He aha nā hoʻolālā maikaʻi Medicare e hāʻawi ai ʻo WellCare i 2021?

Anter

• Nā koho hoʻolālā WellCare Medicare Advantage
• Nā hoʻolālā ʻo WellCare HMO
• Nā hoʻolālā ʻo WellCare PPO
• ʻO nā hoʻolālā pono pono pono ʻo WellCare Medicare
• Nā hoʻolālā uku WellCare ponoʻī-no-lawelawe
• He aha nā mokuʻāina e hāʻawi nei i nā hoʻolālā maikaʻi WellCare Medicare?
• He aha ka uhi a WellCare Medicare Advantage plan?
• Ehia nā kumukūʻai o WellCare Medicare Advantage.
• He aha ka Medicare Advantage (Medicare Part C)?
• ʻO ka lawe lawe ʻana

• Hāʻawi ʻo WellCare i nā hoʻolālā Medicare Advantage ma 27 mau mokuʻāina.
• Hāʻawi ʻo WellCare i nā hoʻolālā PPO, HMO, a me PFFF Medicare Advantage.
• E hilinaʻi nā hoʻolālā kikoʻī iā ʻoe ma kahi āu e noho ai.
• Ua loaʻa iā WellCare e Centene Corporation, kahi e lawelawe ana he 23 miliona mau lālā ma nā mokuʻāina he 50 āpau.

ʻO WellCare Health Plans kahi mea hoʻolako inikua ma Tampa, Florida e hāʻawi nei iā Medicare Advantage (ʻĀpana C) a me Medicare Part D (lāʻau lāʻau kuhikuhi) i nā mea kōkua Medicare ma kekahi mau mokuʻāina.

E ʻimi ana kēia ʻatikala i nā ʻano hoʻolālā Medicare Advantage ʻokoʻa i hāʻawi ʻia e WellCare, a hāʻawi i kekahi mau laʻana o nā koina ma lalo o nā hoʻolālā WellCare ʻokoʻa a puni ka ʻāina.

Nā koho hoʻolālā WellCare Medicare Advantage

Eia kekahi mau laʻana o ke ʻano o nā hoʻolālā Medicare Advantage i hiki ke loaʻa i loko o kahi ʻāpana o ke kanaka. ʻO nā hoʻolālā he mahele kikoʻī loa ia, a ʻaʻole paha e hāʻawi ʻo WellCare i nā ʻano hoʻolālā āpau i kahi wahi.

Nā hoʻolālā ʻo WellCare HMO

Hāʻawi ʻo WellCare i nā hoʻolālā mālama olakino olakino (HMO) ma ke ʻano he ʻāpana o kā lākou mōhai Medicare Advantage. ʻO ka maʻamau, ʻo kahi WellCare HMO hoʻolālā e hoʻopili i ke koho ʻana i kahi mea mālama mālama mua (PCP) nāna e mālama i ka mālama o ke kanaka. ʻO kēia ka PCP e kuhikuhi ai i nā loea olakino i loko o ka pūnaewele no WellCare.

Ke lālā kekahi o kahi HMO, uku paha lākou i nā koina kiʻekiʻe aʻe inā ʻike lākou i ke kauka i waho o ka pūnaewele.

Nā hoʻolālā ʻo WellCare PPO

Hāʻawi ʻo WellCare i nā hoʻolālā ʻo Preferred Provider Organisation (PPO) i nā mokuʻāina me Florida, Georgia, New York, a me South Carolina. Hāʻawi kēia mau ʻoihana i nā uku i hoʻemi ʻia no ke koho ʻana i nā mea lawelawe pūnaewele, akā e loaʻa paha i kahi kanaka ka uku ke ʻike lākou i nā mea hāʻawi ma waho o ka pūnaewele.

ʻO ka maʻamau, ʻaʻole e loaʻa i kahi kanaka kahi mea kuhikuhi e ʻike ai i ka loea. Eia nō naʻe, aia paha he mau manawa kahi e paipai ʻia ai ke kiʻi ʻana a i ʻole ka loaʻa ʻana o ka ʻae ʻana i mua no kahi kaʻina hana, keu hoʻi inā ʻo ka mea lawelawe kahi mea ma waho o kahi pūnaewele.

ʻO nā hoʻolālā pono pono pono ʻo WellCare Medicare

ʻO nā hoʻolālā pono kūikawā (SNPs) ʻo ia nā Medicare Advantage i hoʻolālā ʻia i ka poʻe i loaʻa kahi ʻano olakino a i ʻole ka nele kālā.

Eia nā ʻano ʻokoʻa o SNPS i loaʻa no ka poʻe e kū i ka pae.

• Nā Kūlana Manaʻo Kūpono Kūpono Kūpono (C-SNPs): no ka poʻe me ke kūlana olakino olakino
• Nā hoʻolālā e pono ai nā hui kūikawā (I-SNPs): no ka poʻe e noho ana i nā hale hānai a i ʻole nā ​​wahi mālama wā lōʻihi
• Nā SNP kūpono kūpono (D-SNPs): no nā mea maʻi i kūpono i ka Medicare a me ka uhi Medicaid

Hāʻawi kēia mau hoʻolālā i kēlā me kēia hale i ka haukapila laulā, ka lawelawe olakino, a me ka uhi kuhikuhi akā ua hoʻokaʻawale ʻia ma muli o nā maʻi a lākou e lawelawe ai.

Nā hoʻolālā uku WellCare ponoʻī-no-lawelawe

Hāʻawi ʻo WellCare i nā hoʻolālā uku uku pilikino-no-Service (PFFS) ma nā wahi koho o ka ʻāina. ʻO kēia kahi hoʻolālā e hāʻawi maʻamau i kahi uku no ka mea e uku ai i nā haukapila a me nā kauka no nā lawelawe, me kahi copay i hoʻonohonoho ʻia, a i ʻole ka coinsurance, e uku pū ka mea kuleana politika.

Loaʻa paha i kahi hoʻolālā PFFS kahi pūnaewele hoʻolako a i ʻole hiki i kahi kanaka ke ʻike i kekahi mea lawelawe a lākou e koho ai. Pono ʻae ka mea hāʻawi i ka hana mai Medicare a i ʻole ʻae i nā ʻōlelo a ka hoʻolālā PFFS no ka mea e uku ai.

He aha nā mokuʻāina e hāʻawi nei i nā hoʻolālā maikaʻi WellCare Medicare?

Hāʻawi ʻo WellCare i nā hoʻolālā Medicare Advantage i kekahi mau mokuʻāina. Pākuʻi ʻia kēia mau mea:

• ʻAlapama
• ʻAlikona
• Arkansas
• Kaleponi
• Konekiki
• Pololika
• Keokia
• Hawaii
• Ilinoi
• Indiana
• Kenetuke
• Louisiana
• ʻO Maine
• Maikonekia
• Misisipi
• Missouri
• Nu Hama
• New Jersey
• Nuioka
• Karolina ʻĀkau
• Ohio
• Mokupuni ʻo Rhode
• Karolina Hema
• Tennessee
• Texas
• Vermont
• Wakinekona

ʻO ka helu a me ke ʻano o nā hoʻolālā a WellCare e hāʻawi ai i kēia mau mokuʻāina ʻokoʻa paha.

He aha ka uhi a WellCare Medicare Advantage plan?

Hiki ke hoʻololi ʻia nā hoʻolālā maikaʻi ʻo WellCare Medicare e ka mokuʻāina a me ka ʻāina. Eia nō naʻe, hāʻawi nā hoʻolālā he nui i nā keu pono aʻe ma ka hoʻohui o nā ʻāpana Medicare A a me B. ʻO kēia mau mea:

• lālā lālā hoʻoikaika kino
• nā lawelawe kahua niho, e like me ka pale ʻana a me ka mālama ʻana
• lāʻau lāʻau lāʻau kuhikuhi
• ka halihali ʻana i nā kipa a nā kauka
• nā lawelawe ʻike a kōkua i ka uku ʻana i nā aniani a me nā aniani ʻike

Ke loiloi nei ʻoe i kahi hoʻolālā, e heluhelu pono i ka wehewehe ʻana o ka hoʻolālā i nā pono i hiki ai iā ʻoe ke ʻike i nā ʻano o nā lawelawe hou a WellCare e hāʻawi nei.

Ehia nā kumukūʻai o WellCare Medicare Advantage.

Hāʻawi ʻo WellCare i kekahi mau hoʻolālā Medicare Advantage ma kahi $ 0 premium. Pono ʻoe e uku i kāu uku Medicare Part B i kēlā me kēia mahina i Medicare akā hiki ke loaʻa nā lawelawe hou aʻe me ka loaʻa ʻole o ka uku mahina mai WellCare. He mea ʻole ka uku āu e uku ai, loaʻa iā ʻoe nā deductibles, copayments, a i ʻole nā ​​coinsurance no nā lawelawe, e like me ka mea i hoʻonohonoho ʻia e kāu hoʻolālā a me Medicare.

Eia kekahi mau laʻana o nā hoʻolālā WellCare Medicare Advantage i loaʻa ma ʻō a puni ka ʻāina a me nā mea āu e uku ai ma 2021.

Hiki ke hoʻololi i nā hoʻolālā a me nā kumukūʻai i kēlā me kēia makahiki. Inā loaʻa iā ʻoe kahi WellCare Medicare Advantage plan, e hoʻomaopopo ka hoʻolālā iā ʻoe i ka hāʻule ʻana o nā hoʻololi i nā kumukūʻai.

He aha ka Medicare Advantage (Medicare Part C)?

ʻO Medicare Advantage (ʻĀpana C) kahi hoʻolālā olakino "bundled" kahi e mālama ai kahi ʻoihana ʻinikua pilikino no ka hoʻolako ʻana i ka uhi Medicare a kekahi kanaka. ʻO Medicare Part C ka mea maʻa mau me ka ʻĀpana A (ka haukapila maʻi), ʻĀpana B (ka lāʻau lapaʻau), a me ka ʻāpana D (ka lāʻau lapaʻau lāʻau kuhikuhi). Eia naʻe, ʻaʻole uhi kekahi mau papahana WellCare i ka ʻĀpana D.

Ke kūʻai nei ʻoe i kahi hoʻolālā Medicare Advantage, uku ʻo Medicare i kāu ʻoihana inikua i koho ʻia e hāʻawi iā ʻoe i nā pono olakino. No ka hoʻokūkū hoʻokūkū, hāʻawi paha kāu papa ʻinikua iā ʻoe i nā keu keu i loaʻa ʻole ma Medicare kumu. Hoʻopili kēia i nā lawelawe e like me ka niho, ʻike, a i ʻole ka uhi pepeiao.

Hoʻohui pinepine nā ʻoihana e hāʻawi nei iā Medicare Advantage me nā kauka a me nā halemai e kūkākūkā i nā kumukūʻai no nā lawelawe olakino. Inā ʻae kahi kauka a haukapila paha e hāʻawi i nā lawelawe i kahi uku me ka ʻoihana inikua, e koho maʻamau ka ʻoihana iā lākou ma ke ʻano he "mea lawelawe".

ʻO nā hoʻolālā Medicare Advantage he mokuʻāina a kikoʻī ia no ke ʻano o ke kūkākūkā ʻana me nā haukapila a me nā kauka i kēlā me kēia wahi. A ʻo kahi hopena, ʻaʻole loaʻa nā ʻano hoʻolālā āpau ʻo WellCare i nā mokuʻāina āpau.

ʻO ka lawe lawe ʻana

Hāʻawi ʻo WellCare iā Medicare Advantage a me Medicare Part D i nā hoʻolālā ma 27 mokuʻāina, me nā hoʻolālā ʻokoʻa e ka ʻāina. Pili pū paha kēia mau hoʻolālā i nā PPO, nā HMO, a me nā PFFF, a hiki ke kōkua iā ʻoe e mālama i nā kumukūʻai lāʻau lapaʻau a me nā kauka lāʻau lapaʻau ʻaʻole i uhi ʻia ma lalo o nā papahana Medicare maʻamau.

Hiki iā ʻoe ke ʻike inā hāʻawi ʻo WellCare i kahi hoʻolālā ma kāu wahi ma ka ʻimi ʻana iā Medicare e loaʻa kahi pono hana hoʻolālā.

Ua hōʻano hou ʻia kēia ʻatikala ma Nowemapa 20, 2020, e hōʻike i ka ʻike 2021 Medicare.

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.