Mea Kākau: Louise Ward
Lā O Ka Hana: 12 Pepeluali 2021
HōʻAno Hou I Ka Lā: 22 Nowemapa 2024
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ʻO Medicare Part C kahi ʻano ʻinikua koho e hāʻawi i ka uhi Medicare kuʻuna me nā mea hou aʻe. ʻIke ʻia ʻo Medicare Advantage.

he aha ka mea lapaʻau e uhi ai

Hoʻolālā ka hapa nui o Medicare Part C:

  • nā koina haukapila
  • nā kumu kūʻai lapaʻau
  • lāʻau lapaʻau
  • mālama niho
  • mālama hihiʻo
  • mālama hoʻolohe

Hāʻawi kekahi mau papahana Medicare Part C i nā pono keu olakino, e like me nā lālā gym a me nā lawelawe kaʻa.

Ma kēia ʻatikala, e ʻimi mākou i nā mea āpau a Medicare Part C i uhi ai, me ke kumu āu e makemake ai iā Medicare Part C a me ke kumukūʻai.

He aha ka Medicare Part C?

ʻO nā hoʻolālā Medicare Part C nā hoʻolālā ʻinikua i hāʻawi ʻia e nā ʻoihana inikua pilikino. ʻO kēia mau hoʻolālā, i ʻike ʻia ma ke ʻano Medicare Advantage plan a i ʻole MA mau hoʻolālā, hāʻawi i ka pale like me Original Medicare me ka pono o ka hoʻopili kākoʻo.


Inā loaʻa iā ʻoe ka Medicare Part A a me ka ʻĀpana B, hiki iā ʻoe ke koho no Medicare Part C.

Hoʻolālā nā papahana Medicare Part C i nā hale ʻinikua kuʻuna a hoʻokomo i:

  • Nā hoʻolālā ʻo ka Health Maintenance Organization (HMO)
  • ʻO nā hoʻolālā hoʻonohonoho ʻoihana ʻoi aku ka makemake (PPO)
  • Nā hoʻolālā Fee-For-Service (PFFS) ponoʻī
  • Nā Kālā Pono Pono (SNP)
  • Hoʻolālā ʻo Medicare Medical Savings Account (MSA)

Makemake au iā Medicare Part C?

He koho maikaʻi paha nā Medicare Part C inā ʻoe:

  • ua loaʻa iā ʻoe nā ʻaoʻao Medicare A a me B a makemake i kahi uhi hou aʻe
  • pono ʻoe i ka uhi lāʻau lāʻau
  • hoihoi ʻoe i ka uhi ʻana no ka hoʻāʻo niho, ʻike, a hoʻolohe paha i nā hōʻike makahiki
  • hoihoi ʻoe i nā ʻano uhi he nui i hoʻokahi hoʻolālā kūpono

He aha ka mea e uhi ai ʻo Medicare Part C?

Mālama ʻo Medicare Part C i ka uhi ʻelua o Medicare Part A (ʻinikua haukapila) a me Medicare Part B (ʻinikua olakino).

Hāʻawi ka hapa nui o Medicare Part C i nā lāʻau lapaʻau, kauka niho, ka hihi, a me ka uhi pepeiao. Hāʻawi paha kekahi mau hoʻolālā i kahi uhi hou aʻe no nā pili e pili ana i ke olakino, e like me nā lālā gym a me nā lawelawe hāʻawi meaʻai.


Eia hou, hele mai nā hoʻolālā Medicare Part C i nā ʻano hana like ʻole e hāʻawi i ka poʻe i ke kūʻokoʻa e koho i ke ʻano o ka hoʻolālā a lākou e makemake ai.

ʻO kahi laʻana, makemake paha kekahi poʻe me nā kūlana olakino olakino i kahi Medicare Part C SNP e kōkua i ka uhi ʻana i nā kumukūʻai o ke kipa ʻana i ke keʻena, nā lāʻau lapaʻau, a me nā kaʻina hana. Makemake paha nā poʻe ʻē aʻe i kahi Medicare Part C PPO a i ʻole PFFS hoʻolālā e loaʻa ai ke kūʻokoʻa o ka mea hāʻawi.

Ehia nā kumukūʻai a ka ʻāpana C?

ʻO ke kumukūʻai o kahi hoʻolālā Medicare Part C e pili ana i nā ʻano like ʻole. ʻO nā kumukūʻai maʻamau i loko o kāu hoʻolālā ʻo:

  • kāu ʻāpana B mahina uku nui, i uhi ʻia e kāu ʻāpana C ʻāpana
  • kāu Medicare Part C nā kumukūʻai, i hoʻopili ʻia me kahi uku hōʻemi a me nā uku o ka mahina
  • kāu mau koina o ka ʻeke, i hoʻopili ʻia me nā copayments a me nā coinsurance

Ma lalo iho nei kekahi mau hoʻohālikelike kumukūʻai no nā hoʻolālā Medicare Part C ma kekahi mau kūlanakauhale nui a puni ʻo ʻAmelika Hui Pū ʻIa. ʻO nā hoʻolālā āpau i helu ʻia ma lalo e uhi i nā lāʻau i kuhikuhi ʻia, ka hihiʻo, ka niho, ka hoʻolohe ʻana, a me nā pono hoʻoikaika kino. Eia nō naʻe, ʻokoʻa lākou āpau i ke kumukūʻai.


Nu Ioka, NY

Hāʻawi kahi ʻoihana ʻinikua i kahi hoʻolālā HMO e uku ai:

  • uku nui o ka mahina: $ 0
  • Mahele B uku nui: $ 135.50
  • lawe ʻia i loko o ka pūnaewele i kēlā me kēia makahiki: $ 0
  • hoʻemi ʻia ka lāʻau: $ 95
  • ma ka pūnaewele i waho o ka ʻeke max: $ 6,200
  • copays / coinsurance: $ 25 no ka mākaʻikaʻi kūikawā

Atlanta, GA

Hāʻawi kahi ʻoihana ʻinikua i kahi hoʻolālā PPO e uku ai:

  • uku nui o ka mahina: $ 0
  • Mahele B uku nui: $ 135.50
  • lawe ʻia i loko o ka pūnaewele i kēlā me kēia makahiki: $ 0
  • hoʻemi ʻia ka lāʻau: $ 75
  • i loko a me waho o ka pūnaewele ma waho o ka ʻeke max: $ 10,000
  • copays / coinsurance: $ 5 no PCP a me $ 40 no ka mākaʻikaʻi kūikawā

Dallas, TX

Hāʻawi kahi ʻoihana ʻinikua i kahi hoʻolālā HMO e uku ai:

  • uku nui o ka mahina: $ 0
  • Mahele B uku nui: $ 135.50
  • lawe ʻia i loko o ka pūnaewele i kēlā me kēia makahiki: $ 0
  • hoʻemi ʻia ka lāʻau: $ 200
  • ma ka pūnaewele i waho o ka ʻeke max: $ 5,200
  • copays / coinsurance: $ 20 no ka mākaʻikaʻi kūikawā

Kikako, IL

Hāʻawi kahi hui ʻinikua i kahi kuhi o ka lawelawe ʻo HMO e uku ai:

  • uku nui o ka mahina: $ 0
  • Mahele B uku nui: $ 135.50
  • lawe ʻia i loko o ka pūnaewele i kēlā me kēia makahiki: $ 0
  • hoʻemi ʻia ka lāʻau: $ 0
  • ma ka pūnaewele i waho o ka ʻeke max: $ 3,400
  • copays / coinsurance: $ 8 no PCP a me $ 45 no ka mākaʻikaʻi kūikawā

Kahului, HI

Hāʻawi kahi ʻoihana ʻinikua i kahi hoʻolālā HMO e uku ai:

  • uku nui o ka mahina: $ 0
  • Mahele B uku nui: $ 135.50
  • lawe ʻia i loko o ka pūnaewele i kēlā me kēia makahiki: $ 0
  • hoʻemi ʻia ka lāʻau: $ 0
  • i loko o ka pūnaewele ma waho o ka ʻeke: $ 999
  • copays / coinsurance: $ 0

He mea nui e hoʻomaopopo ua lawe pololei ʻia kēia mau manaʻo kumukūʻai mai Medicare.gov a mai hoʻokomo pū i nā mea i kū ʻole i kāu kūlana, e like me ke kumukūʻai o kāu lāʻau lapaʻau a loaʻa paha iā ʻoe ke kōkua kālā.

No kahi kuhi ʻoi aku ka pololei o ke kumukūʻai Medicare Part C i loaʻa iā ʻoe, e nānā i ka Loaʻa i kahi mea hana ʻo Medicare 2020 Plan.

Pehea e hoʻohālikelike ai ka ʻĀpana C i nā hoʻolālā Medicare ʻē aʻe?

Hāʻawi ʻo Medicare ʻĀpana C i kahi ʻoi aku ma mua o nā hoʻolālā Medicare ʻē aʻe no ka mea pili pū ia i nā uhi āpau e pono ai i hoʻokahi hoʻolālā kūpono.

ʻO nā papahana Medicare ʻē aʻe e pili ana i nā ʻāpana A, B, D, a me Medigap. ʻO Medicare Part D a me Medigap i manaʻo ʻia e hāʻawi i ka inikua kōkua i nā ʻāpana A a me B.

Medicare Māhele A (ʻinikua haukapila)

Uhi ka ʻāpana A i nā kipa haukapila, mālama mālama wā pōkole, nā lawelawe olakino home, a me nā lawelawe hoʻokipa. Koi ʻia ʻoe i kēia uhi e hiki ai ke koho ʻia no Medicare Part C.

Medicare Māhele B (ʻinikua olakino)

Māhele ka ʻāpana B i ka pale ʻana, ʻike ʻia, a me ka mālama ʻana i nā kūlana olakino a me nā maʻi noʻonoʻo. Uhi ʻia hoʻi nā kumukūʻai halihali olakino. Koi ʻia ʻoe i kēia uhi e hiki ai ke koho ʻia no Medicare Part C.

Medicare Māhele D (hoʻolālā lāʻau lāʻau kuhikuhi)

ʻO ka ʻāpana D kahi mea hoʻohui i ka Medicare Original (ʻāpana A a me B) i hiki ke hoʻohana ʻia e uhi i nā koina o nā lāʻau lapaʻau. Hoʻokomo ʻia ka uhi lāʻau lāʻau kuhikuhi i ka hapanui o nā hoʻolālā Medicare Part C.

Inikua kōkua (Medigap)

ʻO Medigap kahi uhi hou aʻe no ka poʻe i loaʻa nā ʻāpana Medicare A a me B. ʻAʻole pono ʻoe i ka ʻinikua Medigap inā loaʻa iā ʻoe Medicare Part C, ʻoiai e uhi mua kāu hoʻolālā i ka mea a Medigap e makemake ai.

Kākau inoa ʻia ma Medicare

Ua kūpono ʻoe no ka Medicare Part C inā he 65 a ʻoi paha kou makahiki a ua kau inoa ʻoe i nā ʻāpana Medicare A a me B. Ua kūpono ʻoe e kākau inoa i 3 mau mahina ma mua o kou lā hānau 65th a hiki i 3 mau mahina ma hope o kāu lā hānau 65th.

No ke kākau inoa ʻana ma Medicare Part C, pono ʻoe e kākau inoa ʻia i nā ʻāpana Medicare A a me B. Pono ʻoe e noho i ka wahi e uhi ai no kēlā me kēia papahana Medicare Part C āu i koho ai.

ke kōkua nei i kahi mea aloha e kākau inoa i ka lāʻau?

Aia kekahi mau mea nui e kōkua i kahi lālā o ka ʻohana e koho i kahi hoʻolālā Medicare Part C. Eia kekahi mau nīnau e nīnau ai i kāu mea aloha:

  1. Ehia mau manawa e pono ai ʻoe e kipa hou aku i ke kauka a i ʻole nā ​​loea? Hoʻolālā ka hapa nui o Medicare ʻĀpana C no ke kipa ʻana i nā loea a me nā mea hoʻolako i waho o ka pūnaewele. I kekahi manawa uku aku paha ke kumumanaʻo i mua i nā deductibles a me nā uku nui akā hiki ke mālama i ke kālā no ka poʻe me nā kūlana olakino e koi ai i nā kipa keʻena o ke kauka.
  2. Ehia mau kālā āu e hiki ai ke hoʻolimalima i kēlā me kēia makahiki? ʻAneʻane nā hoʻolālā Medicare āpau, me nā hoʻolālā Medicare Part C, e uku ʻia i kekahi kālā i kēlā me kēia makahiki. E noʻonoʻo i nā kumukūʻai o ka uku, hoʻemi ʻia, ka palena ʻoi aku o ka ʻeke, a me nā copay.
  3. He aha ke ʻano o ka uhi āu e ʻimi nei? Hiki i kēia ke kōkua iā ʻoe e hoʻoliʻiliʻi pono i nā ʻano o ka uhi e nānā ai i kahi hoʻolālā ʻĀpana C. Hiki iā ia ke hoʻopili i nā mea e like me nā lāʻau i kuhikuhi ʻia, ka hihiʻo, ka niho, ka hoʻolohe ʻana, ke olakino, ka halihali, a me nā mea hou aʻe.
  4. He aha ke ʻano o ka hoʻolālā āu e makemake ai? Hāʻawi ʻia nā hoʻolālā Medicare Part C i nā hanana like ʻole, no laila he mea nui e ʻike i ke ʻano o ka makemake o ka lālā o kou ʻohana. Loaʻa iā lākou kahi kauka makemake lākou? E mālama paha kahi HMO i kālā?

I ka manawa e loaʻa ai kēia kūkā kamaʻilio me kou lālā o kou ʻohana, e hoʻohana i ka mea hana hoʻohālikelike hoʻolālā e ʻike i nā hoʻolālā i kou wahi e kūpono loa i kā lākou mau pono.

Hiki iā ʻoe ke hoʻohālikelike i nā kumukūʻai a kāhea aku i kēlā mau hui e ʻike hou aʻe i ka mea a lākou e hāʻawi aku ai i kāu mea aloha.

ʻO ka lawe lawe ʻana

He ʻinikua koho ʻo Medicare Part C no ka poʻe makemake i ka ʻoihana Medicare hou aʻe. ʻIke ʻia hoʻi me nā hoʻolālā Medicare Advantage, hāʻawi nā hoʻolālā ʻĀpana C iā ʻoe i ka manawa kūpono e koho i kāu ʻano hoʻolālā, uhi ʻana, a me nā kumukūʻai.

Makemake paha ʻoe i kahi hoʻolālā Medicare Part C inā ʻoe:

  • lawe i nā lāʻau lapaʻau
  • koi i ka niho, ʻike, a i ʻole ka uhi pepeiao
  • e hauʻoli i nā pono olakino hou e like me ke olakino a me ka halihali olakino

I nā kūlanakauhale ʻoi aku ka nui o nā U.S., hoʻomaka nā papahana Medicare Part C mai $ 1,500 a hoʻonui i ka uku mai laila.

Inā kōkua ʻoe i kahi mea aloha e koho i kahi hoʻolālā Medicare Part C, e noho pono a kūkā i kā lākou pono pilikino e pono ai e kōkua iā lākou e ʻike i ka hoʻolālā e hāʻawi ana i ka pono nui loa.

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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