He aha ka Polokalamu Kāohi Diabetes Medicare?

Anter

• He aha ka Polokalamu Kālaʻi Diabetes Medicare?
• He aha ka uhi a Medicare e hoʻolako ai no kēia mau lawelawe?
• ʻO Medicare Māhele B ka uhi ʻana
• ʻO ka uhi Medicare Advantage
• He aha nā lawelawe i hoʻolako ʻia ma o kēia papahana?
• Mokuna 1: Nā kau nui
• Papa 2: Nā kau mālama Core
• Papa 3: Ke mālama nei i nā kau
• ʻO wai ka mea kūpono i kēia polokalamu?
• Pehea wau e kākau inoa ai i ka papahana?
• Pehea e hiki ai iaʻu ke loaʻa ka mea nui mai ka papahana?
• He aha hou aʻe e uhi ʻia no ka mālama maʻi diabetes ma lalo o Medicare?
• ʻO ka lawe lawe ʻana

• Hiki i ka Medicare Diabetes Prevent Program ke kōkua i ka poʻe i makaʻu no ka maʻi diabetes type 2.
• He polokalamu manuahi kēia no ka poʻe i kūpono.
• E kōkua ia iā ʻoe e hāhai i kahi nohona olakino a hoʻohaʻahaʻa i kāu maʻi diabetes.

ʻO ka maʻi diabetes kekahi o nā manaʻo olakino maʻamau o ʻAmelika Hui Pū ʻIa. ʻO ka ʻoiaʻiʻo, ua loaʻa i ka poʻe mākua ʻAmelika ka maʻi diabetes ma 2010. I ka poʻe 65 a ʻoi paha mau makahiki, lele ka helu i ʻoi aku ma mua o 1 i ka 4.

ʻO Medicare, me nā hui olakino ʻē aʻe e like me nā Centers for Disease Control and Prevention (CDC), hāʻawi i kahi papahana i kapa ʻia ʻo Medicare Diabetes Prevent Program (MDPP). Hoʻonohonoho ʻia e kōkua i ka poʻe i ka makaʻu no ka maʻi diabetes e kāohi iā ia.

Inā kūpono ʻoe, hiki iā ʻoe ke hui pū me ka polokalamu me ka uku ʻole. E loaʻa ʻoe i ka ʻōlelo aʻoaʻo, kākoʻo, a me nā pono hana āu e pono ai e alakaʻi i kahi ola olakino a hoʻemi i kou manawa e loaʻa ai ka maʻi diabetes.

He aha ka Polokalamu Kālaʻi Diabetes Medicare?

Hoʻolālā ʻia ka MDPP e kōkua i nā mea kōkua Medicare i loaʻa nā ʻōuli o ka prediabetes e hoʻomohala i nā ʻano olakino e pale aku ai i ka maʻi diabetes 2. Nānā nā kikowaena no Medicare a me Medicaid Services (CMS) i ka papahana ma ka pae pekelala.

Mai ka makahiki 2018, ua hāʻawi ʻia ka MDPP i ka poʻe i kūpono i Medicare. Ua hoʻomohala ʻia i ka pane ʻana i ka heluna nui o ka poʻe ʻAmelika me ka maʻi kō.

ʻOi aku ka nui o nā helu ma waena o nā ʻAmelika he 65 a ʻoi paha mau makahiki. I ka ʻoiaʻiʻo, i ka makahiki 2018, he 26.8 pakeneka o ko ʻAmelika ma mua o 65 mau makahiki i loaʻa i ka maʻi diabetes. Makemake ʻia kēlā helu e pāpālua a i ʻole pākolu hoʻi.

ʻO ka maʻi diabetes kahi maʻi mau - a he kumu kūʻai nui kekahi. Ma ka 2016 wale nō, ua hoʻohana ʻo Medicare i $ 42 biliona no ka mālama maʻi kō.

I mea e kōkua ai i nā mea kōkua a mālama kālā, ua hoʻomohala ʻia kahi papahana pilote i kapa ʻia ʻo Diabetes Prevent Program (DPP). Ua ʻae ʻo Medicare e hoʻolilo kālā no ka pale ʻana i ka maʻi diabetes, me ka lana o ka manaʻo he mea kēia e emi ai ke kālā i lilo ma hope no ka mālama ʻana i ka maʻi kō.

Ua kiaʻi ka DPP i ke alakaʻi ʻana a CDC no ka hoʻohaʻahaʻa ʻana i ka pilikia o ka maʻi kō i ka poʻe me ka prediabetes. Ua komo nā ʻano hana i ke aʻo ʻana i ka poʻe i kākau inoa ʻia i ka DPP pehea e:

• hoʻololi i kā lākou papaʻai
• hoʻonui i kā lākou hana kino
• e koho i nā ʻano nohona olakino holoʻokoʻa

Ua holo ka papahana mua no 2 mau makahiki ma nā wahi he 17 a he kūleʻa holoʻokoʻa. Ua kōkua ia i nā mea komo e lilo i ka paona, hoʻoliʻiliʻi i ko lākou manawa kūpono e hoʻomohala i ka maʻi maʻisā, a me ka ʻemi ʻana o nā komo i ka haukapila. Hoʻohui, mālama ʻia ke kālā Medicare ma nā ʻano lāʻau.

I ka 2017, ua hoʻonui ʻia ka papahana i loko o ka MDPP o kēia manawa.

He aha ka uhi a Medicare e hoʻolako ai no kēia mau lawelawe?

ʻO Medicare Māhele B ka uhi ʻana

ʻO Medicare Māhele B he ʻinikua lapaʻau. Me Medicare Māhele A (ʻinikua haukapila), hana ia i ka mea i ʻike ʻia ʻo Medicare kumu. Māhele ka ʻāpana B i nā lawelawe e like me ke kipa ʻana a ke kauka, nā lawelawe i waho, a me ka mālama pale ʻana.

Ua uhi paʻa ʻia ka mālama Preventive no ka poʻe i kākau inoa ʻia ma Medicare. ʻO ka manaʻo ʻaʻole pono ʻoe e uku i ka 20 pākēneka o kēia mau koina, e like me ʻoe no ka hapa nui o nā lawelawe ʻĀpana B.

Mālama ʻo Preventive mālama i nā papahana a me nā lawelawe e kōkua iā ʻoe e noho olakino, me:

• kipa maikaʻi ʻana
• hoʻōki puhipaka
• lāʻau hoʻomake
• loiloi maʻi ʻaʻai
• loiloi olakino noʻonoʻo

E like me nā lawelawe pale āpau, ʻaʻole e uku ka MDPP iā ʻoe i kekahi mea inā hoʻokō ʻoe i nā koi kūpono (i kūkā ʻia ma lalo) a hoʻohana i kahi mea hāʻawi i ʻae ʻia

Kūpono wale ʻoe no ka MDPP i hoʻokahi manawa i kou wā e ola ana; ʻAʻole uku ʻo Medicare iā ia no ka manawa ʻelua.

ʻO ka uhi Medicare Advantage

ʻO Medicare Advantage, i ʻike ʻia ʻo Medicare Part C, kahi koho e ʻae iā ʻoe e kūʻai i kahi hoʻolālā mai kahi ʻoihana inikua pilikino e ʻaelike me Medicare. Koi ʻia nā hoʻolālā Medicare Advantage āpau e hāʻawi i ka uhi like e like me Medicare kumu.

Hoʻohui nā hoʻolālā Advantage he nui i ka uhi ʻana, e like me:

• mālama niho
• mālama hihiʻo
• nā kōkua lohe a me nā loiloi
• lāʻau lapaʻau
• nā hoʻolālā hoʻoikaika kino

Hāʻawi nā hoʻolālā Medicare Advantage i nā lawelawe pale manuahi. Akā loaʻa i kekahi mau hoʻolālā kahi pūnaewele, a pono ʻoe e noho i ka pūnaewele no ka uhi piha. Inā ʻaʻole ma kahi pūnaewele ka wahi MDPP āu e makemake ai, pono paha ʻoe e uku i kekahi a i ʻole nā ​​kumukūʻai āpau mai ka ʻeke.

Inā ʻo ia ka wahi MDPP wale nō ma kāu wahi, e uhi paha ia i kāu hoʻolālā. Inā loaʻa iā ʻoe kahi koho kikowaena pūnaewele, akā, ʻaʻole e uhi ʻia ka wahi o waho o ka pūnaewele. Hiki iā ʻoe ke kāhea pololei i kāu mea hoʻolālā hoʻolālā no nā kikoʻī uhi.

E like me ka ʻāpana B, hiki iā ʻoe ke uhi ʻia no ka MDPP hoʻokahi wale nō.

He aha nā lawelawe i hoʻolako ʻia ma o kēia papahana?

E like nā lawelawe āu e loaʻa ai mai ka MDPP ma muli o ka ʻāpana o Medicare āu e hoʻohana nei.

Māhele ʻia kēia papahana 2 makahiki i ʻekolu mau pae. I loko o kēlā me kēia manawa, ua hoʻonohonoho ʻoe i nā pahuhopu a loaʻa iā ʻoe ke kākoʻo e kōkua iā ʻoe e hālāwai me lākou.

Mokuna 1: Nā kau nui

Kū ka pae 1 no nā mahina 6 mua āu i kākau inoa ai i ka MDPP. Ma kēia wā, loaʻa iā ʻoe he 16 mau kau pūʻulu. E hana ana kēlā me kēia ma hoʻokahi manawa i ka pule ma kahi o hoʻokahi hola.

E alakaʻi ʻia kāu mau kau e kahi mea aʻoaʻo MDPP. E aʻo ʻoe i nā ʻōlelo aʻoaʻo no ka ʻai olakino, olakino, a me ka pohō kaumaha. E ana ke kaʻi i kou kaupaona i kēlā me kēia kau e nānā i kou holomua.

Papa 2: Nā kau mālama Core

Ma nā mahina 7 a hiki i ka 12, aia ʻoe i ka pae 2. E hele ʻoe ma kahi o ʻeono mau kau ma kēia wā, ʻoiai e hāʻawi paha kāu polokalamu i nā mea hou aʻe. E kōkua mau ʻoe me ka hoʻomohala ʻana i nā ʻano olakino, a e hoʻomau ʻia kāu kau kaupaona.

E neʻe i ka pae 2 i hala, pono ʻoe e hōʻike ke holomua nei ʻoe i ka papahana. ʻO ka maʻamau, ʻo ia hoʻi ke hele ʻana i hoʻokahi kau ma nā mahina 10 a hiki i ka 12 a hōʻike i ka pohō kaumaha o 5 ma ka liʻiliʻi.

Inā ʻaʻole ʻoe e holomua, ʻaʻole uku ʻo Medicare iā ʻoe e neʻe i kahi pae aʻe.

Papa 3: Ke mālama nei i nā kau

ʻO ka pae 3 ka pae hope loa o ka papahana a mau no 1 makahiki. Hoʻokaʻawale ʻia kēia makahiki i ʻehā mau kau o 3 mau mahina pākahi, i kapa ʻia nā wā.

Pono ʻoe e hele ma ʻelua mau kau i kēlā me kēia manawa a hoʻomau i ka hoʻokō ʻana i nā pahuhopu kaumaha e hoʻomau i ka papahana. E loaʻa iā ʻoe nā kau ma ka liʻiliʻi i hoʻokahi manawa i ka mahina, a e hoʻomau ke kākoʻo o kāu mea aʻoaʻo iā ʻoe i kou hoʻomaʻa ʻana i kāu papaʻai hou a me kou ʻano nohona.

ʻAe ʻo Medicare i nā mea hāʻawi e hāʻawi i nā kau nohao akā ʻaʻole koi ia. Aia kēia i kāu mea hāʻawi.

Pono e hāʻawi aku kāu mea lawelawe MDPP iā ʻoe ke kau inoa inoa i kāu mau koho inā haʻalele ʻoe i kahi kau. ʻAe paha kekahi mau mea hāʻawi iā ʻoe e komo i kahi hui ʻē aʻe i kahi pō ʻokoʻa, ʻoiai e hāʻawi ana kekahi i nā kau pākahi a i ʻole a ʻoi paha i nā kau uila.

ʻO wai ka mea kūpono i kēia polokalamu?

No ka hoʻomaka ʻana i ka MDPP, pono ʻoe e kākau inoa ʻia ma Medicare Part B a i ʻole ʻĀpana C. A laila pono ʻoe e hoʻokō i kekahi mau pae hoʻohālikelike. No ke kākau inoa ʻana, ʻaʻole hiki iā ʻoe ke:

• ua ʻike ʻia me ka maʻi diabetes, inā ʻaʻole ʻo ka diabetes diabetes
• ʻike ʻia me ka maʻi hōʻino pae hope (ESRD)
• kākau inoa ʻia i ka MDPP ma mua

Inā kū ʻoe i kēia mau koi, pono ʻoe e hōʻike iā ʻoe he mau hōʻailona o ka prediabetes. Hoʻopili kēia i kahi papa helu nui o ke kino (BMI) ʻoi aku ma mua o 25 (a ʻoi aku paha ma mua o 23 no nā mea komo i ʻike he ʻĀsia). E helu ʻia kāu BMI mai kou kaupaona ma kāu mau kau mua.

Pono ʻoe i ka hana lab e hōʻike iā ʻoe he prediabetes. Hiki iā ʻoe ke hoʻohana i hoʻokahi o nā hopena ʻekolu e kūpono ai:

• hemoglobin A1c hōʻike me nā hopena o 5.7 pakeneka a 6.4 pakeneka
• hoʻokolohua plasma glucose hoʻokēʻai me nā hopena o 110 a 125 mg / dL
• ka hoʻāʻo ʻana o ka glucose glucose me nā hopena o 140 a 199 mg / dL

Pono kāu mau hopena mai nā mahina he 12 i hala a pono ʻoe e hōʻoia i kāu kauka.

Pehea wau e kākau inoa ai i ka papahana?

ʻO kahi o kāu hana mua no ke kākau inoa ʻana e kamaʻilio pū me kāu kauka e pili ana i kāu hōʻailona prediabetes. Hiki i kāu kauka ke hōʻoia i kāu BMI o kēia manawa a kauoha i ka hana lab e pono ai ma mua o ka hui ʻana i kahi papahana.

Hiki iā ʻoe ke ʻimi i nā papahana ma kāu wahi e hoʻohana nei i kēia palapala ʻāina.

E hōʻoia i ka hōʻoia ʻana o kekahi polokalamu āu e hoʻohana ai. Inā loaʻa iā ʻoe kahi Medicare Advantage (ʻĀpana C) hoʻolālā, makemake ʻoe e hōʻoia i ka papahana i ka pūnaewele.

ʻAʻole pono ʻoe e loaʻa kahi bila no kēia mau lawelawe. Inā hana ʻoe, hiki iā ʻoe ke hoʻokaʻaʻike koke iā Medicare ma ke kāhea ʻana iā 800-Medicare (800-633-4227).

Pehea e hiki ai iaʻu ke loaʻa ka mea nui mai ka papahana?

He mea nui e mākaukau no nā loli e hiki mai ana me MDPP. Pono paha ʻoe e hoʻololi i kāu nohona, me:

• kuke ʻana i nā meaʻai hou aʻe ma ka home
• ʻai liʻiliʻi i ke kō, ka momona, a me nā kōpaka
• inu liʻiliʻi i ka soda a me nā mea inu kō
• e ʻai ana i nā ʻiʻo wīwī a me nā mea ulu
• ke kiʻi hou nei i ka hoʻoikaika kino a me ka hana

ʻAʻole pono ʻoe e hana i kēia mau hoʻololi āpau i ka manawa hoʻokahi. Hiki i nā hoʻololi liʻiliʻi i ka manawa ke hoʻololi i ka nui. Hoʻohui, hiki i kāu mea aʻoaʻo ke kōkua iā ʻoe ma ka hāʻawi ʻana i nā pono hana e like me nā meaʻai, nā ʻōlelo aʻoaʻo, a me nā hoʻolālā.

Hiki iā ia ke lilo i mea kōkua ke lilo i kāu wahine, i lālā o ka ʻohana, a i ʻole i kahi hoaaloha e hana i kekahi o kēia mau hoʻololi me ʻoe, ʻoiai inā ʻaʻole lākou i ka MDPP. ʻO kahi laʻana, ʻo ka lawe ʻana i kekahi e hele wāwae i kēlā me kēia lā a kuke paha me ka mea hiki ke hoʻomau i kou hoʻoikaika ʻana ma waena o nā kau.

He aha hou aʻe e uhi ʻia no ka mālama maʻi diabetes ma lalo o Medicare?

ʻO ka MDPP ka mea e pale aku ai i ka maʻi kō. Inā loaʻa ʻoe i ka maʻi diabetes a hoʻomohala paha iā ia ma hope, hiki iā ʻoe ke uhi no kahi o nā pono mālama. Ma lalo o ka ʻāpana B, uhi ʻia nā:

• Nānā ʻia ka maʻi diabetes. Loaʻa ʻoe i ka pale no nā kānana ʻelua i kēlā me kēia makahiki.
• ʻO ka mālama pono ʻana i ka maʻi ʻaʻai. Aʻo iā ʻoe iho ka mālama ʻana iā ʻoe iho pehea e hoʻopili ai i ka insulin, nānā i kāu kō kō, a me nā mea hou aʻe.
• Nā lako diabetic. Uhi ka ʻāpana B i nā lako e like me nā kaha hoʻāʻo, nā monitors glucose, a me nā pumps insulin.
• Nā hoʻāʻo wāwae a mālama. Hiki i ka diabetes ke hoʻololi i ke olakino o kou mau wāwae. No kēia kumu, e uhi ʻia ʻoe no kahi hōʻike wāwae i kēlā me kēia 6 mahina. E uku pū ʻo Medicare no ka mālama a me nā lako, e like me nā kāmaʻa kūikawā a i ʻole nā ​​hoʻokamakama.
• Nā hoʻāʻo maka. E uku aku ka Medicare iā ʻoe e kiʻi i kahi loiloi glaucoma i hoʻokahi manawa i ka mahina, ʻoiai ʻo ka poʻe me ka maʻi kō ka mea e nui ai ka makaʻu.

Inā loaʻa iā ʻoe Medicare ʻāpana D (lāʻau lāʻau lāʻau kuhikuhi), hiki iā ʻoe ke kiʻi i ka uhi no:

• lāʻau lapaʻau antidiabetic
• insulina
• na nila, na aa, a me na lako e ae

E uhi ana kēlā me kēia hoʻolālā Medicare Advantage i nā lawelawe like a pau me ka ʻĀpana B, a he nui nā mea i uhi ʻia e ka ʻāpana D pū kekahi.

ʻO ka lawe lawe ʻana

Inā loaʻa ʻoe i ka prediabetes, hiki i ka MDPP ke kōkua iā ʻoe e pale aku i ka maʻi kōkō 2. E hoʻomanaʻo i kēlā:

• Komo ke komo ʻana i ka MDPP inā kūpono ʻoe.
• Hiki wale ʻoe i ka MDPP hoʻokahi wale nō.
• Pono ʻoe i nā hōʻailona o ka prediabetes e hiki ai ke kūpono.
• Hiki i ka MDPP ke kōkua iā ʻoe e hoʻololi i ka nohona olakino.
• Noho ka MDPP no 2 mau makahiki.

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.