Original Medicare ma daboosho ka hortagga iyo adeeyada joogtada ah ee ilkaha. Medicare Part A (caymiska isbitaalka) waxay bixin doontaa qeyb ka mid ah adeegyada ilkaha aad helayso marka aad isbitaalka ku jirto.
Qorshahaaga Medicare Advantage ee Blue Cross iyo Blue Shield of Minnesota waxaa laga yabaa inay ka mid yihiin faa'iidooyinka dheeraadka ah ee ilkaha ee Original Medicare ay ku daboolin khidmada caymiska oo dheeraad ah.
Faa'iidooyinka ilkaha ee lagu daray waxay kula duwnaan doonaan qorshaha. Xaqiiji inaad dib u eegto Caddaynta caymiska (EOC) wixii ah faa'iidooyinka caymiska iyo faafaahinada muhiimka ah.
Soo koobida caymiska ilkaha
Dhammaan Qorshayaasha Medicare Advantage Minnesota Qorshayaasha Advantage waxay daboolaan daryeelka ilkaha ee ka hortagga ah oo aan kharash dheeraad ah lahayn.
| Qorshahaaga Blue Cross wuxuu daboolayaa: | Qorshaha muhiimka ah | Qorshaha raaxda | Doorashada qorshaha | Qorshaha dhamaystiran | Qorshaha Freedom Blue |
|---|---|---|---|---|---|
| Ka hortaggid Baaritaanada afka2, nadiifinta daawaynta ciridka22, Raakooyinka1, iyo nadiifinta yiridka2 | 100% | 100% | 100% | 100% | 100% |
| Soo celinta Buuxinta | Ma daboolna | 30% wadaaga lacag bixinta caymiska | 30% wadaaga lacag bixinta caymiska | 30% wadaaga lacag bixinta caymiska | 20% wadaaga lacag bixinta caymiska |
| Dhammaystiran Ka bixinta, daawaynta dhawaca afka, yiridka (daawaynta yiridka iyo noocada caabuqa afka) iyo hagajinta gaarka, iyo ilkaha macmalka, ilkaha karoonga iyo qaliinada afka Ogsoonow: Habraacyada qurxinta lama daboolo. | Ma daboolna | 50% wadaaga lacag bixinta caymiska | 50% wadaaga lacag bixinta caymiska | 50% wadaaga lacag bixinta caymiska | 20% wadaaga lacag bixinta caymiska |
| Faa’iidada ugu badan ee qorshaha | $2,000 | $2,000 Metro; $1,500 West | $2,000 Metro iyo South; $1,500 West | $2,000 | $2,500 |
Faa’iidada ugu badan ee qorshaha waa tirade ugu badan ee qorshaha uu ka ciyaari doono dhammaan adeegyadda cayiska ilkaha ee ku jira shabakadda iyo ka baxsan.
Wixii ah adeegyadda uu qabtay dhakhtarka ee ka baxsan shabakadd, waxaad masuul kanoqon doonaa lacagta uu soo dalao adeeg bixiyaha dhakhtarka ilkaha, xitaa sida ku qoran $0.
Si aad u hesho Caddaynta caymiska:
Wixii faahfaahin dhammaystiran, oo ay ku jiraan wadaagista kharashyada ee caymiska adeegyada la daboolay, ka-reebitaanka iyo xaddidaadaha, fadlan gal koontadaada xubin si aad u hesho caddaynta caymiskaaga (EOC) dokumentiga. Macluumaadka daryeelka ilkaha waxaa laga heli karaa cutubka 4 dukumentiga.
Si aad u hesho dhakhtarka ilkaha:
- Booqo Qalabkeena Raadinta Dhakhtarka ilkaha
- Raadinta goobta ama dhakhtarka ilkaha
Xusuusin: Si loo xaqiijiyo xaaladda shabakadda, fadlan la hadal dhakhtarka ilkahaaga ama la xiriir adeegga macmiilka ee ilkaha lambarka ku yaal qaybta caawimaadda iyo taageerada.
Caawi oo kaalmee
Su'aalaha?Waan ku caawin karnaa
Wixii ah caawinta ka helida adeeg bixiyaha ilkaha ama haddii aad qabto su'aalo, fadlan la xiriir adeegga macmiilka dhakharka ilkaha.
Wac 1-844-397-4182 (TTY: 711)
Isniin ilaa Jimce
8 a.m. ilaa 8 p.m., Waqtiga Dhexe
Blue Cross waxay haysaa qorshe-yaasha PPO oo leh qandaraasyada Medicare. Ku-biiritaanka qorsha-yaashaan waxay ku xiran tahay cusboonaysiinta qandaraaska.
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