Haddii aad waligaa ku bixisay gaadiidka ambalansiga, waxaad ogtahay inuusan raqiis ahayn. Kharashka wuxuu ka koobnaan karaa boqolaal ilaa kun oo doolar. Shirkadaha qaarkood waxay ku dallacayaan kharashyo dheeri ah oo loogu talagalay takhaatiirta dheeraadka ah ee ka shaqeeya guddiga (kalkaaliyayaasha caafimaadka xannuunada, daaweeyayaasha neefsiga, iwm.), Isticmaalka sahayda caafimaadka (sida maskaxda oksijiin, faashado, dharka, baakadaha barafka, iwm) iyo masaafada kale.
Su'aashu waxay tahay haddii qorshahaaga caymisku uu bixin doono adeegga ambalaaska marka aad u baahan tahay. Medicare ayaa mararka qaarkood ah. Xitaa xaaladaha daboolan, Medicare Qaybta B waxay bixin doontaa oo kaliya 80 boqolkiiba , adiga oo inta kale kaa tagaya.
Caymiska Medicare ee Xaaladaha Xaaladaha Degdega ah
Qeexida baahida caafimaad waa talaabada koowaad. Ambalaaska, indhaha Medicare-ka, ayaa kaliya lagu tilmaamaa haddii aysan jirin habab kale oo badbaado ah, waxaa lagaa qaadayaa si aad u hesho daryeelka ay bixiso Medicare, iyo shirkada ambalaaska waxay aqbashaa shaqada.
Xaaladda caafimaad ee degdegga ah, caafimaadkaagu waa mid khatar ah. Medicare wuxuu bixin doonaa adeegga ambalaasta rugta caafimaadka ee kuugu dhow ee ku siin kara heerka daryeelka ee ku habboon. Ma dooran kartid iyo dooran kartaa meesha aad rabto inaad tagto. 1
Tusaale ahaan, haddii aad qabtid xanuun laabta , waxaa laga yaabaa inaad u baahato inaad qabto saxarada wadnaha . Haddii cisbitaalka ugu dhow uusan bixinin adeeggan, Medicare wuxuu bixin doonaa ambalansiga si uu kuu geeyo isbitaalka kuugu dhow.
Caymiska Medicare ee Xaaladaha Xaaladaha Degdegta ah
Medicare si uu u ansixiyo caymiska xaaladaha aan degdegga ahayn, xaaladaha qaarkood waa in la buuxiyaa. Waa inaad u baahataa gaadiid si aad u heshid qiimeyn caafimaad iyo / ama daaweyn, adiga oo sariirtaada ku jira oo aanad safri karin safar kale ama aad u baahan tahay daryeel caafimaad inta lagu jiro safarka gaadiidka.
Inaanad haysan hab kale ee gaadiidka ah kuma filna Medicare inuu bixiyo adeegyada.
Tusaalooyin caadi ah ayaa dhici kara haddii aad u baahan tahay gaadiid si aad u hesho suntisis ama haddii aad ku nooshahay xarun kalkaalis caafimaad oo aad u baahan tahay daryeel caafimaad. Xaaladahaas, amarka daweynta dhakhtar waxaa laga rabaa inuu caddeeyo in isticmaalka ambalaaska uu caafimaad ahaan muhiim u yahay.
Sidee baa Medicare uu u xoojiyaa dib u celinta?
Khasaarada Medicare waxay noqon kartaa mid aad u badan inta aad ka ogaan karto. Daraasad ay soo saartay Waaxda Caafimaadka iyo Adeegyada Bani'aadamka ee Maraykanka waxay ogaatay in Xarumaha Medicare iyo Medicaid ay ka badan yihiin $ 30 milyan oo ku saabsan adeegga ambulansiga ee xarumaha adeegyada Medicare aan la fulinin iyo $ 17 milyan oo ah gaadiidka iyo ka imaatin la'aanta adeegyada sida hoos timaada lacagta Medicare. Tan ka sii xun, boqolkiiba 20 ee waxqabadka biilasha ayaa la ogaaday inay tahay mid aan habooneyn.
Medicare hadda imtixaanka horay loo ansixiyey, oo loo yaqaano oggolaansho hore, adeegyo aan amarjansi ahayn oo ku yaal saddexda gobol - New Jersey, Pennsylvania, iyo South Carolina. Haddii aad isticmaasho saddex gaadiid oo ambalansi ah, labadaba 10 maalmood gudahood ama hal mar toddobaadkii saddex toddobaad, Medicare waa inuu horay u ansixiyaa afaraad ka hor intaadan helin adeegga markale.
Fikradda waa in la gooyo dib-u-isticmaalka ama isticmaalka aan habooneyn ee ambalaaska. Shuruudahan horay u-oggolaansho waxay u fidin kartaa dhammaan gobolada 2017.
Waxa aad sameyn karto caymiska
Waxaad xaq u leedahay in aad naftaada u hadasho. Haddii aad dareento in adeegga ambalaaska la qariyey, waxaad xaq u leedahay inaad racfaan qaadato.
Ilaha:
Xarumaha adeegyada Medicare iyo Medicaid. Caymiska Medicare ee Adeegyada Ambalaaska. https://www.medicare.gov/Pubs/pdf/11021.pdf. La daabacay Janaayo 2015.
Xarumaha adeegyada Medicare iyo Medicaid. Gaadiidka Hore ee Awood-Gacan Ahaan Gaar Ah Aan Caadi Karin. https://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Prior-Authorization-Initiatives/Prior-Authorization-of-Repetitive-Scheduled-Non- Ambalaas-Ambulance-Transport-.html. La daabacay Janaayo 13, 2016.
Waaxda USD iyo Adeegyada Bulshada. Bixinta aan Habooneyn iyo Bixinta Shardiga ah ee Medicare Qeybta B Badeecada Ambalaaska. http://oig.hhs.gov/oei/reports/oei-09-12-00351.pdf. Laga soo saaray September 2015.