Kodi Medicare Amaphimba Oxygen Therapy?

Zamkati

• Kodi Medicare imanyamula chithandizo cha oxygen kunyumba?
• Zofunikira pakufalitsa
• Zofunikira zamankhwala
• Mtengo
• Ndi zida ndi zida ziti zomwe zimaphimbidwa?
• Kodi ndingakwanitse bwanji kubisala?
• Kodi kubwereketsa zida kumagwira ntchito bwanji?
• Zambiri za mankhwala a oxygen
• Kugwiritsa ntchito mankhwala a oxygen mosamala
• Kutenga

• Ngati mukuyenerera kukhala ndi Medicare ndikukhala ndi dongosolo la dokotala la oxygen, Medicare ipeza gawo limodzi la zomwe mumalipira.
• Medicare Part B imakhudza kugwiritsa ntchito mpweya wa kunyumba, chifukwa chake muyenera kulembetsa nawo gawo ili kuti muthe kufalitsa.
• Ngakhale Medicare ikuthandizani kulipira mtengo wa mankhwala a oxygen, mungafunikire kulipira gawo la ndalamazo.
• Medicare mwina silingaphimbe mitundu yonse ya mankhwala a oxygen.

Pamene simungathe kupuma, zonse zitha kukhala zovuta. Ntchito za tsiku ndi tsiku zitha kumveka ngati zovuta. Kuphatikiza apo, mavuto ena ambiri azaumoyo amatha kubwera chifukwa chotsika kwama oxygen mpweya, wotchedwa hypoxemia.

Ngati zikukuvutani kupuma kapena kukhala ndi vuto lomwe limachepetsa mpweya wa thupi lanu, mungafunike chithandizo cha oxygen kunyumba. Werengani kuti muwone ngati Medicare ikuthandizani kulipira mtengo wa oxygen kunyumba ndi zomwe muyenera kuchita kuti mutsimikizire kuti muli ndi zida zomwe mukufuna.

Kodi Medicare imanyamula chithandizo cha oxygen kunyumba?

Medicare imakhudza chithandizo cha mpweya wa oxygen pansi pa Gawo B. Medicare Gawo B limalipira mtengo wa chisamaliro cha kuchipatala ndi njira zina zochiritsira kunyumba.

Zofunikira pakufalitsa

Kuti mpweya wabwino ukhale wofunikira kudzera mu Medicare, muyenera:

• kulembetsa nawo Gawo B
• muli ndi vuto lachipatala la mpweya
• khalani ndi dongosolo la dokotala la oxygen ya kunyumba.

Centers for Medicare & Medicaid Services (CMS) imafotokoza momveka bwino zomwe ziyenera kukwaniritsidwa kuti Medicare ipange mpweya wanyumba. Zofunikira ndi monga:

• Kuphunzira koyenera kwa Medicare
• zolemba zamankhwala zamankhwala omwe angagwiritsidwe ntchito
• labotale ndi zotsatira zina zoyesa zomwe zimatsimikizira kufunikira kwa mpweya wa kunyumba

Tidzafotokoza mwatsatanetsatane momwe tingayenerere kufotokozedwa munkhaniyi.

Zofunikira zamankhwala

Oxygen wanyumba nthawi zambiri amalembedwa ngati zinthu zolephera pamtima komanso matenda osokoneza bongo (COPD).

Chofunikira chamankhwala chokhala ndi mpweya wanyumba chimatsimikiziridwa poyesa kuti muwone ngati vuto lanu likuyambitsa hypoxemia. Hypoxemia imachitika mukakhala ndi mpweya wochepa m'magazi anu.

Zinthu monga kupuma movutikira popanda mpweya wocheperako sizingachitike ndi Medicare.

Lamulo la dokotala wanu liyenera kukhala ndi chidziwitso chokhudza matenda anu, kuchuluka kwa mpweya womwe mumafunikira, komanso kangati. Medicare nthawi zambiri sichiphimba ma oda a PRN oxygen, yomwe ndi mpweya wofunikanso pakufunika.

Mtengo

Ngati matenda anu akukwaniritsa zofunikira za CMS, choyamba muyenera kukwaniritsa gawo lanu la Medicare Part B deductible. Izi ndiye ndalama zomwe muyenera kulipira mthumba Medicare isanayambe kulipira zinthu zovomerezeka ndi ntchito.

Gawo B deductible la 2020 ndi $ 198. Muyeneranso kulipira ndalama pamwezi. Mu 2020, mtengo wake umakhala $ 144.60 - ngakhale utakhala wapamwamba, kutengera ndalama zomwe mumapeza.

Mukakumana ndi Gawo B lochotseredwa chaka, Medicare amalipira 80% ya mtengo wa zida zanu zobweretsera oxygen kunyumba. Zipangizo zamagetsi zapanyumba zimawerengedwa kuti ndi zida zodalirika (DME). Mulipira 20 peresenti ya ndalamazo ku DME, ndipo muyenera kupeza zida zanu zobwerekera kudzera mwa wogulitsa DME wovomerezeka ndi Medicare.

Ndondomeko ya Medicare Advantage (Gawo C) itha kugwiritsidwanso ntchito kulipirira zida zapa oxygen. Mapulaniwa amafunidwa ndi lamulo kuti azikhudza pafupifupi pafupifupi choyambirira cha Medicare (gawo A ndi B).

Kuphunzira kwanu ndi mtengo wake kumadalira dongosolo lomwe mungasankhe la Medicare Advantage, ndipo omwe mungasankhe omwe angakupatseni ndalama atha kuchekezedwa ndi omwe ali mgululi.

Ndi zida ndi zida ziti zomwe zimaphimbidwa?

Medicare idzapeza gawo lina la mtengo wa zida zapa renti zomwe zimapereka, zimasunga, ndikupereka mpweya. Pali mitundu ingapo yama oxygen yomwe ilipo, kuphatikiza mpweya wothinikizika, mpweya wamadzi, ndi ma oxygen osakanikirana.

Pano pali mwachidule momwe machitidwewa amagwirira ntchito:

• Mafuta opanikizika. Awa ndi ma concentrator okhazikika okhala ndi ma tubing 50 mapazi omwe amalumikizana ndi akasinja ang'onoang'ono, okosijeni. Matanki amaperekedwa kunyumba kwanu kutengera kuchuluka kwa mpweya wofunikira kuti muthane ndi vuto lanu. Oxygen imachoka mu thankiyo kudzera pachida chomwe chimasunga mpweya. Izi zimalola kuti ziperekedwe kwa inu m'malo mokhala ngati mtsinje wopitilira.
• Machitidwe okosijeni amadzimadzi. Posungira okosijeni mumakhala mpweya wamadzi womwe mumagwiritsa ntchito kudzaza thanki yaying'ono, momwe mungafunikire. Mumalumikizana ndi dziwe kupitilira ma tubing 50.
• Wonyamula mpweya concentrator. Iyi ndiye njira yaying'ono kwambiri, yoyenda kwambiri ndipo imatha kuvala ngati chikwama kapena kusunthira mawilo. Zida zamagetsizi sizikufuna kuti akasinja azidzazidwa ndikubwera ndi ma tubing 7 okha. Koma ndikofunikira kudziwa kuti Medicare imaphimba ma oxygen osungika mwazinthu zokhazokha.

Medicare idzaphimba mayunitsi a oxygen omwe angagwiritsidwe ntchito kunyumba. Izi zikuphatikiza:

• yamachubu ya oxygen
• Mphuno yamphongo kapena cholankhulira
• madzi kapena mpweya wa oxygen
• kukonza, kukonza, komanso kukonza gawo la mpweya

Medicare imakhudzanso mankhwala ena okhudzana ndi mpweya, othandizira kupitiliza kwa mpweya wabwino (CPAP). Chithandizo cha CPAP chitha kufunikira pamavuto ngati obanika kutsekemera tulo.

Kodi ndingakwanitse bwanji kubisala?

Tiyeni tiwone zomwe muyenera kukwaniritsa ku Medicare kuti muthe kubwereketsa zida zanu zobweretsera mpweya wa oxygen kunyumba:

• Kuti muwonetsetse kuti mankhwala anu a oxygen amapezeka pansi pa Medicare Part B, muyenera kupezeka ndi matenda oyenerera ndikukhala ndi dongosolo la dokotala la mankhwala a oxygen.
• Muyenera kuyesedwa kuti muwonetse kusowa kwanu kwa chithandizo cha oxygen. Imodzi ndikuyesa magazi, ndipo zotsatira zanu ziyenera kugwera pamtundu winawake.
• Dokotala wanu amayenera kuyitanitsa kuchuluka kwa mpweya, nthawi, komanso kuchuluka kwa mpweya womwe mukufuna. Maoda a oxygen pamlingo woyenera sakhala oyenera kufotokozedwa pansi pa Medicare Part B.
• Kuti muyenerere kufotokozedwa, Medicare ingafunenso kuti dokotala wanu akuwonetseni kuti mwayesa njira zina zochiritsira, monga kukonzanso m'mapapo, osapambana konse.
• Muyenera kutenga zida zanu zobwerekera ngakhale wogulitsa omwe akutenga nawo mbali ku Medicare ndikuvomera ntchito. Mutha kupeza othandizira ovomerezeka ndi Medicare pano.

Kodi kubwereketsa zida kumagwira ntchito bwanji?

Mukakhala woyenera kulandira chithandizo cha oxygen, Medicare sikukuguliranitu zida zanu. M'malo mwake, imakhudza kubwereka kwa mpweya wa oxygen kwa miyezi 36.

Nthawi imeneyi, muli ndi udindo wolipira 20% ya zolipiritsa. Ndalama zolipira zimakhudza gawo la oxygen, ma tubing, masks ndi cannula yammphuno, gasi kapena oxygen yamadzi, komanso mtengo wogwirira ntchito ndi kukonza.

Nthawi yobwereka yoyambirira ya miyezi 36 ikadzatha, wogulitsa wanu akuyenera kupitiliza kupereka ndikusamalira zida zawo mpaka zaka 5, bola mukadali ndi vuto lachipatala. Wogulitsayo akadali ndi zida, koma zolipiritsa pamwezi zimatha pakatha miyezi 36.

Ngakhale atamaliza kubweza ndalama, Medicare ipitilizabe kulipira gawo lawo pazofunikira monga kugwiritsa ntchito gasi kapena mpweya wamadzi. Monga momwe mitengo yobwerekera zida, Medicare ilipira 80 peresenti ya ndalama zomwe zikupitilirabe. Mulipira Medicare Part B deductible, mwezi uliwonse, ndi 20% ya ndalama zotsalazo.

Ngati mukufunabe chithandizo cha oxygen patatha zaka zisanu, nthawi yatsopano yobwereka ya miyezi 36 ndi mzere wazaka 5 iyamba.

Zambiri za mankhwala a oxygen

Mungafunike chithandizo cha oxygen kuti muchiritse chimodzi mwazosiyanasiyana.

Nthawi zina, kupwetekedwa mtima kapena matenda akulu kumatha kukulepheretsani kupuma bwino. Nthawi zina, matenda ngati COPD amatha kusintha umagazi wamagazi m'magazi anu, kutsitsa mpweya womwe thupi lanu lingagwiritse ntchito.

Nawu mndandanda wazinthu zina zomwe zingafune kuti mugwiritse ntchito mankhwala a oxygen kunyumba pafupipafupi:

• COPD
• chibayo
• mphumu
• kulephera kwa mtima
• cystic fibrosis
• kugona tulo
• matenda am'mapapo
• zoopsa kupuma

Kuti mudziwe ngati vuto lanu limafunikira chithandizo cha oxygen kunyumba, dokotala wanu adzayesa mayeso osiyanasiyana omwe amayesa kupuma kwanu. Zizindikiro zomwe zingapangitse dokotala wanu kunena kuti mayeserowa ndi awa:

• kupuma movutikira
• cyanosis, yomwe imakhala yotumbululuka kapena yabuluu pakhungu kapena pamilomo yanu
• chisokonezo
• kukhosomola kapena kupuma
• thukuta
• kupuma mofulumira kapena kugunda kwa mtima

Ngati muli ndi izi, dokotala wanu adzakuyesani. Izi zitha kuphatikizira kupuma kapena kuchita masewera olimbitsa thupi, kuyesa magazi, komanso kuyeza mpweya. Zida zapadera zitha kugwiritsidwa ntchito poyesa zochitika, ndipo kuyezetsa magazi kumafuna kukoka magazi.

Kuyesa kuyerekezera kwa oxygen wokhala ndi oximeter yamagazi pa chala chanu ndiyo njira yocheperako yochepetsera mpweya wanu.

Nthawi zambiri, anthu omwe mpweya wawo umatsikira pakati pa 88% ndi 93% pa ​​pulse oximeter amafunikira chithandizo cha oxygen, nthawi zina. Malangizo okhudzana ndi kuchuluka kwa mpweya wa oxygen komanso momwe zingadalire malinga ndi vuto lanu.

Nthawi zina, adokotala amatha kukupatsani mankhwala othandizira kukonzanso mapapu kuphatikiza mankhwala a oxygen.

Kukonzanso m'mapapo kumathandiza anthu omwe ali ndi vuto ngati COPD kuphunzira kuyisamalira ndikusangalala ndi moyo wabwino. Kukonzekera m'mapapo nthawi zambiri kumaphatikizapo maphunziro pa njira zopumira ndi magulu othandizira anzawo. Chithandizo cha kuchipatala ichi chimakonzedwa ndi Medicare Part B.

Thandizo la oxygen liyenera kuthandizidwa ngati mankhwala ena aliwonse. Muyenera kugwira ntchito ndi dokotala wanu kuti mupeze chithandizo choyenera, mlingo, ndi kutalika kwa matenda anu. Monga momwe mpweya wochepa kwambiri ungakupwetekereni, mpweya wambiri nawonso ungakhale ndi zoopsa. Nthawi zina, mumangofunika kugwiritsa ntchito mpweya kwakanthawi kochepa. Onetsetsani kuti mwalankhula ndi adotolo kuti mufufuze pafupipafupi ngati mukufuna - kapena mukuganiza kuti mungafunikire - mankhwala a oxygen kunyumba.

Kugwiritsa ntchito mankhwala a oxygen mosamala

Oxygen ndi mpweya wosachedwa kuyaka, chifukwa chake muyenera kuchitapo kanthu poteteza mpweya wa oxygen kunyumba. Nawa maupangiri angapo:

• Osasuta kapena kugwiritsa ntchito malawi amoto kulikonse komwe kuli mpweya wa oxygen wanyumba.
• Ikani chikwangwani pakhomo panu kuti alendo adziwe kuti pali gawo la oxygen kunyumba lomwe likugwiritsidwa ntchito.
• Ikani ma alamu amoto m'nyumba mwanu ndipo onetsetsani kuti akugwira ntchito.
• Samalani kwambiri mukamaphika.
• Dziwani kuti ma tubing a oxygen ndi zina zowonjezera zitha kubweretsa ngozi chifukwa mutha kuzipunthwa.
• Sungani akasinja a oxygen pamalo otseguka koma otetezeka.

Kutenga

• Mpweya uyenera kugwiritsidwa ntchito nthawi zonse moyang'aniridwa ndi dokotala.
• Samalani mukamagwiritsa ntchito mpweya, ndikutsatira njira zonse zodzitetezera.
• Ngati mukufuna mpweya wa kunyumba ndipo mwalembetsa mu Gawo B, Medicare iyenera kulipirira ndalama zambiri.
• Medicare mwina silingagwiritse ntchito zida zina za oxygen, monga zotengera zotengera.
• Gwiritsani ntchito ndi dokotala wanu kuti mupeze chithandizo chabwino kwambiri cha matenda anu ndi kufotokozera.
• Nthawi zonse lankhulani ndi dokotala ngati mukuganiza kuti zosowa zanu za oxygen zasintha.