Kodi Medicare Idzalipira Kuthana ndi Kutaya Magazi Panyumba?

Zamkati

• Kodi Medicare imaphimba oyang'anira magazi?
• Chifukwa chiyani ndingafunike kuwunika kuthamanga kwa magazi kunyumba?
• Kuwerengetsa kolondola kwa ofesi ya adotolo
• Dialysis yamagazi
• Kodi Medicare imaphimba chiyani pamitundu yosiyanasiyana yoyang'anira kuthamanga kwa magazi?
• Magazi omangirira
• Momwe mungagwiritsire ntchito imodzi
• Kuphunzira kwa Medicare
• Ambulatory kuthamanga kwa magazi oyang'anira
• Njira zoyera zoyera
• Zosokoneza matenda oopsa
• Malangizo oyambira pakugwiritsa ntchito ABPM
• Malangizo ogulira zowunikira zakunyumba kwanu
• Zambiri zamagetsi ndi malangizo othandiza
• Kutenga

• Medicare nthawi zambiri samalipira oyang'anira magazi akunyumba, kupatula nthawi zina.
• Medicare Gawo B lingakulipireni kuti mupange renti yoyang'anira magazi kamodzi pachaka ngati dokotala akukulangizani.
• Medicare Part B imatha kulipira kuti muwone kuthamanga kwa magazi ngati mukukumana ndi renal dialysis kunyumba.

Ngati dokotala wakupemphani kuti muyang'ane kuthamanga kwa magazi kwanu pafupipafupi, mutha kukhala mumsika kuti muyang'ane kuthamanga kwa magazi kunyumba.

Mukamayerekezera ndalama zowonetsetsa kuthamanga kwa magazi pa intaneti kapena kuchokera kwa omwe amapereka zida zamankhwala, ndikofunikira kudziwa kuti Medicare yoyambirira (gawo A ndi B) imangolipira owerengera magazi kunyumba nthawi zochepa kwambiri.

Pemphani kuti muphunzire nthawi yomwe Medicare idzagwiritse ntchito zida zapanyumba, mitundu yosiyanasiyana yoyang'anira yomwe ilipo, ndi maupangiri okuthandizani kuti muchepetse matenda oopsa.

Kodi Medicare imaphimba oyang'anira magazi?

Medicare imangolipira owerengera magazi kunyumba mukakhala kuti muli ndi renal dialysis m'nyumba mwanu kapena ngati dokotala wakupangitsani Ambulatory Blood Pressure Monitor (ABPM). ABPMs amayang'anira kuthamanga kwa magazi kwanu kwa nthawi ya maola 42 mpaka 48.

Ngati muli ndi Medicare Part A, maubwino anu adzakhudza kuwunika kulikonse kwa magazi komwe kumafunikira mukadwala kuchipatala.

Medicare Part B imakhudza kuwunika kwa magazi komwe kumachitika muofesi ya dokotala wanu, bola ngati dokotala wanu adalembetsa ku Medicare. Ulendo wanu wapachaka wapaubwino uyenera kuphatikizira kuwunika kwa magazi, komwe kumayikidwa pansi pa Gawo B ngati njira yodzitetezera

Chifukwa chiyani ndingafunike kuwunika kuthamanga kwa magazi kunyumba?

Magulu awiri omwe amagwiritsidwa ntchito kunyumba akamagwiritsa ntchito magazi ndimakutu am'magazi komanso ma ABPM. Pali zifukwa zingapo zomwe dokotala angakulimbikitseni kuti mugwiritse ntchito kunyumba.

Kuwerengetsa kolondola kwa ofesi ya adotolo

Nthawi zina, kukayezetsa magazi anu kuofesi ya dokotala kumatha kubweretsa zotsatira zolakwika. Izi ndichifukwa cha chodabwitsa chotchedwa matenda a chovala choyera. Ndipamene ulendo wopita kuofesi ya dokotala - kapena kungoti kukhala mkati ofesi ya dokotala - imayambitsa kuthamanga kwa magazi kwanu.

Anthu ena amakumana ndi matenda oopsa. Izi zikutanthauza kuti kuthamanga kwa magazi kwanu ndikotsika muofesi ya dokotala kuposa momwe zimakhalira pamoyo watsiku ndi tsiku.

Chifukwa chake, kuwunika kuthamanga kwa magazi kunyumba kumatha kukupatsani mwayi wowerengera wodalirika ngati chimodzi mwazomwezi zikupanga zotsatira zabodza.

Dialysis yamagazi

Kwa iwo omwe ali ndi aimpso dialysis, kuwunika molondola komanso pafupipafupi kuthamanga kwa magazi ndikofunikira. Kuthamanga kwa magazi ndichachiwiri chomwe chimayambitsa matenda a impso. Ndipo ngati muli ndi matenda a impso, kuthamanga kwa magazi kumatha kuchepetsa kupsyinjika kwa impso zanu m'thupi lanu. Pachifukwa ichi, ndikofunikira kudziwa ngati kuthamanga kwa magazi kwanu kukukulira ngati muli kunyumba dialysis.

Kodi Medicare imaphimba chiyani pamitundu yosiyanasiyana yoyang'anira kuthamanga kwa magazi?

Magazi omangirira

Zingwe zamagazi zimakwanira kuzungulira mkono wanu wakumtunda. Gulu lozungulira mkono wanu limadzaza ndi mpweya, kufinya mkono wanu kuti muyimitse magazi kudzera mumitsempha yanu yama brachial. Pamene mpweya umatuluka, magazi amayambiranso kuyenda pamitsempha ija pamafunde akukoka.

Momwe mungagwiritsire ntchito imodzi

1. Ngati mukugwiritsa ntchito khafu yolembera, ikani stethoscope pakhungu lamkati momwe mungamve kuthamanga kwa magazi. Onetsetsani kuyimba kwa manambala pa chipangizocho.
2. Mukamva kufalikira kwa magazi (kumveka ngati kupopa magazi) nambala yomwe mumawona pazoyimba ndiyowerenga systolic.
3. Vutoli litatulutsidwa kwathunthu mu khafu ndipo simumvanso phokoso la kupopa magazi, nambala yomwe mumawona pakuyimba ndi kuwerenga kwa diastolic. Izi zikuwonetsa kupanikizika kwamitsempha yamagazi mtima ukamasuka.

Kuphunzira kwa Medicare

Medicare imalipira 80% ya mtengo wa buku lokhazikika magazi ndi stethoscope ngati muli pa renal dialysis mnyumba mwanu. Mudzakhala ndi udindo wotsalira 20% ya mtengo.

Ngati muli ndi dongosolo la Medicare Part C (Medicare Advantage), lankhulani ndi omwe amakupatsani inshuwaransi kuti muwone ngati mapulani anu akukhudza ma khafu. Amayenera kulipira pafupifupi Medicare yapachiyambi, ndipo mapulani ena azikhudza zowonjezera, kuphatikiza zida zamankhwala.

Ambulatory kuthamanga kwa magazi oyang'anira

Zipangizozi zimatenga kuthamanga kwa magazi kwanu nthawi zonse tsiku lonse ndikusungira zowerengedwa. Chifukwa kuwerengetsa kumatengedwa m'nyumba mwanu komanso m'malo osiyanasiyana masana, kumapereka chithunzi cholondola cha kuthamanga kwanu kwa magazi tsiku ndi tsiku.

Njira zoyera zoyera

Ngati dokotala akuganiza kuti mutha kukhala ndi matenda oyera, Medicare ikulipirani kuti mubwereke ABPM kamodzi pachaka mukakwaniritsa izi:

• kuthamanga kwanu kwa systolic magazi anali pakati pa 130 mm Hg ndi 160 mm Hg kapena diastolic magazi anu anali pakati pa 80 mm Hg ndi 100 mm Hg pamaulendo awiri osiyana azachipatala, ndimiyeso iwiri yosiyana yomwe idatengedwa paulendo uliwonse
• kuthamanga kwanu kwa magazi kunja kwa ofesi kumayeza ochepera 130/80 mm Hg osachepera kawiri

Zosokoneza matenda oopsa

Ngati dokotala akuganiza kuti mwina mwabisala matenda oopsa, Medicare adzakulipirani kuti mubwereke ABPM kamodzi pachaka, mukakwaniritsa izi:

• kuthamanga kwanu kwa systolic magazi anali pakati pa 120 mm Hg ndi 129 mm Hg kapena kuthamanga kwanu kwa diastolic magazi anali pakati pa 75 mm Hg ndi 79 mm Hg pamaulendo awiri osiyana azachipatala, ndimayeso osachepera awiri otengedwa paulendo uliwonse
• kuthamanga kwanu kwa magazi kunja kwaofesi kunali 130/80 mm Hg kapena kupitilira kawiri

Malangizo oyambira pakugwiritsa ntchito ABPM

Centers for Medicare and Medicaid Services ikukulimbikitsani kuti muzitsatira malangizowa mukamagwiritsa ntchito ABPM:

• Mvetsetsani momwe mungagwiritsire ntchito chipangizocho musanachoke ku ofesi ya dokotala.
• Funsani dokotala wanu kuti alembe mitsempha yanu ya brachial ngati chikhomo chizagwera ndipo muyenera kukonza.
• Chitani zomwe mumachita tsiku ndi tsiku monga zachilendo, koma khalani chete pamene chipangizocho chikutenga magazi anu, ngati zingatheke. Sungani mkono wanu ndi mtima wanu pamene ukugwira ntchito.
• Dziwani nthawi yamankhwala omwe mumamwa, chifukwa chake ndikosavuta kutsatira zotsatira zake.
• Ngati n'kotheka, simuyenera kuyendetsa galimoto mukamagwiritsa ntchito ABPM.
• Simuyenera kusamba pomwe ABPM imakukhudzani.
• Mukamagona usiku, ikani kachipangizoka pansi pa pilo kapena pabedi panu.

Malangizo ogulira zowunikira zakunyumba kwanu

Anthu ambiri amagula oyang'anira magazi pa intaneti kapena m'sitolo kapena malo ogulitsa mankhwala. Katswiri wa Cleveland Clinic akuvomereza kuti mutsatire malangizowa mukamagula khafu yamagazi pamalo ogulitsa:

• Ngati muli ndi zaka 50 kapena kupitirira, yang'anani kachingwe kake osati kogwirizira dzanja lanu. Ma cuff a mikono nthawi zambiri amakhala olondola kuposa mitundu yazanja.
  • Onetsetsani kuti mukugula kukula koyenera. Wamkulu wamkulu amagwirira ntchito mikono yayitali masentimita 22 mpaka 26 m'mbali mwake. Kukula kwa achikulire kapena avareji ayenera kukhala wokwanira mainchesi 10.5 mpaka 13 (27-34 cm) mozungulira. Kukula kwakulu kwakukulu kuyenera kukwana mkono wa mainchesi 13.5 mpaka 17 (35-44 cm).
• Yembekezerani kulipira pakati pa $ 40 ndi $ 60. Mitundu yotsika mtengo ilipo, koma ngati mukufuna zowerengera zolondola, zopanda pake, simuyenera kuphwanya banki.
• Fufuzani chipangizo chomwe chimangowerenga kuthamanga kwa magazi katatu motsatana, pakadutsa mphindi imodzi.
• Pewani malo ogulitsira mapulogalamu. Ngakhale kuchuluka kwamapulogalamu othamanga magazi akutuluka, kulondola kwawo sikunafufuzidwebe bwino kapena kutsimikiziridwa.

Mwinanso mungafunefune chida chokhala ndi chiwonetsero chosavuta kuwerenga chomwe chikuwala bwino ngati mukufuna kuwerenga usiku. Mukasankha chipangizo, funsani dokotala wanu kuti atsimikizire kuwerenga kwake.Kafukufuku wasonyeza kuti kuchuluka kwa zida zowunikira magazi kunyumba kumapereka zowerengera zolakwika.

Zambiri zamagetsi ndi malangizo othandiza

Kutsata kuthamanga kwa magazi kwanu ndikofunikira, makamaka ngati mukudandaula za matenda oopsa. Ngati kuthamanga kwa magazi kukukwera kwambiri, pali zinthu zomwe mungachite kuti muchepetse:

• Kuchepetsa kuchuluka kwa sodium, caffeine, ndi mowa zomwe mumamwa.
• Chitani masewera olimbitsa thupi osachepera mphindi 30 patsiku.
• Siyani kusuta.
• Pezani njira zothanirana ndi nkhawa tsiku ndi tsiku.
• Lankhulani ndi dokotala wanu za mankhwala akuchipatala omwe amachepetsa kuthamanga kwa magazi.

Kutenga

Medicare salipira oyang'anira magazi akunyumba pokha pokha ngati mukukumana ndi matenda aimpso m'nyumba mwanu, kapena ngati dokotala akufuna kuti mutenge magazi anu kwina kulikonse osati kuchipatala.

Ngati muli ndi renal dialysis, Medicare Part B imalipira zowunikira zamagetsi ndi stethoscope. Ngati muli ndi vuto loyera kapena loyera, Medicare ikulipirani kuti mubwereke ABPM kamodzi pachaka kuti muwone kuthamanga kwa magazi kwanu kwa maola 24 mpaka 48.

Ndi dongosolo la Medicare Advantage, muyenera kudziwa ngati mapulani anu amakhudza oyang'anira magazi, chifukwa dongosolo lililonse limasiyana.

Kutenga kuthamanga kwa magazi kwanu ndi lingaliro labwino, makamaka ngati mukuda nkhawa ndi matenda oopsa. Mutha kupeza makapu otchipa a magazi okhala ndi zinthu zambiri pa intaneti kapena m'masitolo ogulitsa.

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.