I-Medicare Ikhupha kwiiNkonzo ze-Ambulance

Ukuba uke wakhawula i-ambulance ride, uyazi ukuba ayifumaneki. Iindleko zingabakho ukusuka kumakhulu ukuya kumawaka eedola. Ezinye iikhampani ziza kufaka iindleko ezongezelelweyo kwiingcali ezongezelelweyo ebhodini (abahlengikazi abangabalulekiyo, abathinteli bokuphefumula, njl.), Ukusetyenziswa kwezixhobo zonyango (okt i-mask oxygen, amabhandeki, ukugqoka, iipakethe ze-ice, njl njl.) Kunye ne-mileage phakathi kwezinye izinto.

Umbuzo kukuba ingaba isicwangciso sakho se-inshorensi siza kuhlawula iinkonzo ze-ambulensi xa ufuna. I-Medicare iza kuphela ngezinye iixesha. Ngaphandle kweziganeko ezigqithisiweyo , i- Medicare Part B iya kuhlawula kuphela iipesenti ezingama-80 , ikushiye kunye nabanye.

I-Medicare Coverage for Situation Situations

Ukuchaza intswelo yonyango yinyathelo lokuqala. I-ambulensi, kwamehlo kaMedare, iboniswa kuphela ukuba akukho nenye indlela ekhuselekileyo yokuthutha, uyathunyelwa ukuze ufumane unyango ogqitywe yi-Medicare, kwaye inkampani ye-ambulensi iyavuma isabelo.

Kwiimeko eziphuculweyo zonyango, impilo yakho iyingozi. I-Medicare iya kuhlawula iinkonzo ze-ambulensi kwiziko lezonyango elisondeleyo elinokunikela ngezinga elifanelekileyo lokhathalelo. Awukwazi ukukhetha kwaye ukhethe iphi na indawo ofuna ukuya kuyo. 1

Ngokomzekelo, ukuba ubuhlungu buhlungu , unokufuna ukuba ne- catheterization yenyama . Ukuba isibhedlele esiseduze asinikezeli inkonzo, i-Medicare iya kuhlawula i-ambulensi ukuba ikuqhubele esibhedlele esiseduze.

I-Medicare Coverage for Non-Emergency Situations

Kwi-Medicare ukuvumela ukuhanjiswa kwimiba engekho imeko yexakeka, kukho imimiselo ethile kufuneka idibene. Kufuneka ufune ukuthutha ukuze ufumane uvavanyo lwezokwelapha kunye / okanye unyango, uvalelwe embhedeni wakho kwaye awukwazi ukuhamba ngezinye iindlela okanye ufuna uncedo lwezonyango ngexesha lokuthutha.

Ukungabi nenye indlela yokuthutha akukwanele kwi-Medicare ukuhlawula iinkonzo.

Imizekelo eqhelekileyo ingenzeka xa ufuna ukuthutha ukuze ufumane i- dialysis okanye ukuba uhlala kwisiko lonesiza esinolwazi kwaye ufuna unyango. Kule meko, umyalelo wogqirha unokufuneka ukuba ubonise ukuba ukusebenzisa i-ambulensi kuyimfuneko yempilo.

Indlela unyango olwenza ngayo ukuqinisa iiReins

Ubuqhetseba beMedare buya kuba yinto eqhelekileyo kunokuba ungayiqonda. Uphando olwenziwa nguMphathi-Jikelele weSebe lezeMpilo leSebe lezeMpilo lase-United States lifumene ukuba amaziko e-Medicare kunye neMedicaid ahlawulwa ngaphezulu kweedola ezingama-30 kwii-ambulensi iinkonzo kwiindawo apho iiNkonzo zeMedare zingenziwanga kunye nezigidi ezili-17 ezihamba ngezothutho ukuya kwiindawo ezingekho phantsi phantsi kwe-Medicare inzuzo. Okubi ngakumbi kunjalo, iipesenti ezingama-20 zeendlela zokuhlawula zifunyanwe zingalunganga.

I-Medicare ngoku ivavanya inkqubo yangaphambili yokuvunywa, eyaziwa njengagunyaziso kwangaphambili, ngeenkonzo ezingekho ngezoxinzelelo ze-ambulance kwiindawo ezintathu-eNew Jersey, ePennsylvania naseSouth Carolina. Ukuba usebenzisa i-ambulensi ezintathu, mhlawumbi phakathi kweentsuku ezili-10 okanye kanye ngeveki ngaphezu kweeveki ezintathu, u-Medicare kufuneka uvume phambi kwesine ngaphambi kokufumana inkonzo kwakhona.

Ingcamango kukunqanda ukusetyenziswa kakubi okanye ukusetyenziswa kakubi kwee-ambulensi. Le mfuno yesigunyaziso sokuqala iyakwandisa kuwo wonke amazwe ngo-2017.

Yintoni Ongayenza Ngomyinge

Unelungelo lokuzithetha wena. Ukuba uziva ukuba inkonzo ye-ambulensi kufuneka ikhutshwe, unelungelo lesibheno.

Imithombo:

Amaziko e-Medicare neeNkonzo zeMedicaid. I-Medicare Coverage of Ambulance Services. https://www.medicare.gov/Pubs/pdf/11021.pdf. Ukuhlaziywa kukaJanuwari 2015.

Amaziko e-Medicare neeNkonzo zeMedicaid. Ukugunyazwa kwangaphambili kwe-Ambulance ye-Ambulance yeThuthi. https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Prior-Authorization-Initiatives/Prior-Authorization-of-Repetitive-Scheduled-Non- I-Emergent-Ambulance-Transport-.html. Ukuhlaziywa ngoJanuwari 13, 2016.

ISebe lezeMpilo kunye neNkonzo zoLuntu. Iintlawulo ezingafanelekanga kunye neYilwayo eMbuzo kwi-Medicare Part B Ibhulogi yokuThuthwa. http://oig.hhs.gov/oei/reports/oei-09-12-00351.pdf. Epapashwe ngoSeptemba 2015.