Inshorense le Litheko
Inshorense le Litheko
Ho Madison Medical, re lumela hore tlhokomelo e ikhethang e lokela ho tsamaisana le ho hlaka le ho pepeneneng.
Tšireletso ea tlhokomelo ea bophelo bo botle e ntse e tsoela pele ho fetoha, 'me ho utloisisa melemo ea hau pele ho ketelo hoa hlokahala. Ebang u sebelisa inshorense ea khoebo, Medicare, puseletso ea basebetsi, inshorense ea koloi (PIP), kapa u khetha litšebeletso tsa ho iphelisa, sehlopha sa rona se mona ho u tataisa.
Merero ea Inshorense e Amoheletsoeng
Madison Medical e nka karolo le bajari ba bangata ba inshorense ba New Jersey, ho kenyeletsoa:
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Aetna
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UnitedHealthcare
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Cigna
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Oxford
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AmeriHealth
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Batho
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Medicare
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Khetha merero ea Medicare Advantage
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Matšeliso a Basebetsi
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Inshorense ea Koloi (PIP)
Tšireletso e ka fapana ho latela mofani, tšebeletso, le moralo oa moralo oa motho ka mong.
Hobane dihlahiswa tse ding tsa inshorense di sebetsa tlasa marangrang a moqotetsane kapa meaho e nang le maemo a hodimo, re kgothaletsa ka matla ho netefatsa melemo ya hao e ikgethang pele o kgetha mosebetsi.
Ho Utloisisa Melemo ea Hao
Boikarabelo ba hao ba ditjhelete bo ka kenyeletsa:
- Lichelete tsa lichelete
- Tse theotsoeng
- Tšehetso ea lichelete
- Litlhoko tsa tumello ea pele
- Litlhoko tsa phetisetso (merero ea HMO)
- Melemo ea kantle ho marang-rang
Morero o mong le o mong oa inshorense o ikhetha esita le ka har'a mofani oa litšebeletso a le mong.
Pele o etela, re kgothaletsa:
- Ho netefatsa hore Madison Medical le mofani oa hau oa litšebeletso ba hokahane le marang-rang
- Ho netefatsa hore na tumello kapa litšupiso tsa pele lia hlokahala
- Ho utloisisa deductible ea hau le hore na e fihletsoe
Sehlopha sa rona se netefatsa melemo e le tlhompho; leha ho le jwalo, boikarabelo ba ho qetela ba ditjhelete bo sala le mokuli ho latela morero wa hae.
Mohlala oa Rōna oa Tlhokomelo e Tsoakiloeng
Madison Medical e sebetsa tlasa inshorense e kopaneng le mohlala oa tlhokomelo o thehiloeng tšebetsong.
Sena se re dumella ho fana ka:
- Litšebeletso tsa bongaka tse tloaelehileng tse koahetsoeng ke inshorense
- Mekhoa e tsoetseng pele ea phekolo ea meriana ea tsosoloso
- Mananeo a ntlafatso ea ts'ebetso
- Liphutheloana tse khethehileng tse thehiloeng ho chelete hangata ha li koahetsoe ke inshorense
Mekhoa e mengata ea phekolo ea sejoale-joale haholo-holo ea meriana ea tsosoloso, ea baeloji, ea ho hlaphoheloa ha ts'ebetso le ea bophelo bo bolelele ha e koaheloe ke bajari ba inshorense.
Re lumela hore bakuli ba tšoaneloa ke phihlello ea boqapi ntle le ho sekisetsa.
Litšebeletso tsa Bongaka ba Tsosoloso le Ts'ebetso
Litšebeletso tse ling li ka nkoa e le tsa boikhethelo, tsa lipatlisiso, kapa tse sa koaheloang ke inshorense, ho kenyeletsoa empa ho sa felle feela ho:
- PRP (Platelet-Rich Plasma)
- BMAC (Bone Marrow Aspirate Concentrate)
- Kalafo ea Shockwave / EPAT
- Kalafo ea Peptide
- Mananeo a ntlafatso ea lihormone (TRT/HRT)
- Liente tse tsoetseng pele tsa ho boloka manonyeletso
- Mekhoa ea phekolo ea IV le ea ho hlaphoheloa
- Liphekolo tsa baeloji
Bakeng sa lits'ebeletso tsena, re fana ka:
- Litheko tse pepeneneng tsa ho itefella
- Liphutheloana tsa tlhokomelo e kopaneng
- Merero ea kalafo e hlophisitsoeng
- Mananeo a ho hlaphoheloa tshebetsong
- Mehlala e thehiloeng ho litho (moo ho hlokahalang)
Sehlopha sa rona se tla hlalosa ka ho hlaka:
- Likarolo tse koahetsoeng ke inshorense
- Litšebeletso tse sa koaheloang
- Matsete a tsoang ka pokothong
- Likhetho tsa liphutheloana tse fumanehang
Re beha pepeneneng e felletseng pele e le hore o ka etsa liqeto tse nang le tsebo.
Liphutheloana tsa ho Itefella le ho Fumana Chelete
Bakeng sa bakuli ba se nang inshorense kapa ba batlang lits'ebeletso tse sa koaheloang ke inshorense, re fana ka likhetho tse hlophisitsoeng tsa ho itefella.
Tsena li ka kenyelletsa:
- Litlhahlobo tsa masapo
- Liphutheloana tsa ente e tsosolosang
- Mananeo a ho hlaphoheloa lipapaling
- Mananeo a ntlafatso ea lihormone
- Mananeo a ho laola boima ba 'mele
- Litlhahlobo tsa meriana e sebetsang
- Litšebeletso tsa litšoantšo (moo ho hlokahalang)
Hape re fana ka litheko tse kopaneng bakeng sa merero ea kalafo ea liseshene tse ngata ho ntlafatsa liphetho tsa bongaka.
Likhakanyo tsa Litheko le Likhakanyo tsa Tumelo e Ntle
Re ikemiselitse ho pepeneneng ha litheko.
Haeba o se na inshorense kapa o kgetha ho se sebedise inshorense, o ka kopa Tekanyetso e Ntle ya Tumelo ya ho Lefella ditefiso tse lebelletsweng ho ya ka melao ya mmuso wa federal.
Ho kopa khakanyo, ka kopo fana ka:
- Mabitso a felletseng
- Letsatsi la tsoalo
- Mofani oa inshorense le moralo (haeba ho hlokahala)
- Mokhoa kapa tšebeletso e kopiloeng
- Khoutu ea CPT (haeba e fumaneha)
- Nomoro ea mohala le imeile
U tla fumana karabo matsatsing a mararo a khoebo.
Hlokomela: Litšenyehelo tsa ho qetela li ka fapana ho latela tlhoko ea bongaka, lits'ebeletso tse ling tse hlokahalang, kapa liqeto tsa ts'ebetso ea inshorense.
Hape Information
Medicare
Madison Medical e amohela:
- Medicare ea Setso
- Khetha merero ea Medicare Advantage (e fapana ho ea ka konteraka)
Haeba o tla ba le dilemo tse 65 kapa o ntse o hlahloba dikgetho tsa hao tsa Medicare, re kgothaletsa:
- Ho etela Medicare.gov
- Ho letsa 1-800-MEDICARE
- Ho buisana le moeletsi ea nang le laesense ea Medicare
Ha re nke karolo morerong o mong le o mong oa Medicare o fumanehang New Jersey. Ho nka karolo morerong ho ipapisitse le boemo ba konteraka le ntjhafatso.
Ka kopo ikopanye le ofisi ea rona ho netefatsa moralo oa hau o ikhethileng.
Linyeoe tsa Matšeliso a Likoloi le Basebetsi
Likotsi tsa Likoloi (PIP)
Haeba o lemetse kotsing ea koloi, re sebetsa le bajari ba inshorense ea New Jersey PIP. Ka kopo tsebisa sehlopha sa rona sa kemiso e le hore re ka u tataisa ka litlhoko tsa litokomane.
Matšeliso a Basebetsi
Re amohela linyeoe tsa puseletso ea basebetsi ba lumelletsoeng ka litšupiso tse nepahetseng le litokomane tsa likopo.
Ho botsoa khafetsa Lipotso Tsa Sehlooho se
Bafani ba litšebeletso ba inthaneteng ba na le sekgahla se tumellanong le mofani oa inshorense oa hau. Melemo ea kantle ho marang-rang e ka fella ka boikarabello bo phahameng ba mokuli ho latela morero oa hau.
- Kopo: Chelete e tsitsitseng e lokelang ho lefshoa nakong ea ketelo
- E ka fokotsoa: Chelete eo u lokelang ho e lefa pele inshorense e qala ho koahela litšebeletso
- Coinsurance: Peresente ea litšenyehelo tseo u ikarabellang bakeng sa tsona ka mor'a hore deductible e fihlelloe
Haeba inshorense ea hau e hana tleleime:
1. Ikopanye le mofani oa inshorense ea hau ka kotloloho
2. Kopa tlhaloso e ngotsoeng ea ho latola
3. Tsebisa sehlopha sa rona sa litefiso bakeng sa tlhahlobo le thuso
Ka kopo re tsebise hang-hang ho thibela tieho kapa ho haneloa ha tleleime.
Ho lefella Lipotso Tsa Sehlooho se
Bakeng sa lipotso tsa ho lefisa, lipolelo, kapa lipotso tsa inshorense:
Ho lefella
973-377-6700 ext. 4
Pele ho Authorization
973-377-6700 ext. 3
Lihora: Mantaha - Labohlano, 8:30 AM - 5:30 PM
Ka kopo, fana ka letsatsi la tšebeletso ea hau le tlhahisoleseling ea inshorense.
Our boitlamo
Madison Medical e hahiloe holim'a:
- Bokhabane ba bongaka
- Boqapi tlhokomelong ea mesifa le masapo le ho tsosolosa
- Ponaletso puisanong ea lichelete
- Filosofi ea ho qala ka mokuli
Re lumela hore ho utloisisa boikarabelo ba hau ba lichelete ho lokela ho hlaka joalo ka moralo oa hau oa kalafo.
Haeba o na le lipotso tse sa arajoang mona, sehlopha sa rona se teng ho u thusa.