Ukuqonda Medicare Part D neDonut Hole

Uzokhokha Kakhulu Kangakanani?

I-Medicare Part D yaqala ukuhlinzeka ngezidakamizwa zokudakwa kwezidakamizwa ngonyaka ka-2006. Ngaphambi kwalokhu, abadala kumele bazibophezele. Umthwalo wezindleko zezidakamizwa uphakeme nabamerica abaneminyaka engama-65 no-79 ubudala abagcwalisa imiyalelo engu-27.3 ngonyaka kanye nalabo asebekhulile kuneminyaka engu-80 ubudala abagcwalisa imiyalelo engu-29.1 ngonyaka.

Namuhla abadala bangakhetha uhlelo lwe-Part D, bakhokhele i-premium yenyanga futhi benze amakhophiyayintshi angabizi noma ukukhokhelwa kwemali yezindleko zezidakamizwa.

Inkinga yukuthi Ingxenye D inegejethi yokuhlanganisa eyaziwa ngokuthi i-donut hole futhi akuyona into enhle kakhulu.

Ingxenye D inikezela ukufaka inani elilodwa lamadola (cabanga ukudla ohlangothini olulodwa lomnikelo), bese uhlahlela (cabanga ukufika endaweni engenalutho phakathi) bese uqala ukukhokhelwa emva kokusetshenziswa kwemali ethile (cabanga ukuthi uthola kanjani kuya kolunye uhlangothi lomnikelo).

Unyaka ngamunye Medicare usetha umkhawulo wokufakazela ingxenye yokuqala yomnikelo, umgodi wangaphambili. Okukhokhayo nokuthi yini iMedricare ekhokhela izidakamizwa zakho iyobalelwa kulo mkhawulo wezindleko. Izinkokhelo zakho zenyanga zonke azibheki kulezi zindleko futhi azenzeki imishanguzo engazange ihlanganiswe uhlelo lwakho lwe-Part D noma imithi ethengwe kwamanye amazwe.

Izindleko Ezibala Ngezindleko Zakho Zokuqala Zama-Donut Hole
Izindleko Ozikhokhayo Izindleko Ezithatha Imithi
  • I-deductible yakho
  • Ama-copay akho kanye no-coinsurance
Imali Medicare ikhokha imali yakho

Ngemuva kokuthi ususebenzise umkhawulo wemkhawulo wokufaka, ufaka umgodi we-donut.

Ngenkathi Ingxenye D iqalile kuqala, ngabe ulalele ukukhokhela amaphesenti angu-100 ezindleko zakho zemithi. Manje Medicare izokhokha iphesenti elithile lezindleko futhi lelo nani likhula njalo ngonyaka wakho ngenxa ye-Obamacare. I-Obamacare ihlose ukuvala umgodi wokudonsa ngo-2020 .

Yeka ukuthi ukwelashwa okuningi kangakanani Ngesikhathi seDonut Hole ngonyaka
Unyaka Igama LamaGreki Izidakamizwa ezijwayelekile
2015 Amaphesenti angu-55 Amaphesenti angu-35
2016 Amaphesenti angu-55 Amaphesenti angu-42
2017 Amaphesenti angu-60 Amaphesenti angu-49
2018 Amaphesenti angu-65 Amaphesenti angu-56
2019 Amaphesenti angu-70 Amaphesenti angu-63
2020 Amaphesenti angu-75 Amaphesenti angu-75

Wena unamathele emgodini wokuxhuma uze uchithe inani elithile lama dollar elibekwa minyaka yonke ngu-Medicare. Izinkampani zokwelapha zizokunika isaphulelo samahhashi angu-50 emithonjeni yegama lomkhiqizo phakathi nomgodi we-donut. Noma iyiphi imali esetshenziselwa uhlelo lwakho lwe-Part D ayinalo kule mali. Okunye futhi, izinkokhelo zakho zenyanga nenyanga noma izidakamizwa ezingaphandle zingabalwa ngokuqondene nezidingo zomgodi we-donut.

Izindleko Ezibala Ngezidingo Zakho ZeDonut Hole
Izindleko Ozikhokhayo Ezinye izindleko
  • Ukuqinisekiswa kwemithi yegama lomkhiqizo
  • I-Coinsurance yemithi ejwayelekile

Isamba umxhaso wezokwelapha ukhokhela imithi yakho yegama lomkhiqizo (hhayi imithi yakho yemithi)

Okuthi uhlelo lwakho lwe-Part D lukhokha alukwazi ukubalwa

Ngemuva kokuba usuqedile umthamo womgodi we-donut, ufaka isikhathi sokufakwa kwengozi lapho ukhokha khona ama-copay angabizi ngemithi yakho kuze kube sekupheleni konyaka. Ngo-Januwari 1, inqubo iqala futhi.

Yeka ukuthi i-Donut Hole ibiza kangakanani ngonyaka
Ukusetshenziswa kwezidakamizwa 2015 2016
Umkhawulo Wokuqala Wokuqala $ 2,960 $ 3,310
I-Donut Hole

$ 1,740

($ 4,700 izindleko eziphelele zonyaka)

$ 1,540

($ 4,850 izindleko eziphelele zonyaka)

Ukuphazamiseka Okubi
  • Uzokhokha u-$ 2.65 wezidakamizwa ezijwayelekile.
  • Uzothola u- $ 6.60 wezidakamizwa zamagama wegama.
  • Uzokhokha u- $ 2.95 wezidakamizwa ezijwayelekile.
  • Uzokhokha u- $ 7.40 wezidakamizwa zamagama wegama.

Umgodi we-donut ungaba umqondo okhohlisayo ukuqonda. Ngenjabulo ngo-2020, kuyoba lula nakakhulu ukuvala umgodi we-donut.

Umthombo

Izinguquko ekusetshenzisweni kwezempilo kanye nemithi. I-IMS Institute for Healthcare Informatics. http://www.imshealth.com/deployedfiles/imshealth/Global/Content/Corporate/IMS%20Health%20Institute/Reports/US_Use_of_Meds_2013/Percent_population_prescriptions_per_capita.pdf Kufinyelelwe ku-Agasti 12, 2015.