medicare Part D inayamba kupereka mankhwala opatsirana mankhwala mu 2006. Pambuyo pa izi, okalamba anayenera kudzisamalira okha. Kulemetsa kwa mankhwala osokoneza bongo ndi kwakukulu ndi Achimereka pakati pa zaka 65 ndi 79 zakubadwa zomwe zimadzaza malemba 27.3 pachaka ndipo okalamba oposa zaka makumi asanu ndi atatu (80) akudzaza malemba 29.1 pachaka.

Masiku ano akuluakulu amatha kusankha gawo la D, kulipira malipiro a mwezi uliwonse komanso kupanga ndalama zothandizira ndalama kapena ndalama zothandizira ndalama zogulira mankhwala.

Vuto ndilokuti Gawo D liri ndi kusiyana kwa malo omwe amadziwika ngati dzenje losafunika ndipo si lokoma kwambiri.

Gawo D limapereka kufalitsa mpaka ndalama zina (kulingalira kudya kuchokera kumbali imodzi ya ndalama), kenako madontho (ndikuganiza kufika kumalo opanda kanthu) ndikuyambiranso kufalitsa pambuyo pa ndalama zina (taganizirani kufika kumbali inayo ya donut).

Chaka chilichonse Medicare imayika malire a gawo loyamba la donut, dzenje loyamba. Zimene mumalipiritsa komanso zomwe Mankhwala amalipiritsa chifukwa cha mankhwala anu adzawerengera ku malire a mtengowu. Ndalama zanu zamwezi zilizonse sizikuwerengera ndalamazi kapena mankhwala omwe sagwiritsidwe ntchito ndi gawo lanu D kapena mankhwala omwe adagulidwa kuchokera m'mayiko ena.

Ndalama Zomwe Zikuwerengera Zowonjezera Zowonjezerapo Zowonjezerapo
Ndalama Zimene Mumalipira Ndalama Zimene Medicare Amadza
  • Anu deductible
  • Zothandizira ndi ndalama zanu
Chiwerengero cha Medicare chimalipira malemba anu

Mutatha kugwiritsa ntchito malire a malire, mumalowa muzako.

Pamene Gawo D linayamba, mukanakhala mukukwaniritsa ndalama zokwanira 100 peresenti ya mankhwala anu. Tsopano Medicare ikhoza kubwereka ndalama zina ndipo ndalamazo zikukula mu chaka chilichonse chifukwa cha Obamacare. Obamacare ikufuna kutseka dzenje la 2020 .

Kodi Mankhwala Ambiri Amakhala Bwanji Panthawi ya Donut Hole Chaka
Chaka Dzina la mankhwala a mankhwala Mankhwala Osokoneza Bongo
2015 55 peresenti 35 peresenti
2016 55 peresenti 42 peresenti
2017 60 peresenti 49 peresenti
2018 65 peresenti 56 peresenti
2019 70 peresenti 63 peresenti
2020 75 peresenti 75 peresenti

Mumakhala mu dzenje loperekera ndalama mpaka mutagula ndalama zina zomwe zimayikidwa chaka chilichonse ndi Medicare. Makampani azachipatala adzakupatsani 50 peresenti kuchotsera pa mankhwala a dzina lachidziwitso pazitsulo. Ndalama iliyonse yogwiritsidwa ntchito ndi gawo D yanu sichiwerengera ndalama izi. Apanso, malipiro anu a mwezi ndi mwezi komanso osadziwika kapena mankhwala osokoneza bongo samagwirizana ndi zofunikira za pakhomo.

Ndalama Zomwe Zikuwerengera Kufunika Kwako Kuthandizira
Ndalama Zimene Mumalipira Zina Zowonjezera
  • Kulimbikitsana kwa mankhwala a dzina
  • Kulimbikitsana kwa mankhwala ochizira

Ndalama zomwe mankhwala amapereka amapereka mankhwala anu (osati mankhwala anu enieni)

Zomwe gawo lanu D lilipira sililiwerengera

Mutatha kugwiritsa ntchito ndalama zamkati, mumalowa nthawi yowonjezereka komwe mumalipira ndalama zolipira ndalama za mankhwala anu mpaka kumapeto kwa chaka. Pa January 1, ndondomekoyi ikuyambiranso.

Momwe Donut Hole Amafunira Chaka Chaka
Mankhwala Osokoneza Bongo 2015 2016
Choyambira Chamkati Choyamba $ 2,960 $ 3,310
Donut Hole

$ 1,740

($ 4,700 pa ndalama zonse pachaka)

$ 1,540

($ 4,850 pachaka mtengo kwa chaka)

Zochitika Zopweteka
  • Mulipira madola 2.65 chifukwa cha mankhwala osokoneza bongo.
  • Mudzakalipira madola 6.60 chifukwa cha mankhwala osokoneza bongo.
  • Mulipira madola 2.95 a mankhwala ochizira.
  • Mudzabwezera $ 7.40 pa mankhwala omwe amadziwika ndi dzina.

Phokoso lachitsulo lingakhale lingaliro lovuta kumvetsa. Mwamwayi pofika chaka cha 2020, zidzakhala zophweka ndi kutseka dzenje lopangira.

Kuchokera

Kusintha kwa Kugwiritsira Ntchito Zaumoyo ndi Mankhwala. IMS Institute for Healthcare Informatics. http://www.imshealth.com/deployedfiles/imshealth/Global/Content/Corporate/IMS%20Health%20Institute/Reports/US_Use_of_Meds_2013/Percent_population_prescriptions_per_capita.pdf Inapezeka pa August 12, 2015.