Kupeza Mankhwala kwa Matenda a Parkinson

Zamkati

• Ndi mbali ziti za Medicare zomwe zimaphimba chithandizo cha matenda a Parkinson?
• Gawo A Kuphunzira
• Chigawo B kufotokozera
• Kufotokozera gawo C
• Chigawo D kufotokozera
• Kuphunzira kwa Medigap
• Ndi mankhwala ati, ntchito, ndi chithandizo cha matenda a Parkinson omwe amapezeka?
• Mankhwala
• Ntchito ndi zochiritsira
• Kuyang'ana kwambiri ultrasound
• Kukondoweza kwa ubongo
• Duopa pampu
• Kusamalira mwaluso
• Thandizo lantchito
• Mankhwala othandizira
• Uphungu wamaganizidwe
• Zida zachipatala zokhazikika (DME)
• Zomwe siziphimbidwa?
• Kodi ndiyenera kulipira ndalama zingati?
• Gawo A mtengo
• Gawo B ndalama
• Gawo C ndalama
• Gawo D ndalama
• Mitengo ya Medigap
• Kodi matenda a Parkinson ndi ati?
• Kutenga

• Medicare imakhudza mankhwala, zithandizo, ndi ntchito zina zokhudzana ndi kuchiza matenda a Parkinson ndi zisonyezo zake.
• Thandizo lakuthupi, chithandizo chantchito, ndi chithandizo chamalankhulidwe zonsezi ndizophatikizidwa polemba izi.
• Mutha kuyembekeza ndalama zina zakuthumba, ngakhale mutapeza chithandizo cha Medicare.

Medicare imafotokoza zamankhwala zofunikira pa matenda a Parkinson, kuphatikiza mankhwala, mitundu yosiyanasiyana ya chithandizo, komanso kugona kuchipatala. Kutengera mtundu wokhudzidwa womwe muli nawo, mutha kukhala ndi ndalama zina zotuluka munthumba, monga ma copays, ndalama zandalama, ndi ma premium.

Medicare mwina silingakwaniritse ntchito zonse zomwe mungafune, monga kuthandizidwa pamoyo watsiku ndi tsiku.

Ngati inu kapena wokondedwa wanu muli ndi matenda a Parkinson, ndikofunikira kuti mumvetsetse magawo a Medicare omwe amatenga mankhwala omwe angapewe ndalama zambiri, zosayembekezereka.

Ndi mbali ziti za Medicare zomwe zimaphimba chithandizo cha matenda a Parkinson?

Medicare ili ndi magawo angapo. Gawo lirilonse limafotokoza ntchito zosiyanasiyana ndi chithandizo chomwe mungafune kuyang'anira a Parkinson.

Medicare Yoyambirira imapangidwa ndi Gawo A ndi Gawo B. Gawo A limafotokoza gawo la ndalama zomwe mumalandira kuchipatala. Gawo B limapereka chithandizo chazachipatala zomwe zikuphatikizidwa monga zomwe zingapezeke pakuzindikira, kulandira chithandizo, komanso kupewa.

Gawo A Kuphunzira

Gawo A limafotokoza ntchito zotsatirazi zokhudzana ndi matenda a Parkinson:

• chisamaliro cha kuchipatala kwa odwala kuphatikizapo chakudya, maulendo a dokotala, kuthiridwa magazi, mankhwala osagwiritsidwa ntchito, komanso chithandizo chamankhwala
• njira zopangira opaleshoni
• chisamaliro cha odwala
• chisamaliro chochepa kapena chokhazikika cha unamwino chisamaliro
• akatswiri azaumoyo kunyumba

Chigawo B kufotokozera

Gawo B lidzalemba zinthu zotsatirazi ndi ntchito zokhudzana ndi chisamaliro chanu:

• ntchito zakuchipatala monga madokotala ndi maudindo akatswiri
• zowunikira
• kuyezetsa matenda
• ntchito zochepa zothandizira kunyumba
• zida zamankhwala zolimba (DME)
• ambulansi
• ntchito yakuthupi ndi yakuthupi
• mankhwala olankhulira
• ntchito zamisala

Kufotokozera gawo C

Gawo C (Medicare Advantage) ndi pulani ya inshuwaransi yazaumoyo yomwe mungagule kwa inshuwaransi yawekha. Kuphunzira kwa Gawo C kumasiyana pamalingaliro koma amafunikira kuti azipereka chimodzimodzi monga Medicare yoyambirira. Gawo lina la Gawo C limakhudzanso mankhwala ndi zina zowonjezera, monga masomphenya ndi chisamaliro cha mano.

Gawo C likufuna kuti musankhe madotolo anu ndi omwe amakupatsani maukonde awo.

Chigawo D kufotokozera

Gawo D limafotokoza zamankhwala omwe amagulitsidwa ndipo amagulanso ku kampani yabizinesi ya inshuwaransi. Ngati muli ndi gawo la C, mwina simufunikira gawo D.

Mapulani osiyanasiyana amakhudza mankhwala osiyanasiyana, omwe amadziwika kuti formulary. Ngakhale madera onse a Part D akukhudzana ndi mankhwala ena omwe mungafune pochiza a Parkinson, ndikofunikira kuwunika ngati mankhwala omwe mungamwe kapena omwe mungafunike mtsogolo akupezeka pansi pa pulani yanu.

Kuphunzira kwa Medigap

Medigap, kapena Medicare inshuwaransi yowonjezera, imaphimba zina kapena zolakwika zonse zatsalira kuchokera ku Medicare yoyambirira. Izi zitha kuphatikizira kuchotseredwa, kukopera ndalama, komanso kulipiritsa ndalama. Ngati muli ndi gawo la Gawo C, simukuyenera kugula dongosolo la Medigap.

Pali malingaliro ambiri a Medigap omwe mungasankhe. Zina zimapereka chithunzithunzi chokulirapo kuposa zina koma zimadza ndi mtengo wapamwamba kwambiri. Ndalama zamankhwala osokoneza bongo sizikupezeka pansi pa Medigap.

Ndi mankhwala ati, ntchito, ndi chithandizo cha matenda a Parkinson omwe amapezeka?

Matenda a Parkinson amatha kubwera ndi mitundu yambiri yamagalimoto komanso yopanda ma mota. Zizindikiro za vutoli zitha kukhala zosiyana kwa anthu osiyanasiyana.

Popeza ndi matenda opita patsogolo, zizindikiro zimatha kusintha pakapita nthawi. Medicare imakhudza mitundu yosiyanasiyana ya mankhwala, mankhwala, ndi ntchito zomwe mungafune kuti muthane ndi matenda a Parkinson pamoyo wanu wonse.

Mankhwala

Matenda a Parkinson amadziwika kuti amachititsa kuti dopamine ichepetse muubongo. Zimayambitsanso mitundu ina ya maselo aubongo kuwonongeka kapena kufa. Izi zimabweretsa kunjenjemera ndi zovuta zina zamagalimoto.

Medicare imaphimba mankhwala omwe atha kuchita zomwezo kapena kusintha dopamine. Ikufotokozanso za mankhwala ena otchedwa COMT inhibitors, omwe amachulukitsa kapena kupititsa patsogolo mphamvu ya mankhwala a dopamine.

Matenda a mtima monga mphwayi, nkhawa, ndi kukhumudwa, komanso psychosis, ndizofala pakati pa anthu omwe ali ndi Parkinson. Mankhwala omwe amathetsa mikhalidwe imeneyi amapezekanso ndi Medicare. Zitsanzo zina za mitundu iyi ya mankhwala ndi awa:

• MAO inhibitors, monga isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Zelapar), ndi tranylcypromine (Parnate)
• Mankhwala oletsa antipsychotic, monga pimavanserin (Nuplazid) ndi clozapine (Versacloz)

Ntchito ndi zochiritsira

Mankhwala a matenda a Parkinson amayang'ana kuwongolera zizindikilo. Ntchito ndi chithandizo chomwe Medicare imakhudzira vutoli ndi monga tafotokozera m'magawo otsatirawa.

Kuyang'ana kwambiri ultrasound

Chithandizo chosavutikachi chimapereka mphamvu ya ultrasound mkati mwa ubongo. Itha kugwiritsidwa ntchito koyambirira kwa Parkinson kuti achepetse kunjenjemera komanso kukonza magalimoto.

Kukondoweza kwa ubongo

Ngati mankhwala adakuthandizirani m'mbuyomu koma mulibenso mphamvu zokwanira zochizira matenda monga kunjenjemera, kuuma, komanso kupindika kwa minofu, dokotala wanu angakulimbikitseni kukondoweza kwa ubongo.

Iyi ndi njira yochitira opaleshoni pomwe dokotalayo adzaika ma elekitirodi muubongo. Elekitirodi imamangiriridwa ndi mawaya opangira opaleshoni ku chipangizo chamagetsi chogwiritsira ntchito batire, chomwe chimayikidwa m'chifuwa.

Duopa pampu

Ngati mankhwala anu a carbidopa / levodopa oral dopamine achepetsa kwambiri kuposa kale, adotolo angavomereze pampu ya Duopa. Chida ichi chimapereka mankhwala mu mawonekedwe a gel osungunuka m'matumbo kudzera pa kabowo kakang'ono (stoma) kamene kamapangidwa m'mimba.

Kusamalira mwaluso

Kunyumba, chisamaliro chamwino chanthawi yochepa chimayang'aniridwa ndi Medicare kwakanthawi kochepa. Malire nthawi zambiri amakhala masiku 21 azithandizo zopanda mtengo. Dokotala wanu akhoza kukulitsa malire awa ngati pali nthawi yoyerekeza kuti mudzafunika thandizo lotani ndikupereka kalata yonena zosowa zanu zamankhwala.

Kusamalira malo osamalira anthu okalamba kumaphimbidwa kwaulere kwa masiku 20 oyambira, kenako kuyambira masiku 21 mpaka 100, mudzalipira copay ya tsiku ndi tsiku. Pambuyo masiku 100, mudzalipira mtengo wonse wokhala ndi ntchito zanu.

Thandizo lantchito

Parkinson amatha kukhudza magulu akulu ndi ang'onoang'ono a minofu. Thandizo lantchito limayang'ana magulu ang'onoang'ono a minofu, monga zala. Thandizo lakuthupi limayang'ana magulu akulu akulu, monga miyendo.

Othandizira amatha kuphunzitsa anthu omwe ali ndi zochitika zosiyanasiyana za Parkinson kuti azitha kuchita zinthu za tsiku ndi tsiku ndikukhalitsa moyo wabwino. Izi zimaphatikizapo kudya ndi kumwa, kuyenda, kukhala, kusintha malo uku mukutsamira, ndi zolemba pamanja.

Mankhwala othandizira

Kuvuta kwa mayankhulidwe ndi kumeza kumatha kuyambika chifukwa chofooka kwa minofu ya kholingo (mawu amawu), pakamwa, lilime, milomo, ndi pakhosi. Katswiri wodziwa kulankhula kapena wothandizira kulankhula amatha kuthandiza anthu omwe ali ndi Parkinson kukhalabe ndi luso lolankhula komanso osalankhula.

Uphungu wamaganizidwe

Matenda okhumudwa, kuda nkhawa, psychosis, komanso mavuto azidziwitso ndizizindikiro zina zopanda matenda a Parkinson's disease. Medicare imakhudza kuwunika kwa kukhumudwa ndi upangiri waumoyo.

Zida zachipatala zokhazikika (DME)

Medicare imakhudza mitundu ina ya DME. Zitsanzo zina ndi izi:

• mabedi achipatala
• oyenda
• Ma wheelchair
• njinga zamagetsi zamagetsi
• ndodo
• commode mipando
• zida zapanyumba za oxygen

Gome lotsatirali limayang'ana mozama pazomwe zimaphimbidwa mgawo lililonse la Medicare:

Zomwe siziphimbidwa?

Tsoka ilo, Medicare sikuphimba zonse zomwe mungaganize kuti ndizofunikira kuchipatala. Ntchito izi zimaphatikizapo kusamalira osasamalira mankhwala pazinthu zatsiku ndi tsiku, monga kuvala, kusamba, ndi kuphika. Medicare imaperekanso chisamaliro cha nthawi yayitali kapena chisamaliro cha nthawi.

Zipangizo zomwe zingathandize kuti moyo ukhale wosavuta panyumba sizimaphimbidwa nthawi zonse. Izi zimaphatikizapo zinthu monga bafa losambira kapena kukweza masitepe.

Kodi ndiyenera kulipira ndalama zingati?

Medicare imalipira ndalama zambiri zovomerezeka pamankhwala, chithandizo chamankhwala, ndi ntchito. Ndalama zanu zakuthumba zitha kuphatikizira ma copay, ndalama zandalama, ndalama zoyendetsedwa pamwezi, ndi zochotseredwa. Kuti mulandire chithandizo chonse, chisamaliro chanu chiyenera kuperekedwa ndi omwe amavomerezedwa ndi Medicare.

Kenako, tiwunikiranso ndalama zomwe mungayembekezere kulipira ndi gawo lililonse la Medicare.

Gawo A mtengo

Medicare Part A ndi yaulere kwa anthu ambiri. Komabe, mu 2020, mutha kuyembekezera kuti mupereke ndalama zochotseredwa za $ 1,408 nthawi iliyonse yopindulitsa musanalandire ntchito zanu.

Muthanso kulipidwa ndalama zowonjezera $ 352 patsiku mukakhala mchipatala masiku opitilira 60. Pambuyo masiku 90, mtengo wake umakwera mpaka $ 704 tsiku lililonse tsiku lililonse losungidwa mpaka atagwiritsidwa ntchito. Pambuyo pake, ndiye kuti mudzayang'anira ndalama zonse kuchipatala.

Gawo B ndalama

Mu 2020, malipiro amwezi pamwezi a Gawo B ndi $ 144.60. Palinso ndalama yochotseredwa pachaka ya Medicare Part B, yomwe ndi $ 198 mu 2020. Mukachotsa deductible yanu, mudzangokhala ndi udindo wolipira 20% ya ntchito zothandizidwa kudzera mu Gawo B.

Gawo C ndalama

Ndalama zakuthumba zamapulani a Gawo C zimatha kusiyanasiyana. Ena alibe malipiro apamwezi, koma ena alibe. Mutha kuyembekezera kulipira ma copays, ndalama za ndalama, ndi zochotseredwa ndi gawo C.

Chotsitsa chachikulu kwambiri mu 2020 mu gawo la Gawo C ndi $ 6,700.

Zina mwazigawo za C zimafuna kuti mulipire ndalama zokwanira 20% mpaka mutakwanitsa kutulutsa ndalama, zomwe zimasiyananso pa dongosolo lililonse. Nthawi zonse yang'anani momwe mungapezere ndalama zanu kuti mupeze ndalama zomwe mungayembekezere.

Gawo D ndalama

Mapulani a Part D amakhalanso osiyana pamitengo, komanso momwe amafotokozera mankhwala osokoneza bongo. Mutha kufananiza mapulani osiyanasiyana a Gawo C ndi Gawo D pano.

Mitengo ya Medigap

Mapulani a Medigap amasiyana pamitengo komanso kufotokozera. Ena amapereka njira zotsika kwambiri. Mutha kufananiza ndondomeko za Medigap apa.

Kodi matenda a Parkinson ndi ati?

Matenda a Parkinson ndimatenda amtsogolo, amanjenje. Ndi matenda achiwiri omwe amapezeka kwambiri pambuyo pa matenda a Alzheimer's.

Zomwe zimayambitsa Parkinson sizimamveka bwino. Pakadali pano palibe mankhwala. Chithandizo cha matenda a Parkinson chimakhazikitsidwa ndi kuwongolera zizindikiritso ndi kuwongolera.

Pali mitundu ingapo ya matenda a Parkinson, komanso zovuta zofananira zamitsempha zotchedwa "parkinsonism." Mitundu iyi ndi iyi:

• chachikulu parkinsonism
• yachiwiri parkinsonism (atypical parkinsonism)
• mankhwala osokoneza bongo a parkinsonism
• mtima parkinsonism (matenda am'magazi)

Kutenga

Matenda a Parkinson ndichikhalidwe chomwe chimapangitsa kuchepa kwazidziwitso komanso kuyendetsa magalimoto kwakanthawi. Medicare imagwiritsa ntchito mankhwala osiyanasiyana omwe angagwiritsidwe ntchito kuthana ndi zizindikiritso izi ndikukhalitsa moyo wabwino.

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.