Ingaba impilo yakho ingasengozini?
Akukho mntu ufuna ukuthabatha amathuba ngempilo yakhe kodwa yinto enokuyenza xa wenza izigqibo ezinkulu zezokwelapha ngaphandle kokubona oko kwimizuzu emibini yomnyango. Ngaba uyazi amalungelo akho xa kuziwa kukufumana umbono wesibini?
Kutheni Unokufuna Isizathu Sesibili
Oogqirha banokuba neminyaka yoqeqesho olubanzi kodwa bengabantu kuphela. Oko kuthetha ukuba benza iimpazamo.
Kuqikelelwa ukuba amaninzi kwi-10 ukuya kwi-15 ekhulwini ze-diagnosti ingaba yiphutha. Ukufumana imbono yesibini kunokunciphisa iimeko ezingabonakaliyo okanye ukulahlekelwa ngokupheleleyo.
Ngokwoluphando kwi- European Journal ye-Oncology imaging (i-mammogram, i-MRI, njl njl njl) kunye ne-pathology (i-cytology, i-histology, njl njl) iziphumo zazingqubuzana neepesenti ezi-2 kunye ne-3 ekhulwini lemiba yomhlaza ngokulandelana. Iingcamango zesibini zenze ukuba utshintsho olukhulu kumdlavuza wesifo okanye isicwangciso sonyango se-16 pesenti yexesha.
Xa kuziwa kunyango, iingcebiso ziyahlukahluka nokuba umntu uyavuma ukuba uyaxilongwa. Iingcamango zesibini ziye zaboniswa ukuba zitshintshe ukuxilongwa okanye isicwangciso sonyango ngokuphindaphindiweyo njengama-40 ekhulwini kwexesha. Xa kuziwa ekutyunjweni okhethwayo, umzekelo, olunye uphando lubone ukuba isibonelelo sesithathu sesibonelelo sengqondo sesibini sifumane iinkqubo ezicetywayo ukuba zingabalulekanga .
Yiyiphi iNgxelo yesiBini echaphazelekayo
I-Medicare iya kuhlawula ngombono wesibini xa ujongene nokuhlinzwa okhethwayo okanye inkqubo enkulu yokwelapha.
Oku akuthethi ukuba uvavanyo lukhululekile. Usuke uthotyelwe kwi- 20 yepesenti ye-Medicare Part B yobungqina bokuba uza kuhlawulela nayiphi na enye ukunakekelwa kwezempilo.
Ngokukodwa, i-Medicare iya kuhlawula ugqirha oqinisekisiweyo webhodi ukuhlaziya nayiphi na idatha ekhoyo ngokubhekiselele kwimeko yezobugqirha.
Ulwazi olongezelelweyo lungabuye lufunwe, kubandakanywa nokuhlolwa ngokomzimba kwaye kwezinye iimeko, iimvavanyo ezongezelelweyo.
Uphononongo lwengxelo yesibini luya kuphinda luhlolisise ulwazi lwakho lwezokwelapha, lugqibe ukuchaneka kokuxilongwa, ukuhlaziya ukuhlaziya, nokuphonononga okukhethwa kukho unyango olukhoyo xa kunokwenzeka. Oku kunokwenzeka okanye kungabandakanyi ababoneleli abaninzi. Ngokomzekelo, ugqirha we-pathologist unokuphonononga umzekelo we-biopsy ukuqinisekisa ukuxilongwa xa ugqirha onokuxoxa ngeendlela ezahlukeneyo zonyango zaloo mqathango.
Ukucaciswa, uluvo lwesibini lubhekisela kuvavanyo ngugqirha kwindawo enye yeyeza. Ugqirha wosapho ekubhekiselele kuwe kwi-oncologist, umzekelo, aluqwalaselwe njengombono wesibini. Ukubonisana ne-oncologist yesibini kwiingxaki ezifanayo zonyango, nangona kunjalo, kuya kuba.
Yiyiphi i-Medicare kwaye ayiyi kubuya
I-Medicare iya kuhlawula ngombono wesibini kwaye ngezinye izihlandlo yesithathu ukuba imbono yokuqala neyesibini ayivumelani. Cinga nje nge-tiebreaker.
Yiyiphi i-Medicare ayiyi kwenzayo kukuxelela ukuba ngubani umniki-mveliso ozokukhetha kumdlalo wokugqibela. Isigqibo sokugqibela senu sokwenza. Unokubuyela kumniki-ntlupheko okanye uqhubeke unakekelwa ngumboneleli wecandelo lesibini.
Ukuba ukhetha ukuqhubela utyando, i-Medicare iya kuthatha isigqibo sokuba ngaba ungayifuni.
Ilungile lo nto. Kungenxa yokuba omnye, obabini, okanye oogqirha abathathu bancomela inkqubo ayithethi ukuba i-Medicare iya kuhlawula. I-Medicare idinga ukuba inkqubo imele ibe yimfuneko yempilo ngokwemigangatho yawo. Ingqalelo, i-Medicare ayifuni ukuhlinzekwa kwezonyango okanye iinkqubo ezicinga ukuba ziyilinga kwesi sizathu.
I-Medicare kaninzi ayihlawuli ukuvavanya kwakhona. Ngokomzekelo, ukuba uNksz Jones wayenomdemogram, loo mfuzami enye iya kufuneka ihlaziywe ngumcebisi omtsha. I-Medicare ayinakubona isidingo sezokwelapha ukuphinda i-mammogram ukuba ugqirha omtsha enze isigqibo. Izifundo ezingalawulwa ngaphambili kwi-original assessment, nangona kunjalo, zinokuthi zigqitywe ukuba i-Medicare ibona ifanelekileyo.
Ukugqiba Oko Ukwenza
Ugqirha akuyona into ekufuneka ithathwe ngokulula. Kukho ubunzima kunye nenyani, kuya kuba nexesha lokuchitha ixesha elifunekayo ukuze abuyele. Kufuneka ukhululeke ukuba wenza isigqibo esona sihle kuwe.
Ngenxa yezi zizathu, akufanele ukhathazeke ngokusondela kugqirha wakho ngesicelo sesibini. Ukwenza ukhetho oluthile malunga nempilo yakho , ungadinga ulwazi oluninzi okanye uqinisekiso malunga neendlela zakho zokonyango. Xoxa malunga naluphi na uxhalaba onayo kunye nogqirha wakho kwaye ucele ukuba athumele zonke iirekhodi zokuhlaziywa kumcebisi omtsha.
Ngokuqhelekileyo, kulungele ukufuna umbono wesibini ngaphandle kwenkqubo yempilo yomboneleli wakho. Ukuthatha umntu kwiofisi enye okanye kwisibhedlele, umzekelo, kunokukhokelela ekuxabaneni komdla. Njengamaxesha onke, qiniseka ukuba umnikezeli oyikhethayo uyamkela i-Medicare okanye uya kushiywa ukuhlawula yonke into ngaphandle kwipokethi. Eyona nto ingcono, ukuba ugqirha uyavuma kwi-schedule ye-Medicare yohlawula imali , ungagcina iindleko phantsi ngokuphepha iimali zokunciphisa.
Isikhokelo semibono yesibini sinokuhluka uma unesicwangciso seMediare Benevantage esichasene neMpilo yeMveli. Oku kungenxa yokuba izicwangciso ze-Medicare Advantage zilawulwa ngabanini-mshishini bangegunyeni, kungekhona urhulumente wephondo. Ukuba unesicwangciso se- Medicare Benevantage , ukufuna iingcali ze-intanethi ngoluvo lwesibini lungakubiza ngakumbi, ngakumbi ukuba unquma ukuqhubeka unomdla kunye naloo mnikezeli emva koko.
Imithombo:
ML yokuGraber. I-Impact of Error diagnosis. BMJ Qual Saf. 2013; 0: 1-7. i-doi: 10.1136 / bmjqs-2012-001615.
Medicare.gov. Ukufumana Iingcebiso Zesibili Ngaphambi Kokuphanda. https://www.medicare.gov/what-medicare-covers/part-b/second-opinions- phambi kokusasazwa.html.
UMellink WA, uHenzen-Logmans SC, uBongaerts AH, Ooijen BV, uRodenburg CJ kunye noWiggers TH. Ukwahlukana phakathi kweSibini kunye noViwo lweNqununu kwizigulane ezithandwayo. Eur J Surg Oncol . 2006; 32: 108-112. i-doi: http://dx.doi.org/10.1016/j.ejso.2005.08.007.
I-Meyer AN, Singh H, i-ML yoBumba. Ukuphononongwa kweziPhumo ezivela kwiSizwe soLwabiwo-oluQiweyo lweSibini-INgxelo. Am J Med. 2015 Oktobha; 128 (10): 1138.e25-33. i-doi: 10.1016 / j.amjmed.2015.04.020.
Payne VL, Singh H, Meyer AN, Levy L, Harrison D, ML yokuBumba. Umonde-Uqaliswe Iingqungquthela Zesibili: Ukuhlaziywa kweStstem of Characters kunye nefuthe kwiNgcaciso, unyango, kunye nokwaneliseka. IMayo Clin Proc. 2014 Meyi; 89 (5): 687-96. i-doi: 10.1016 / j.mayocp.2014.02.015.