Litaba tsa Medicare Feela-For-Service (FFS) tse nang le matsatsi a tšebeletso kapa matsatsi a ho tsoa ka la 1 April, 2013, li tla tsoela pele ho kenya chelete ea 2 lekholong ho fokotsa tefo ea Medicare ho fihlela ho feta tsebiso. Sena se ntse se sebetsa ka 2017. Ntle le ho fetoha, ho khaola ho ke ke ha fela ho fihlela ka 2021.
Litekanyetso tsa mekhatlo ea federal ea ho qeta likhahla tsa lichelete tse amanang le Medicare li qalile ho sebetsa ka Letsatsi la Fools la April, empa e ne e se taba e tšehisang.
Li ama lenaneo la Medicare Fee For Service (FFS), le tsejoang e le litlaleho tsa Medicare HMO (Part C) le Lihlahisoa tsa Bongaka tse sa Feleng, Prosthetics, Orthotics le Supplies (DMEPOS).
Ho balla Makhetho a Meriana ka ho Fokotsa Sequestration
Ho fokotseha ha karolo ea bobeli lekholong ea litefello ho balloa ka mor'a hore mokuli a fumane chelete e ngata, chelete ea hae ea chelete le copay a tlosoa ka chelete e lumelletsoeng.
Pele ho la 1 April 2013, litefello tsa Medicare li ne li baloa ka tsela ena
HO HLOKISITSWA MOTSO - BOIKARABELO BA BATHO BA PATIENT (bo kenyelletsang chelete, chelete ea lichelete, le copay) = MOKHOA OA MEDICARE
Ka mor'a 1 April 2013, litefello tsa Medicare li se li baloa ka tsela ena
HO HLOKAHALA LITŠOANTŠISO - BOIKARABELO BA BATHO BA PATIENT (bo kenyelletsa chelete e fokolang, lichelete tsa lichelete, le copay) = TLALEHO EA MEDICARE X 98% = TLALEHO EA NEW MEDICARE
Etsa Likhopo tsa Lebaka la ho Fetola
Keletso ea lichelete tsa thekiso ea elektronike (ERA) e thathamisa mekhoa ea ho fetola mabaka a mabaka a mabaka a sebelisetsoang ho sebetsana le seo. Tse ling tsa tsona li kenyeletsa tse latelang:
Etsa Likhopo tsa Lebaka la ho Fetola
- CO 45
- PR 1
- PR 2
- PR 3
- PR 96
Etsa Litlhaloso tsa Liphetoho
- CO Phetoho ea Khoebo
- Boikarabello ba mokuli ba PR
- Nako e senyehileng
- 2 Khotso ea chelete
- 3 Kopi ea chelete
- Taelo e feta chelete ea kemiso / tekanyo e kholo ea tumello kapa ea tumellano / ea molao
- Litefello tse sa koahetsoeng (96)
E le hore u hlalose liphello tsa liphesente tse peli ho ERA, mokhoa o ncha oa ho fetola o ntse o sebelisoa.
CO 253: Ho ikhetholla - ho fokotsa puseletso ea federal.
Kaha 253 e tsamaisana le CO, mokuli a ke ke a lefisoa chelete ena. Ke lengolo la ho ngola bakeng sa mofani. Phokotso ena e ama feela mofani, ke ka lebaka leo phokotso e baloang ka mor'a hore boikarabelo ba mokuli bo behoe.
Ka mohlala, lefats'eng le nang le chelete ea $ 50.00 e tsoang ho Medicare nakong e fetileng joale e tla ba $ 49.00 e lefshoang le $ 1.00 e abeloa CO 253 ho emela liphesente tse peli tsa theko.
Tšoara ea Medicare Ho fokotsa ho koaheloa ha mosebetsi Lefapheng la Bongaka
E le hore u sebetse ka katleho likarolo tsa lichelete tsa ofisi ea tsa bongaka, ho hlokahala hore u ntlafatse litlaleho tsa hau ho bonahatsa liphetoho likolotong tsa hau. Sena se boetse se hlahisetsa lintlha bakeng sa mekhoa e meng e ka 'nang ea ameha hampe ke ho khaola hona. Lingaka tse ling li etsa qeto ea ho fokotsa lenane la bakuli ba Medicare bao ba sebetsanang le bona kapa ba khaotsang ho phekola bakuli ba Medicare ka ho feletseng. Ka bomalimabe, sena se baka mathata ho bakuli, ba nang le mekhoa e fokolang ea ho sebetsana le litlhoko tsa bona tsa tlhokomelo ea bophelo bo botle le ba nakong e tlang.
Bonyane ba fihletsoeng ke bakuli ba Medicare ba bolela liketelo tse ling tsa liketsahalo tsa maemo a tšohanyetso, likoloi tse eketsehileng, le litšenyehelo tse ngata tse etsoang indastering ho batla litsela tsa ho fokotsa litšenyehelo.
Ho na le mokhoa o mong oa ho furalla bakuli ba Medicare, ba bangata ba bona ba nang le lilemo tse fetang 65 le / kapa ba holofetseng 'meleng kapa kelellong. Bafani ba tsa bongaka ba ka lebisa tlhokomelo ea bona ho seo ba se lahleheloang ke Medicare le ho sebelisa mekhoa ea ho ntlafatsa tshebetso ea lichelete libakeng tse ling.
Ho etsa karolo ea liphesente tse peli Medicare e fokotseha, sebaka se seng seo ofisi ea hau ea bongaka e ka tsepamisisang maikutlo ho sona ke ka ho fana ka litheolelo tsa ho lefa ka potlako ho hohela lik'hamphani tsa inshorense tsa likoloi, basebetsi ba matšeliso a basebetsi le bakuli ba lefshoang ba lefshoa ka potlako. Ho fana ka theko e potlakileng ea chelete ho etsa hore ofisi ea hau ea bongaka e sebetsane le boikarabelo ba lichelete, ho atolosa le ho hōlisa le ho ntlafatsa ts'ebetso ea hau ea kakaretso e amohelehang.
> Mohloli:
> C MS.gov MLN Motlatsi oa Mohokahanyi ka News, March 3, 2016.