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Medicare Karolo ea C ke mofuta oa khetho ea inshorense e fanang ka tšireletso ea setso sa Medicare le ho feta. E boetse e tsejoa e le Medicare Advantage.

karolo ea bongaka ea "c" e koahela eng

Boholo ba merero ea Medicare Part C e koahela:

  • Litšenyehelo tsa sepetlele
  • litšenyehelo tsa bongaka
  • lithethefatsi tsa ngaka
  • tlhokomelo ea meno
  • tlhokomelo ea pono
  • tlhokomelo ya kutlo

Merero e meng ea Medicare Part C e boetse e fana ka melemo e meng ea bophelo bo botle, joalo ka ho ba setho sa boikoetliso le lits'ebeletso tsa lipalangoang.

Sehloohong sena, re tla hlahloba sohle seo Medicare Part C e se akaretsang, ho kenyelletsa hore na hobaneng o ka batla Medicare Part C le hore na e ka ba bokae.

Medicare Karolo ea C ke eng?

Merero ea Medicare Part C ke merero ea inshorense e fanoang ke lik'hamphani tsa inshorense tse ikemetseng. Merero ena, eo ho seng joalo e tsejoang e le merero ea Medicare Advantage kapa merero ea MA, e fana ka tšireletso e tšoanang le ea Original Medicare molemong oa tšireletso ea tlatsetso.


Haeba u se u ntse u fumana Medicare Part A le Part B, u tšoaneleha bakeng sa Medicare Part C.

Merero ea Medicare Part C e latela meaho ea setso ea inshorense mme e kenyelletsa:

  • Merero ea Mokhatlo oa Tlhokomelo ea Bophelo (HMO)
  • Merero ea Mokhatlo o Ikhethileng oa Bafani (PPO)
  • Merero ea poraefete bakeng sa tšebeletso (PFFS)
  • Merero e khethehileng ea Litlhoko (SNP)
  • Merero ea Medicare Medical Savings Account (MSA)

Na ke hloka Medicare Karolo ea C?

Medicare Karolo ea C e kanna ea ba khetho e ntle ho uena haeba:

  • u se u ntse u fumana likarolo tsa Medicare A le B 'me u batla tšireletso e eketsehileng
  • o hloka ho koaheloa ke lithethefatsi
  • u khahloa ke ho koaheloa bakeng sa selemo le selemo tsa meno, pono, kapa litlhahlobo tsa kutlo
  • u khahloa ke mefuta e mengata ea tšireletso ka morero o le mong o loketseng

Hantle-ntle Medicare Part C e koahela eng?

Medicare Karolo ea C e akaretsa sekoahelo sa Medicare Part A (inshorense ea sepetlele) le Medicare Part B (inshorense ea bongaka).

Boholo ba merero ea Medicare Part C bo boetse bo fana ka litlhare tsa ngaka, meno, pono le tšireletso ea kutlo. Merero e meng e kanna ea fana ka litaba tse ling tse amanang le bophelo bo botle, joalo ka litho tsa boikoetliso le lits'ebeletso tsa phano ea lijo.


Ntle le moo, merero ea Medicare Part C e tla ka likarolo tse fapaneng tse fang batho bolokolohi ba ho khetha mofuta oa moralo oo ba o batlang.

Mohlala, batho ba bang ba nang le maemo a sa foleng a bophelo bo botle ba ka hloka Medicare Part C SNP ho thusa ho koahela litšenyehelo tsa ho etela liofising, meriana le lits'ebetso. Batho ba bang ba kanna ba khetha leano la Medicare Part C PPO kapa PFFS ho ba le bolokolohi bo eketsehileng ba mofani.

Merero ea Karolo ea C e bokae?

Litsenyehelo tsa morero oa Medicare Part C li tla itšetleha ka lintlha tse fapaneng. Litsenyehelo tse atileng haholo morerong oa hau e tla ba:

  • Karolo ea B ea hau ea khoeli le khoeli ea Karolo ea B, e ka koaeloang ke moralo oa Karolo ea C.
  • Litšenyehelo tsa hau tsa Medicare Part C, tse kenyelletsang litefiso tse fokotsoang le tsa khoeli le khoeli
  • Litsenyehelo tsa hau tsa kantle ho pokothong, tse kenyelletsang li-copayments le lichelete tsa lichelete

Ka tlase ke papiso e 'ngoe ea litšenyehelo bakeng sa merero ea Medicare Part C metseng e meng e meholo e haufi le United States. Merero eohle e thathamisitsoeng ka tlase e koahela litlhare tsa ngaka, pono, meno, kutlo le melemo ea boikoetliso. Leha ho le joalo, kaofela li fapana ka litšenyehelo.


New York, NY

Khamphani e 'ngoe ea inshorense e fana ka moralo oa HMO o jang:

  • Premium ea khoeli le khoeli: $ 0
  • Karolo ea B ea pele: $ 135.50
  • marang-rang a theoleloang selemo le selemo: $ 0
  • ho huloa lithethefatsi: $ 95
  • marang-rang a marang-rang a kantle ho pokello: $ 6,200
  • copays / coinsurance: $ 25 ka ho etela setsebi

Atlanta, GA Hotelek

Khamphani e 'ngoe ea inshorense e fana ka moralo oa PPO o jang:

  • Litefiso tsa khoeli le khoeli: $ 0
  • Karolo ea B ea pele: $ 135.50
  • marang-rang a theoleloang selemo le selemo: $ 0
  • Ho ka fokotsoa lithethefatsi: $ 75
  • in- and out-of-network out-of-pocket max: $ 10,000
  • copays / coinsurance: $ 5 ka PCP le $ 40 ka ho etela setsebi

Robeline, LA - Dallas, TX

Khamphani e 'ngoe ea inshorense e fana ka moralo oa HMO o jang:

  • Premium ea khoeli le khoeli: $ 0
  • Karolo ea B ea pele: $ 135.50
  • marang-rang a theoleloang selemo le selemo: $ 0
  • deductible ea lithethefatsi: $ 200
  • marang-rang a marang-rang a kantle ho pokello: $ 5,200
  • copays / coinsurance: $ 20 ka ho etela setsebi

Chicago, IL Hotelek

Khamphani e 'ngoe ea inshorense e fana ka moralo oa HMO Point of Service o jang:

  • Litefiso tsa khoeli le khoeli: $ 0
  • Karolo ea B ea pele: $ 135.50
  • marang-rang a theoleloang selemo le selemo: $ 0
  • theolelo ea lithethefatsi: $ 0
  • marang-rang a marang-rang a kantle ho pokello: $ 3,400
  • copays / coinsurance: $ 8 ka PCP le $ 45 ka ho etela setsebi

Los Angeles, CA Likoloi

Khamphani e 'ngoe ea inshorense e fana ka moralo oa HMO o jang:

  • Litefiso tsa khoeli le khoeli: $ 0
  • Karolo ea B ea pele: $ 135.50
  • marang-rang a theoleloang selemo le selemo: $ 0
  • theolelo ea lithethefatsi: $ 0
  • marang-rang a marang-rang a kantle ho pokello: $ 999
  • copays / boitšisinyo ba lichelete: $ 0

Ho bohlokoa ho hlokomela hore likhakanyo tsena tsa litheko li nkuoe ka kotloloho ho Medicare.gov mme ha li kenyeletse lintlha tse ikhethileng boemong ba hau, joalo ka hore na litlhare tsa hau tsa ngaka li ka u jella bokae kapa hore na u fumana thuso ea lichelete.

Bakeng sa tekanyetso e nepahetseng ea hore na moralo oa Medicare Part C o ka u jella bokae, sheba sesebelisoa sa Fumana Morero oa Medicare 2020.

Karolo ea C e bapisoa joang le merero e meng ea Medicare?

Medicare Karolo ea C e fana ka monyetla ho feta merero e meng ea Medicare hobane ka kakaretso e kenyelletsa likoahelo tsohle tse hlokahalang morerong o le mong o loketseng.

Merero e meng ea Medicare e kenyelletsa likarolo tsa A, B, D le Medigap. Medicare Karolo ea D le Medigap li reretsoe ho fana ka inshorense e tlatsetsang ho likarolo tsa A le B.

Medicare Karolo ea A (inshorense ea sepetlele)

Karolo ea A e akaretsa liketelo tsa sepetlele, tlhokomelo ea nako ea nakoana ea booki, litšebeletso tsa bophelo malapeng, le litšebeletso tsa bakuli. O kopuoa ho fana ka tšireletso ena hore o tšoanelehe bakeng sa Medicare Part C.

Medicare Karolo ea B (inshorense ea bongaka)

Karolo ea B e akaretsa thibelo, tlhahlobo le kalafo ea maemo a bophelo bo botle le mafu a kelello. E fana ka litšenyehelo tsa lipalangoang tsa bongaka. O kopuoa ho fana ka tšireletso ena hore o tšoanelehe bakeng sa Medicare Part C.

Medicare Karolo ea D (leano la lithethefatsi)

Karolo D ke tlatsetso ho Original Medicare (likarolo tsa A le B) tse ka sebelisoang ho koahela litšenyehelo tsa meriana ea ngaka. Kakaretso ea litlhare tsa ngaka e kenyelelitsoe mererong e mengata ea Medicare Part C.

Inshorense ea tlatsetso (Medigap)

Medigap ke tšireletso e tlatselletsang batho ba seng ba ntse ba e-na le likarolo tsa Medicare A le B. Ha o hloke inshorense ea Medigap haeba o fumana Medicare Part C, kaha moralo oa hau o se o tla koahela seo Medigap e neng e tla se etsa.

Ho ingolisa ho Medicare

U tšoaneleha bakeng sa Medicare Part C haeba u le lilemo li 65 kapa ho feta 'me u ngolisitse likarolong tsa Medicare A le B. U tšoaneleha ho ingolisa likhoeli tse 3 pele u qeta lilemo tse 65 ho fihlela likhoeli tse 3 kamora letsatsi la hau la bo 65.

Ho ingolisa ho Medicare Part C, o tlameha hape ho ingolisa likarolong tsa Medicare A le B. Hape o tlameha ho lula sebakeng sa tšireletso bakeng sa leano lefe kapa lefe la Medicare Part C leo u le khethang.

ho thusa moratuoa ho ingolisa?

Ho na le lintlha tsa bohlokoa tse thusang ho thusa setho sa lelapa ho khetha moralo oa Medicare Part C. Tse ling tsa lipotso tseo u ka li botsang moratuoa oa hau ke tsena:

  1. U tla hloka hangata hakae ho etela ngaka kapa litsebi? Boholo ba Medicare Part C bo rera ho lefisa bakeng sa ho etela litsebi le bafani ba kantle ho marang-rang. Ka nako e 'ngoe moralo o ka bitsa chelete e ngata pele ho tse theotsoeng le litefiso empa o ka boloka chelete bakeng sa batho ba nang le maemo a sa foleng a bophelo bo hlokang ketelo e eketsehileng ea ofisi ea lingaka.
  2. O ka lefella bokae ka litšenyehelo tsa kantle ho pokotho selemo se seng le se seng? Hoo e batlang e le merero eohle ea Medicare, ho kenyeletsoa le meralo ea Medicare Part C, e tla bitsa chelete e itseng selemo se seng le se seng. Nahana ka litšenyehelo tsa "premium", "deductible", "out of-pocket" le li-copay.
  3. U batla tšireletso ea mofuta ofe? Sena se ka u thusa ho fokotsa hantle hore na ke mefuta efe ea tšireletso eo u ka e batlang morerong oa Karolo ea C. E ka kenyelletsa lintho tse kang lithethefatsi tsa ngaka, pono, meno, kutlo, boikoetliso, lipalangoang le tse ling.
  4. U thahasella moralo oa mofuta ofe? Merero ea Medicare Part C e fanoa ka likarolo tse fapaneng, kahoo ho bohlokoa ho tseba hore na setho sa lelapa sa hau se thahasella sebopeho sefe. Na ba na le ngaka eo ba e ratang? Na HMO e ka boloka chelete?

Ha u se u bile le puisano ena le setho sa lelapa la hau, sebelisa sesebelisoa sa papiso ea moralo ho fumana merero e sebakeng sa heno e lumellanang hantle le litlhoko tsa bona.

U ka bapisa litšenyehelo ebe u letsetsa lik'hamphani tseo ho fumana ho eketsehileng ka seo ba ka se fang moratuoa oa hau.

Tsela

Medicare Karolo ea C ke khetho ea inshorense bakeng sa batho ba batlang litaba tse ling tsa Medicare. Tse tsejoang hape e le merero ea Medicare Advantage, merero ea Karolo ea C e u fa monyetla oa ho khetha mofuta oa moralo oa hau, tšireletso le litšenyehelo.

U kanna ua batla moralo oa Medicare Part C haeba u:

  • noa meriana e fanoang ke ngaka
  • hloka meno, pono, kapa tšireletso ea kutlo
  • natefeloa ke melemo e meng ea bophelo bo botle joalo ka ho phela hantle 'meleng le lipalangoang tsa bongaka

Metseng e mengata e meholo ea Amerika, merero ea Medicare Part C e qala ho tloha ho $ 1,500 le ho nyoloha ha litšenyehelo ho tloha moo.

Haeba u thusa moratuoa ho khetha moralo oa Medicare Part C, etsa bonnete ba hore u lule fatše 'me u buisane ka litlhoko tsa bona tsa tlhokomelo ea bophelo ka bomong ho ba thusa ho fumana moralo o fanang ka molemo o moholo.

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.

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