Uhi ʻo Medicare i nā lawelawe kelepona?

Anter

• ʻO ka laulā Medicare a me ka telehealth
• He aha ka uhi a Medicare Part B?
• He aha ka uhi a Medicare Part C?
• Pehea e hana ai?
• Kumukūʻai
• ʻEnehana
• Pehea wau e ʻike ai inā kūpono wau no ka uhi ʻana?
• Nā pono hana i ʻāpono ʻia
• Kahi
• Polokalamu lawelawe mālama mālama olakino (CCM) Medicare
• Ke hoʻonui nei i ka uhi ʻo Medicare no ka telehealth
• ESRD
• Hahau
• Nā hui mālama mālama kūpono (ACO)
• Nānā uila a me nā mākaʻikaʻi E
• Nā keu pono o ka telehealth
• ʻO ka lawe lawe ʻana

Uhi ka Medicare i nā ʻano lawelawe like ʻole e pili ana i ka olakino a me nā lawelawe olakino, e like me telehealth. Hoʻohana ʻo Telehealth i ka ʻenehana kamaʻilio uila e ʻae i nā kipa olakino lōʻihi a me ke aʻo ʻana. E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe e pili ana i ka telehealth, he aha nā ʻāpana o Medicare e uhi ai iā ia, a me nā mea hou aʻe.

ʻO ka laulā Medicare a me ka telehealth

Hana ʻia ʻo Medicare i nā ʻāpana he nui i hāʻawi ʻia kēlā me kēia ʻano i ka uhi ʻokoʻa. ʻO nā ʻāpana nui e:

• Medicare Māhele A (ʻinikua haukapila)
• Medicare Māhele B (ʻinikua olakino)
• Medicare Māhele C (Nā papahana maikaʻi)
• ʻO Medicare ʻĀpana D (kauka lāʻau kuhikuhi)

Uhi ʻia ʻo Telehealth e nā ʻāpana Medicare B a me C. E haki mākou i kēia ma lalo hou aʻe.

He aha ka uhi a Medicare Part B?

Mālama ʻo Medicare Part B i kekahi mau lawelawe kīwī. ʻO Medicare Māhele A a me ʻĀpana B i kapa ʻia ʻo Medicare kumu.

Hoʻomaopopo like ʻia kahi kipa telephealth me he mea lā ua hele ʻoe i kahi kipa kūloko. ʻO nā ʻano o ka lawelawe telehealth i uhi ʻia:

• kipa keʻena
• nā kūkākūkā ʻana
• psychotherapy

ʻO kekahi mau laʻana o nā ʻoihana olakino i hiki ke hāʻawi i nā lawelawe Telehealth me:

• kauka
• nā kauka kōkua
• nā kahu kahu maʻi
• psychologists psychology
• hōʻoia anesthetists kahu maʻi
• nā mea mālama maʻi i hoʻopaʻa inoa ʻia
• ʻoihana loea laikini
• limahana limahana

I kekahi mau hihia, hiki iā ʻoe ke kiʻi i nā lawelawe kīwī mai kou home. I nā poʻe ʻē aʻe, pono ʻoe e hele i kahi keʻena olakino.

He aha ka uhi a Medicare Part C?

Kapa ʻia ʻo Medicare Part C ʻo Medicare Advantage. Kūʻai nā hui ʻinikua pilikino i nā hoʻolālā ʻĀpana C. Aia i ka ʻāpana C ka uhi like ʻana me ka Medicare kumu akā e hoʻopili pū paha i nā keu pono.

I ka makahiki 2020, ua hoʻololi ʻia i ka ʻāpana C i ʻae iā ia e hāʻawi i nā keu pono kīwī ma mua o Medicare kumu. Hoʻopili kēia mau hoʻololi i ka hoʻonui ʻana i ke kiʻi i nā pono kīwī mai ka home ma kahi o ke koi ʻana i kahi kipa i kahi keʻena olakino.

Hiki ke loli ke keu pono hou aʻe ma muli o kāu papahana ʻĀpana C E hōʻoia i kāu hoʻolālā kikoʻī e ʻike i ke ʻano o nā pono kīwī e hāʻawi ʻia.

Ma lalo iho nei kekahi mau hiʻohiʻona o ka wā e hoʻohana ʻia ai ka telehealth:

• hoʻomaʻamaʻa a aʻo ʻana paha, e like me ke aʻo ʻana i nā hana no ka nānā ʻana i ka maʻi kō
• hoʻolālā hoʻolālā no kahi kūlana olakino hoʻomau
• ke kiʻi ʻana i kahi kūkākūkā me kahi loea ʻaʻole i kou wahi
• psychotherapy
• nā kānana, e like me nā mea no ke kaumaha a me ka hoʻohana ʻana i ka wai ʻona
• hoʻolālā hoʻolālā mua
• lāʻau hoʻoikaika kino
• ke loaʻa nei ke kōkua e haʻalele i ka puhipaka ʻana
• ke kiʻi ʻana i kahi loiloi pilikia olakino

Pehea e hana ai?

No laila pehea e hana pono ai ʻo telehealth me Medicare? E nānā i kēia i kahi kikoʻī.

Kumukūʻai

Inā loaʻa iā ʻoe ka ʻāpana B, e kuleana ʻoe no ka uku kālā ʻana o 20 kenetene o ke kumukūʻai o nā lawelawe telehealth i loaʻa iā ʻoe. E hoʻomanaʻo e pono ʻoe e hui mua me kāu hapa B i lawe ʻia, ʻo ia ka $ 198 no 2020.

Koi ʻia nā hoʻolālā ʻĀpana C e hāʻawi i ka uhi kumu like e like me ka Medicare kumu. Eia nō naʻe, makemake ʻoe e launa me ka mea hoʻolako i kāu hoʻolālā ma mua o ka hoʻohana ʻana i nā lawelawe telehealth e hōʻoia i uhi ʻia kahi lawelawe.

ʻEnehana

E loaʻa pinepine paha iā ʻoe nā lawelawe kīwī ma kahi keʻena olakino. Eia nō naʻe, hiki ke hoʻohana ʻia i kekahi manawa mai ka home.

No ka hoʻohana ʻana i nā lawelawe telehealth ma ka home, pono ʻoe e ʻike pono iā ʻoe kahi ʻenehana kūpono, e like me:

• komo pūnaewele a i ʻole ʻikepili pūnaewele
• kamepiula, kamepiula lawe, kelepona paʻalima, a i ʻole papaha
• ka leka uila pilikino i hiki i kāu kauka olakino ke kāhea iā ʻoe a hoʻouna i kahi loulou i ka pūnaewele kūkā wikiō a i ʻole polokalamu e pono ai

E ʻae kēia mau pono hana i ka manawa maoli, ʻelua ala, kamaʻilio leo / wikiō me kāu kauka.

E hoʻāʻo i kāu ʻenehana teleconferencing me kahi hoaaloha a ʻohana paha o ka ʻohana ma mua o kāu koho Telehealth mua. E kōkua kēia iā ʻoe e hoʻoponopono i nā pilikia i hiki ke hala ma mua o ka hoʻāʻo ʻana e hoʻohana i kēia mau lawelawe me kahi ʻoihana ola.

Pehea wau e ʻike ai inā kūpono wau no ka uhi ʻana?

Ke kau inoa inoa ʻia ʻoe i ka Medicare kumu, e koho ʻia ʻoe no nā lawelawe telehealth.

Hiki paha iā ʻoe ke koho no Medicare inā he 65 a ʻoi kou mau makahiki, ʻoi loa ka hopena o ka maʻi hōʻeha (ESRD) a i ʻole ALS, a i ʻole inā ʻaʻole hiki iā ʻoe ke hana ma muli o kahi maʻi kīnā.

Nā pono hana i ʻāpono ʻia

Pono nā poʻe me ka ʻāpana B e hele i kahi keʻena olakino no nā lawelawe telehealth. E hōʻoia me kāu hoʻolālā e ʻike inā ʻoe e hele i kahi hale i ʻae ʻia no kāu kipa. Loaʻa kēia ʻano o nā pono i:

• nā keʻena o ke kauka
• nā haukapila
• nā mākau hanai hānai
• nā kikowaena ola noʻonoʻo kaiaulu
• nā keʻena olakino kaiāulu
• komo i loko o nā haukapila
• nā wahi dialysis e pili ana i ka haukapila
• nā keʻena olakino federally palapala hōʻoia, ʻo ia nā nonprofits i hoʻolako kālā ʻia e hoʻolako i nā lawelawe olakino i ka poʻe hiki ʻole ke loaʻa iā lākou

Kahi

ʻO ke ʻano o nā lawelawe telehealth hiki iā ʻoe ke loaʻa me Medicare kumu i hiki ke hilinaʻi i kāu wahi. ʻO kēia ke kumu e pono ai ʻoe e waiho i kahi kalana ma waho o ka Metropolitan Statement Area a i ʻole kahi kaiāulu ʻoihana ʻoihana olakino kaiāulu.

Hoʻoholo ʻia kēia mau ʻāpana e nā keʻena aupuni. Hiki iā ʻoe ke nānā i ke kūpono o kāu wahi ma ka pūnaewele ʻo Health Resources and Services Administration.

E hoʻomanaʻo i nā ʻano kikoʻī o nā lawelawe mālama ola a me nā koho i uhi ʻia. Inā ʻaʻole ʻoe e maopopo inā uhi ʻia kekahi mea, e nānā me kāu ʻoihana inikua ma mua o ka hoʻomaka ʻana i nā lawelawe telehealth.

Polokalamu lawelawe mālama mālama olakino (CCM) Medicare

Loaʻa ka papahana lawelawe CCM no ka poʻe me Medicare kumu i loaʻa i ʻelua aʻoi aku paha nā kūlana olakino e manaʻo ʻia e hala he 12 mau mahina a ʻoi paha.

ʻAe nā lawelawe CCM iā ʻoe e hana i kahi hoʻolālā mālama pilikino. Manaʻo kēia hoʻolālā:

• kāu kūlana olakino
• ke ʻano mālama āu e pono ai
• kou mau kahu lawelawe ʻokoʻa
• nā lāʻau lapaʻau āu e lawe nei
• nā lawelawe kaiāulu āu e pono ai
• kāu mau pahuhopu olakino pākahi
• kahi hoʻolālā e hoʻohui i kāu mālama

Hoʻokomo pū nā lawelawe CCM i ke kōkua me ka mālama ʻana i ka lāʻau a me 24/7 ke kiʻi i kahi ʻoihana olakino. Pili paha kēia i nā lawelawe telehealth. ʻO ke kamaʻilio ʻana ma o ke kelepona, leka uila, a i ʻole nā ​​ʻīpuka ahonui kekahi ʻāpana o kēia hoʻolālā.

Inā makemake ʻoe i ka hoʻohana ʻana i nā lawelawe CCM, e noi i kāu poʻe lawelawe ola inā hāʻawi lākou iā lākou.

Aia paha he uku no kēlā me kēia mahina no ka hoʻohui ʻana i kāu ʻĀpana B i unuhi ʻia a me ka wili kālā, no laila e nānā me kāu hoʻolālā kikoʻī. Inā he ʻinikua kākoʻo ʻoe, kōkua paha ia i ka uhi ʻana i ka uku o ka mahina.

Ke hoʻonui nei i ka uhi ʻo Medicare no ka telehealth

Ua hoʻonui ke kānāwai Bipartisan Budget 2018 i ka uhi ʻana i ka telehealth no ka poʻe me Medicare. Aia i kēia manawa kekahi mau hanana ke hoʻokuʻu ʻia ʻoe mai nā rula Medicare maʻamau e pili ana i ka telehealth. E nānā pono:

ESRD

Inā loaʻa iā ʻoe ka ESRD a ke loaʻa nei ʻoe i ka dialysis home ma ka home, hiki iā ʻoe ke loaʻa nā lawelawe kīwī ma ka home a ma kāu wahi dialysis. Hoʻopau ʻia nā kapu wahi e pili ana i ka telehealth.

Eia nō naʻe, pono ʻoe e kipa pinepine i loko o ke kanaka me kāu kauka ola ma hope o ka hoʻomaka ʻana o ka dialysis home-home. Pono kēia mau kipa i hoʻokahi manawa i ka mahina no nā mahina 3 mua a laila i kēlā me kēia 3 mau mahina e neʻe ana i mua.

Hahau

Hiki i nā lawelawe kīwī ke kōkua iā ʻoe e loaʻa i ka loiloi wikiwiki, ka hōʻoia ʻana, a me ka mālama ʻana i kahi hahau. No laila, hiki ke hoʻohana ʻia nā lawelawe kīwī no ka hahau nui ʻana ma muli o kou wahi.

Nā hui mālama mālama kūpono (ACO)

ʻO nā ACO nā hui o nā lawelawe mālama ola e hana pū e hoʻohui i ka mālama no nā poʻe me Medicare. ʻO kēia ʻano mālama mālama e hōʻoia inā inā maʻi ʻoe a i ʻole nā ​​olakino olakino, e loaʻa iā ʻoe ka mālama e pono ai.

Inā loaʻa iā ʻoe kahi Medicare a hoʻohana i kahi ACO, ua kūpono ʻoe i kēia manawa e loaʻa nā lawelawe telehealth ma ka home. ʻAʻole pili nā kapu wahi.

Nānā uila a me nā mākaʻikaʻi E

Uhi pū ʻo Medicare i kekahi mau lawelawe hou aʻe i like loa me nā kipa kelepona. Loaʻa kēia mau lawelawe i nā mea kōkua Medicare a puni ka ʻāina, me ka nānā ʻole i kahi.

• Nānā ʻike uila. ʻO kēia nā kamaʻilio leo a wikiō paha i noi ʻia mai kāu kauka e hōʻalo i nā kipa keʻena pono ʻole.
• Nā Kipa E Hāʻawi kēia iā ʻoe i kahi ala ʻē aʻe e launa pū ai me kāu kauka olakino ma o ka puka hoʻomanawanui.

E like me ke kipa kīwī, e kuleana wale nō ʻoe no ka 20 pākēneka o ke kumukūʻai no ka nānā ʻike uila a i ʻole ke kipa ʻana iā E. No ka hoʻonohonoho ʻana i nā māka ʻike ʻike a i ʻole nā ​​E-kipa, pono ʻoe e ʻōlelo mua me kāu kauka.

Ma Malaki 2020, ka World Health Organization a hoʻolaha i kahi maʻi ahulau no COVID-19, ka maʻi i hoʻokumu ʻia e ka coronavirus novel novel 2019.

I ka mālamalama o kēia, ua hoʻololi ʻia kekahi mau lawelawe kelepona i uhi ʻia e Medicare. Ua hana ʻia kēia mau hoʻololi e pale aku ai i ka laha ʻana o ka maʻi, i nā mea hoʻi i hiki i ka maʻi nui.

E hoʻomaka ana ma Malaki 6, 2020, nā manawa hou e hana nei no kekahi manawa.

• Hiki i nā mea kōkua Medicare ke loaʻa i nā lawelawe kīwī mai nā ʻano kumu like ʻole, e like me ko lākou home ponoʻī.
• Hāpai ʻia nā kapu ma luna o kahi, no laila hiki i nā mea kōkua Medicare ma nā wahi āpau o ka ʻāina ke hoʻohana i nā lawelawe kīwī.
• Hiki i nā mea lawelawe olakino ke kāpae a hōʻemi paha i ka hoʻokaʻawale kālā ʻana no nā lawelawe telehealth i uku ʻia e nā polokalamu olakino pekelala e like me Medicare.
• ʻAʻole pono ʻoe i kahi pilina paʻa me kahi lawelawe mālama ola pilikino e hoʻohana i nā lawelawe telehealth.

Nā keu pono o ka telehealth

He mau pono kūpono paha kā Telehealth. ʻO ka mea mua, hiki iā ia ke pale aku i nā mea kōkua Medicare i ka wā o nā kūlana weliweli. Heʻoiaʻiʻo maoli kēia i ka wā o ka maʻi maʻi COVID-19 akā hiki ke hoʻomaʻamaʻa maikaʻi i ka wā flu.

Kōkua pū ʻo Telehealth i ka lawelawe ʻana i nā lawelawe olakino. ʻO kahi laʻana, hiki ke hana ʻia nā mea e like me nā ukali maʻamau a me ka nānā ʻana i nā kūlana maʻamau i ka hoʻohana ʻana i ka telehealth. Hiki paha i kēia ke hōʻemi i ka nui o ke kipa ʻana o kahi kanaka i kahi ʻōnaehana olakino koʻikoʻi i hala.

Hiki ke hoʻohana pono ʻia ke kīwī inā ʻoe ma nā kauhale, paʻakikī e kiʻi, a i ʻole nā ​​wahi waiwai haʻahaʻa. Hāʻawi ʻia ka mākaukau i ke komo ʻana i nā ʻoihana mālama ola like ʻole a i ʻole nā ​​loea i noho ʻole ʻia i kāu wahi.

ʻOiai ke hāʻawi nei ʻo telehealth i nā pono he nui, ʻaʻole ʻike ka poʻe āpau he koho ia. ʻO kahi haʻawina 2020 liʻiliʻi ma kahi wahi dialysis ua ʻike he 37 wale nō ka pākēneka o nā poʻe i komo i lohe i ka telehealth. Hōʻike kēia i nā hana e pono ai e hoʻonui i ka ʻike.

ʻO ka lawe lawe ʻana

ʻO Telehealth ke hāʻawi ʻia nā lawelawe lapaʻau lōʻihi ma o ka hoʻohana ʻana i ka ʻenehana, e like me ka videoconferencing. Uhi ʻia ʻo Medicare i kekahi ʻano o ka telehealth, a me he mea lā e hoʻonui ana kēia uhi i mua.

Mālama ʻo Medicare Part B i ka telehealth ke hoʻohana ʻia ia no kahi kipa keʻena, psychotherapy, a me kahi kūkā kamaʻilio. ʻO kekahi mau ʻoihana mālama ola a me nā wahi i uhi ʻia. Hāʻawi ʻo Medicare Part C i kahi uhi hou aʻe, akā ʻokoʻa paha kēia i kāu hoʻolālā kikoʻī.

ʻO ka maʻamau, aia nā wahi kapu no nā lawelawe Telehealth uhi ʻia e Medicare. Eia naʻe, ua hoʻonui ʻia kēia mau mea e ke kānāwai Bipartisan Budget Act 2018 a me ka maʻi ahulau COVID-19.

Inā makemake ʻoe i ka loaʻa ʻana o nā lawelawe telehealth, e kamaʻilio me kāu kauka. E hōʻike lākou iā ʻoe inā hāʻawi lākou iā lākou a pehea e hoʻolālā ai i kahi manawa.

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.