Kodi Medicare Imaphimba Katemera wa Shingles?

Zamkati

• Ndi mbali ziti za Medicare zomwe zimaphimba katemera wa shingles?
• Kodi katemera wa shingles amawononga ndalama zingati?
• Malangizo opulumutsa ndalama
• Kodi katemera wa shingles amagwira ntchito bwanji?
• Shingrix
• Zostavax
• Shingrix vs. Zostavax
• Kodi shingles ndi chiyani?
• Kutenga

• Centers for Disease Control and Prevention (CDC) imalimbikitsa achikulire athanzi azaka 50 kapena kupitilira apo kuti atenge katemera wa shingles.
• Medicare Yoyambirira (Gawo A ndi Gawo B) sichitha katemerayu.
• Mapulani a Medicare Advantage kapena Medicare Part D atha kulipira zonse kapena gawo la katemera wa shingles.

Mukamakula, mumakhala ndi ziboda zambiri. Mwamwayi, pali katemera yemwe angateteze vutoli.

Medicare Part A ndi Part B sizingakwaniritse katemera wa shingles (pali awiri osiyana). Komabe, mutha kulumikizidwa kudzera mu dongosolo la Medicare Advantage kapena Medicare Part D.

Pitirizani kuwerenga kuti mudziwe momwe mungapezere chithandizo cha Medicare cha katemera wa shingles kapena kupeza thandizo la ndalama ngati dongosolo lanu silikuphimba katemerayu.

Ndi mbali ziti za Medicare zomwe zimaphimba katemera wa shingles?

Medicare Yoyambirira, Gawo A (kufalitsa kuchipatala) ndi Gawo B (kufotokozera zamankhwala), silikuphimba katemera wa shingles. Komabe, pali madongosolo ena a Medicare omwe atha kukhala olipirira gawo limodzi la ndalamazo. Izi zikuphatikiza:

• Gawo la Medicare Part C. Amadziwikanso kuti Medicare Advantage, Medicare Part C ndi pulani yomwe mungagule kudzera ku kampani yabizinesi ya inshuwaransi. Itha kukupatsirani maubwino owonjezera omwe sanapezeke ndi Medicare yoyambirira, kuphatikiza ntchito zina zodzitetezera. Madongosolo ambiri a Medicare Advantage amaphatikizira kupezeka kwa mankhwala osokoneza bongo, omwe angateteze katemera wa shingles.
• Medicare Gawo D. Ili ndiye gawo la mankhwala omwe mumalandira mankhwala a Medicare ndipo chimakhudza "katemera wopezeka malonda." Medicare imafuna kuti gawo D likonzekere kuphimba ma shingles, koma kuchuluka komwe limaphimba kumatha kukhala kosiyana kwambiri ndi mapulani.

Pali zinthu zingapo zomwe mungachite kuti muwonetsetse kuti katemera wa shingles waphimbidwa ngati muli ndi Medicare Advantage ndi mankhwala kapena Medicare Part D:

• Itanani dokotala wanu kuti mudziwe ngati angathe kulipira gawo lanu la D mwachindunji.
• Ngati dokotala sangakwanitse kulipira dongosolo lanu mwachindunji, funsani dokotala wanu kuti agwirizane ndi mankhwala ogwiritsira ntchito intaneti. Pharmacy itha kukupatsirani katemerayo ndikulipiritsa dongosolo lanu molunjika.
• Lembani ndalama zanu za katemera kuti mubwezeretsedwe ndi pulani yanu ngati simungathe kuchita izi pamwambapa.

Ngati muyenera kulembetsa kuti mudzabwezeretsedwe, mudzayenera kulipira mtengo wonsewo mukaulandira. Dongosolo lanu liyenera kukubwezerani, koma ndalama zomwe zimaphimbidwa zimasiyana malinga ndi mapulani anu komanso ngati mankhwalawo anali mumanetiwefu anu.

Kodi katemera wa shingles amawononga ndalama zingati?

Ndalama zomwe mumalipira katemera wa shingles zimatengera kuchuluka kwa mapulani anu a Medicare. Kumbukirani kuti ngati muli ndi Medicare yoyambirira komanso mulibe mankhwala ochokera ku Medicare, mutha kulipira mtengo wonse wa katemerayu.

Madongosolo azamankhwala a Medicare amagawa mankhwala awo motsatana. Komwe mankhwala amagwera pamagawo amatha kudziwa mtengo wake. Ambiri mwa mankhwala a Medicare amakwaniritsa pafupifupi 50% yamtengo wogulitsa.

Shingrix (yopatsidwa kuwombera kawiri):

• Copay yodula: kwaulere $ 158 pakuwombera kulikonse
• Mukachotsa deductible: kwaulere $ 158 pakuwombera kulikonse
• Kusiyana kwa mabatani / donut: mfulu mpaka $ 73 pakuwombera kulikonse
• Pambuyo pobowo: $ 7 mpaka $ 8

Zostavax (yoperekedwa ngati kuwombera kumodzi):

• Makopala odulidwa: kwaulere $ 241
• Pambuyo poti deductible ikwaniritsidwa: kwaulere $ 241
• Kusiyana kwa mabatani / Donut: kwaulere mpaka $ 109
• Pambuyo pobowo: $ 7 mpaka $ 12

Kuti mudziwe kuchuluka kwa zomwe mudzalipira, onaninso mapulani anu kapena lemberani dongosolo lanu mwachindunji.

Malangizo opulumutsa ndalama

• Ngati mukuyenera kulandira Medicaid, fufuzani ku ofesi ya boma ya Medicaid za kufotokozera katemera wa shingles, omwe atha kukhala aulere kapena operekedwa pamtengo wotsika.
• Fufuzani thandizo la mankhwala ndi makuponi pamasamba omwe amathandiza pa mtengo wamankhwala. Zitsanzo ndi monga GoodRx.com ndi NeedyMeds.org. Masambawa amathanso kukuthandizani kuti mufufuze bwino za katemera.
• Lumikizanani ndi wopanga katemerayo mwachindunji kuti mufunse kuchotsera kapena kuchotsera komwe kungachitike. GlaxoSmithKline amapanga katemera wa Shingrix. Merck amapanga Zostavax.

Kodi katemera wa shingles amagwira ntchito bwanji?

Pakadali pano pali katemera awiri ovomerezeka ndi Food and Drug Administration (FDA) kuti ateteze ma shingles: katemera wa zoster live (Zostavax) ndi recombinant zoster vaccine (Shingrix). Iliyonse imagwira ntchito mosiyanasiyana popewa ma shingles.

Shingrix

FDA idavomereza Shingrix mu 2017. Ndi katemera wovomerezeka wopewera ma shingles. Katemerayu ali ndi mavailasi osagwira, zomwe zimapangitsa kuti zikhale zosavuta kwa anthu omwe ali ndi chitetezo chamthupi chovuta.

Tsoka ilo, Shingrix nthawi zambiri amakhala kumbuyo chifukwa chakutchuka kwake. Mutha kukhala ndi zovuta kuzipeza, ngakhale dongosolo lanu la Medicare likulipira.

Zostavax

A FDA adavomereza Zostavax kuti apewe ma shingles ndi postherpetic neuralgia mu 2006. Katemerayu ndi katemera wamoyo, kutanthauza kuti ali ndi ma virus ochepetsedwa. Katemera wa chikuku, mumps, ndi rubella (MMR) ndi mtundu wofanana wa katemera wamoyo.

Shingrix vs. Zostavax

Kodi shingles ndi chiyani?

Minyewa ndimakumbutso opweteka kuti herpes zoster, kachilombo kamene kamayambitsa nthomba, kamapezeka mthupi. Akuti anthu aku America azaka 40 kapena kupitilira apo adakhala ndi nthomba (ngakhale ambiri samakumbukira kukhala nayo).

Ziphuphu zimakhudza pafupifupi gawo limodzi mwa atatu mwa anthu omwe adakhalapo ndi nthomba, zomwe zimapangitsa kuti aziwotcha, kulira, ndi kuwombera ululu wamitsempha. Zizindikirozi zimatha milungu itatu kapena isanu.

Ngakhale kupweteka kwa mitsempha ndi mitsempha kumatha, mutha kupezabe neuralgia yotsatira. Uwu ndi mtundu wa zowawa zomwe zimakhalapo pomwe ziphuphu zimayamba. Postherpetic neuralgia ingayambitse izi:

• nkhawa
• kukhumudwa
• mavuto omaliza ntchito za tsiku ndi tsiku
• mavuto ogona
• kuonda

Mukakalamba, mumakhala ndi mwayi wokhala ndi neuralgia yotsatira. Ndicho chifukwa chake kupewa kumangirira kumatha kukhala kofunikira kwambiri.

Kutenga

• Medicare Advantage ndi Medicare Part D akuyenera kulipira gawo limodzi la mtengo wa katemera wa shingles.
• Funsani dokotala musanalandire katemera kuti mudziwe momwe angalipire.
• CDC imalimbikitsa katemera wa Shingrix, koma sikuti imapezeka nthawi zonse, choncho fufuzani ku ofesi ya dokotala kapena ku pharmacy poyamba.

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