Abin da ke da kyauta kuma abin da ba'a ba
Mun gode wa Dokar Kulawa mai Kulawa , masu sayen lafiya a Amurka suna rufe kariya ga lafiyayyu da yara ba tare da buƙatar ku biyan kuɗi ba, ko biyan kuɗi, ko haɗin kai .
Duk da haka, abin da yake ƙidaya a matsayin kulawa na kariya yana iya rikicewa. Ga jerin lokuta masu kula da kulawa na yara don yara waɗanda, idan aka ba da shawara ta likitan danku, ya kamata a biya ku ta asibiti na lafiyarku na kyauta ba tare da raba farashi ba .
Manya suna da jerin daban .
Taimakon Kulawa da Yara da Kulawa Ba tare da Ciniki ba
Yara jarirai
- Watsa Labarai
- Gonorrhea rigakafin magani a idanun
- Ciwon sikila ko nuna alamun haemoglobinopathy
- Hidimar hypothyroidism
- Phenylketonuria (PKU) nunawa
Shekaru 0-11 watanni
- Bincike na al'ada
- Ruwan jini na nunawa
- Nauyin ma'auni, nauyin nauyi, da ma'auni
- Tarihin likita
- Kwamitin kula da haɗarin kiwon lafiya
- Tuberculin gwajin idan yaro yana kara yawan haɗarin tarin fuka
- Binciken bunkasa
- Ƙari na ƙarfe don yara masu shekaru 6 zuwa watanni 12 idan suna haɗari ga anemia
Shekaru 1-4 da shekaru
- Kyakkyawan halin kirki
- Jirgin jini yana nunawa
- Tsawon tsawo, nauyin, da kuma ma'auni na ma'auni
- Tarihin likita
- Wani bincike na haɗarin kiwon lafiya
- Yin gwajin tuberculin idan yaronka yana kara yawan haɗarin tarin fuka
- Yayinda yarinyarku ke kara yawan haɗarin cutar lipid
- Autism yana nunawa a shekarun 18 da watanni 24
- Ƙaddamarwa na bunkasa ga yara a karkashin shekaru 3
Shekaru 5-10 na shekara
- Kyakkyawan halin kirki
- Jirgin jini yana nunawa
- Yayinda yarinyarku ke kara yawan haɗarin cutar lipid
- Tsawon tsawo, nauyin, da kuma ma'auni na ma'auni
- Tarihin likita
- Wani bincike na haɗarin kiwon lafiya
- Yin gwajin tuberculin idan yaronka yana kara yawan haɗarin tarin fuka
Shekaru 11-14
- Kyakkyawan halin kirki
- Jirgin jini yana nunawa
- Yayinda yarinyarku ke kara yawan haɗarin cutar lipid
- Tsawon tsawo, nauyin, da kuma ma'auni na ma'auni
- Tarihin likita
- Yin gwajin tuberculin idan yaronka yana kara yawan haɗarin tarin fuka
Shekaru 15-17
- Kyakkyawan halin kirki
- Jirgin jini yana nunawa
- Yayinda yarinyarku ke kara yawan haɗarin cutar lipid
- Tsawon tsawo, nauyin, da kuma ma'auni na ma'auni
- Tarihin likita
- Yin gwajin tuberculin idan yaronka yana kara yawan haɗarin tarin fuka
Ado
- Abubuwan shan barasa da magunguna
- Cizical dysplasia nunawa ga mata jima'i aiki mata
- Binciken tawali'u
- Binciken HIV idan ya kara haɗari
- Hanyoyin kamuwa da cutar kamuwa da jima'i da kuma yin rigakafi idan sun kara haɗari
Duk shekaru daga haihuwa har zuwa shekaru 18, ko ba shekaru ba
- Fluoride na kari ga yara ba tare da fluoride a cikin tushen ruwa ba
- Hematocrit ko samfurin haemoglobin
- Gudun jagorancin yara a hadarin daukan hotuna
- Binciken kiba da shawara
- Gano hangen nesa
- Rigakafin rigakafi kamar yadda aka bada shawarar bisa ga shekaru da yawan jama'a
- Diththeria, tetanus, pertussis
- Haemophilus influenzae type b
- Hepatitis A
- Hepatitis B
- Human Papillomavirus
- Ina da cutar Poliovirus
- Ruwa
- Matakan
- Meningococcal
- Pneumococcal
- Rotavirus
- Varicella
Kiyaye Mai Kula da Ba Abin da Ya Sauƙaƙe
Idan yaro yana da tsarin kiwon lafiya mai kulawa wanda ke amfani da cibiyar sadarwar mai bada sabis , an yarda da shi cajin farashin farashi don kulawa na rigakafin da masu samar da yanar-gizon suke bayarwa. Idan ba ku so ku biya bashin kulawar yaron ku, yi amfani da mai bada sabis na cibiyar sadarwa.
Idan ba a ba da sabis na kariya ba ta likitan ɗanka kuma
- an kiyasta "A" ko "B" a cikin shawarwarin Ƙungiyar Ayyukan Tsaro na Amurka a yanzu, ko
- wanda aka tanadar a cikin cikakken jagororin da Labaran Kiyaye da Gudanarwa ke goyan baya, ko
- shawarar da kwamiti na Shawara kan Shirye-shiryen rigakafi na Cibiyoyin Kula da Cututtuka da Cututtuka
to, ba za a miƙa shi ba tare da raba farashi ba.
Idan ƙwaƙwalwar asibiti na ɗanku ce shirin lafiyar lafiyar ku, an yarda da ku cajin haɗin kuɗi don kulawar rigakafi. Lissafi na tsare-tsaren kiwon lafiyar za su gaya maka idan tsarin lafiyar ya kasance babba. A madadin, za ka iya kiran lambar sabis na abokin ciniki a katin asibiti na asibiti na asibiti ko duba tare da ma'aikata na amfani da sashen idan aikin lafiyar yaro ya kasance ta wurin aikinka.
Kulawa na Kulawa Ba Gaskiya ba ne
Kodayake inshorar lafiyar ku na dole ku biya bashin ayyukan kiwon lafiyar ba tare da cajin deductible, copay, ko coinsurance ba, wannan ba yana nufin wa] annan ayyukan ba su da 'yanci. Mai insurer yana daukar nauyin kulawa da kulawa da kayan tsaro a yayin da yake ƙayyade yawan kuɗi a kowace shekara.
Kodayake ba ku biyan kuɗin harajin ku] a] en lokacin da yaronku ya samu kulawa ba, farashin wa] annan ayyuka ana sanya shi a cikin ku] in ku] a] e na asibiti. Wannan yana nufin, ko yarinyar ya sami kariya na gargajiya, ko kuna biyan kuɗin ta ta hanyar biyan kuɗi na asibiti na kiwon lafiya.
> Sources:
> Sha'idodin Kulawa Dokokin Sha'ida FAQs - Saita 12, Cibiyar Bayar da Bayani ga Kasuwanci da Assurance Bincike, Cibiyoyin Kula da Magunguna da Magunguna.
> Sha'idodin Kulawa da Dokar Sha'idodin Tambayoyi - Saita 18, Cibiyar Bayar da Bayani da Bayani da Bayani na Gida, Cibiyoyin Kula da Magunguna da Magunguna.
> Tambayoyi game da Dokar Kulawa da Kulawa da Kwarewa (Sashe na XXVI), Hukumomin Tsaro na Kasuwanci, Ma'aikatar Taimako ta Amurka.
> Harkokin Kiwon Lafiya na Yara ga Yara, HealthCare.gov.