Ingabe uzizwa ukhululekile yizikweletu zezokwelapha? Ingabe unenkinga yokuqonda ukuthi yiziphi zonke izikweletu eziyizo ngempela nokuthi kungani umshuwalense wakho wezempilo engekho ngaphezulu kwazo? Uma kunjalo, kungase kube yisikhathi sokubizela kummeli wokukhokhisa wezokwelapha.
Yeka ukuthi uMeluleki Wokukhokhelwa Kwezokwelapha Ungakwenzela Kanjani
Ummeli wezinkokhelo zezokwelapha angahlaziya izikweletu zakho zezokwelapha futhi ubone amaphutha, ngaphezulu kwezindleko, izinkokhelo eziphindwe kabili, amacala amanga, ngisho nokukhwabanisa.
Angakwazi ukuthola ukuthi umshuwalense wakho wezempilo ukhokhele kangakanani, futhi uma kungenjalo, kungani kungenjalo. Angakhonza egameni lakho ukuze athole amacala angalungile anqunywe noma afake isikhalazo sokumangalelwa kwemishwalense yempilo . Angakwazi futhi ukuxoxisana nodokotela nezibhedlela ukwehlisa lokho okukweleta khona.
Lapho Kufanele Uqashe Ummeli Wezinkokhelo Zezokwelapha
Cabanga ukuqasha ummeli wezinkokhelo zezokwelapha uma ubhekene nanoma yiziphi izinkinga ezilandelayo:
- Awuqondi izikweletu zakho zezokwelapha , futhi izincazelo ezinikezwa ngabahlinzeki bakho azibonakali.
- Umshuwalense wakho wezempilo wenqaba ukukhokha ingxenye noma zonke izikweletu zakho zezokwelapha futhi isizathu asizwanga kahle noma sibonakala singalungile.
- Umshwalense wakho wezempilo wenqaba ukukhokha ingxenye noma zonke izikweletu zakho zezokwelapha futhi ikunika ukugijima-okuzungezile.
- Ihhovisi lokukhokhisa esibhedlela (noma insizakalo yokukhokhela udokotela) ligxeke izinto ezinkampanini yomshuwalense wezempilo, futhi inkampani yakho yomshuwalense wezempilo ibeka izinto ezifanayo esibhedlela sakho (noma ehhovisi likadokotela). Ngakho-ke, unamathele phakathi, ubambe umthethosivivinywa.
- Uphazamiseke ngemithetho yezokwelapha ongenakukwazi ukukhokha futhi ucabangela ukucima ngenxa yabo.
- Awunawo umshuwalense futhi awulungile ukuxoxisana. Ummeli wezokukhokhisa wezokwelapha angaxoxa ngezikweletu ezincane kusengaphambili noma ngemuva kweqiniso.
- Uyagula kangaka awusenayo amandla okubhekana nevolumu yamaphepha edingekayo ukuze uphathe izikweletu zakho zezokwelapha kanye nokutholakala komshuwalense wezempilo, kodwa awufuni umndeni noma abangane ukuba bakwenze kuwe.
- Unomthwalo wemfanelo yokuphatha izikweletu zezokwelapha zomunye umuntu (mhlawumbe umzali osekhulile) futhi angeke azizwele noma azikhungathekile ngalokho okuhilelekile ekuzilandeleni.
Lokho Ummeli Oyodinga
Ngokuqondile ukuthi yimaphi amathuluzi nolwazi ummeli wokukhokhisa wezokwelapha okuzodinga ukukusiza kuxhomeke ezimweni ezithile zezinyathelo zakho zezokwelapha kanye nohlelo lomshuwalense wezempilo. Nokho, kufanele ulindele ukuthi angadinga okungenani okulandelayo:
- Izikweletu zakho zezokwelapha.
- Izincazelo zakho zezinzuzo ( EOB ) amafomu.
- Imvume yakho yokukhuluma nabanikeli bakho bezempilo kanye nenkampani yakho yomshuwalense wezempilo.
- Ukufinyelela kumarekhodi akho wezokwelapha.
- Ulwazi mayelana nalokho okhokhelwe kakade.
- Ulwazi mayelana nokuthi yiziphi izinyathelo ozithathile ukuxazulula inkinga ngaphambi kokuthola ummeli wokukhokhisa wezokwelapha ezihilelekile.
- Ukukhokhwa. Izindleko zokukhokha kwezokwelapha azisebenzi mahhala; Kodwa-ke, kungenzeka ukuthi bayakusindisa imali eningi kunalokho abayikhokha ngempela, ngakho-ke imisebenzi yabo iyabaluleka.
Funda kabanzi
Ungathola abameli bokukhokhisa ngezokwelapha usebenzisa isiqondisi se-AdvoConnection futhi ufunde kabanzi mayelana nokugqugquzela ngesiguli kusuka eqenjini lezokuhweba lokugqugquzela isiguli i-Alliance of Professional Health Advocates.
Uma usuthole ukhetho, funda indlela yokuxoxisana futhi ukhethe ummeli wesiguli .