Isaziso soMhlomulo esisiSeko soNcedo lweNkunkuma (ABN) isaziso seMedare ifuna ababoneleli bezempilo ukuba bakhuphe kwizigulane ze-Medicare ukuba baqaphele ukuba iMedarethi ayikwazi ukuhlawula iinkonzo ezithile okanye iimvavanyo ngaphambi kokuba zenzeke kwisithuba sokugula. Oku kuvumela isiguli ukuba senze isigqibo esinolwazi malunga nokuba bafuna ukufumana iinkonzo kwaye bamkele uxanduva olupheleleyo lwezemali ukuba i-Medicare ayihlawuli.
I-ABN ayidingekanga kwizinto okanye iinkonzo ezingagqithwanga nguMagare. Ngokomzekelo, amazinyo, ama-acupuncture, ukutyunjwa kwezonyango, izixhobo zokuvalelwa, kunye nokunyamekelwa kwamanyathelo okuqhelekileyo akudingi i-ABN kuba ayifakwe phantsi kwe- Medicare Part A kunye neNgxenye B.
Ifom ye-CMS-R-131 ukuyisebenzisa intlawulo yenkonzo ye-ABN ifumaneka kwiwebhusayithi yeCMS.gov ngesiNgesi naseSpeyin.
Ababoneleli kufuneka bakhuphe i-ABN okanye abakwaziyo ukuYilwayo kwiNkonzo engenziwanga
Ngokwezikhokelo ze-Medicare, umniki-mboleko kufuneka anikezele isigulane seMedareri i-ABN okanye abakwazi ukuyihlawula isiguli ngenxa yenkonzo engabonakaliyo. Xa i-ABN ikhishwa kwaye isayinwe isigulane, umniki-mboleko unakho ukukhupha isigulane ngokukhululekileyo kwizityholo ezingekho phantsi. Xa i-ABN ingakhange ikhishwe, umniki-mboleko akanakho ukuhlawula iinkonzo ezingabonakaliyo kwisigulane.
Izizathu zengqondo ye-Medicare Ngamana angayifumana into okanye iNkonzo ngokuqhelekileyo ifihliwe
Ababoneleli kufuneka banikeze i-ABN xa bakholelwa ukuba iMedareare ayiyi kuhlawula into okanye inkonzo edlalwa yi-Medicare.
Isizathu esivakalayo kukuba akusiyo ingqiqo yempilo kwaye iyimfuneko, kubandakanywa izinto zokuphanda, ezo zingakhange zibonwe zikhuselekile okanye ziphumelele, ezingaboniswa ukuba zixilongwe, okanye xa inani leenkonzo lidlula abo bavunyelwe yi-Medicare ngexesha elithile ukuxilongwa kwesigulane.
Izixhobo zonyango kunye nempahla enokuthi inganqatshwa ngenxa yokuba umthengisi akanalo inombolo yomthengisi okanye benza umnxeba ongenakucelwa.
Ukugqiba i-ABN
Kukho imimandla enyanzelisayo ekufuneka izaliswe kwi-ABN ukuze ibhekwe njengeyasebenza. Ifom kufuneka ibe nekhasi elinye elide kwaye liprintwe ngohlobo olwaneleyo kwaye liprintwe ngokukhathala okwaneleyo ukuba lifunde ngokulula. Iifom ezivela kwi-CMS.gov zinokwenziwa ngokwezigaba ezithile. I-ABN yekhompyutheni ingasayinwa, kodwa ishicilelo sephepha kufuneka linikezelwe kwisicelo. I-ABN inokubonelelwa nge-imeyile, i-imeyile, okanye ifeksi ekhuselekileyo njengoko ilandela i-HIPAA. I-ABN esisayinwe kufuneka igcinwe iminyaka emihlanu ukususela kumhla wokunyamekela, kubandakanywa nalapho isigulane esenqabele ukutyikitya okanye ukunqanda ukunakekelwa.
A. Igama lomnikezeli wezempilo, idilesi kunye nomnxeba wenombolo
B. Igama lesigulane
C. Inombolo yoLwazi
D. Inkcazo yeenkonzo ezikholelwa ukuba zingabonakali
E. Isizathu sokuba iinkonzo ezingenakugqitywa yi-Medicare
F. Iindleko eziqikelelweyo zeenkonzo
G. Iibhokisi ezikhethiweyo ezintathu, isiguli kufuneka sikhethe enye.
- Ikhefu 1 ibonisa isigulane sifuna inkonzo okanye into kwaye ingacelwa ukuba ihlawule ngoku, kodwa ifuna i-Medicare ukuba ihlawulwe ngoko kukho isigqibo esisemthethweni kwaye banokwenza isibheno kwi-Medicare.
- Inketho yesi-2 ibonisa isigulane sifuna inkonzo okanye into, iya kuba nexanduva lokuhlawulwa, kunye ne-Medicare ayiyi kuhlawulwa.
- Inketho yesi-3 ibonisa isigulane sikhetha ukungayifumana inkonzo okanye into kwaye iyaqonda ukuba abayikwazi ukubhenela ukuba i-Medicare iya kuhlawula
Ulwazi olongezelelweyo (alufunwayo)
I. Isiginesha sesigulane okanye isiguli esibamele
J. Umhla
Kuthekani Ukuba Umguli Uyala Ukutshalisa i-ABN?
Ukuba isigulane senqaba ukusayina i-ABN, qiniseka ukuba uxwebhu lwe-ABN ngale ngcaciso. Ngaphandle kokuba inkonzo ibaluleke kakhulu kwimpilo nokhuseleko lwesigulane, ingaba yinto enhle ukuba ungenzi inkonzo.