Chifukwa Chake Ndikofunika Kwambiri Kupeza Madokotala Omwe Amalandira Medicare Pafupi Nanu

Zamkati

• Chifukwa chomwe dokotala amene mumusankha ayenera kumwa Medicare
• Momwe mungapezere dokotala yemwe amatenga Medicare
• Kodi Dotolo Woyambira (PCP) ndi Chiyani?
• Kodi dongosolo lanu la Medicare limafunikira PCP?
• Mfundo yofunika

Posankha dongosolo la Medicare, chinthu chimodzi chofunikira kuganizira ndikupeza madokotala omwe amalandira Medicare pafupi nanu. Ziribe kanthu ngati mukuyang'ana chipatala, chipatala, dokotala watsopano, kapena ngati mukungofuna kusunga dokotala yemwe mwakhala mukumuwona, kupeza yemwe amatenga Medicare ndikofunikira. Izi zimangofunikira kuti mufufuze pang'ono musanakonzekere nthawi yanu yotsatira ndikufunsa mafunso oyenera paulendo wanu wotsatira.

Pitirizani kuwerenga kuti mudziwe zambiri zokhudza kupeza dokotala yemwe amalandira Medicare pafupi ndi inu komanso chifukwa chake kuli kofunikira.

Chifukwa chomwe dokotala amene mumusankha ayenera kumwa Medicare

Zachidziwikire, mutha kuwona dokotala yemwe samalandira Medicare, koma mutha kulipidwa ndalama zambiri paulendo wanu ndi ntchito zilizonse zomwe mungalandire. Izi zikutanthauza kuti chisamaliro chanu chitha kukhala chodula kwambiri.

Posankha dokotala yemwe amalandila Medicare, muonetsetsa kuti mwalipilitsidwa mulingo wokambirana ndi wovomerezeka. Ofesi ya dotolo wanu azilipiritsa Medicare paulendo wanu. Nthaŵi zambiri, dokotala amene amalandira Medicare amadikiranso kuti amve kuchokera ku Medicare asanakufunseni kuti mulipire kusiyana kulikonse ngati kuli kofunikira.

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Momwe mungapezere dokotala yemwe amatenga Medicare

Pali njira zingapo zosavuta kupeza dokotala yemwe amalandira dongosolo lanu la Medicare:

• Pitani ku Dokotala Yerekezerani: Centers for Medicare & Medicaid Services (CMS) ili ndi chida chomwe chimakupatsani mwayi woyang'ana madotolo pafupi nanu ndikuwayerekezera.
• Onani tsamba la Medicare: Tsamba lovomerezeka la Medicare lili ndi zinthu zambiri zopezera othandizira ndi malo omwe amalandira Medicare pafupi nanu. Mwachitsanzo, mutha kupeza ndikufanizira zipatala kapena othandizira ena ndikufufuza ntchito zomwe zimafotokozedwa ndi dongosolo lanu la Medicare.
• Onetsetsani mindandanda yamakampani anu a inshuwaransi: Medigap ndi Medicare Advantage ndi mapulani a Medicare omwe amaperekedwa kudzera m'makampani a inshuwaransi. Kuti mupeze madotolo omwe amavomereza mitundu iyi yobisa, muyenera kufunsa omwe amakupatsani mwayi kuti muwone.
• Chongani maukonde anu: Ngati chithandizo chanu cha Medicare chimaperekedwa kudzera kwa omwe amapereka inshuwaransi ndi netiweki ya madokotala ndi zipatala, fufuzani ndi kampaniyo kuti mutsimikizire kuti dokotala wanu ali pa netiweki Izi zitha kuchitika poyimbira omwe amakupatsani inshuwaransi kapena kuwona tsamba lawo.
• Funsani abwenzi odalirika ndi abale anu: Ngati muli ndi anzanu kapena abale anu omwe amagwiritsanso ntchito Medicare, afunseni za omwe amawasamalira. Kodi dokotala ndi wotcheru motani? Kodi ofesi imayang'anira zopempha zawo mwachangu komanso mosavuta? Kodi ali ndi maola abwino?

Kodi Dotolo Woyambira (PCP) ndi Chiyani?

A Primary Care Physician (PCP) ndi dokotala yemwe mumamuwona pafupipafupi. PCP yanu imapereka chisamaliro choyamba chomwe mumalandira, monga kukayezetsa, kusankhidwa mwadzidzidzi, komanso mayeso apachaka kapena apachaka.

Anthu ambiri amakonda kukhala ndi PCP wodzipereka kuti adziwe omwe akuwawona kuti awasankhe. Kukhala ndi dokotala yemwe amadziwa kale mbiri yanu komanso zolinga zathanzi lanu kumatha kukupangitsani kusungitsa nthawi kuti mukhale omvera komanso opindulitsa pomwe kuthana ndi nkhawa zomwe zimadabwitsa.

Makampani ena a inshuwaransi achinsinsi angafune kuti makasitomala akhale ndi PCP m'modzi yemwe ayenera kuvomereza ndikupereka mwayi kwa akatswiri ena kapena njira zowunikira ndi mayeso.

Kodi dongosolo lanu la Medicare limafunikira PCP?

Osati dongosolo lililonse la Medicare lomwe limafuna kuti musankhe dokotala woyang'anira chisamaliro choyambirira. Ngati simukufuna kudzipereka kuofesi imodzi komanso dokotala m'modzi, ndiye kuti mutha kupitiliza kuwona madotolo ena omwe amalandira Medicare.

Komabe, ngati mutalowa nawo Medicare HMO kudzera mu dongosolo la Medigap kapena Medicare Advantage, mungafunikire kusankha PCP. Izi ndichifukwa choti PCP yanu ikhoza kukhala ndiudindo wakukutumizirani kwa katswiri wodziwa zaumoyo kudzera mu HMO yanu.

Mfundo yofunika

Kwa anthu ambiri, kukhala ndi dokotala amene amamudalira yemwe amapezeka mosavuta ndi gawo lofunikira paumoyo wawo. Ngakhale ndichinthu chowonjezera, ndikofunikira kutsimikizira kuti dokotala wanu amalandira chiphaso cha Medicare kuti muwonetsetse kuti mwapeza zabwino kuchokera ku zabwino za Medicare.

Zomwe zili patsamba lino zimatha kukuthandizani posankha nokha za inshuwaransi, koma cholinga chake si kupereka upangiri wokhudzana ndi kugula kapena kugwiritsa ntchito inshuwaransi kapena zinthu zilizonse za inshuwaransi. Healthline Media siyigulitsa bizinesi ya inshuwaransi mwanjira iliyonse ndipo siyololedwa kukhala kampani ya inshuwaransi kapena opanga madera aliwonse aku U.S. Healthline Media sivomereza kapena kuvomereza aliyense wachitatu yemwe angachite bizinesi ya inshuwaransi.

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