Uhi anei ʻo Medicare i ka maʻi koʻohuna Shingles?
Anter
- He aha nā ʻāpana o Medicare e uhi nei i ka lāʻau āpau maʻi shingles?
- Ehia nā kumukūʻai o ka lāʻau āpau shingles?
- ʻ .lelo aʻoaʻo mālama mālama kālā
- Pehea e holo ai nā lāʻau lapaʻau shingles?
- ʻO Shingrix
- Zostavax
- ʻO Shingrix vs. Zostavax
- He aha nā shingles?
- ʻO ka lawe lawe ʻana
- Paipai nā kikowaena no ka mālama ʻana i ka maʻi a me ka Kāohi (CDC) i nā mākua olakino olakino he 50 a ʻoi paha makahiki e loaʻa ka lāʻau lapaʻau shingles.
- ʻAʻole uhi ka Medicare Original (ʻĀpana A a me ka ʻāpana B) i ka lāʻau āpau.
- Hiki i ka Medicare Advantage a i ʻole Medicare Part D ke hoʻolālā i nā hoʻolālā āpau a i ʻole kahi ʻāpana o nā koina lāʻau koʻokoʻo shingles.
Ke hele a makua ʻoe, e loaʻa ana paha nā shingle iā ʻoe. ʻO ka mea pōmaikaʻi, aia kahi lāʻau lapaʻau i hiki ke pale i ke ʻano.
ʻAʻole uhi ka Medicare Part A a me ka ʻāpana B i nā lāʻau āpau shingles (aia ʻelua mau mea ʻokoʻa). Eia nō naʻe, hiki paha iā ʻoe ke pale ma o kahi hoʻolālā Medicare Advantage a Medicare Part D paha.
E hoʻomau i ka heluhelu ʻana e ʻike pehea e loaʻa ai ka uhi Medicare no nā lāʻau āpau shingles a i ʻole e loaʻa kālā kōkua inā ʻaʻole uhi kāu hoʻolālā i ka lāʻau lapaʻau.
He aha nā ʻāpana o Medicare e uhi nei i ka lāʻau āpau maʻi shingles?
ʻO Medicare Original, ʻĀpana A (ka uhi o ka haukapila) a me ka ʻĀpana B (kauka lapaʻau), ʻaʻole ia e uhi i ka lāʻau āpau shingles. Eia nō naʻe, aia kekahi mau hoʻolālā Medicare e uhi paha ma ka liʻiliʻi o nā koina. Pākuʻi ʻia kēia mau mea:
- Medicare Mahele C. ʻIke ʻia ʻo Medicare Advantage, Medicare Part C kahi hoʻolālā hiki iā ʻoe ke kūʻai ma o kahi ʻoihana ʻinikua pilikino. Hāʻawi paha ia i nā pono hou aʻe ʻaʻole i uhi ʻia e Medicare kumu, me nā lawelawe pale. ʻO nā hoʻolālā Medicare Advantage he nui e pili ana i ka uhi lāʻau lāʻau i kuhikuhi ʻia, kahi e uhi ai i ka lāʻau lapaʻau shingles.
- Medicare Mahele D. ʻO kēia ka ʻāpana lāʻau lapaʻau e kuhikuhi ʻia ʻana o Medicare a uhi pinepine i nā "lāʻau lapaʻau i loaʻa ma ke kūʻai ʻia ʻana." Pono ʻo Medicare i nā ʻāpana D e hoʻolālā e uhi i nā kī ʻo shingles, akā hiki ke ʻokoʻa ka nui i uhi ʻia mai ka hoʻolālā i ka hoʻolālā.
Aia kekahi mau ʻanuʻu e hiki iā ʻoe ke lawe e hōʻoia i uhi ʻia kāu lāʻau āpau shingles inā loaʻa iā ʻoe ka Medicare Advantage me ka uhi lāʻau a i ʻole Medicare Part D:
- Kāhea i kāu kauka e ʻike inā hiki iā lākou ke kikoʻī i kāu ʻĀpana D hoʻolālā pololei.
- Inā ʻaʻole hiki i kāu kauka ke kikoʻi pololei i kāu hoʻolālā, e noi i kāu kauka e hoʻohui pū me kahi kauka lāʻau i loko o ka pūnaewele. Hiki paha i ka hale kūʻai lāʻau ke hāʻawi iā ʻoe i ka lāʻau āpau a kau pono i kāu hoʻolālā.
- Waiho i kāu pila vaccine no ka uku hou ʻana me kāu hoʻolālā inā ʻaʻole hiki iā ʻoe ke hana i kekahi o nā koho i luna.
Inā pono ʻoe e faila no ka uku hou ʻana, pono ʻoe e uku i ke kumu kūʻai holoʻokoʻa ke loaʻa iā ia. Pono kāu papa hana e uku hou iā ʻoe, akā e loli ka nui i uhi ʻia ma muli o kāu hoʻolālā a inā aia ka hale kūʻai i kāu pūnaewele.
Ehia nā kumukūʻai o ka lāʻau āpau shingles?
ʻO ka nui āu e uku ai no ka lāʻau lapaʻau shingles e kaukaʻi ʻia i ka nui o kāu uhi Medicare. E hoʻomanaʻo inā he lāʻau Medicare wale nō kāu me ka ʻole o ke kauka lāʻau i kuhikuhi ʻia ma o Medicare, hiki iā ʻoe ke uku i ke kumukūʻai piha no ka lāʻau āpau.
Hoʻolālā nā lāʻau lapaʻau Medicare i kā lākou lāʻau lapaʻau e ka pae. Ma kahi e hāʻule ai kahi lāʻau i ka pae hiki ke hoʻoholo i ke kumu kūʻai. ʻO ka hapa nui o nā hoʻolālā lāʻau Medicare e uhi ma ka liʻiliʻi he 50 pākēneka o ke kumu kūʻai kūʻai lāʻau lapaʻau.
ʻO nā pae PRice no nā lāʻau āpau shinglesShingrix (hāʻawi ʻia i ʻelua mau pana):
- Copay deductible: manuahi i $ 158 no kēlā me kēia kī
- Ma hope o ka hiki ke lawe ʻia: manuahi i $ 158 no kēlā me kēia pana
- Poʻomanaʻo hole / ʻāpana āpau āpau: manuahi i $ 73 no kēlā me kēia pana
- Ma hope o ka lua donut: $ 7 a $ 8
Zostavax (hāʻawi ʻia ma ke ʻano he hoʻokahi pana):
- Copay deductible: manuahi i $ 241
- Ma hope o ka hiki ke lawe ʻia: manuahi i $ 241
- Puka donat / ʻāpana hakahaka ka palena: manuahi i $ 109
- Ma hope o ka lua donut: $ 7 a $ 12
E ʻike pololei ai i kāu uku, e nānā i ka formulary o kāu hoʻolālā a i ʻole e hoʻopili pololei i kāu hoʻolālā.
ʻ .lelo aʻoaʻo mālama mālama kālā
- Inā kūpono ʻoe i Medicaid, e nānā me ke keʻena Medicaid o kou mokuʻāina e pili ana i ka uhi ʻana no ka lāʻau lapaʻau shingles, a manuahi paha ia a hāʻawi ʻia paha ma ke kumu kūʻai haʻahaʻa.
- E nānā no ke kōkua kuhikuhi a me nā coupons ma nā pūnaewele e kōkua me nā kumukūʻai lāʻau. ʻO nā laʻana me GoodRx.com a me NeedyMeds.org. Hiki i kēia mau pūnaewele ke kōkua iā ʻoe e ʻimi no ka hana maikaʻi loa ma kahi e loaʻa ai ka lāʻau lapaʻau.
- Kāhea pololei aku i ka mea hana o ka lāʻau lapaʻau e noi i nā rebate a i ʻole nā hōʻemi hōʻemi. Hana ʻo GlaxoSmithKline i ka lāʻau lapaʻau Shingrix. Hana ʻo Merck iā Zostavax.
Pehea e holo ai nā lāʻau lapaʻau shingles?
I kēia manawa, ʻelua mau lāʻau āpau i ʻae ʻia e ka Food and Drug Administration (FDA) e pale aku i nā shingles: live vaccine zoster (Zostavax) a me recampinant zoster vaccine (Shingrix). Hana kēlā me kēia i nā ʻano ʻokoʻa iki e pale aku ai i nā shingles.
ʻO Shingrix
Ua ʻae ʻo FDA iā Shingrix i ka makahiki 2017. ʻO ia ka lāʻau lapaʻau i koi ʻia no ka pale ʻana i ka shingles. Loaʻa i nā lāʻau āpau nā huakō i hana ʻole ʻia, ka mea e hoʻomanawanui ai ia no nā poʻe me nā ʻōnaehana paleʻoniʻoni kūpikipiki ʻia.
Minamina, pinepine ʻo Shingrix ma backorder ma muli o kona kaulana. Hiki paha iā ʻoe ke paʻakikī ke loaʻa, ʻoiai inā uku kāu hoʻolālā Medicare.
Zostavax
Ua ʻae ʻo FDA iā Zostavax e pale aku i nā shingles a me postural neuralgia postherpetic i ka makahiki 2006. ʻO ka lāʻau lapaʻau he lāʻau lapaʻau ola ia, ʻo ia hoʻi he loko nā mea hoʻomaʻemaʻe. ʻO ka lāʻau koʻokoʻo no ka maʻi ʻula, ʻāpala, a me rubella (MMR) kekahi ʻano o nā lāʻau lapaʻau ola.
ʻO Shingrix vs. Zostavax
| ʻO Shingrix | Zostavax | |
|---|---|---|
| Ke loaʻa iā ʻoe | Hiki iā ʻoe ke hoʻomaka i ka lāʻau lapaʻau i ka makahiki 50, ʻoiai inā he shingles ʻoe ma mua, ʻaʻole maopopo inā loaʻa iā ʻoe i ka moa moa, a i ʻole ua loaʻa i kekahi lāʻau lapaʻau shingles ʻē aʻe i ka wā i hala. | Aia i ka poʻe 60-69 mau makahiki. |
| Ka hoʻokō ʻana | ʻElua mau mahele o Shingrix ʻoi aku ma mua o 90 pākēneka maikaʻi i ka pale ʻana i nā shingles a me ka neuralgia postherpetic. | ʻAʻole maikaʻi kēia lāʻau lapaʻau e like me Shingrix. Loaʻa iā ʻoe kahi hōʻemi hoʻemi no ka shingles a me ka 67 pākēneka e hoʻemi i ka makaʻu no ka neuralgia postherpetic. |
| Nā Kūʻai Kūʻai | Hoʻopili kēia i kahi maʻi āpau i ka lāʻau āpau, nā shingles o kēia wā, hāpai a hānai waiu paha, a i ʻole inā ua hoʻāʻo ʻoe i ka maikaʻi ʻole no ka pale ʻana i ka maʻi e loaʻa ai i ka maʻi pīpī (i kēlā hihia, hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau moa | ʻAʻole pono ʻoe e loaʻa iā Zostavax inā loaʻa iā ʻoe ka mōʻaukala o ka hopena i ka neomycin, gelatin, a i ʻole kekahi ʻāpana ʻē aʻe i hana i ka lāʻau lapaʻau shingles. Inā ua pale ʻia ʻoe no ka maʻi HIV / AIDS a i ʻole ke kanesa, hāpai a hānai hānai paha, a i ʻole lawe ʻana i nā lāʻau hoʻomalu pale pale. |
| Nā hopena ʻaoʻao | Loaʻa paha iā ʻoe ka ʻehaʻeha, ʻulaʻula a me ka pehu ma ka pūnaewele injection, headache, fever, pain ʻōpū, a me ka nausea. Hele maʻamau kēia ma kahi o 2 a 3 mau lā. | Hoʻopili kēia i ke poʻo o ke poʻo, ʻulaʻula, pehu, a me ka ʻeha a me ka makaʻu ma ka pūnaewele injection. Hiki i kekahi poʻe ke hoʻomohala i kahi ʻano liʻiliʻi, like me ka moa kaʻi ma ka pūnaewele injection. |
He aha nā shingles?
ʻO Shingles kahi mea hoʻomanaʻo hoʻomanaʻo no ka herpes zoster, ʻo ka maʻi hoʻomaʻemaʻe e loaʻa ai i ka moa, aia i loko o ke kino. Kuhi ʻia o ʻAmelika he 40 mau makahiki a ʻoi paha i loaʻa i ka maʻi puʻupuʻu (ʻoiai ʻaʻole hoʻomanaʻo ka hapa nui iā lākou).
Hoʻopili ʻo Shingles ma kahi o ka hapakolu o ka poʻe i loaʻa i ka maʻi puʻupuʻu, e alakaʻi ana i ke ahi, ke kani ʻana, a me ke kī ʻana i ka ʻeha nerve. Hiki ke hala nā ʻōuli no 3 a 5 mau pule.
ʻOiai ke hele aku ka ʻeha a me ka ʻeha nerve, hiki iā ʻoe ke loaʻa i ka neuralgia postherpetic. ʻO kēia kahi ʻano ʻeha e hoʻolōʻihi ma kahi e hoʻomaka ai kahi ʻūlū shingles. Hiki i ka neuralgia postherpetic ke kumu i kēia mau hōʻailona:
- hopohopo
- kaumaha
- nā pilikia e hoʻopau ana i nā hana o kēlā me kēia lā
- pilikia e hiamoe ana
- Kaumaha emi
ʻO kou ʻelemakule, ʻo ka nui paha o ka neuralgia postherpetic. ʻO ia ke kumu e lilo ai ka pale ʻana i nā shingles i mea nui.
ʻO ka lawe lawe ʻana
- Pono ka Medicare Advantage a me Medicare Part D e uhi ma ka liʻiliʻi i kahi ʻāpana o ke kumukūʻai vaccine shingles.
- E nīnau me kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau āpau e ʻike pehea e uku ʻia ai.
- Paipai ka CDC i ka lāʻau lapaʻau Shingrix, akā ʻaʻole loaʻa mau, no laila e nānā me ke keʻena o kāu kauka a i ʻole ka hale kūʻai lāʻau lapaʻau ma mua.
E heluhelu i kēia ʻatikala ma ka Paniolo
Hoihoi
Pehea e hoʻomaulia ai i nā pāʻina ʻai
