Ogaanshaha shabakada qorshahaaga Medicare waxay kaa caawin doontaa inaad sida ugu badan u hesho caymiska qorshahaaga.
Marka ay gaadho wakhtiga aad booqanayso dhakhtar ama cisbitaal, waxa muhiim ah in aad doorato mid ka mid ah shabakada qorshahaaga Blue Cross Medicare.
Shabakadda bixiyaha waxay ka kooban tahay dhammaan dhakhaatiirta iyo isbitaallada ka qaybqaata qorshahaaga. Qorshayaasha leh faa'iidooyinka daawada dhakhtar qoray waxay leeyihiin shabakada farmashiyaha.
Fahamka shabakadaada
Qorsheyaal leh caafimaad la isku daray iyo daboolida caymiska daawada dhakhtar qoray
| Qorshe | Shabakadaha bixiyayaasha (waxaa ku jira dhakhaatiir iyo isbitaallo) | Shabakadaha farmashiye (waxaa ku jira farmasiyada) | Munadda farmasiyada shabakada |
| Blue Cross Medicare Cross(PPO) Metro iyo gobollada Galbeedka | Medicare High Value Network: 99isbitaalada, 97dhakhaatiirta iyo takhasuusayaasha Minnesota, iyo caymiska shabakadda, marka aad ku safrayso gudaha Mareykanka ilaa12 bilood oo isku xigta | Kumanaan farmasiyada shabakada | CVS, Walgreens, Hy-Vee, Walmart, Thrifty White, Costco, Cub, Walgreens Mail Service, Amazon mail order, Express Scripts mail order |
| Faa'iidada Blue Medicare Cross (PPO) ee gobolka Koonfur | Shabakadda Medicare Southern MN waxay leedahay in ka badan 23,000 bixiyayaasha isku xidhka ee Minnesota | Kumanaan farmasiyada shabakada | CVS, Walgreens, Hy-Vee, Walmart, Thrifty White, Costco, Cub, Walgreens Mail Service, Amazon mail order, Express Scripts mail order |
| Platinum BlueSM with Rx (Cost) | Platinum Blue Network: 100% ee cisbitaalada, 97% ee dhakhaatiirta iyo khubarada ku sugan Minnesota, iyo shabakada dhexdeeda caymiska markaad u safreyso gudaha Mareykanka ilaa 9 bilood oo isku xigta | Kumanaan farmasiyada shabakada | CVS, Walgreens, Hy-Vee, Walmart, Thrifty White, Costco, Cub, Walgreens Mail Service, Amazon mail order, Express Scripts mail order |
Qorshayaasha leh caymiska caafimaad kaliya
| Qorshe | Shabakadaha bixiyayaasha (waxaa ku jira dhakhaatiir iyo isbitaallo) |
| Freedom BlueSM (PPO) | Medicare High Value Network: 99isbitaalada, 97dhakhaatiirta iyo takhasuusayaasha Minnesota, iyo caymiska shabakadda, marka aad ku safrayso gudaha Mareykanka ilaa12 bilood oo isku xigta. |
| Platinum Blue℠ (Cost) | Platinum Blue Network: 100% ee cisbitaalada, 97% ee dhakhaatiirta iyo khubarada ku sugan Minnesota, iyo shabakada dhexdeeda caymiska markaad u safreyso gudaha Mareykanka ilaa 9 bilood oo isku xigta |
| Medicare Blue-ga Aasaaska | Bixiyeyaasha Medicare ay ansixisay: Eeg bixiye kasta oo aqbala meelaynta Medicare ee waddanka oo dhan |
| Dahab sare℠ | Shabakadda Aware: 100% cisbitaalada, 97% ee dhakhaatiirta iyo khabiirada Minnesota, iyo caymiska dalka oo dhan |
Qorshaha Kaabaha Medicare oo wata La-bixinno (Plan N) Qorshaha Kaabaha Medicare oo wata Caymiska Sare ee La Jari karo (Qorshaha Sare ee laga jari karo) | Bixiyeyaasha Medicare ay ansixisay: Eeg bixiye kasta oo aqbala meelaynta Medicare ee waddanka oo dhan |
Qorshayaasha leh caymiska daawada dhakhtar qoray oo kaliya
| Qorshe | Shabakadaha farmashiye | Sambalada farmasiyada |
| MedicareBlue℠ Rx (PDP) | Standard iyo Premier waxay leedahay kumaan farmasiyada shabakada | CVS, Hy-Vee, Walmart, Express Scripts mail order, Amazon mail order |
Helitaanka bixiyeyaasha shabakadaha
Dhakhtarkaaga ama isbitaalkaagu ma ku jiraa shabakadaada? Halkan ka ogow:
Waxaad u baahan doontaa inaad galiso sadex xaraf ee ugu horeya kaarka aqoonsiga ee xubinta, kaas oo laga heli karo qeybta ee kaarkaaga aqoonta xubinimada ee Blue Cross ama ka doorsho shabakadda liiska si aad u aragto adeeg bixiyaasha ku jira shabakadaada.
Farmashiye ma ku jiraa shabakadaada? Halkan ka ogow
Faa'iidooyinka safarka
Qorshe leh faa'iido socdaal wuxuu kaa caawinayaa inaad hesho caymiska ugu fiican markaad u socdaalayso Maraykanka oo dhan. Faa'iidadani waxay kuu ogolaanaysaa inaad ku sii jirto qorshahaaga markaad ka maqan tahay Minnesota. Waxaad bixin doontaa kharashka qorshaha ama wadaaga lacag bixinta caymiska sida lagu dabaqi karo.
Safarrada caalamiga ah, waxaad haysataa caymiska adeegyada degdegga ah, sida caadiga ah oo leh xoogaa kharash ah oo la wadaago.
- Blue Cross Medicare Advantage (PPO):Caymiska safarka ilaa sagaal bilood oo isku xigta. U caymsan adeegyada degdegga ah ee adduunka oo dhan.
- Platinum Blue leh ama laheyn Rx: Caymiska safarka ilaa sagaal bilod sanad walba, ma loo baahan ogeysiinta hore. U caymsan adeegyada degdegga ah ee adduunka oo dhan.
- Kaabista Blue Cross Medicare: Caymiska safarka oo aan xadidnayn sanad walba. U caymsan adeegyada degdegga ah ee adduunka oo dhan.
Dheeri ku saabsan caymiska Medicare
Blue Cross waxay bixisaa qorshayaasha PPO, Qiimaha iyo PDP ee qandaraasyada Medicare. Ku-biiritaanka qorsha-yaashaan waxay ku xiran tahay cusboonaysiinta qandaraaska. Qorshayaasha ayaa diyaar u ah dadka deggan aagga adeegga. Waxa laga yaabaa inaad awoodo inaad iska diiwaan geliso qorshe wakhtiyo gaar ah sanadka.
MedicareBlueSM Rx (PDP) qorshaha daawada dhakhtar qoray ee qandaraska Medicare. Isdiiwaanelinta MedicareBlue Rx waxay ku xiran tahay dib u cusbooneysiinta heshiiska.
Caymiska waxaa heli kara dadka degan goobta adeega ama xubnaha loo shaqeeyaha ama kooxda ururka waxaana si gaar ah u soo saaray mid ka mid ah qorshayaasha soo socda: Wellmark Blue Cross iyo Blue Shield ee Iowa*; Blue Cross iyo Blue Shield ee Minnesota*; Blue Cross iyo Blue Shield ee Montana*, qayb ka mid ah Shirkadda Adeegga Daryeelka Caafimaadka, Shirkad kayd ah oo sharci wadaag ah; Blue Cross and Blue Shield of Nebraska*; Blue Cross Blue Shield ee Waqooyiga Dakota*; Wellmark Blue Cross iyo Blue Shield ee koonfurta Dakota*; iyo Blue Cross Blue Shield ee Wyoming*.
*Shahaadolley madax-bannaan ee Ururka Blue Cross iyo Blue Shield.
Cusboonaysiintii ugu dambaysay bishii Tobnaad 1, 2024
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