Caymiska daawada dhakhtarku qoray waxa lagu daray CHPW Medicare Advantage (MA) Qorshayaasha 1, 2, 3, 4 iyo Dual Plans (D-SNP). Daboolistayadu waxay isticmaashaa nidaam kharash-wadaagis heersare ah. Waxaad bixinaysaa cadad lacag bixineed go'an ama boqolkiiba wadarta kharashka.
Qiyaasaha Wadaagista Kharashka
Tier 1 wuxuu ka dhigan yahay dawooyinka guud ee qiimaha ugu hooseeya iyo Tier 5 wuxuu u taagan yahay dawooyinka sumadda qiimaha ugu sarreeya iyo daawooyinka awoodda leh ee laga yaabo inay u baahdaan la -socod.
- Heerka 1: Guud ahaan La Doorbiday - waxaa ka mid ah daawooyinka guud ee la doorbido ee ugu jaban
- Heerka 2: Guud ahaan - waxaa ku jira dawooyinka guud ee la doorbido
- Heerka 3: Summada La Doorbiday -waxaa ku jira dawooyinka summada leh ee la doorbiday iyo dawooyinka guud ee aan la doorbideyn
- Heerka 4: Aan La Doorbideyn -waxaa ka mid ah daawooyinka sumadda aan la doorbideyn iyo daawooyinka guud ee aan la doorbideyn
- Heerka 5: Tier Gaarka ah - waxaa ku jira daawooyinka qiimaha qaaliga ah iyo kuwa summada leh
Qiimaha Daawada
Waxaan kaa caawin karnaa inaad go'aansato heerka caymiska aad u baahan tahay iyadoo lagu saleynayo daawooyinka hadda aad qaadato. Haddii aad tahay xubin hadda, fadlan wac 1-800-942-0247 (TTY: 711). Xubnaha mustaqbalka, fadlan wac 1-800-944-1247 (TTY: 711). Waxaan halkan kuugu joognaa toddoba maalmood toddobaadkii, 8:00 subaxnimo ilaa 8:00 fiidnimo
Si aad ugala hadasho dawooyinka laguu qoro ee aad u baahan tahay, la xiriir bixiyahaaga daryeelka aasaasiga ah ama farmashiistaha.
Oo maanka ku hay- loogu talagalay wadaagga ugu hooseeya, isticmaal farmashiyaha la doorbiday.
Labada Qorshe ee Faa'iidada Medicare (Dual Complete and Dual Selected)
Fadlan fiiri bogga caymiska daawada laguu qoro wixii macluumaad dheeraad ah ee ku saabsan daawooyinka gaarka ah ee la daboolayo.
Ikhtiyaarada farmasiga ee la door biday
Dual Complete (HMO D-SNP) |
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Ikhtiyaarada farmasiga ee la door biday
Labada Xul (HMO D-SNP) |
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Medicare Advantage Plans 1, 2, 3, 4 (HMO)
Farmashiyaha la doorbiday |
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Farmashiyaha caadiga ah |
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Ka faa'iidayso faa'iidooyinka dhakhtarku kuu qoro
Faahfaahin dheeraad ah waxaa ka mid ah:
- Bixinta 90-maalmood ee daawooyinka la doortay ee loo isticmaalo in lagu daaweeyo xaaladaha dabadheeraad ah (tusaale, dhiig-karka, sonkorowga, niyad-jabka)
- Geynta guriga oo lacag la'aan ah
- Liisaska dawooyinka dhakhtar qoray oo la raadin karo oo la daabici karo (liisaska dawooyinka la daboolay)
- Caymiska ayaa laga aqbalay in ka badan 1,000 farmashiyeyaal Gobolka Washington ah iyo in ka badan 50,000 oo farmasi oo dalka oo dhan ah
Shuruudaha u -qalmitaanka ayaa laga yaabaa inay khuseeyaan. Baro wax badan oo ku saabsan Caymiska Dawooyinka ee Qoraalka.
Waxaan u joognaa inaan caawinno.
Si aad su'aalo u weydiisato, codso nuqulada daabacaadda ee alaabta, iyo in ka badan, kala xiriir Adeegga Macmiilka at 1-800-942-0247 (TTY: 711), 8:00 am ilaa 8:00 pm, 7 maalmood usbuucii.