Ngenxa yoMthetho Wokunakekelwa Onganakekelwayo , abahlinzeki bezempilo e-US kufanele bahlinzekele ukunakekelwa kwezempilo okuvimbela ngaphandle kokukhokha imali ekhokhwayo, ikhophi yokukhokha noma imali yokukhokhela imali .
Ngakho-ke, yini ebaluleke kakhulu njengokunakekelwa kokuvikela? Nasi uhlu lwezinsizakalo zokunakekelwa kwabantu abadala, ukuthi uma kunconywa udokotela wakho, kufanele banikezwe mahhala ukwabelana ngezindleko .
Izinyathelo zokuvimbela umdlavuza ezinconywayo:
- Umdlavuza we-Colorectal ohlobene : kulabo abangaphezu kweminyaka engama-50 ubudala, kufaka phakathi ukuhlola i-colonoscopies, ukususwa kwama-polyps athola ngesikhathi sokuhlola i-colonoscopy, nezinsizakalo ze-anesthesia ezidingekayo ukuze kwenziwe ikholonoscopy yokuhlola
- Ukuhlobene nomdlavuza webele: kufaka phakathi ukuhlolwa kwama-mammograms yonke iminyaka engu-1-2 kubesifazane abangaphezu kuka-40, ukuhlolwa kwe-BRCA yokuzalwa ngokofuzo nokululekwa kwabesifazane abasengozini enkulu, kanye nokwelulekwa komdlavuza we-breastpioprevention wamantombazane abasengozini enkulu
- Umdlavuza womlomo wesibeletho uhlobene: ukuhlolisisa abesifazane abasebenza ngokocansi; ukuhlolwa kwe-DNA ye-papillomavirus kanye njalo eminyakeni emithathu kwabesifazane abangaphezu kuka-30
- Umdlavuza we-Lung uhlobene: ukuhlolwa kwababhemayo noma labo abayeka ukubhema phakathi neminyaka engu-15 edlule futhi baneminyaka engama-55 no-80
Izinyathelo zokuvimbela izifo ezithathelwanayo:
- Ukuhlolwa kwe-Hepatitis C ngesikhathi esisodwa kunoma ubani ozalwa ngo-1945-1965 nakumuntu omdala osemngciphekweni omkhulu
- Ukuhlolwa kwe-Hepatitis B kwabesifazane abakhulelwe ekuvakasheni kwabo kokuqala kokubeletha
- Ukuhlolwa kwe-HIV kunoma ubani phakathi kweminyaka engu-15-65, abesifazane abenza ucansi, kanye nabanye abasengozini enkulu
- Ukuhlola i-Syphilis kubantu abadala abasengozini enkulu nabo bonke abesifazane abakhulelwe
- Ukuhlolwa kwe-Chlamydia kubesifazane abasha nabesifazane abasengozini enkulu
- Ukuhlolwa kwe-Gonorrhea yabesifazane abasengozini enkulu
- Ukwelulekwa ngokutheleleka ngegciwane lesandulela ngculaza kubantu abadala ngokufaka ingozi enkulu
- Ukugoma njalo abantu abadala njengoba kunconywa iminyaka yobudala
- I-hepatitis A.
- I-hepatitis B.
- I-Herpes Zoster (ama-shingles).
- I-Papillomavirus yabantu.
- Umkhuhlane (umkhuhlane).
- Izimpukane, amaMumps, uRubella.
- I-Meningococcal.
- I-pneumococcal.
- I-tetanus, i-Diphtheria, i-Pertussis (ukukhiya umhlathi kanye nokukhwehlela).
- I-Varicella (inkukhu yenkukhu).
Ukuhlolwa kokukhuluphala nokululekwa.
Ukwelulekwa kokudla kwabantu abadala abasengozini enkulu yezifo ezingapheli.
Kunconywe izinyathelo zokuvimbela isifo senhliziyo:
- Ukuhlolwa kwe-cholesterol kubantu abadala abadala kanye nabantu abadala abaneminyaka ethile
- Ukuhlolwa kwengcindezi yegazi
- Isifo sikashukela sohlobo lwesibili sokuhlola abantu abadala abanomfutho wegazi ophezulu
- Ukuhlolwa kwesisu kwe-Aortic Aneurysm ngesikhathi esisodwa samadoda abhema
- I-aspirin uma kunqunywe ukuvimbela isifo senhliziyo eminyakeni ethile
Izinyathelo zokuvimbela ukusetshenziswa kabi kwezidakamizwa:
- Utshwala kabi ukuhlolwa nokululekwa
- Ugwayi usebenzise ukuhlolwa nokungena kokuyeka kwabasebenzisi begwayi
Ukuhlola ukucindezeleka.
Udlame lwasekhaya kanye nokuhlolwa kobudlova phakathi kwabantu kanye nokululekwa kwabo bonke abesifazane.
Ukuhlolwa kwe-osteoporosis kwabesifazane abangaphezu kuka-60 ngokusekelwe ezimweni eziyingozi.
Ukuvakashelwa kahle kwabesifazane abangaphansi kweminyaka engama-65.
Ukwelashwa kwabesifazane abanomthamo wokuzala njengoba kunqunywe umhlinzeki wezempilo.
Akubandakanyi izidakamizwa ze-abortifacit, ayisebenzi ezinhlelweni zezempilo ezixhaswe ngabaqashi bezenkolo abangakhokhisiwe. Funda kabanzi ngokuqondene nokwabelana ngezindleko zokungabikho izindleko ku-" Ukulawulwa Kokukhululeka Okukhululekile-Khulisa Inzuzo Yakho Yokunakekela Enganakusiza ."
Izinsizakalo zokuvimbela abesifazane abakhulelwe noma abahlengikazi:
- Ukuhlolwa kwe-anemia
- Ukusekela ngokubeletha kanye nokululekwa okubandakanya izinto
- Izithako ze-folic acid kwabesifazane abakhulelwe nalabo abangakhulelwa
- Ukuhlolwa kwesifo sikashukela emasontweni angu-24 no-28 ukukhulelwa kanye nalabo abasengozini enkulu
- Ukuhlolwa kwesibindi se-Hepatitis B ekuvakasheni kokuqala kokubeletha
- Ukuhlolwa okungahambisani no-Rh kubo bonke abesifazane abakhulelwe futhi balandele ukuhlola uma bekhona engozini enkulu
- Ukwelulekwa kokubhekwa kogwayi
- I-urinary tract noma ezinye ukuhlola ukutheleleka
- Ukuhlolwa kwe-Syphilis
Kungani Ukunakekelwa Okuvimbelayo Akukakhululekile
Uma umshuwalense wakho wezempilo luhlelo lwezempilo oluhle, luvunyelwe ukukhokhisa ukwabelana ngezindleko zokunakekelwa kokuvikela. Njengoba izinhlelo zezempilo ezithandwa kakhulu zilahlekelwa isimo sabo esikhulu uma senza izinguquko ezinkulu kulolu hlelo, ziba kancane kakhulu njengoba isikhathi sidlula. Uhlelo lwakho lwempilo lwezempilo luzokutshela ukuthi uhlelo lwakho lwezempilo lube lukhulu kangakanani. Ngaphandle kwalokho, ungabiza inombolo yesevisi yamakhasimende ekhadini lakho lomshuwalense wezempilo noma uhlole umnyango wezinzuzo zabasebenzi.
Uma unempilo yokunakekelwa ephethwe ngendlela ephathekayo esebenzisa inethiwekhi yomhlinzeki , uhlelo lwakho lwezempilo luvunyelwe ukukhokhisa ukwabelana ngezindleko zokunakekelwa kokuvikela okuthola kumhlinzeki wangaphandle. Uma ungafuni ukukhokha ukunakekelwa kokuvikela, sebenzisa umhlinzeki we- in-network .
Uma insizakalo yokuvimbela ingekho:
- kulinganiswe "A" noma "B" kulezincomo zamanje ze-United States Zokuvimbela Amasevisi Okuvikela
- okuhlinzekwe emibhalweni ephelele exhaswe yiMpilo yezokuPhepha nokuPhathwa kweeNkonzo
- Kunconywe yiKomidi Elulekayo Emisebenzini Yokugoma I-Centers for Disease Control and Prevention
ngakho-ke ngokuvamile ngeke inikezwe ngaphandle kokwabelana ngezindleko.
Ukunakekelwa Okuvimbelayo Akukakhululekile Ngempela
Nakuba uhlelo lwakho lwezempilo kufanele ukhokhele izinsizakalo zezempilo zokuvimbela ngaphandle kokukushaja i-deductible, i-copay noma i-coinsurance, lokhu akusho ukuthi lezo zinsizakalo zikhululekile kuwe. Umshwalense wakho uthatha izindleko zokunakekelwa kwezinsizakalo zokuzivikela ekucabangeni uma ubeka amanani akho okukhokhwa njalo ngonyaka.
Nakuba ungakhokhi izinkokhelo zokwabelana ngezindleko uma uthola ukunakekelwa kokuvikela, izindleko zalawo masevisi zihlanganiswe izindleko zemshuwalense wakho wezempilo. Lokhu kusho ukuthi, noma ngabe ukhetha ukuthola ukunakekelwa okuvikelwe okunconywayo, ukhokha ngakho ngezindleko zemishanguzo yomshuwalense wezempilo noma kunjalo.
Imithombo:
Izinsizakalo zezempilo ezivimbela abantu abadala, HealthCare.gov. Ifinyelele ngo-5/27/2015.
Imibuzo Yomsebenzi Wokunakekelwa Onganakekelwayo - Setha 12, Isikhungo Sokwaziswa Kwabathengi & Ukwaziswa Kwemishuwalense, Amasevisi Wezokwelapha Nezokwelapha. Ifinyelele ngo-5/27/2015.
Imibuzo Yomsebenzi Wokunakekelwa Ongenakuthembekile - Setha 18, Isikhungo Sokwaziswa Kwabathengi & Ukuqondisa Umshuwalense, Amasevisi Wezokwelapha Nezokwelapha. Ifinyelele ngo-5/27/2015.
Imibuzo mayelana ne-Care Affordable Act Implementation (Ingxenye XXVI), uMnyango WezokuPhathwa KwezokuSekela Abasebenzi, uMnyango Wezabasebenzi wase-United States. Ifinyelele ngo-5/28/2015.