Mea Kākau: Eugene Taylor
Lā O Ka Hana: 15 Aukake 2021
HōʻAno Hou I Ka Lā: 10 Kekemapa 2024
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Ma ka hoʻomaopopo ʻana i nā lula a me nā kumukūʻai o Medicare hiki ke kōkua iā ʻoe e hoʻolālā no kāu pono olakino. Akā e hoʻomaopopo maoli ai iā Medicare, pono ʻoe e maʻa mua me kekahi mau mea nui - {textend} akā huikau paha - nā huaʻōlelo {textend}.

ʻOiai inā ua hana ʻoe i ka ʻinikua i ka wā ma mua, aia i kā Medicare kāna ʻōlelo ponoʻī a hoʻohana i nā huaʻōlelo kūikawā a me nā ʻōlelo i pili wale i kāna hoʻolālā a me ka uhi ʻana. Ke ʻike nei i ke ʻano o kēia mau ʻōlelo a pehea e pili ai iā Medicare hiki ke kōkua iā ʻoe e hoʻokaʻawale ma o ka ʻike, hoʻokele i ke kaʻina hana, a hana i kahi koho olakino maikaʻi loa hiki iā ʻoe.

Eia nā huaʻōlelo maʻamau āu e ʻike ai i ka ʻimi ʻana i kāu koho Medicare:

ʻO Amyotrophic lateral sclerosis (ALS)

ʻO ALS kahi ʻano e hōʻino i nā mākala a i ka hopena e alakaʻi i ka make. Ua kapa ʻia ʻo Lou Gehrig maʻi, kapa ʻia ka inoa ma hope o ka pâʻani kinipōpō peku nui Lou Gehrig, i make na ALS ma 1941.

Inā he ALS kāu, kūpono ʻoe i Medicare inā ʻaʻole ʻoe he 65 mau makahiki. A ua kūpono koke ʻoe - {textend} me ka ʻole o ke kali kali o 2 mau makahiki e koi pinepine ʻia no ke koho Medicare ke hiki ʻoe i lalo o 65 mau makahiki a loaʻa iā ʻoe kahi kīnā mau.


Uhi kūkaʻi

Hoʻomaka ʻoe e loaʻa i ka mea i kapa ʻia ʻo ka pōʻaiapili ke hōʻea ʻoe i kahi nui o ka hoʻolilo ʻana i waho o ka ʻeke no kāu lāʻau lapaʻau no ka makahiki.

I ka makahiki 2020, hoʻomaka ka pōpilikia pōʻino ma $ 6,350. Ke hōʻea ʻoe i kēia nui, e uku wale ʻoe i kahi kope liʻiliʻi a i ʻole ka puʻukū kālā no ke koena o ka makahiki pōmaikaʻi.

Nā kikowaena no Medicare & Medicaid Services (CMS)

He hui pekelala ʻo CMS e kiaʻi ana iā Medicare a me Medicaid, a me nā pono hana e ʻaelike pū me lākou. ʻO nā rula i paʻi ʻia e CMS e hōʻoia i nā pono āpau e ʻae iā Medicare a me Medicaid no ka uku ʻana e kū i kekahi mau kūlana.

Hoopii

ʻO kahi hoʻopiʻi he noi no ka uku i hoʻouna ʻia i kahi hoʻolālā ʻinikua e like me Medicare. A laila, Medicare a i ʻole ka ʻoihana ʻinikua e hāʻawi ana i ka uhi e hoʻoponopono i ka hoʻopiʻi a uku i ka mea hāʻawi (ʻoihana olakino a i ʻole kahi lawelawe). Hiki iā Medicare a i ʻole ka ʻoihana ʻinikua ke hōʻole i ka hoʻopiʻi inā ʻaʻole i uhi ʻia ka lawelawe a i ʻole i hoʻokō ʻia nā kūlana koi.


Coinsurance

ʻO ke kumu kūʻai kālā o kahi lawelawe kahi pākēneka o ka huina kālā āu e kuleana ai. Loaʻa i ka Medicare ʻāpana B kahi waihona kālā o 20 pākēneka o ka Medicare i ʻae ʻia o ka nui o nā lawelawe i uhi ʻia. ʻO kēia ka uku ʻana o Medicare i ka 80 pakeneka o ke kumukūʻai a uku ʻoe i ka 20 pakeneka i koe.

Copay

ʻO kahi copay, a i ʻole copayment, he helu hoʻonohonoho āu e uku ai no kahi lawelawe. Uhi kāu hoʻolālā i ke koina i koe. ʻO kahi laʻana, loaʻa i kāu hoʻolālā Medicare Advantage kahi $ 25 kope no kēlā me kēia kipa kauka.

ʻĀpana uhi

ʻO ke āpau uhi, i kapa ʻia hoʻi ka lua donut, pili i kahi wā e uku ai ʻoe i nā mea hou aku no kāu lāʻau i kuhikuhi ʻia. I ka makahiki 2020, ke uku aku ʻoe me kāu papahana Medicare Part D i kahi huina o $ 4,020 i kāu papa kuhikuhi, aia ʻoe i ka ʻāpana o ka uhi. Pau kēia manawa ke hiki aku ʻoe i ka $ 6,350 i koi ʻia e loaʻa ai ka uhi pōʻino.

I ka wā ma mua, ua waiho kēia āpau i ka poʻe i loaʻa i ka Medicare e uku nei mai loko mai o ka ʻeke no kā lākou mau lāʻau i kuhikuhi ʻia. Akā nā hoʻololi hou i nā kānāwai ʻinikua e ka Affordable Care Act ua maʻalahi ka mālama ʻana o kēia āpau.


E hoʻomaka ana i Ianuali 1, 2020, ma mua o ka uku ʻana i 100 pākēneka mai loko mai o ka ʻeke, e uku ʻoe i ka 25 pākēneka o ke kumukūʻai no ka uhi ʻana o nā generic a me nā inoa inoa inoa inoa ʻoiai ʻoe i ke āpau uhi.

Lawe ʻia

ʻO kahi unuhi ka nui āu e pono ai e uku mai ka ʻeke no kahi lawelawe ma mua o ka uku ʻana o kāu hoʻolālā Medicare i nā koina. I ka makahiki 2020, he $ 198 ka unuhi ʻia ka Medicare Part B.

No laila, uku ʻoe i ka $ 198 mua mai ka ʻeke no nā lawelawe mālama ola. Ma hope o kēlā, e hoʻomaka kāu uku Medicare e uku.

Puka Donut

ʻO ka lua donut kahi huaʻōlelo ʻē aʻe i hoʻohana ʻia e wehewehe i ka ʻāpana uhi ma waena o ka palena uku ʻĀpana D a me ka uku palena nui no ka makahiki.

Nā pono olakino paʻa (DME)

Aia i ka DME nā lako olakino āu e pono ai i kou home e hoʻokele i kahi kūlana. Hoʻokomo pū ʻo DME i nā mea e like me nā pahu wai oxygen home a me nā lako a i ʻole nā ​​kōkua neʻe e like me nā mea hele. Uhi kāu papahana Medicare Part B iā DME a ke kauka i ʻae ʻia e Medicare i kauoha ai iā ʻoe.

Hoʻopau i ka maʻi hōʻino (ESRD)

ʻO ESRD ka pae hope loa o ka maʻi hōʻino, i kapa ʻia hoʻi he maʻi puʻupaʻa. ʻO nā puʻupaʻa o ka poʻe me ESRD ʻaʻole hana hou. Pono lākou i ka lāʻau dialysis a i ʻole kahi transplant kidney.

Inā loaʻa iā ʻoe ka ESRD, hiki iā ʻoe ke loaʻa iā Medicare me ka ʻole o ke kali kali o 2 mau makahiki, ʻoiai inā ma lalo o ka makahiki 65.

Kōkua keu

He polokalamu Medicare ke kōkua keu ke kōkua i ka poʻe komo e uhi i ke kumukūʻai o Medicare Part D. Hoʻokumu ʻia nā papahana keu ma kāu loaʻa kālā a hiki ke kōkua iā ʻoe me ka hoʻolimalima kālā a i ʻole nā ​​uku kumukūʻai.

Formulary

ʻO kahi formulary kahi papa inoa o nā lāʻau i uhi ʻia e kahi ʻāpana D kikoʻī. Inā ʻoe e lawe i kahi lāʻau ʻaʻole ia ma ka formulary o kāu hoʻolālā, pono ʻoe e uku ma kahi o ka ʻeke a noi paha i kāu kauka e kuhikuhi i kahi lāʻau like e uhi ai kāu hoʻolālā.

Wā kākau inoa nui

Hiki iā ʻoe ke kākau inoa i ka Medicare kumu (nā ʻāpana A a me B) i kēlā me kēia makahiki ma waena o Ianuali 1 a me Malaki 31. Ua ʻike ʻia kēia ma ke ʻano o ke kākau inoa nui ʻana. E hoʻohana ai i kēia puka aniani, pono ʻoe e koho no Medicare akā ʻaʻole i loaʻa i ka uhi ʻana.

Nā hoʻolālā ʻo ka Health Maintenance Organization (HMO)

Hāʻawi ʻia paha nā hoʻolālā Medicare Advantage (ʻĀpana C) i kekahi mau ʻano ʻokoʻa, kaukaʻi ʻia i kāu wahi. He ʻano hoʻolālā maikaʻi nā HMO. Me kahi HMO, koi ʻia ʻoe e hoʻohana i kahi kikowaena hoʻonohonoho o nā lawelawe mālama ola a me nā pono inā makemake ʻoe i kāu hoʻolālā Medicare e uhi i nā kumukūʻai. Koi ʻia paha ʻoe e koho i kahi kauka mua a kiʻi i nā mea kuhikuhi mai kēlā kauka inā makemake ʻoe e ʻike i nā loea.

ʻO ka nui o ka nui o ka mālama kālā e pili ana i ka loaʻa kālā (IRMAA)

E uku nā mea kōkua Medicare ma mua o $ 87,000 ma mua o ka $ 144.60 Māhele B ma mua o ka uku. Kapa ʻia kēia uku hoʻonui hoʻonui ʻia ʻo IRMAA. ʻO ke kiʻekiʻe o kāu loaʻa kālā, ʻo ka nui o kāu IRMAA, a i ka palena o $ 491.60.

Wā kākau inoa mua

ʻO kou wā kau inoa mua he window 7-mahina e hoʻomaka i 3 mau mahina ma mua o ka mahina o kāu lā hānau 65th. ʻO kēia ka manawa e hiki ai iā ʻoe ke kau inoa no Medicare. Pau ka manawa kau inoa i 3 mau mahina ma hope o kou malama hānau.

ʻO kahi laʻana, inā huli ʻoe i 65 mau makahiki i ʻAukake 2020, holo kāu kau inoa mua mai Mei 2020 a Nowemapa 2020.

ʻO ka hoʻopaʻi no ke kākau inoa lohi

Inā ʻaʻole ʻoe e kākau inoa ma ka ʻāpana B i kou wā e lilo ai i Medicare, pono ʻoe e uku i ka hoʻopaʻi no ke kākau inoa lohi ke komo ʻoe.

ʻO ka maʻamau, e uku ʻoe i 10 pakeneka hou aʻe no kēlā me kēia makahiki ʻaʻole ʻoe i kākau inoa ʻia. Hoʻohui ʻia ka uku hoʻopaʻi i kāu uku uku uku mahina.

ʻAʻole ʻoe e uku i ka uku hoʻopaʻi no ke kākau inoa ʻana inā kūpono ʻoe no kahi wā kākau inoa kūikawā.

Medicaid

He polokalamu inikua olakino Medicaid i hoʻolālā ʻia no nā poʻe me ka loaʻa kālā kaupalena.Mālama ʻia nā papahana Medicaid e kēlā me kēia mokuʻāina, no laila hiki ke loli nā lula a me nā kikoʻī kikoʻī o ka papahana.

Inā kūpono ʻoe i Medicaid, hiki iā ʻoe ke hoʻohana ma ka ʻaoʻao o Medicare a hoʻēmi a hoʻopau paha i kāu lilo o waho o ka ʻeke.

Ka Lapaʻau Medicare (Māhele C)

Kapa ʻia nā hoʻolālā Medicare Advantage ʻo Medicare Part C mau hoʻolālā. Hāʻawi ʻia lākou e nā ʻoihana pilikino e ʻaelike me Medicare.

Lawe nā hoʻolālā maikaʻi i kahi o Medicare kumu (Māhele A a me ʻĀpana B). Pono nā hoʻolālā Medicare Advantage āpau e uhi i nā mea āpau i nā ʻāpana A a me B uhi. Hoʻohui, hoʻohui nā hoʻolālā he nui i nā mea hou aʻe e like me ka mālama niho, nā lawelawe ʻike, a i ʻole nā ​​lāʻau.

Loaʻa nā hoʻolālā Medicare Advantage ponoʻī i kā lākou uku ponoʻī, lawe ʻia, a me nā kumu kūʻai aku i waho o ka ʻeke.

Huina i ʻāpono ʻia e Medicare

Ua hoʻonohonoho ʻo Medicare i nā kumukūʻai e uku ai ia no nā lawelawe olakino. Kapa ʻia kēia kumukūʻai i ka nui i ʻae ʻia e Medicare. Ua ʻae nā lawelawe olakino āpau e ʻae iā Medicare e uku i kēia mau kālā i ʻae ʻia no nā lawelawe.

Mahele Medicare A

ʻO Medicare Māhele A he ʻinikua haukapila. Uhi ʻia i kou noho ʻana i ka haukapila, a me ka noho ʻana i nā keʻena mālama wā lōʻihi. Hiki iā ʻoe ke kiʻi i kahi uhi no ke olakino home a i ʻole ka mālama hale maʻi.

Mahele B Medicare

ʻO Medicare Māhele B he ʻinikua lapaʻau. Uhi ʻia i nā mea e like me nā kipa a ke kauka, nā kipa a ka loea, ke olakino noʻonoʻo, a me nā pono olakino paʻa. Māhele ka ʻāpana B i ka mālama nui a me nā kipa ʻana i ka lumi pilikia.

Mahele Medicare C

ʻO Medicare Advantage kekahi manawa i kapa ʻia ʻo Medicare Part C. ʻO nā huaʻōlelo ʻelua i ka papahana like. No laila, ʻo kahi ʻāpana ʻāpana C kahi hoʻolālā Advantage.

Mahele Medicare D

ʻO Medicare ʻĀpana D he kaʻawale kaʻawale no nā lāʻau lapaʻau. Hāʻawi nā ʻāpana Medicare A a me B i ka palena wale nō o ka lāʻau lapaʻau lāʻau lapaʻau, no laila ua koho kekahi mau mea kōkua e kūʻai i ka uhi hou me kahi papahana D D. E loaʻa i kāu ʻaoʻao D kahi uku ʻokoʻa.

Nā waihona mālama mālama Medicare

ʻO kahi waihona mālama mālama Medicare (MSA) kahi ʻano o ka hoʻolālā Medicare Advantage me kahi deductible kiʻekiʻe a me kahi waihona mālama mālama. Hoʻolālā ʻo MSA e waiho kālā i loko o ka waihona mālama kālā, hiki ke hoʻohana ʻia no ka uku ʻana i kāu uku olakino ma mua o kou hōʻemi ʻia ʻana.

Nā hoʻolālā Medigap

ʻO nā hoʻolālā Medigap kahi hoʻolālā kōkua e kōkua iā ʻoe e uku no nā kumukūʻai ma waho o ka pocket Medicare. Aia he 10 mau hoʻolālā Medigap ʻokoʻa.

Hāʻawi ʻia kēia mau hoʻolālā e nā ʻoihana e ʻaelike me Medicare. Hiki ke hoʻololi i kāu kumukūʻai Medigap ma muli o kāu mokuʻāina.

Wehe kau kau

Hana ʻia nā wā hoʻopaʻa inoa i kahi manawa i hoʻonohonoho ʻia i kēlā me kēia makahiki, mai ʻOkakopa 15 a hiki i Kēkēmapa 7. I ka manawa o ka puka komo inoa hāmama, hiki iā ʻoe ke kau inoa no kahi hoʻolālā Advantage, kūʻai iā Medigap, a me nā mea hou aʻe.

Ke kākau inoa kumu

ʻO kou wā kau inoa mua ke kau inoa mua ʻoe i Medicare. ʻO kēia pinepine i ka manawa o ke kau inoa mua ʻana, ma ka puka aniani he 7 mau mahina a puni kou 65 makahiki. Inā ʻoe ma lalo o 65 mau makahiki, hiki iā ia ke lilo i 2 mau makahiki ma hope o kou hoʻomaka ʻana i ka loaʻa ʻana o nā pono kīnā ʻole Social Security.

Medicare kumu

ʻO Medicare mau ʻāpana A a me B pū kekahi i kapa pinepine ʻia ʻo Medicare kumu, a i ʻole Medicare kuʻuna. ʻAʻole hoʻokomo ka Medicare Original i ka ʻĀpana C (Nā hoʻolālā maikaʻi), ʻĀpana D, a me nā hoʻolālā Medigap.

Nā kumu kūʻai o waho o ka ʻeke

ʻO kāu kumukūʻai ma waho o ka ʻeke nā kālā āu e uku ai no kāu olakino. Hiki iā lākou ke hoʻopili i kāu hōʻemi ʻia, dālā, a me nā helu copayment.

ʻOi aku ka palena o waho o ka ʻeke

ʻO ka nui o waho o ka ʻeke he pāpale ia i ka nui o ke kālā āu e uku ai no nā lawelawe olakino i ʻae ʻia i kēlā me kēia makahiki. Ke hōʻea ʻoe i kēia nui, e koho ʻo Medicare i nā koina āpau no kēia mau lawelawe i ʻae ʻia.

ʻO nā mea nui i waho o ka ʻeke e hoʻopili i nā helu copayment a me nā coinsurance. ʻO nā hoʻolālā Medicare Advantage (ʻĀpana C) wale nō iā lākou. Hiki i kēlā me kēia hoʻolālā Medicare Advantage ke hoʻonohonoho i kēia nui, no laila ʻokoʻa ia. I ka 2020, ʻaʻole hiki i ka maximum out-of-pocket keʻoi aku ma mua o $ 6,700 i kēlā me kēia makahiki.

Hāʻawi i nā mea lawelawe

Hāʻawi kahi mea lawelawe i kahi lawelawe mālama ola nāna i ʻaelike me Medicare e hāʻawi i kahi lawelawe a i ʻole ʻo ia kekahi ʻāpana o ka pūnaewele no kahi hoʻolālā HMO a i ʻole PPO. Ua ʻae nā mea hoʻolako e ʻae i ka nui i ʻae ʻia e Medicare no nā lawelawe a mālama i nā mea kōkua iā Medicare.

ʻO nā hoʻolālā hoʻonohonoho ʻoihana ʻoi aku ka makemake (PPO)

ʻO PPO kekahi ʻano ʻē aʻe o ka papahana Medicare Advantage. E like me kahi HMO, hana pū nā PPO me kahi pūnaewele hoʻonohonoho o nā mea hāʻawi. Me kahi PPO, akā hiki iā ʻoe ke hele i waho o kāu pūnaewele inā makemake ʻoe e uku i nā kālā copayment kiʻekiʻe a i ʻole nā ​​coinsurance.

Premium

ʻO ka uku nui kahi helu mahina āu e uku ai no ka ʻinikua. Ma muli o ka uku ʻole o ka hapa nui o ka poʻe no Medicare Part A, uku maʻamau ʻoe i kahi uku no ka ʻāpana B wale nō ke loaʻa iā ʻoe ka Medicare kumu. ʻO ka uku nui o ka ʻāpana B ma 2020 he $ 144.60.

Hoʻolilo ʻia nā hoʻolālā Medicare Advantage, nā ʻāpana D, a me nā hoʻolālā Medigap e nā ʻoihana ʻinikua pilikino. Kuhi paha kēia i kahi uku ʻokoʻa ʻē e pili ana i ka ʻoihana a i ʻole hoʻolālā e koho ai.

Mālama mālama mua (PCP)

ʻO kāu PCP ke kauka e ʻike iā ʻoe no ka mālama maʻamau a me ka pale ʻana, e like me nā makahiki physical. Ma lalo o kekahi Medicare Advantage HMO hoʻolālā, pono ʻoe e hana me kahi PCP pūnaewele. A inā ʻoe e pono e mālama kūikawā, pono i kāu PCP e hāʻawi i kahi referral no kāu hoʻolālā e uhi i kēia mālama.

Nā hoʻolālā Fee-For-Service (PFFS) ponoʻī

ʻO kahi hoʻolālā PFFS kahi ʻano maʻamau o Medicare Advantage plan i loaʻa ʻole kahi pūnaewele a koi paha iā ʻoe e loaʻa i kahi kauka mua. Ma kahi o, uku ʻoe i kahi huina nui no kēlā me kēia lawelawe āu e loaʻa ai mai nā wahi ʻae ʻia e Medicare.

Nā Kālā Pono Pono (SNP)

Hāʻawi kekahi mau ʻoihana i nā hoʻolālā Medicare Advantage i ʻike ʻia ʻo SNPs. Hoʻonohonoho ʻia kahi SNP no nā mea kōkua me ka pono kālā a i ʻole nā ​​pono olakino kūikawā.

ʻO kahi laʻana, ʻike paha ʻoe i nā SNP kikoʻī no:

  • ka poʻe e noho nei i nā wahi hanai
  • poʻe me ka loaʻa kālā kaupalena
  • nā kānaka e hoʻokele nei i kahi maʻi maʻi e like me ka maʻi kō

Wā kākau inoa kūikawā (SEP)

ʻO SEP kahi puka aniani e ʻae iā ʻoe e kākau inoa i Medicare ma waho o nā papa manawa kau inoa mua a i ʻole lehulehu. Hana ʻo SEPs inā loaʻa iā ʻoe kahi loli nui o ke ola, e like me ka neʻe ʻana i kahi ākea hou a i ʻole ka hoʻomaha ʻana mai kahi hana e hāʻawi ana i kāu ʻinikua olakino.

Ma hope o kāu loli a hanana hanana paha, loaʻa iā ʻoe he puka anana he 8 mau mahina e kau inoa no Medicare. Inā ʻoe e kākau inoa i kēia wā, ʻaʻole ʻoe e uku i ka uku hoʻopaʻi no ke kākau inoa ʻana.

ʻO ka Administration Social Security (SSA)

ʻO ka Social Security Administration (SSA) kahi ʻoihana pekelala e nānā i nā pono hoʻomaha a me ke kīnā ʻole. Inā loaʻa iā ʻoe nā keu SSA, hiki iā ʻoe ke loaʻa Medicare Part A uku manuahi. Inā ʻoe e loaʻa ana i nā pono kīnā ʻole Social Security no 2 mau makahiki, e kākau inoa ʻia ʻoe i Medicare, ʻoiai inā aia ʻoe ma lalo o 65 mau makahiki.

Ka wā kali o ʻelua makahiki

Hiki iā ʻoe ke kiʻi iā Medicare inā ʻoe ma lalo o 65 a loaʻa kahi kīnā mau. Pono ʻoe e kūpono no ka loaʻa kālā kīnā ʻole Social Security a loaʻa iā ia no 2 mau makahiki ma mua o ka hoʻomaka ʻana o ka uhi Medicare. ʻIke ʻia kēia ma ke ʻano o ke kali ʻana o 2 mau makahiki.

He mea nui e hoʻomaopopo ʻaʻole pili kēia wā kali o 2 makahiki i ka poʻe me ESRD a i ʻole ALS.

Nā hōʻaiʻē hana

Hoʻoholo nā hōʻaiʻē hana i kāu pono no nā pono palekana pilikanaka a no ka uku manuahi ʻApana A. Loaʻa iā ʻoe nā hōʻaiʻē hana ma ka uku o 4 i kēlā me kēia makahiki - {textend} a e pono ʻoe i 40 mau hōʻaiʻē e loaʻa nā uku manuahi ʻAno A a SSA paha. . Hiki i nā limahana ʻōpio i lilo i poʻe kīnā ke kūpono me nā hōʻaiʻē liʻiliʻi.

Hiki i ka ʻikepili ma kēia pūnaewele ke kōkua iā ʻoe i ka hoʻoholo ʻana pilikino e pili ana i ka ʻinikua, akā ʻaʻole ia i manaʻo ʻia e hāʻawi i nā ʻōlelo aʻoaʻo e pili ana i ke kūʻai a hoʻohana ʻana i nā huahana ʻinikua a me nā ʻinikua paha. ʻAʻole lawelawe ʻo Healthline Media i ka ʻoihana ʻinikua i kekahi ʻano a ʻaʻohe laikini ma ke ʻano he ʻinikua a i ʻole mea hana i kēlā me kēia mana o U.S. ʻAʻole koi a kākoʻo ʻo Healthline Media i nā ʻaoʻao ʻekolu i hiki ke hana i ka ʻoihana ʻinikua.

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