Kodi Medicare imaphimba Shingrix?

Zambiri Zamankhwala

Shingles (herpes zoster) ndi matenda opatsirana chifukwa cha virus varicella zoster. Zimatulutsa zotupa zopweteka kwambiri ndipo zimawonekera mbali imodzi ya thupi. Kachilombo komweko kamene kamayambitsa nthomba ndi komwe kamayambitsa ma shingles. Aliyense amene adakhalapo ndi nkhuku m'mbuyomu ali pachiwopsezo chotenga ziphuphu. Ziphuphu zimatha kukhala zopweteka koma zimatha kupewedwa ndi katemera.

Centers for Disease Control and Prevention (CDC) ikulimbikitsa izi akuluakulu azaka zopitilira 50 pezani katemera wa shingles. Ziphuphu zimatha kupweteketsa mtima nthawi yayitali (postherpetic neuralgia) komanso kuwonongeka kwa mitsempha. Kupeza katemera wa shingles kamodzi, komanso miyezi iwiri kapena isanu ndi umodzi pambuyo pake kwatsimikiziridwa kuti ndikothandiza popewa ma shingles. Shingrix ndi katemera wotchuka kwambiri wa shingles; Zostavax ndi njira ina yomwe ilipo.

Kodi ndi katemera uti wabwino kwambiri wa shingles?

Shingles imatha kupweteketsa ndi zotupa, ndipo anthu ena amatha kupweteka mutu, kuzizira, malungo, komanso m'mimba. Anthu ambiri sangaganize kuti apeza ma shingles, koma atha kubweretsa kuwonongeka kwanthawi yayitali ndipo ndiwopweteka kwambiri kukumana nawo. Njira yabwino yopewera izi ndikupeza katemera wa shingles. Ngakhale mutakhala ndi ma shingles kale, kulandira katemera kumatha kuchepetsa mwayi wanu wopeza kachilombo.

Zostavax inali katemera woyamba wa shingles wololedwa ndi FDA mu 2006 . Ndi katemera wamoyo, zomwe zikutanthauza kuti sioyenera anthu omwe sangalandire katemera wamoyo, monga omwe ali ndi zovuta zamagulu.

Zoletsazi sizikugwira ntchito kwa Shingrix, chifukwa si katemera wamoyo. Shingrix yawonetsanso kuti ndi yothandiza kwambiri kuposa Zostavax, chifukwa imafotokoza mitundu yambiri ya kachilomboka, koma posankha Shringrix pa Zostavax zitanthauza kupeza kuwombera kawiri m'malo mwa imodzi.

Katemera onsewa amateteza kumatenda kwa zaka zosachepera zisanu, ngakhale Shingrix amatha nthawi yayitali. Kulankhula ndi dokotala ndiyo njira yabwino kwambiri yodziwira kuti katemera wa shingles ndi uti wosankha bwino.

Kodi Medicare imaphimba katemera wa shingles?

Makampani ambiri a inshuwaransi yazaumoyo amatenga katemera wa shingles, koma kuyimilira kwa Medicare sikungaphimbe katemera. Muyenera kulembetsa dongosolo la Medicare Part D kuti mupeze mankhwala omwe amakupatsani katemera wa shingles. Dongosolo la Medicare Part A (inshuwaransi ya chipatala) kapena dongosolo la Medicare Part B (inshuwaransi ya zamankhwala), zomwe zimapangidwa ndi Medicare yoyambirira, sizingakupatseni kuchuluka koyenera.

Mutha kulembetsa dongosolo la mankhwala lokha la Medicare Part D palokha, kapena kulembetsa mu Medicare Advantage Plan yomwe ikuphatikizira gawo la D. Zina mwazomwe mungasankhe zidzakhudza Shingrix ndi Zostavax, katemera wa ma shingles awiri pamsika.

Dongosolo lililonse la Medicare Part D ndi losiyana ndipo lipereka katemera wosiyanasiyana wa katemera wa shingles. Mapulani ena atha kukhala ndi chindapusa chabwino chobweza mokweza, ndipo ena atha kukhala ndi chindapusa chokulirapo ndi ma kopi apamwamba. Ndizothekanso kuti mutha kukhala ndi deductible, copay, kapena coinsurance.

Njira zosiyanasiyana za Medicare Part D zimasankhira mankhwala ndi katemera m'magulu osiyanasiyana. Ndondomeko yanu yomwe imayika katemera wa shingles mkati mwanu imatsimikizira copay yanu. Njira yabwino yodziwira kuti ndi njira iti ya inshuwaransi yomwe ingakuthandizeni ndikulankhula ndi mlangizi wa ntchito za Medicare.

Mankhwala ndichinthu chothandiza kuyerekezera mapulani a mankhwala a Medicare, kufunafuna omwe angakupatseni malo ndi ntchito, komanso kulingalira mtengo womwe ungachitike. Ogwiritsa ntchito TTY amatha kuyimba 877-486-2048 kuti alankhule ndi woimira Medicare.

Kodi ndi mankhwala otani omwe Medicare amatenga?

Medicare imatenga katemera wosiyanasiyana. Ngakhale Medicare Part B imadziwika kuti imaphimba katemera ambiri, Gawo D limakhudza katemera aliyense yemwe Gawo B silikutanthauza. Nayi tebulo yothandizira kufotokozera kuti ndi katemera wotani omwe ali ndi dongosolo lililonse:

Medicare Gawo B	Gawo la Medicare D.
Katemera wa hepatitis B	Katemera wa MMR
Katemera wa kachilombo ka fuluwenza	Katemera wa Tdap
Katemera wa chibayo wa pneumococcal	Katemera wa shingles
Katemera wokhudzana ndi chithandizo chovulala kapena kukhudzana ndi matenda	Katemera wina aliyense wogulitsidwa yemwe sanapezeke ndi Medicare Part B

Kuti mudziwe ngati ndondomeko yanu ya Medicare ikukhudzana ndi katemera yemwe mukufunikira, muyenera kuyang'ana formulary yanu. Formulary ndi mndandanda wa mankhwala onse omwe dokotala amakupatsani komanso momwe angakulipirireni. Itanani kampani yanu ya inshuwaransi kapena bungwe la inshuwaransi kuti mudziwe zambiri zamapulani anu.

Kodi katemera wa shingles amawononga ndalama zingati?

Katemera wa shingles atha kukhala okwera mtengo, mtengo wa $ 300 pamlingo uliwonse. Kukhala ndi inshuwaransi kumatha kutsitsa mtengo wa katemera wa shingles, koma mitengo imadalira wonyamula inshuwaransi ndi zilizonse zomwe zingachotsedwe, ma copay, kapena ndalama zandalama. Nayi tebulo yothandizira kuyerekezera mtengo wa Shingrix ndi Zostavax, katemera wa ma shingles awiri omwe angagulidwe:

	Shingrix	Zostavax
Mtengo wamalonda (wopanda inshuwaransi)	$ 181.99	$ 278.00
Kuphimba ndi inshuwaransi?	Inde	Inde
Zophimbidwa ndi Medicare yoyambirira?	Ayi	Ayi
Coupon ya SingleCare	Pezani Coupon Pano	Pezani Coupon Pano

Chifukwa chiyani katemera wa shingles ndiokwera mtengo?

Ndikofunika kukumbukira kuti kubweretsa katemera kumsika kumatha kutenga $ 1 biliyoni ndikutenga zaka makumi angapo kuti zikule, Amesh Adalja, MD, dokotala wodziwika bwino wazachipatala komanso wophunzira wamkulu ku John Hopkins Center for Health Security . Kulemera kwa ma shingles ndi zotsatira zake ndizazikulu, chifukwa chake ndikofunikira kuti makampani ochepa omwe amapanga katemerayu azilimbikitsidwa pamsika kuti apitilize kupanga katemera. Kufunika kwa Shingrix ndikokwera kwambiri, ndikusowa komwe kumachitika, chifukwa chake mtengowu sunakhale cholepheretsa kukutenga kwake.

Kulembetsa pulogalamu yomwe imakhudza katemera wa shingles ndiyo njira yabwino yopulumutsira ndalama. Magawo a Medicare A (Inshuwaransi ya Chipatala) kapena B (Inshuwaransi ya Zamankhwala) samaphimba katemera wa shingles, koma Medicare Part D akukonzekera. Kuchuluka kwa kufalitsa, kukopera, ndi kuchotsera zomwe wina adzayenera kulipira monga gawo la dongosolo la Medicare Part D limasiyanasiyana. Popanda inshuwaransi yazaumoyo, anthu ambiri sangakwanitse kugula katemera wa shingles.

Momwe mungapezere katemera wa shingles wokhala ndi Medicare

Mukakhala ndi pulani ya inshuwaransi yomwe imakhudza katemera wa shingles, kuwagula ndi gawo lotsatira. Ma pharmacies ambiri omwe amapereka katemera amachita izi motsogozedwa ndi dokotala woyang'anira. Izi ndizosavuta kwa odwala chifukwa zimawapulumutsa ulendo wopita ku ofesi ya dokotala kuti akalandire mankhwala koyamba katemera.

Kumbukirani kuti, ndi kampani yokha yamankhwala yomwe imatha kulipira Medicare Part D ya katemera wanu ndikukupatsirani chithandizo chabwino kwambiri, kuti muthe kupeza mtengo wabwino kwambiri, mungafune katemera wanu ku pharmacy. Ngati mankhwala anu osankhidwa alibe malamulo oletsa katemera wa shingles, ndiye kuti mudzafuna kukaonana ndi dokotala wanu koyamba kuti mukalandire mankhwala.

N'zotheka kusunga ndalama pa katemera wa shingles ndi khadi yosungira mankhwala ya SingleCare. SingleCare itha kuthandiza odwala osalimbikitsidwa kapena opanda inshuwaransi kupeza katemera wa shingles pamtengo wotsika.