Incazelo:
Lapho isiguli singeniswa esibhedlela, babelwa isimo. Isimo sesifo sofuba nesimo sokubuka kukhona okuvame kakhulu. Uma usungenwe esibhedlela, akulula ngaso sonke isikhathi ukuthola ukuthi uyamukelwa yini njengesiguli, noma uvunyelwe ngaphansi kwesimo esibhedlela esibhekwayo.
Umehluko Phakathi Kwesimo Sokugula Nesimo Sokuqapha
Isimo sesifo sofuba yilokho esikucabanga ngakho ngokuthi umuntu ungeniswe esibhedlela.
Isimo sokubheka uhlobo lwesimo sesipiliyoni. Kodwa-ke, umuntu obhekene nesimo esibhedlela esibhedlela angakwazi ukuchitha izinsuku eziningana nobusuku empeleni esibhedlela, yize eseyisiguli. Eqinisweni, angase abe uhlobo olufanayo lwesibhedlele esibhedlela, eduze kwesiguli esisodwa.
Ukuqashelwa kwakuyindlela yokugcina umuntu esesibhedlela isikhathi esifushane ngenkathi odokotela bezama ukunquma ukuthi uyagula ngokwanele yini ukuthi udinga ukwelashwa. Manje, iziguli zokubona ngezinye izikhathi zingagcinwa esibhedlela izinsuku ezinesimo sokubuka.
Kungani Isiguli Sibhekene Nendaba Yokubheka?
Uma ulele esitokisini esifanayo esibhedlela futhi uthola uhlobo olufanayo lokunakekela, kungani kufanele ukhathalele ukuthi unesimo sokugula noma isimo sokubona? Kufanele unakekele ngoba umehluko ungakubiza amakhulu noma izinkulungwane zamadola.
Kubantu baseMedare, umahluko phakathi kwesimo sokugula nesimo sokubheka kubalulekile ngokuhlinzekwa kokunakekela esikhungweni sokunakekela abanekhono ngemuva kokuhlala esibhedlela.
Lokhu kuchazwe kabanzi ngezansi.
Ikhamphani yakho yomshuwalense wezempilo noma uMedare ngeke akhokhe ukuhlala esibhedlela njengesiguli esibheke ngendlela efanayo ukuthi ngabe ukhokhelwe njengesiguli. Esikhundleni salokho, bazokhokha ukuhlala esibhedlela usebenzisa izinsizakalo zokubeletha ingxenye yenzuzo yakho yomshuwalense wezempilo.
Isabelo sakho sezindleko zezinsizakalo zokubeletha ezifana nesimo sokubheka sikhulu kunesabelo sakho sezindleko zezokwelapha esibhedlela.
Nakuba ziyinkimbinkimbi futhi idideka, kunemithetho, noma okungenani iziqondiso, udokotela wakho nesibhedlela uyalandela uma unquma ukuthi uzokunika isimo sokubheka esibhedlela noma isimo sesiguli.
Ukuze uqonde ukuthi lezi ziqondiso zibheke kanjani nokuthi kungani izibhedlela zinika iziguli isimo sokubheka, bheka i- Hospitalized in Status Observation? Uzokhokha Okunye: Isiguli esib. Isimo sokubheka nokuthi Izikhombandlela Zokuqapha Zisebenza kanjani .
Isibonelo:
UMnu. Smith uza ekamelweni eliphuthumayo ngezinhlungu zesifuba. Ehluleka ukutshela ukuthi uMnu. Smith unesifo senhliziyo, isazi sezinhliziyo, uDkt Jones, sibeka uMnu. Smith esibhedlela ngesimo sokubona.
UMnu. Smith uchitha ubusuku ekamelweni lesibhedlela elihlanganiswe nomqapha wenhliziyo. Kulo lonke ubusuku, abahlengikazi bahlole njalo. Uthola i-oksijeni futhi uhlolwe ngegazi udweba njalo amahora ambalwa. UDkt. Jones kungenzeka ukuthi wayala izivivinyo eziningi ukuze athole isimo senhliziyo kaMnu Smith.
Ngemuva kokuhlwa kusihlwa, emva kwezinsuku ezimbili nobusuku obunye esibhedlela, uDkt. Jones unolwazi olwanele lokuthola ukuthi uMnu. Smith wayenaso isifo senhliziyo.
UMnu Smith uyathunyelwa ekhaya.
Inkampani yomshuwalense wezempilo kaMnumzane Smith ikhokha ingxenye yezinsolo zokuhlala esibhedlela ngaphansi kukaMnu. (Uma uMnu. Smith eneM Medicare, i-Medicare Part B izofaka ingxenye yezindleko zokubheka esibhedlela sikaMnu. Smith.)
Njengoba inqubomgomo yomshuwalense wezempilo kaMnu Smith isinezinsizakalo ezingama-25% zezinsizakalo zokugula, uMnumzane Smith ukhokha u-25% wecala lokuhlolwa kwegazi kanye ne-X-Ray. Ukhokha imali engu-25% we-oxygen, yezindleko zokuqapha kwenhliziyo, kanye nezinkokhelo zehora esibhedlela zesevisi zokubona iziguli.
Uma uMnu. Smith esethole izinsizakalo ezifanayo njengalesi siguli esingekho esimweni sokubheka, kuye ngokuthi hlobo luni lokubambisana nalo, kungenzeka ukuthi wayekhokhelwe ikhodi eyodwa yokugonywa esibhedlele futhi umshuwalense wakhe wezempilo uzobe ehlanganisa wonke amacala.
Kodwa futhi kuvamile ukuba izinhlelo zomshuwalense wezempilo zibale izibhedlela ezibhekiswe ekudalweni kwepulani, bese ziqala ukuhlola amacala e- coinsurance . Uma kunjalo, inani eliphelele uMnu Smith obolekiwe kungenzeka ukuthi seliphelile ngendlela efanayo.
Isiguli esiphathelene nokuqaphela kanye nokuhlinzekwa kweMedare yokuNakekelwa koNakekeli abaneNgcono
Iziguli ngezinye izikhathi ziyakwazi ukuphuma esibhedlela, kodwa hhayi okwanele ukubuyela ekhaya. Izakhiwo zokuhlengikaza ezinolwazi zingasetshenziswa ukugcwalisa leli gaba. Isiguli esigodliwe esikhundleni, isibonelo, singadinga kuphela izinsuku ezimbalwa esibhedlela, kodwa singase sidinge izinga lokunakekelwa okunakekelwa esikhungweni sokunakekela abanekhono ngaphambi kokuba sikwazi ukubuyela ekhaya.
I-Medicare ikhokhela kuphela ukunakekelwa kwesikhungo sokunakekela abanekhono uma kuqhubeka okungenani ukuhlala esibhedlela esibhedlela izinsuku ezintathu . Uma usesibhedlela kodwa ngaphansi kwesimo sokubheka esikhundleni sezinga lokungalali, akulona izinsuku zakho ezintathu. Uma kunjalo, uma usukhululiwe, ngeke ukwazi ukuthola ukukhokhelwa kwe-Medicare ukuhlala endaweni yokuhlengikaza enekhono. Lesi esinye sezizathu ezibalulekile ezigulini nemindeni yabo ukuqonda ukuthi ngabe isilonda noma isimo sokubheka sisetshenziswa yini.
> Imithombo:
> Medicare.gov. Ingabe Uyisifo Sokugula Noma Isiguli? Uma Unayo Imithi - Buza! Meyi ebuyekeziwe ngo-2014.