Merero ea Blue Cross Medicare Advantage ka 2021

Litaba

• Merero ea Blue Cross Medicare Advantage ke efe?
• Blue Cross Medicare Advantage HMO merero
• Blue Cross Medicare Advantage PPO merero
• Merero ea lithethefatsi ea Blue Cross Medicare
• Morero oa Blue Cross Medicare Advantage PFFS
• Blue Cross Medicare SNPs
• Merero ea Blue Cross Medicare Advantage e bokae?
• Medicare Advantage (Medicare Part C) ke eng?
• Tsela

• Blue Cross e fana ka merero le mefuta e fapaneng ea Medicare Advantage libakeng tse ngata United States.
• Merero e mengata e kenyelletsa tšireletso ea lithethefatsi, kapa o ka reka moralo o arohaneng oa Karolo D.
• Merero e mengata ea Blue Cross Medicare Advantage e fana ka litefiso tsa $ 0 tsa khoeli le khoeli le kalafo ea lithethefatsi.

Medicare Advantage ke mokhoa o mong oa Medicare ea mantlha moo k'hamphani ea inshorense ea bophelo bo botle e fanang ka melemo ea hau ea Medicare, hammoho le melemo e meng ea Medicare ea mantlha ha e fane ka moetlo. Mehlala e kenyelletsa litšebeletso tsa bophelo bo botle tsa pono, meno le thibelo. Blue Cross Blue Shield ke e 'ngoe ea likhamphani tsena.

Sengoliloeng sena se u fa leihlo la merero ea Blue Cross Medicare Advantage e fumanehang United States.

Merero ea Blue Cross Medicare Advantage ke efe?

Blue Cross e fana ka merero e fapaneng ea Medicare Advantage. Ho fumaneha ha tsona ho ka fapana ka libaka le naha.

A re ke re hlahlobeng mefuta e fapaneng ea merero ea tMedicare Advantage Blue Cross e fanang ka eona.

Blue Cross Medicare Advantage HMO merero

Blue Cross e fana ka merero ea Health Maintenance Organisation (HMO) libakeng tse 'maloa, ho kenyeletsoa Arizona, California, Florida, Massachusetts, le tse ling tse ngata. Mofuteng ona oa moralo, o tla ba le mofani oa inthanete oa tlhokomelo ea mantlha (PCP).

Haeba u ne u ka hloka tlhokomelo e khethehileng, u ne u tla qala ho bona PCP ea hau, ebe ba tla u fa phetisetso ea ho bona setsebi. Morero oa hau oa inshorense o ne o tla tlameha ho amohela tumello ea phetisetso ea lingaka.

Ntle le Blue Cross ke hore basali ba bangata ba ne ba ke ke ba hloka ho fetisetsoa ho bona marang-rang OB / GYN bakeng sa tlhokomelo e tloaelehileng ea basali, joalo ka Pap smear.

Blue Cross Medicare Advantage PPO merero

Blue Cross e fana ka merero ea Preferred Provider Organisation (PPO) liprofinseng tse kenyeletsang Alabama, Florida, Hawaii le Montana (ho bolela tse 'maloa feela). E le molao o akaretsang, PPO e tla ba le phaello e phahameng hanyane ho feta HMO. Lebaka ke hore ha se hangata o tlamehang ho fumana phetisetso ho bona setsebi ha o na le PPO.

Leha ho le joalo, o ka boloka chelete ka ho khetha bafani ba marang-rang ho tsoa lenaneng la bafani ba k'hamphani ea inshorense. U ka patala ho feta haeba u khetha mofani oa kantle ho marang-rang.

Merero ea lithethefatsi ea Blue Cross Medicare

Merero ea Medicare Part D e koahela litlhare tsa hau tsa ngaka. Merero e meng ea Medicare Advantage ka Blue Cross e fana ka tšireletso ea lithethefatsi. Leha ho le joalo, haeba moralo o sa fane ka tšireletso, o ka khetha leano le ikemetseng la lithethefatsi.

Blue Cross e fana ka merero ea "mantlha" le "e ntlafalitsoeng" sehlopheng sa litlhare tsa ngaka le Standard, Plus, Enhanced, Preferred, Premium, Select, le likhetho tse ling tsa leano la lithethefatsi. E 'ngoe le e' ngoe e tla ba le formulary, kapa lenane la meriana eo moralo o akaretsang le litšenyehelo tse fapaneng. U ka sheba lethathamo lena kapa liforomo ho netefatsa hore leano leo u le nahanang le kenyelletsa meriana eo u e nkang.

Morero oa Blue Cross Medicare Advantage PFFS

Morero oa Tefo ea Botho bakeng sa Ts'ebeletso (PFFS) ke leano la Medicare Advantage leo Blue Cross e fanang ka lona Arkansas feela. Mofuta ona oa moralo ha o hloke hore o sebelise PCP e itseng, bafani ba marang-rang, kapa ho amohela litšupiso. Sebakeng seo, moralo o beha hore na o tla buseletsa bokae ho ngaka mme o na le boikarabello ba ho lefa chelete e setseng ea puseletso ea mofani.

Ka linako tse ling, bafani ba tla etsa konteraka le leano la PFFS la ho fana ka lits'ebeletso. Ho fapana le merero e meng ea Medicare, mofani oa moralo oa PFFS ha a tlameha ho u fa litšebeletso hobane feela ba amohela Medicare. Ba ka khetha hore na ba tla fana ka ts'ebeletso ka sekhahla sa tefo ea Medicare kapa che.

Blue Cross Medicare SNPs

Morero oa Litlhoko tse Khethehileng (SNP) ke leano la Medicare Advantage le nehetsoeng ba nang le boemo bo itseng kapa tšobotsi. Ka nepo, moralo o fana ka lintlha tse kholo tseo motho a ka li hlokang. Medicare e hloka hore li-SNP tsohle li fane ka tšireletso ea lithethefatsi.

Mehlala ea Blue Cross SNP e kenyelletsa:

• Merero ea Blue Cross Medicare Advantage e bokae?

  'Maraka oa Medicare Advantage o ntse o eketseha ka tlholisano. Haeba u lula setereke sa litoropo, ho ka ba le merero e mengata eo u ka khethang ho eona.

  Tse latelang ke mehlala ea merero ea Blue Cross Medicare Advantage libakeng tse fapaneng ka litefiso tsa bona tsa khoeli le khoeli le litšenyehelo tse ling. Merero ena ha e kenyeletse litšenyehelo tsa tefo ea hau ea khoeli le khoeli ea Karolo ea B.

  Motse / moralo	Tekanyo ea linaleli	Premium ea khoeli le khoeli	Bophelo bo ka fokotsoa, ​​sethethefatsi theoleloa	Maqhubu a marang-rang a kantle ho pokotho	PCP copay ka ketelo e ngoe le e ngoe	Special copay ka ketelo e ngoe
  Los Angeles, CA: Pina ea MediBlue StartSmart Plus (HMO)	3.5	$0	$0, $0	$3,000	$5	$0–$20
  Phoenix, AZ: Leano la BluePathway 1 (HMO)	Ha e fumanehe	$0	$0, $0	$2,900	$0	$20
  Cleveland, OH: Pina ea Anthem MediBlue Access (Regional PPO)	3.5	$0 (ha e kenyeletse ho koahela lithethefatsi)	$ 0, ha e kenyelelitsoe	$4,900	$0	$30
  Houston, TX: Blue Cross Medicare Advantage Basic (HMO)	3	$0	$0, $0	$3,400	$0	$30
  Trenton, NJ: Horizon Medicare Blue Advantage (HMO)	4	$31	$0, $250	$6,700	$10	$25

  Ena ke mehlala e 'maloa feela ea merero e fumanehang ea Blue Cross Advantage e tsoang sebakeng sa marang-rang sa Medicare.gov. Ho ka ba le likhetho tse ling tse ngata sebakeng sa khoutu ea ZIP.

  Medicare Advantage (Medicare Part C) ke eng?

  Ho ba le Medicare Advantage (Karolo ea C) ho bolela hore k'hamphani ea inshorense e fanang ka moralo oa hau e tla fana ka tšireletso bakeng sa Medicare Part A (tšireletso ea sepetlele), Medicare Part B (litaba tsa bongaka). Merero e meng e fana ka tšireletso ea lithethefatsi. Merero ea Medicare Advantage e fapana ka litšenyehelo tsa bona tsa kantle ho pokello le ho fana ka tšireletso, ho kenyeletsoa litefiso tsa lichelete le lichelete tsa tšepe.

  Nako e behiloeng bakeng sa ho ingolisa kapa ho fetola moralo oa hau oa Medicare Advantage

  Tse latelang ke matsatsi a bohlokoa a ho ingolisa kapa ho fetola leano la hau la Medicare Advantage:

  • Nako ea ngoliso ea pele. Likhoeli tsa pele tse 3 pele ho letsatsi la tsoalo la 65, khoeli ea tsoalo le likhoeli tse 3 kamora letsatsi la hau la bo 65
  • Nako e ngolisitsoeng ea ho bula. La 15 Mphalane ho fihlela la 7 Tšitoe ke nako ea ngoliso e bulehileng ea Medicare Advantage. Merero e mecha e qala ho sebetsa ka la 1 Pherekhong.
  • Ngoliso e bulehileng ea ngoliso ea Medicare. Nakong ena ea nako, motho a ka fetohela leanong le leng la Medicare Advantage haeba a se a ntse a na le Medicare Advantage.
  • Nako ea ngoliso e khethehileng ea Medicare. Nako ea nako eo ka eona u ka fetolang leano la hau la Molemo ka lebaka la maemo a ikhethang joalo ka motsamao kapa moralo o oetsoeng sebakeng sa heno.

  Tsela

  Blue Cross ke e 'ngoe ea lik'hamphani tse ngata tsa inshorense tse fanang ka merero ea Medicare Advantage. U ka fumana merero e fumanehang ka ho batla 'marakeng oa Medicare.gov kapa ka webosaete ea Blue Cross. Boloka matsatsi a bohlokoa kelellong ha u etsa qeto ea ho ingolisa morerong oa Medicare Advantage.

  Sengoliloeng sena se ntlafalitsoe ka la 19 Pulungoana 2020 ho bonts'a tlhaiso-leseling ea 2021 ea Medicare.

  

  Tlhahisoleseling e fumanehang webosaeteng ena e ka u thusa ho iketsetsa liqeto ka inshorense, empa ha ea etsetsoa ho fana ka likeletso mabapi le ho reka kapa ho sebelisa inshorense kapa lihlahisoa tsa inshorense. Healthline Media ha e sebetse khoebong ea inshorense ka tsela efe kapa efe ebile ha e na laesense ea ho ba k'hamphani ea inshorense kapa moetsi oa matla afe kapa afe a U.S. Healthline Media ha e khothaletse kapa ho ts'ehetsa batho ba boraro ba ka etsang khoebo ea inshorense.