Ingabe impilo yakho ingasengozini?
Akekho ofuna ukuthatha amathuba ngezempilo kodwa yilokho ongase ukwenze uma wenza izinqumo ezinkulu zezokwelapha ngaphandle kokubona okusemuva kwenombolo yomnyango. Uyazi amalungelo akho uma kuziwa ukuthola umbono wesibili?
Okwenza Ungadinga Umbono Wesibili
Odokotela bangase babe neminyaka yokuqeqeshwa okubanzi kepha bayizizwe kuphela. Lokhu kusho ukuthi benza amaphutha.
Kulinganiselwa ukuthi cishe amaphesenti angu-10 kuya kwezingu-15 zokuxilonga angase abe iphutha. Ukuthola umbono wesibili kunganciphisa izinkinga ukuthi ukuxilongwa kuphutha noma kulahlekelwe ngokuphelele.
Ngokusho kocwaningo olwenziwe kuyi- European Journal of Surgical Oncology imaging (i-mammogram, i-MRI, njll) kanye ne-pathology (i-cytology, i-histology, njll.) Imiphumela yaba impikiswano yamaphesenti amabili namaphesenti angu-3 amacala omdlavuza ngokulandelana. Imibono yesibili ibangele izinguquko ezinkulu kumdlavuza wesifo somdlavuza noma izinhlelo zokwelapha amaphesenti angu-16 yesikhathi.
Uma kuziwa ekwelapheni, izincomo zingase zihluke ngisho noma wonke umuntu evuma ngokuxilongwa. Imibono yesibili iye yaboniswa ukuthi ishintshe ukuxilongwa noma uhlelo lwezokwelapha izikhathi eziningi njengamaphesenti angu-40 yesikhathi. Uma kuziwa ekuhlinzekeni okukhethwayo, isibonelo, isifundo esisodwa sithole ukuthi okwesithathu kwabahlinzeki bemibono yesibili bathola izinqubo eziphakanyisiwe zokuba zingadingekile emzimbeni .
Yimiphi imibono yesibili ebandakanya
I-Medicare izokhokha umbono wesibili lapho ubhekene nokuhlinzwa okukhethiwe noma inqubo enkulu yokwelapha.
Lokhu akusho ukuthi ukuhlolwa kukhululekile. Usengaphansi kwemali engama - 20 ye-Medicare Part B yokuqinisekisa ukuthi uzokhokhela noma yikuphi ukunakekelwa kwezempilo okwelashwa.
Ngokuqondile, i-Medicare izokhokhela udokotela oqinisekiswe yibhodi ukuthi abuyekeze noma iyiphi idatha ekhona mayelana nesimo sezokwelapha esibucayi.
Ulwazi olungeziwe lungabuye lwafunwa, kuhlanganise nokuhlolwa ngokomzimba futhi kwezinye izimo, ukuhlolwa okwengeziwe.
Ukuhlolwa kombono wesibili okubukwayo kuzobukeza ulwazi lwakho lwezokwelapha, kuqinisekiswe ukuchithwa kokuxilongwa, ukusetha ukuhlonza, nokubukeza izinketho zokwelapha ezitholakalayo noma kunini lapho kungenzeka khona. Lokhu kungahle noma kungabandakanyi abahlinzeki abaningi. Isibonelo, udokotela wezilwane angabuyekeze isampula se-biopsy ukuqinisekisa ukuxilongwa kanti udokotela ohlinzayo angase akhulume ngezindlela ezahlukene zokwelapha zalesi simo.
Ukuze kucaciswe, umbono wesibili ubhekisela ekuhlolweni udokotela ensimini efanayo. Udokotela womndeni ekutshela wena ku-oncologist, isibonelo, akubhekwa njengombono wesibili. Ukubonisana ne-oncologist wesibili ngenkinga efanayo yezokwelapha, noma kunjalo, kungaba.
Yikuphi Ukwelashwa Okuzokwenza Futhi Ngeke Kumboze
I-Medicare izokhokha umbono wesibili futhi ngezinye izikhathi ingxenye yesithathu uma imibono yokuqala neyesibili ingavumelani. Cabanga ngakho njengesikebhe.
Yikuphi ukwelashwa okungeke ukwenze kukutshela ukuthi ubani ozokukhetha emdlalweni wokugcina. Isinqumo sokugcina singokwakho. Ungabuyela kumhlinzeki wangempela noma uqhubeke nokukhathalela umhlinzeki wombono wesibili.
Uma ukhetha ukuphishekela ukuhlinzwa, i-Medicare izokhipha isinqumo sokuthi noma ukuyibekela noma cha.
Kulungile. Kungenxa yokuthi odokotela ababili, ababili, noma abathathu batusa inqubo akusho ukuthi Medicare izoyikhokhela. I-Medicare idinga ukuthi inqubo ibe yinto edingekayo kwezokwelapha ngokusho kwamazinga abo. Inothi, i-Medicare ayihlanganisi ukuhlinzeka ngezimonyo noma izinqubo ezibhekwa ukuthi ziyizizathu zalesi sizathu.
I-Medicare kaningi ayikhokhi ukuhlolwa okuphinda noma. Isibonelo, uma uNksz Jones enesifo semvelo , lowo mhlobiso ozoyodinga ukubuyekezwa ngumxhumanisi omusha. I-Medicare ingase ingaboni isidingo sezokwelapha sokuphinda i-mammogram ukuze udokotela omusha enze isinqumo. Izifundo azizange zihlelwe ngaphambilini ekuhlolweni kwangempela, noma kunjalo, kungase kutholakale uma ngabe Medicare ibona kufanelekile.
Ukunquma Okufanele Ukwenze
Ukuhlinzwa akuyona into okufanele ithathwe kalula. Kungaba khona izinkinga futhi yiqiniso, kuyoba nokuphumula okudingekayo ukuze kutholakale. Udinga ukukhululeka ukuthi wenza isinqumo esingcono kakhulu kuwe.
Ngenxa yezizathu, akufanele ukhathazeke ngokusondela kudokotela wakho ngesicelo semibono yesibili. Ukuze wenze ukukhetha okufundayo mayelana nempilo yakho , ungadinga ulwazi oluthe xaxa noma ukuqinisekiswa mayelana nezinketho zakho zokwelashwa. Xoxani nganoma yikuphi ukukhathazeka onakho nodokotela wakho futhi ucele ukuthi athumele wonke amarekhodi ukuze abuyekezwe kumxhumanisi omusha.
Ngokuvamile, kungcono ukufuna umbono wesibili ngaphandle kwesistimu yezempilo yomhlinzeki wakho. Ukuthatha othile ehhovisi noma esibhedlela, isibonelo, kungabangela ukungqubuzana kwezintshisekelo. Njengoba njalo, qiniseka ukuthi umhlinzeki okhethayo uyamukela i-Medicare noma uzoshiywa ukuthi ukhokhe konke okuphuma ephaketheni. Kungcono nakakhulu, uma udokotela evuma isimiso semali yesidokotela sikaMedare , ungagcina izindleko ngokugwema izimali zokukhawulela.
Imikhombandlela yemibono yesibili ingase ihluke uma ukhona ohlelweni lwe-Medicare Advantage ngokuphambene noMuthi Wokuqala. Lokhu kungenxa yokuthi izinhlelo ze-Medicare Advantage ziqhutshwa ngabashuwalense abazimele, hhayi uhulumeni wesifundazwe. Uma ukhona ohlelweni lwe- Medicare Advantage , ukufuna ochwepheshe abangaphandle kwe-network ngomqondo wesibili kungakubiza kakhulu, ikakhulukazi uma unquma ukuqhubeka ukhathalela lowo mhlinzeki ngemuva kwalokho.
Imithombo:
I-ML ye-Graber. Umthelela Wephutha Lokuxilonga Emithi. BMJ Qual Saf. 2013; 0: 1-7. i-doi: 10.1136 / bmjqs-2012-001615.
Medicare.gov. Ukuthola Umbono Owesibili Ngaphambi Kokuhlinzwa. https://www.medicare.gov/what-medicare-covers/part-b/second-opinions-forefore-surgery.html.
UMellink WA, Henzen-Logmans SC, uBongaerts AH, Ooijen BV, Rodenburg CJ, noWiggers TH. Ukuhlukana Phakathi Kwesibili Nombono Wokuqala Ezigulini Ezihlinzayo Ezihlinzayo. I-Eur J Surg Oncol . 2006; 32: 108-112. doi: http://dx.doi.org/10.1016/j.ejso.2005.08.007.
Meyer AN, Singh H, i-ML yokuBumba. Ukuhlolwa kwemiphumela evela ohlelweni lukaZwelonke oluPhezulu lwesiguli. Am J Med. 2015 Okthoba; 128 (10): 1138.e25-33. doi: 10.1016 / j.amjmed.2015.04.020.
Payne VL, Singh H, Meyer AN, Levy L, Harrison D, ML Graber. Iziphakamiso Zesibili-Eziqalisiwe Iziguli: Ukubuyekezwa kokuhlelwa kwezici kanye nokuthinta ukuxilongwa, ukwelashwa nokugculiseka. I-Mayo Clin Proc. 2014 Meyi; 89 (5): 687-96. doi: 10.1016 / j.mayocp.2014.02.015.