Uhi anei ʻo Medicare i ka Home Oxygen Therapy?

Anter

• Uhi ʻo Medicare i ka home oxygen therapy?
• Nā koi maʻamau no ka uhi ʻana
• Pono pono olakino
• Nā kumukūʻai
• He aha nā pono hana a me nā pono e uhi ai?
• Pehea wau e kūpono ai no ka uhi ʻana?
• Pehea e holo ai nā lako pono hana?
• ʻO nā mea hou aʻe e pili ana i ka oxygen therapy
• Ke hoʻohana palekana nei i nā huahana oxygen
• ʻO ka lawe lawe ʻana

• Inā kūpono ʻoe i Medicare a loaʻa kahi kauka a ke kauka no ka oxygen, e uhi ʻo Medicare ma kahi liʻiliʻi o kāu mau koina.
• Uhi ka Medicare ʻāpana B i ka hoʻohana oxygen home, no laila pono ʻoe e kākau inoa ʻia i kēia ʻāpana e loaʻa ai ka uhi.
• ʻOiai ʻo Medicare e kōkua i ka uhi ʻana i nā koina o ka oxygen therapy, pono paha ʻoe e uku i kahi ʻāpana o kēlā mau kumukūʻai.
• ʻAʻole hiki i ka Medicare ke uhi i nā ʻano o ka oxygen therapy.

Ke hiki ʻole iā ʻoe ke hanu, e lilo paha nā mea āpau i mea paʻakikī. ʻIke paha nā hana o kēlā me kēia lā i kahi pilikia. Hoʻohui ʻia, he nui nā pilikia olakino ʻē aʻe i hopena i nā pae oxygen haʻahaʻa haʻahaʻa, i ʻike ʻia ʻo hypoxemia.

Inā paʻakikī ʻoe i ka hanu ʻana a i ʻole ke kūlana e hoʻohaʻahaʻa ai i ka pae o ka oxygen o kou kino, pono paha ʻoe i ka oxygen therapy ma ka home. E heluhelu e ʻike inā e kōkua ʻo Medicare i ke kumukūʻai o ka oxygen home a me nā mea āu e pono ai e hana inā e loaʻa nā lako āu e pono ai.

Uhi ʻo Medicare i ka home oxygen therapy?

Uhi ʻo Medicare i ka home oxygen therapy ma lalo o ka Māhele B. Hoʻohui ʻia ʻo Medicare ʻĀpana B i ke kumukūʻai o ka mālama maʻi maʻi a me kekahi mau ʻano lāʻau home.

Nā koi maʻamau no ka uhi ʻana

No ka uhi ʻana o ka oxygen home i loko o Medicare, pono ʻoe:

• e kākau inoa ʻia i ka ʻāpana B
• Loaʻa ka lāʻau lapaʻau no ka oxygen
• he kauoha a ke kauka no ka oxygen home.

Ua hōʻike akāka nā Centers for Medicare & Medicaid Services (CMS) i nā pae kikoʻī kikoʻī e pono e hoʻokō ʻia i mea e uhi ai ʻo Medicare i ka oxygen home. Loaʻa nā koi i:

• laulā Medicare kūpono
• nā palapala olakino o kahi kūlana olakino pili
• keʻena hoʻokolohua a me nā hopena hoʻokolohua ʻē aʻe e hōʻoia i ka pono no ka oxygen home

E uhi mākou i nā kikoʻī pehea e kūpono ai no ka uhi ʻana ma hope ma kēia ʻatikala.

Pono pono olakino

Hoʻonohonoho pinepine ʻia ka oxygen home no nā kūlana e like me ka puʻuwai puʻuwai a me ka maʻi pulmonary obstructive maʻi (COPD).

Hoʻoholo ʻia ka pono olakino o ka home oxygen e ka hoʻāʻo ʻana inā ʻike ʻia ke kumu o ka hypoxemia. Loaʻa ka hypoxemia ke loaʻa ʻoe i nā kiʻekiʻe o ka oxygen i loko o kou koko.

ʻAʻole e uhi ʻia nā kūlana e like me ka pōkole o ka hanu me ka ʻole o nā pae oxygen haʻahaʻa e Medicare.

Pono e kau kauka a kāu kauka e pili ana i kāu ʻike, ehia mau oxygen e pono ai, a me nā manawa hea ʻoe e pono ai. ʻAʻole uhi pinepine ʻo Medicare i nā kauoha no ka PRN oxygen, ʻo ia ka oxygen e koi ʻia ma ke ʻano e pono ai.

Nā kumukūʻai

Inā kū kāu kūlana i nā pae hoʻohālikelike CMS, pono ʻoe e hoʻokō mua i kāu Medicare Part B i unuhi ʻia. ʻO kēia ka nui o nā kumukūʻai ma waho o ka ʻeke āu e uku ai ma mua o ka hoʻomaka ʻana o Medicare e uhi i nā mea a me nā lawelawe i ʻae ʻia.

Unuhi ʻia ka ʻāpana B no 2020 he $ 198. Pono ʻoe e uku i kahi uku no kēlā me kēia mahina. I ka 2020, ʻo ka uku maʻamau $ 144.60 - ʻoi aku paha ke kiʻekiʻe, ma muli o kāu loaʻa.

I ka manawa i hui ai ʻoe me kāu mahele B i unuhi ʻia no ka makahiki, e uku ʻo Medicare no 80 pākēneka o ke kumukūʻai o kāu pono hoʻolimalima oxygen hale. Manaʻo ʻia nā pono o ka home oxygen i nā pono olakino paʻa (DME). E uku ʻoe i ka 20 pākēneka o nā koina no DME, a pono ʻoe e kiʻi i kāu pono hoʻolimalima ma o kahi mea hoʻolako DME i ʻae ʻia e Medicare.

Hiki ke hoʻohana ʻia nā hoʻolālā Medicare Advantage (ʻĀpana C) e uku no nā pono hoʻolimalima oxygen. Koi ʻia kēia mau hoʻolālā e ke kānāwai e uhi ma ka liʻiliʻi e like me ka uhi kumu Medicare (ʻāpana A a me B).

E pili ana kāu uhi kikoʻī a me nā kumukūʻai i ka papahana Medicare Advantage āu e koho ai, a ʻo kāu koho ʻana o nā mea hāʻawi e kaupalena ʻia i ka poʻe i ka pūnaewele o ka hoʻolālā.

He aha nā pono hana a me nā pono e uhi ai?

E uhi ʻo Medicare i kahi ʻāpana o ke kumukūʻai no nā pono hoʻolimalima e hoʻolako, mālama, a hāʻawi i ka oxygen. Aia kekahi mau ʻano o nā ʻōnaehana oxygen, e komo pū ana me ke kinoea kaomi, ka wai oxygen, a me nā concentrator oxygen lawe.

Eia kahi hiʻohiʻona o ka hana o kēlā me kēia ʻōnaehana:

• Nā ʻōnaehana kōmi i hoʻopaʻa ʻia. ʻO kēia nā concentrator oxygen kūpaʻa me 50 kapuaʻi o ka paipu e hoʻopili i nā pahu wai oxygen liʻiliʻi. Hāʻawi ʻia nā pahu i kou home e pili ana i ka nui o ka oxygen e pono ai e mālama i kou ʻano. Holo ka oxygen mai ka pahu i loko o kahi mea hoʻonohonoho e mālama ai i ka oxygen. ʻAe kēia e hāʻawi ʻia iā ʻoe i nā pulsa ma mua o kahi kahawai mau.
• Nā ʻōnaehana oxygen wai. Loaʻa i kahi waihona oxygen ma loko o ka oxygen wai āu e hoʻohana ai e hoʻopiha i kahi pahu liʻiliʻi, e like me ke koi. Hoʻohui ʻoe i ka waihona wai ma o 50 mau kapuwai o ka paipu.
• Concentrator oxygen lawe. ʻO kēia ka liʻiliʻi loa, ʻo ka nui o nā koho kelepona a hiki ke hoʻokomo ʻia ma ke ʻano he ʻeke a neʻe paha i nā huila. ʻAʻole koi kēia mau anakuhi uila i nā pahu wai e hoʻopihapiha a hele mai me nā kapuai 7 wale nō o ka paipu. Akā he mea nui e ʻike i ka uhi ʻana o Medicare i nā concentrator oxygen lawe wale ma nā kūlana kikoʻī loa.

E uhi ʻo Medicare i nā anakuhi oxygen paʻa no ka hoʻohana ʻana ma ka home. Aia kēia uhi:

• paipu oxygen
• nasula cannula a i ʻole waha waha
• oxygen a kinowai a i ʻole
• mālama, lawelawe ʻana, a me nā hoʻoponopono ʻana o ka anakuhi oxygen

Uhi pū ʻo Medicare i nā ʻano lāʻau e pili ana i ka oxygen, e like me ka hoʻomau ʻana o ke kaomi ʻaoʻao maikaʻi (CPAP). Pono paha ʻo CPAP therapy no nā kūlana e like me ka apnea moe ālai.

Pehea wau e kūpono ai no ka uhi ʻana?

E ʻimi mākou i nā pae hoʻohālikelike āu e pono ai e hālāwai me Medicare e uhi i kāu lako hana hoʻolōlani oxygen home:

• E hōʻoia i ka uhi ʻia ʻana o kāu oxygen therapy ma lalo o Medicare Part B, pono ʻoe e ʻike ʻia me ke kūlana olakino kūpono a loaʻa i kahi kauka no ke kauka oxygen.
• Pono ʻoe e hana i kekahi mau hōʻike e hōʻike ana i kou pono no ka oxygen therapy. Hoʻokahi ka hoʻāʻo ʻana o ke koko, a pono e hāʻule kāu mau hopena i kahi pae i kuhikuhi ʻia.
• Pono kāu kauka e kauoha i kahi kikoʻī kikoʻī, lōʻihi, a me ke alapine o ka oxygen āu e pono ai. ʻO nā kauoha no ka oxygen ma ke kumu e pono ai ʻaʻole kūpono i ka uhi ʻana ma lalo o Medicare Part B.
• I mea e pono ai no ka uhi ʻana, koi paha ʻo Medicare i kāu kauka e hōʻike i kou hoʻāʻo ʻana i nā hoʻoponopono ʻē aʻe, e like me ka hoʻoponopono pulmonary, me ka ʻole o ka kūleʻa piha.
• Pono ʻoe e kiʻi i kāu pono hoʻolimalima inā he mea hoʻolako e komo i Medicare a ʻae i ka hana. Hiki iā ʻoe ke loaʻa nā mea hoʻolako i ʻae ʻia e Medicare ma aneʻi.

Pehea e holo ai nā lako pono hana?

Ke kūpono ʻoe no ka oxygen therapy, ʻaʻole kūʻai pono ʻo Medicare i nā pono nāu. Akā, uhi ia i ka hoʻolimalima o kahi ʻōnaehana oxygen no 36 mau mahina.

I loko o kēlā wā, kuleana ʻoe no ka uku ʻana i 20 pākēneka o ka uku hoʻolimalima. Uhi ka uku hoʻolimalima i ka oxygen unit, tubing, masks a me nasal cannula, gas a i ʻole oxygen wai, a me nā kumukūʻai o ka lawelawe a me ka mālama ʻana.

I ka manawa e pau ai ka manawa hoʻolimalima 36 mau mahina, koi ʻia kāu mea hoʻolako e hoʻomau i ka hāʻawi ʻana a me ka mālama ʻana i nā pono a hiki i nā makahiki he 5, inā he hemahema kāu e pono ai. Loaʻa ka lako i ka mea hoʻolako, akā ʻo ka uku hoʻolimalima o ka mahina e pau ma hope o 36 mau mahina.

ʻOiai ma hope o ka pau ʻana o nā uku hoʻolimalima, e hoʻomau ʻo Medicare i ka uku ʻana i kāna ʻāpana o nā lako e pono ai e hoʻohana i nā pono, e like me ka lawe ʻana i ka gas a i ʻole ka oxygen oxygen. E like me nā koina hoʻolimalima pono, e uku ʻo Medicare i ka 80 pākēneka o kēia mau koina lako e hoʻomau nei. E uku ʻoe i kāu Medicare ʻĀpana B hōʻemi ʻia, uku nui o ka mahina, a me 20 pākēneka o nā koina i koe.

Inā pono ʻoe i ka oxygen therapy ma hope o 5 mau makahiki, hoʻomaka kahi manawa hoʻolimalima he 36 mau mahina a me ka laina manawa 5 mau makahiki.

ʻO nā mea hou aʻe e pili ana i ka oxygen therapy

Pono ʻoe i ka oxygen therapy e mālama ai i kekahi o nā ʻano ʻokoʻa.

I kekahi mau hihia, hiki i ka hōʻeha a i ʻole nā ​​maʻi nui ke hōʻemi i kou hiki ke hanu pono. I nā manawa ʻē aʻe, hiki i kahi maʻi e like me COPD ke hoʻololi i ke kemika o nā kinoea i kou koko, e hoʻohaʻahaʻa ana i ka nui o ka oxygen e hiki i kou kino ke hoʻohana.

Eia kahi papa inoa o kekahi mau ʻano e koi paha iā ʻoe e hoʻohana i kekahi manawa a i ʻole ka hoʻomau ʻana i ka oxygen i ka home.

• COPD
• pulumonia
• hānō
• puʻuwai puʻuwai
• cystic fibrosis
• ʻāpana moe
• maʻi lolo
• ʻeha hanu

E hoʻoholo inā koi kāu ʻano i ka oxygen therapy ma ka home, e hana kāu kauka i nā ʻano hoʻokolohua like ʻole e ana i ka maikaʻi o kou hanu ʻana. Nā hōʻailona e alakaʻi i kāu kauka e ʻōlelo i kēia mau hoʻāʻo e:

• pokole o ka hanu
• cyanosis, he leo pale a polū paha i kou ʻili a me kou mau lehelehe
• huikau
• ʻū a ʻū paha
• ka houʻu ʻana
• hanu wikiwiki a i ʻole ka helu puʻuwai

Inā loaʻa kēia mau hōʻailona iā ʻoe, e hana kāu kauka i kekahi mau hoʻokolohua. Pākuʻi paha kēia i nā hana hanu a me nā hana, ka hoʻāʻo kinoea koko, a me nā ana saturation oxygen. Hiki ke hoʻohana ʻia i nā pono hana kūikawā ma nā hoʻāʻo ʻana o ka hana, a koi ʻia ka hoʻokolohua ʻana o ke kōkō koko i kahi huki koko.

ʻO ka hoʻāʻo ʻana i ka māʻona oxygen me ka oximeter lāʻau iki ma kou manamana lima ke ala invasive liʻiliʻi loa e nānā i kāu pae oxygen.

ʻO ka maʻamau, ʻo ka poʻe nona ka oxygen e hāʻule i waena o 88 pakeneka a me 93 pakeneka ma ka pulse oximeter e koi ai i ka oxygen therapy, ma ka liʻiliʻi i kekahi manawa. Nā ʻōkuhi no ka nui o ka oxygen e hoʻohana ai a i ka wā hea e pili ai i kāu ʻano kikoʻī.

I kekahi mau hihia, hiki i kāu kauka ke kauoha i ka pulmonary rehabilitation i hoʻohui ʻia me ka oxygen therapy.

Kōkua ka rehab pulmonary i ka poʻe me kahi ʻano e like me COPD e aʻo e hoʻokele iā ia a ʻoliʻoli i ka maikaʻi o ke ola. Hoʻokomo pinepine ka rehab pulmonary i ka naʻau e pili ana i nā hana hanu a me nā hui kākoʻo hoa. Kuhi pinepine ʻia kēia maʻi maʻi e Medicare Part B.

Pono e mālama ʻia ka oxygen therapy e like me nā lāʻau ʻē aʻe. Pono ʻoe e hana pū me kāu kauka e ʻike i ka lāʻau kūpono, nā ana, a me ka lōʻihi no kāu kūlana kikoʻī. E like me ka hiki i ka oxygen liʻiliʻi ke hōʻeha iā ʻoe, ʻo ka nui loa o ka oxygen i hiki ke hāpai i nā pilikia. I kekahi manawa, pono ʻoe e hoʻohana i ka oxygen no kahi manawa pōkole. E noʻonoʻo pono e kamaʻilio me kāu kauka a nānā pinepine inā makemake ʻoe - a i ʻole manaʻo ʻoe pono - home oxygen therapy.

Ke hoʻohana palekana nei i nā huahana oxygen

ʻO ka oxygen he kinoea puhiʻino nui ia, no laila pono ʻoe e lawe i nā hana palekana ke hoʻohana nei i nā lako oxygen home. Eia kekahi mau ʻōlelo aʻoaʻo:

• Mai puhi a hoʻohana paha i nā ahi hāmama i nā wahi āpau e hoʻohana ai ka oxygen home.
• E kau i kahi hōʻailona ma kou puka e hoʻomaopopo i ka poʻe kipa aia kahi ʻokikene home oxygen i hoʻohana ʻia.
• E kau i nā leka uila ma loko o kou home a nānā pinepine i ka hana a lākou.
• E akahele pono i ka kuke ʻana.
• E hoʻomanaʻo i hiki i ka paipu oxygen a me nā mea pono ʻē aʻe ke hōʻike i kahi weliweli hāʻule no ka mea e hele paha ʻoe ma luna o lākou.
• E mālama i nā pahu oxygen ma kahi ākea akā palekana.

ʻO ka lawe lawe ʻana

• Pono e hoʻohana mau ʻia ka oxygen ma lalo o ka nānā a me ke alakaʻi o kāu kauka.
• E akahele i ka hoʻohana ʻana i ka oxygen, a hāhai i nā hana palekana.
• Inā makemake ʻoe i ka oxygen home a kau inoa ʻia i ka ʻāpana B, pono e uhi ʻo Medicare i ka hapa nui o kāu mau koina.
• ʻAʻole hiki i ka Medicare ke uhi i kekahi mau pono oxygen, e like me nā concentrator lawe lima.
• E hana pū me kāu kauka e ʻike i ka mea ʻoi loa no kāu kūlana a me kāu uhi.
• E kamaʻilio mau me kāu kauka inā manaʻo ʻoe ua loli kāu oxygen.