Ukwelashwa ku-Facility noma ekhaya lakho
Uma ufana nabaningi baseMelika, kuzokufika isikhathi lapho ungazuza emithwalweni yomzimba, yomsebenzi noma yenkulumo. Ngokujabulisayo, i-Medicare inikeza lezi zinsizakalo kubo bonke ababhalisile. Ngo-2012, i-Medicaid ihlanganisa inzuzo emazweni angu-39.
Ukwelashwa ngokomzimba kanye nokwelapha okusebenzayo kuvame ukushintshaniswa ekukhulumeni okukhulunywayo. Iqiniso alinjalo.
Ukwelashwa ngokwemvelo kuhlose ukwelapha noma okungenani ukuthuthukisa ukukhubazeka lapho ukwelashwa okusebenzayo kukufundisa ukuthi ungasebenza kanjani nalokhu kuphazamiseka. Isibonelo, ukwelapha ngokomzimba kuqinisa ukulimala kwehlombe kodwa ukulimala emsebenzini kunisiza ukuthi usebenzise ihlombe emisebenzini yansuku zonke. Ukwelashwa kwenkulumo nakho kuwela ngaphansi kwezinsizakalo zokwelapha futhi kungasiza kakhulu emva kokushaywa yisifo .
Ingabe Ukwelapha Ngokwemithi Kunesidingo?
Awukwazi ukuthola ukwelashwa nje ngoba ufuna. Kufanele kube nesizathu sezokwelapha esiqinisekisiwe nesibhaliwe se-Medicare noma iMedicaid ukuyikhokhela. Lokhu kusho ukuthi umhlinzeki wakho wezokunakekelwa kwempilo kufanele abele ikhodi efanele yokuxilongwa eqinisekisa ukuthi i-oda layo lenzelwa ukwelashwa.
Uma i-Medicare noma i-Medicaid iphika isicelo sokwelapha, kungenzeka ukuthi ikhodi engafanele yokuxilongwa ikhethiwe. Kumele uxhumane nomhlinzeki wakho wezempilo ukuze ubone ukuthi ingabe enye ikhodi ingasetshenziswa ukwengeza ukwesekwa kwecala lakho.
Ungayithola I-Therapy Ekhaya?
Iningi labantu lizoshayela ehhovisi noma esikhungweni sokuqeda amaseshini abo okwelashwa kodwa abanye abantu bangase bangabi namandla okuphuma endlini.
Kulezi zimo, ukwelapha ekhaya kungase kutholakale yi- Medicare noma i-Medicaid .
Isidingo sokuqala ukuthi ungena ekhaya ukuze uthole izinsiza zezempilo zasekhaya . Ngokusho kwe-Medicare, lokhu kusho ukuthi awukwazi ukushiya ikhaya lakho ngaphandle kosizo, ushiye ikhaya lakho likhokhisa ngokweqile noma isimo sakho sezokwelapha sinzima kakhulu ukuba sincoma ukuthi ushiye ikhaya.
Isidingo sesibili ukuthi ukwelashwa kwenziwa ngumsebenzi oqeqeshiwe ozokwenza "ngokuphepha nangokuphumelelayo" ukusetha uhlelo oluthuthukisa noma okungenani ukulondoloza isimo sakho. Ngokuvamile, izinsizakalo azenzelwe ukuhlala kuze kube phakade kodwa kufanele zifinyelele isikhathi esanele sokufeza umgomo ohlosiwe.
Ungathola Ukwelashwa Okungakanani?
Ayikho inombolo ethile yokuvakashelwa evunyelwe. Esikhundleni salokho, izikhathi zokwelapha zikhawulelwe izindleko eziphelele. Kuye ngokuthi yiziphi abahlinzeki abazisebenzisayo futhi uma bamukela isabelo , ungakhokhiswa ngaphezulu noma ngaphansi. Njengamanye amasevisi aphethwe yi-Medicare, uzokhokha imali engama- 20% yezinkokhelo ze-session ngayinye.
Ngo-2016, i-Medicare ivumela u-R9,960 ukuthola ukwelashwa ngokomzimba kanye nokwelashwa kwenkulumo kuhlanganiswe kanye ne $ 1,960 ehlukile yokwelapha emsebenzini, ukukhuphuka okuncane kwamadola angamaRandi angu-40 kusukela ngo-2015. Lokhu kwaziwa ngokuthi i-cap treatment. I-cap ye-thérapies ayizange isebenze ezibhedlela zaseMadrid kuze kufike ngo-2016.
Ukuqonda i-Therapy Cap
Ukufinyelela cap therapy akusho ukuthi ukwelashwa kwakho kufanele kume. Wena nomtholampilo wakho ungadlulisela ukunakekelwa okwengeziwe. Udokotela wakho kumele abhale phansi eshadini bese uchaza ukuthi kungani izikhathi ezengeziwe zidingekile kwezokwelapha. Asikho isiqinisekiso sokuthi i-Medicare izovumelana nezincomo zabo.
Ungavunyelwa ukwelashwa okwengeziwe. Kodwa-ke, ngemuva kokusebenzisa amaRandi ayizigidi ezingama-3,700 ukuze uthole ukwelashwa ngokomzimba kanye nokwelashwa kwenkulumo kuhlanganiswe noma u-$ 3,700 ukuze uthole ukwelapha emsebenzini, uMedare uzohlola icala lakho. Lokhu kungase kuholele ekwenzeni ukunakekelwa okwengeziwe.
Imithombo:
Amasevisi we-Medicare neMediicaid Services. Izinsiza zokwelashwa. https://www.cms.gov/Medicare/Billing/TherapyServices/index.html? Ukuqondisa kabusha / / UkwelashwaIzinsizakalo /. Ibuyekezwe ngo-February 16, 2016.
I-Henry J. Kaiser Family Foundation. Izinzuzo ze-Medicaid: Izinsizakalo zokwelashwa ngokwemvelo. http://kff.org/medicaid/state-indicator/physical-therapy-services/.
I-Medicaid.gov. Izinzuzo. https://www.medicaid.gov/medicaid-chip-program-information/by-topics/benefits/medicaid-benefits.html.
Medicare.gov. I-Medicare Limits on Services Therapy. https://www.medicare.gov/Pubs/pdf/10988.pdf. I-Januwari ebuyekeziwe e-2016.