Kodi emblemhealth Health inshuwaransi imaphimba njinga yamagetsi yamagetsi

Anthu olumala amakumana ndi zovuta zawo zomwe akuyenda padziko lonse lapansi, koma chifukwa cha kupita patsogolo kwaukadaulo, mipando yamagetsi yamagetsi yakhala chothandizira kwa anthu omwe akufuna thandizo la kuyenda. Ngakhale zida izi zimapereka ufulu komanso kudziyimira pawokha, ndikofunikira kumvetsetsa kuchuluka kwa chithandizo choperekedwa ndi wothandizira inshuwalansi yaumoyo, makamaka EmblemHealth. Mu positi iyi yabulogu, tifufuza ngati inshuwaransi yazaumoyo ya EmblemHealth ili ndi mipando yamagetsi yamagetsi ndikuwunikira zina zokhudzana ndi mutuwu.

Kuphimba pa njinga yamagetsi yamagetsi: EmblemHealth Policy Revealth

Zikafika pa inshuwaransi yapa njinga yamagetsi yamagetsi, EmblemHealth imapereka njira zambiri za inshuwaransi yazaumoyo kuti zigwirizane ndi zosowa za munthu payekha ndi zosowa zosiyanasiyana. Komabe, n’kofunika kuzindikira kuti ndondomeko iliyonse ndi yosiyana, ndipo kuperekedwa kwa mipando ya olumala yamagetsi kungadalire zinthu zingapo, monga matenda a wodwalayo, mkhalidwe wa chilema chake, ndi mtundu wa ndondomeko ya inshuwalansi imene amasankha.

Kuti mudziwe mmene akuperekera njinga za olumala za magetsi ku EmblemHealth, anthu ayenera kuunikanso mosamala zolembedwa za mapulani awo a inshuwaransi kapena kufunsa woimira kasitomala wa EmblemHealth. Adzatha kupereka chidziwitso cholondola chokhudza kufalitsa ndi zofunikira zina zilizonse zomwe zingafunike kuti mupeze chikuku champhamvu kudzera mu inshuwaransi.

Zomwe Zimakhudza Kufalikira:

1. Kufunika Kwachipatala: EmblemHealth, monganso makampani ambiri a inshuwaransi, imapanga zisankho za chithandizo potengera zofunikira zachipatala. Izi zikutanthauza kuti anthu omwe akufuna mipando yamagetsi amagetsi ayenera kupereka umboni kuchokera kwa akatswiri azachipatala monga madokotala ndi othandizira kuti athandizire kufunikira kwa chipangizocho. Zolemba zachipatala, kuwunika ndi kulembedwa kwamankhwala kudzagwira ntchito yofunika kwambiri pakuzindikira kuperekedwa.

2. Chilolezo chisanachitike: Makampani a inshuwalansi nthawi zambiri amafuna chilolezo cha zipangizo zamankhwala zolimba monga njinga za olumala. Asanagule kapena kubwereketsa zida zotere, anthu omwe ali ndi EmblemHealth ayenera kuonetsetsa kuti zidazo zavomerezedwa ndi dongosolo lawo la inshuwaransi. Kulephera kupeza chilolezo chisanadze kungayambitse kukana kufalitsa.

3. Zofunika Zowayenereza: EmblemHealth ikhoza kukhala ndi njira zoyenerera zomwe odwala ayenera kukwaniritsa kuti alandire chithandizo cha njinga za olumala. Izi zingaphatikizepo zaka, matenda ndi zoletsa kuyenda. Kudziwa ndikukwaniritsa izi ndikofunikira kuti muwonjezere mwayi wanu wopeza chithandizo.

Njira Zina Zothandizira:

Ngati EmblemHealth sichimayendetsa njinga za olumala kapena ili ndi zochepa, mutha kufufuza njira zina. Zosankha izi zikuphatikiza:

1. Medicaid: Anthu omwe ali oyenerera kulandira Medicaid angapeze chithandizo chokulirapo cha njinga za olumala zamagetsi, chifukwa Medicaid nthawi zambiri imaphatikizapo kutetezedwa kwa zipangizo zachipatala zolimba.

2. Medicare: Kwa anthu omwe ali ndi zaka 65 kapena kuposerapo kapena omwe ali ndi zilema zina, Medicare ikhoza kupereka chithandizo chamagulu a olumala amagetsi pansi pa ndondomeko ya Gawo B.

3. Ndalama zosungila thanzi laumwini: Nthaŵi zina, anthu angafunike kudalira ndalama zimene anasunga kapena ngongole kuti agule njinga yamagetsi ngati inshuwaransi ilibe kapena yosakwanira.

Kuphunzira za inshuwaransi yazaumoyo panjinga za olumala kumatha kuwoneka ngati kovutirapo, koma ndi EmblemHealth, kuchuluka kwa chithandizo kumatengera ndondomeko yeniyeniyo komanso zochitika zapayekha. Ndikofunika kudziwa bwino mfundo za EmblemHealth, kufufuza njira zina ngati kuli kofunikira, ndikufunsana ndi katswiri wa zaumoyo kuti mupeze njira yabwino yopitira patsogolo. Pochita izi, anthu angathe kuonetsetsa kuti ali ndi mwayi wabwino wopeza inshuwalansi yokwanira ya njinga yamagetsi yamagetsi, motero amakulitsa moyo wawo komanso ufulu wawo wonse.