Medicare ya sanar da sabuntawa ga Medicare deductible, coinsurance, da kuma rates na 2016. Wannan ya bada cikakkun bayanai game da ƙãra zuwa na shekara-shekara Premium da kuma rashin lafiya Medicare marasa lafiya za su fuskanci a cikin shekara mai zuwa.
Kamar dai yadda FYI, Na zabi wani taƙaitaccen taƙaitaccen adadin yawan kuɗi da haɗin kai. Wannan bayani za a iya amfani dashi don sanar da marasa lafiyar su game da lafiyar su na Medicare da kuma tattara kudaden kuɗin ku daga marasa lafiya na Medicare.
Tabbatar cewa ma'aikatan kuɗi da kuma ma'aikatan ofisoshin sun san wadannan canje-canje.
Asibiti na Asibiti A Asibiti
Medicare Sashe na A (asibiti): Yawancin mutane sun sami Sashe na A idan sun juya 65 ba tare da sun biya bashi ba. Abinda ya hana mutum ya cancanci yin amfani da shi na Sashe na A shine kasawar biya harajin Asibiti yayin da suke ko matansu suna aiki.
Medicare Sashe na A ana kiran asibiti na asibiti domin yana taimakawa biya kudin kula da marasa lafiya a cikin asibitocin, asibiti mai mahimmanci, cibiyar kula da jinya (SNF), hospice da kiwon lafiya na gida. Wasu Wajen Medicare A ayyuka sun haɗa da:
Inpatient zauna
Harkokin kiwon lafiya da gyaran aikin gyaran kayan aiki, kayan abinci da abinci
Medical da goyon bayan hospice (sai dai kulawa gida)
Ayyukan kulawa da lafiya na gida, ƙwararren ma'aikaci ne mai kulawa, aikin jiki, sana'a, da maganganun maganganu, kayan aikin likita mai mahimmanci, da kayan aiki
Sashen Medicare A biya ta DRG (Maƙasudin Ma'anar Abubuwan Da Suka shafi). Ana rarraba DRG a rarraba dangane da hadewar lambobin ganewar ICD-9, CPT da HCPCS, ka'idoji ko sharuɗɗan da aka gabatar a kan shigarwa, fitarwa, shekaru da jima'i. Biyan kuɗi na DRG sun dogara ne a kan wani lokaci wanda shine adadin kwanakin da ake buƙatar don maganin lafiya.
Deductible
Ƙididdigar da za a iya biyan kuɗi, ta $ 1,288.00
Coinsurance
Don kwanaki 1-60, $ 0.00 kowace rana
Domin kwanaki 61-90, $ 322.00 kowace rana
Domin kwanaki 91-150, $ 644.00 a kowace rayuwar ajiye rana
Gudanar da Nursing Facility
Domin kwanaki 21 zuwa 100, $ 161.00 kowace rana
Premiums
Base Base - $ 411.00 kowace wata
Base Premium da 10% ƙarin biya - $ 447.70 kowace wata
Ƙasa na asali da kashi 45% - $ 226.00 kowace wata (30-39 quarters na ɗaukar hoto)
Ƙasa na asali da kashi 45% da kuma 10% ƙarin biya - $ 246.40 a kowace wata
Medicare Sashin B Ƙarin Asibiti na Asibiti
Medicare Sashin B (Ƙarin Asibiti na Asibiti): Wannan ɓangare na Medicare yana da zaɓi ga marasa lafiya wanda suka isa shekarun 65 kuma suna cajin kowane wata. Sashe na B yana rufe mafi yawan ayyuka da Sashe na baya rufe. Wasu daga cikinsu sun haɗa da:
Likita likita ziyarci
Outpatient sabis na asibiti
Outpatient jiki, sana'a da magana far
Ayyukan labarun gwaji
Kulawa na rigakafi
Durable kayan kiwon lafiya (DME)
Kasuwancin likita, kayan tabarau, da na'urorin hawan jini
Sabis na motar asibiti
Don cikakken jerin abubuwan, ziyarci CMS.gov.
Medicare Sashe B ta biya ta Kudin Jadawali. Lissafi na jadawali shine cikakken lissafin kudaden da Medicare yayi amfani da su a kan farashi-sabis.
Deductible
Deductible a kowace shekara, $ 166.00
Coinsurance
20% haɗin gwiwa
Premiums
An sanya shi marar laifi - $ 104.90 a kowace wata
Ba batun ɗaukar muni ba - $ 121.80
Yana da muhimmanci a fahimci ka'idodin lissafi na Medicare wanda zai iya kasancewa mai wuya. Yi la'akari da halartar abubuwan horo da dama. Wajibi ne masu bada shawara su tabbatar da cewa waɗanda ke da alhakin shiryawa da aikawa da'awa ga Medicare suna sane da ka'idojin biyayya da ka'idoji.
Akwai dillalai masu yawa don samo bayanai na yau da kullum game da amfanin lafiyar Medicare mai haƙuri da matsayin halin yanzu.
Samun hakuri
Tarihin tambayoyin
Amfanin
Makarantar sakandaren Medicare (MSP) Bayani
Lambobin shiga cikin MSP
Bayanin Bayanin Asibiti
Medicare Riba rajista kwanakin
Ƙarin Bayani game da Biyan Kuɗi zuwa Medicare
Ma'aikatan ofishin likita suna da kwanaki 365 daga ranar da aka dakatar da marasa lafiya zuwa lissafi Medicare don biyan kuɗi. Ana biya yawan kuɗi na asibiti ga asibiti na asibiti na kwana 13 daga kwanan wata Medicare yana da'awar tsabta.