Hōʻike no ka uhi ʻana

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Ianuali 1 - Kēkēmapa 31 2022

Hōʻike no ka uhi ʻanaKāu ʻinikua mālama olakino makule Medicare me nā Pono olakino a me nā pono kōkua a me ke kōkua uhi lāʻau kuhikuhi no nā lālā o ka papahana ʻinikua o Wellcare Ohana No Premium (HMO)Haʻawi no hoʻi kēia pepelu nei iā ʻoe nā manaʻo kikoʻī e pili ana i kāu ʻinikua mālama olakino Medicare a me ke kōkua uhi lāʻau kuhikuhi mai ka lā 1 o Ianuali ndash ka lā 31 o Kekemapa 2022 Hōʻike ia pehea e loaʻa ai ka uhi no nā lawelawe mālama olakino a me nā lāʻau kuhikuhi e pono ai He palapala koʻikoʻi koʻikoʻi kēia E ʻoluʻolu e mālama ia i kahi palekanaHoʻolako ʻia ka papahana ʻinikua ʻo Wellcare Ohana No Premium (HMO) e ka hui ʻinikua o Wellcare Health Insurance of Arizona Inc(Ohana Health Plan) (Inā ʻōlelo kēia Pono hōʻoia loaʻa kōkua uhi (lāʻau) mākou kākou a i ʻole kō mākou ʻo ia nō Wellcare Health Insurance Of Arizona Inc(Ohana Health Plan) Inā ʻōlelo ʻia papahana a i ʻole kō mākou papahana ʻo ia nō Wellcare Ohana No Premium (HMO))Loaʻa kēia palapala no ka manuahi i

Kakalo ʻIlocano Kāmoa Ōlelo Hawaiʻi

E ʻoluʻolu e kāhea i kā mākou helu ʻoihana lālā ma 1-877-457-7621 no ka ʻike hou aku (Pono nā mea hoʻohana TTY e kāhea iā 711) Aia nā hola ma waena o ʻOkakopa 1 a me Malaki 31 loaʻa nā lunamakaʻāinana i ka Pōʻakahi-Lāpule 8 am i ka 8 pm Ma waena o ʻApelila 1 a Kepakemapa 30 loaʻa nā lunamakaʻāinana Pōʻakahi-Pōʻalima 8 am i ka 8 pmPono mākou e hāʻawi i ka ʻike ma ke ʻano e kūpono iā ʻoe (i nā ʻōlelo ʻē aʻe ma mua o ka ʻōlelo Pelekania i ka leo i ka braille i ka paʻi nui a i ʻole nā ano ʻē aʻe ʻē aʻe) E ʻoluʻolu e kāhea i nā lawelawe lālā ma ka helu i helu ʻia ma ka ʻaoʻao hope o kēia puke inā pono ʻoe e ʻike i ka ʻike ma kahi ʻano ʻē aʻeE loli ana paha nā huina nui o nā pono kōkua uku ʻinikua uku pilikino a mea i ʻole nā uku kāki mea maʻikoena uku a ka mea maʻi i ka lā 1 o Ianuali 2023E loli paha ke papa kuhikuhi lāʻau kuhikuhi hale kūʻai lāʻau lapaʻau pūnaewele a me a i ʻole pūnaewele hoʻolako i kēlā me kēia manawa E loaʻa iā ʻoe kahi leka ke pono

ATENCIOacuteN Si habla espantildeol contamos con servicios de asistencia linguumliacutesca que se encuentran disponibles para usted de manera gratuita Llame al 1-877-374-4056 (TTY 711)

注意如果您說中文您可以免費獲得語言援助服務請致電 1-877-374-4056 (TTY711)

Chuacute yacute Nếu quyacute vị noacutei ếng Việt dịch vụ hỗ trợ ngocircn ngữ coacute sẵn miễn phiacute dagravenh cho quyacute vị Hatildey gọi số 1-877-374-4056 (TTY 711)

주의사항 한국어를 구사할 경우 언어 보조 서비스를 무료로 이용 가능합니다 1-877-374-4056 (TTY 711) 번으로 연락해 주십시오

Atensyon Kung nagsasalita ka ng Tagalog may mga available na libreng tulong sa wika para sa iyo Tumawag sa 1-877-374-4056 (TTY 711)

Dumngeg No agsasau ka i Ilokano dagi tulong nga serbisio a libre ket available para kaniam Awagan 1-877-374-4056 (TTY 711)

o lorsquoo avanoa ia te lsquooe Valarsquoau le 1-877-374-4056 (TTY 711)

Maliu Inā ʻōlelo Hawaiʻi ʻoe he lawelawe māhele ʻōlelo manuahi i lako iā ʻoe E kelepona iā 1-877-374-4056 (TTY 711)

2022 Hōʻike o ka uhi ʻana no Wellcare Ohana No Premium (HMO) 3Papa Kuhikuhi

ʻO kēia papa inoa o nā mokuna a me nā helu ʻaoʻao kou wahi hoʻomaka No ke kōkua hou aku i ka ʻike ʻana i ka ʻike e pono ai e hele i ka ʻaoʻao mua o kahi mokuna E ʻike ʻoe i kahi papa inoa kikoʻī o nā kumuhana i ka hoʻomaka o kēlā me kēia mokuna

Hōʻike i ka manaʻo o ka noho ʻana i kahi hoʻolālā olakino Medicare a pehea e hoʻohana ai i kēia puke Hōʻike e pili ana i nā mea a mākou e hoʻouna aku ai iā ʻoe kāu uku hoʻolālā ka Part D hoʻopahemo o ke kau inoa hoʻopaʻi kāu papa lālā lālā a me ka mālama ʻana i kāu papa inoa lālā a hiki i kēia lā

ʻLelo iā ʻoe pehea e launa pū ai me kā mākou hoʻolālā (Wellcare Ohana No Premium (HMO)) a me nā hui ʻē aʻe e like me Medicare ka Polokalamu ʻInikua Kokua Pilikino Mokuʻāina (SHIP) ka Hoʻolālā Hoʻolaha Pono Palekana Kaiāulu Medicaid (ke olakino mokuʻāina polokalamu inikua no ka poʻe me ka loaʻa kālā haʻahaʻa) nā papahana e kōkua i ka poʻe e uku no kā lākou mau lāʻau lapaau a me ka Papa Hoʻomaha Alahao

Hōʻike i nā mea nui āu e ʻike ai e pili ana i ka mālama ʻana i kāu olakino ma ke ʻano he lālā o kā mākou hoʻolālā Hoʻopili nā kumuhana i ka hoʻohana ʻana i nā mea hoʻolako i ka pūnaewele o ka hoʻolālā a pehea e mālama ai ke loaʻa iā ʻoe kahi pilikia

Hāʻawi i nā kikoʻī e pili ana i nā ʻano o ka mālama olakino i uhi ʻia a uhi ʻole ʻia nāu ma ke ʻano he lālā o kā mākou hoʻolālā Hōʻike i ka nui o kāu uku e like me kāu mahele o ke kumukūʻai kāu mālama olakino uhi ʻia

Wehewehe i nā lula e pono ai e hāhai ke loaʻa iā ʻoe kāu lāʻau Part D ʻ howlelo pehea e hoʻohana ai i ka papa hana Papa Inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi) e ʻike i nā lāʻau i uhi ʻia Hōʻike i nā ʻano lāʻau ʻaʻole i uhi ʻia Wehewehe i kekahi mau ʻano kapu e pili ana i ka uhi ʻana no kekahi mau lāʻau Wehewehe i kahi e hoʻopiha ai i kāu kuhikuhi Hōʻike e pili ana i nā papahana o ka hoʻolālā no ka palekana lāʻau a me ka mālama ʻana i nā lāʻau

2022 Hōʻikeʻike o ka uhi

Papa Kuhikuhi

Mokuna 1 Ke hoʻomaka nei ma ke ʻano he lālā 6

Mokuna 2 Nā helu kelepona koʻikoʻi a me nā kumuwaiwai 29

Mokuna 3 Ke hoʻohana nei i ka uhi o ka hoʻolālā no kāu lawelawe olakino 52

Mokuna 4 Palapala Pilikino Pilikino (he aha ka mea i uhi ʻia a he aha kāu e uku ai) 74

Mokuna 5 Ke hoʻohana nei i ka uhi o ka hoʻolālā no kāu lāʻau lāʻau kuhikuhi Part D 149


E haʻi ana i nā kuʻina eha o ka lāʻauʻaoʻao pale (Deductible ke kahua ka loiloi muaʻaoʻao pale kahuaʻaoʻao pale o Nuʻuanu ke kahua nalu pʻaoʻao pale kahua) a pehea mau kahua o ka hoʻonaʻauao lakou aloha ia mea e uku ai no kou ai Wehewehe i nā ʻāpana hoʻokaʻawale kumukūʻai he 6 no kāu lāʻau Part D a haʻi i nā mea āu e uku ai no ka lāʻau i kēlā me kēia lāhele kaʻanalike kālā

Hōʻike i ka manawa a pehea e hoʻouna ai i kahi bila iā mākou ke makemake ʻoe e noi iā mākou e uku aku iā ʻoe no kā mākou mahele o ke kumukūʻai no kāu lawelawe uhi ʻia a lāʻau lāʻau paha

E wehewehe i nā kuleana a me nā kuleana iā ʻoe ma ke ʻano he lālā o kā mākou hoʻolālā ʻLelo i kāu mea hiki ke hana inā manaʻo ʻoe ʻaʻole mahalo ʻia kāu kuleana

ʻLelo iā ʻoe i kēlā me kēia ʻāpana i ka mea e hana ai inā loaʻa iā ʻoe nā pilikia a hopohopo paha ma ke ʻano he lālā o kā mākou hoʻolālā

bull Hoʻomaopopo pehea e noi ai no nā hopena o ka uhi ʻana a hana i nā hoʻopiʻi inā pilikia ʻoe i ka lawe ʻana i ka lāʻau lapaʻau a i ʻole nā lāʻau hoʻomākaukau āu e manaʻo ai ua uhi ʻia e kā mākou hoʻolālā Pākuʻi ʻia kēia i ke noi ʻana iā mākou e hana i nā kūʻē i nā lula a i ʻole nā palena keu i kāu uhi ʻana no nā lāʻau lapaʻau a e noi ana iā mākou e uhi mau i ka mālama ʻana i ka haukapila a me kekahi ʻano o nā lawelawe lapaʻau inā manaʻo ʻoe e pau koke ana kāu uhi

bull Hoʻākāka pehea e hana ai i nā hoʻopiʻi e pili ana i ka maikaʻi o ka mālama nā manawa kali nā lawelawe mea kūʻai aku a me nā hopohopo ʻē aʻe

Hōʻike i ka manawa a pehea e hiki ai iā ʻoe ke hoʻopau i kāu lālā ma ka hoʻolālā Wehewehe i nā kūlana i koi ʻia ai kā mākou hoʻolālā e hoʻopau i kāu lālā

Aia pū me nā leka e pili ana i ke kānāwai aupuni a pili i ka nondiscrimination

Hōʻike i nā huaʻōlelo i hoʻohana ʻia i loko o kēia puke liʻiliʻi

Mokuna 8 Kou mau pono a me nā kuleana 220

Mokuna 9 He aha kāu e hana ai inā he pilikia a hoʻopiʻi paha kāu (hoʻoholo hoʻoholo hoʻopiʻi hoʻopiʻi) 236

Mokuna 10 Ke hoʻopau nei i kāu lālā i ka hoʻolālā 307

Mokuna 11 Nā leka hoʻomaopopo 317

Mokuna 12 Nā wehewehe ʻana o nā huaʻōlelo nui 325

Mokuna 7 Ke noi nei iā mākou e uku i kā mākou mahele o kahi pila i loaʻa iā ʻoe no nā lawelawe olakino uhi ʻia a lāʻau lāʻau paha 210

Mokuna 6 He aha kāu e uku ai no kāu ʻāpana lāʻau kuhikuhi D 181

MOKUNA 1Ke hoʻomaka nei ma ke ʻano he lālā

2022 Hōʻike o ka uhi ʻana no Wellcare Ohana No Premium (HMO) 6Mokuna 1 Ke hoʻomaka nei ma ke ʻano he lālā

Mokuna 1 Ke hoʻomaka nei ma ke ʻano he lālā

PAUKU 1 Hoʻolauna 8Pauku 11 Ua kāinoa ʻia a ua hoʻokomo ʻia aku nei ʻoe ma ka papahana

Wellcare Ohana No Premium (HMO) he papahana ʻinikua mālama olakino HMO a ka Medicare 8

Pauku 12 He aha ka hōʻike o ka uhi puke e pili ana 8Pauku 13 ʻIke pili kānāwai e pili ana i ka Hōʻike o ke Kapuna 9

PAUKU 2 He aha ka mea e hiki ai iā ʻoe ke lilo i lālā lālā 9Pauku 21 ʻO kāu koi koi 9Pauku 22 He aha ka Medicare Part A a me ka Medicare Part B 10Pauku 23 ʻEia kahi i loaʻa nā kōkua a ka papahana ʻinikua a Wellcare

Ohana No Premium (HMO) 10Pauku 24 Kupa no US | a i ʻole hoʻokupa kānāwai ʻia 10

PAUKU 3 He aha nā mea pono ʻē aʻe e loaʻa mai iā mākou 11Pauku 31 Kāleka lālā lālā o kāu hoʻolālā - E hoʻohana iā ia e kiʻi i ka

mālama a uhi ʻia a me nā lāʻau lapaʻau 11Pauku 32 ʻO ka Mea hoʻolako amp hale kūʻai hale kūʻai lāʻau lapaʻau

Kou alakaʻi i nā mea hoʻolako āpau a me nā hale kūʻai lāʻau i ka pūnaewele o ka papahana 12

Pauku 33 ʻO ka papa hana Papa inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi) 13

Pauku 34 ʻO ka Part D Ka wehewehe ʻana o nā pono (ka Part D EOB) Nā hōʻike me kahi hōʻuluʻulu o nā uku i hana ʻia no kāu ʻāpana lāʻau kuhikuhi D 14

PAUKU 4 Kāu uku ʻinikua ma ka māhina Wellcare Ohana No Premium (HMO) 15

Pauku 41 Ehia mau kumukūʻai o kāu hoʻolālā 15PAUKU 5 Pono ʻoe e uku i ka Part D hoʻopaʻi hoʻokomo hope 16

Pauku 51 He aha ka Part D hoʻopaʻi hoʻokomo hope 16Pauku 52 Ehia nā hapa o ka hoʻopaʻi komo hope o ka Part D16Pauku 53 I kekahi mau hanana hiki iā ʻoe ke kākau inoa lohi a ʻaʻole

pono e uku i ka uku 17Pauku 54 He aha kāu e hana ai inā ʻaʻole ʻoe e kūlike e pili ana i kāu

Part D hoʻopaʻi hoʻopaʻi 18


PAUKU 6 Pono ʻoe e uku i kahi Part D ʻē aʻe no kāu loaʻa kālā 18Pauku 61 ʻO wai e uku i kahi Part D ʻē aʻe no ka loaʻa kālā 18Pauku 62 Ehia nā koina Part D ʻē aʻe 19Pauku 63 He aha kāu e hana ai inā ʻaʻole ʻoe e kūlike e pili ana i ka uku

ʻana i kahi Part D ʻē aʻe 19Pauku 64 He aha ka hana inā ʻaʻole ʻoe e uku i ka nui o ka Part D ʻē aʻe 19

PAUKU 7 Nā ʻike hou aʻe e pili ana i kāu uku uku mahina 19Pauku 71 Inā uku ʻoe i ka uku hoʻopaʻi kāinoa lohi a ka Part D loaʻa

no he mau ʻano uku ʻana i hiki ai ke uku aku i kāu uku hoʻopaʻi 21Pauku 72 Hiki nō paha iā mākou ke hoʻololi i kāu uku ʻinikua a ka

papahana ʻinikua o ka mahina i ke kau makahiki 23PAUKU 8 E ʻoluʻolu e hoʻopaʻa i kāu papa inoa lālā i kēia lā 24

Pauku 81 Pehea e kōkua ai e hōʻoia i ka ʻike pololei o kā mākou ut yo u 24PAUKU 9 Pale mākou i ka pilikino o kāu ʻike olakino pilikino 25

Pauku 91 Hōʻoiaʻiʻo mākou e pale ʻia kāu ʻike olakino 25PAUKU 10 Pehea e hana ai ka ʻinikua ʻē aʻe me kā mākou papahana 26

Pauku 101 ʻO ka hoʻolālā hea e uku mua ai inā loaʻa iā ʻoe kahi inikua ʻē aʻe 26


PAUKU 1 Hoʻolauna

Pauku 11 Ua kāinoa ʻia a ua hoʻokomo ʻia aku nei ʻoe ma ka papahana Wellcare Ohana No Premium (HMO) he papahana ʻinikua mālama olakino HMO a ka Medicare

Ua uhi ʻia ʻoe ma lalo o Medicare a ua koho ʻoe i ka loaʻa ʻana aku o nā kōkua mālama ola a me nā kōkua uhi no nā lāʻau kuhikuhi maō kō mākou papahana ʻinikua o ka ʻinikua mālama olakino makule Medicare ka Wellcare Ohana No Premium (HMO)

He mau ʻano o nā papahana ʻinikua mālama olakino a Medicare He papahana ʻinikua mālama olakino ʻoiaʻe Medicare Advantage HMO ka papahana ʻinikua o Wellcare Ohana No Premium (HMO) (HMO ʻo ia hoʻi ka Health Maintenance Organization) a ua ʻāpono ʻia e Medicare a hoʻoholo ʻia ma lalo o kekahi hui ʻoihana kapu

Kūpono ma lalo o kēia Palapala Hoʻolālā ma ke ʻano he Qualifying Health Coverage (QHC) a ʻoluʻolu i ke Kānāwai Hoʻomalu Tūlua a me ke Kūpono mālama mālama (ACA) kuleana kuleana E ʻoluʻolu e kipa i ka Pūnaewele Loaʻa Loaʻa Loko (IRS) ma wwwirsgovAffordable-Care-ActIndividuals-and-Families no ka ʻike hou aku

Pauku 12 He aha ka hōʻike o ka uhi puke e pili ana

Hōʻike kēia puke Hōʻike o ke Kaʻe iā ʻoe pehea e kiʻi ai i kāu lāʻau olakino Medicare a uhi ʻia i loko o kā mākou papahana Hōʻike kēia puke i kāu kuleana a me kāu kuleana nā mea i uhi ʻia a me nā mea āu e uku ai ma ke ʻano he lālā o ka hoʻolālā

ʻO kēlā ʻōlelo o uhi ʻia a me nā kōkua i uhi ʻia ʻo ia nō hoʻi nā kōkua lapaʻau a me nā kōkua a me nā kōkua uhi lāʻau kuhikuhi i loaʻa iā ʻoe ka lālā a Wellcare Ohana No Premium (HMO)

He mea nui iā ʻoe e aʻo i nā lula o ka hoʻolālā a me nā lawelawe i loaʻa iā ʻoe Paipai mākou iā ʻoe e hoʻokaʻawale i kahi manawa e nānā ai i loko o kēia puke Hōʻike o ka ʻIliʻi puke


Inā huikau ʻoe a hopohopo paha kāu a i ʻole he nīnau wale e ʻoluʻolu e kelepona i nā lawelawe lālā o kā mākou papahana (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)

Pauku 13 ʻIke pili kānāwai e pili ana i ka Hōʻike o ke Kapuna

He ʻāpana ia o kā mākou ʻaelike me ʻoeʻO kēia hōʻike o ka uhi kahi ʻāpana o kā mākou ʻaelike me ʻoe e pili ana i ka uhi ʻana o kā mākou hoʻolālā i kāu mālama ʻO nā ʻāpana ʻē aʻe o kēia ʻaelike me kāu palapala kākau inoa ka Papa Inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi) a me nā leka hoʻomaopopo āu i loaʻa ai iā mākou e pili ana i nā loli i kāu uhi a i ʻole nā kūlana e hoʻopili i kāu uhi Kāhea ʻia kēia mau hoʻolaha i kekahi manawa he poʻe holo a i ʻole mau hoʻoponopono

Hoʻomaka no hoʻi ka mana o kēia ʻaelike i nā māhina i kāinoa komo ʻia ai ma kō mākou papahana ʻinikua ma waena o Ianuali 1 2022 a me Kekemapa 31 2022

I kēlā me kēia makahiki kalena ʻae ʻo Medicare iā mākou e hana i nā hoʻololi i nā papahana a mākou e hāʻawi nei Ua hiki nō hoʻi iā mākou ke hoʻololi i ka huinanui o kāki a me nā pono kōkua Kekemapa 31 2022 Hiki iā mākou ke koho e hōʻoki i ka hāʻawi ʻana i ka hoʻolālā a i ʻole e hāʻawi iā ia i kahi lawelawe ʻokoʻa ma hope o Kekemapa 31 2022

Pono ʻo Medicare e ʻae i kā mākou hoʻolālā i kēlā me kēia makahikiPono ʻo Medicare (nā Kikowaena no Medicare amp Medicaid Services) e ʻae i kā mākou papahana i kēlā me kēia makahiki Hiki iā ʻoe ke hoʻomau i ke kiʻi ʻana iā Medicare ma ke ʻano he lālā o kā mākou hoʻolālā ʻoiai mākou e koho e hoʻomau i ka hāʻawi ʻana i ke kumumanaʻo a Medicare e hoʻohou i kāna ʻae o ka hoʻolālā

PAUKU 2 He aha ka mea e hiki ai iā ʻoe ke lilo i lālā lālā

Pauku 21 ʻO kāu koi koi

Kūpono ʻoe i lālā no kā mākou hoʻolālā ʻoiai

bull Loaʻa iā ʻoe ʻelua Part A Medicare a me Medicare Part B (ʻtellslelo ʻo 22 iā ʻoe e pili ana iā Medicare Part A a me Medicare Part B)

bull -- a -- noho ʻoe i kā mākou wahi lawelawe ʻāina (Pauku 23 ma lalo e wehewehe ana i kā mākou wahi lawelawe)

bull -- a -- he kupa ʻoe no ʻAmelika Hui Pū(US) ʻIa a i ʻole ua ʻae ʻia ma lalo o ke kānāwai e noho ma ʻAmelika Hui Pū ʻIa (US)


Pauku 22 He aha ka Medicare Part A a me ka Medicare Part B

I kou kau inoa ʻana no Medicare loaʻa iā ʻoe ka ʻike e pili ana i nā lawelawe i uhi ʻia ma lalo o Medicare Part A a me Medicare Part B Hoʻomanaʻo

bull Kōkua ka Medicare Part A i ka uhi ʻana i nā lawelawe i hāʻawi ʻia e nā haukapila (no nā lawelawe inpatient nā wahi hānai mākau a i ʻole nā keʻena olakino home)

bull ʻO Medicare Part B no ka nui o nā lawelawe olakino ʻē aʻe (e like me nā lawelawe a ke kauka ka hoʻomaʻemaʻe home infusion a me nā lawelawe maʻi maʻi ʻē aʻe) a me kekahi mau mea (e like me nā lako olakino paʻa (DME) a me nā lako)

Pauku 23 ʻEia kahi i loaʻa nā kōkua a ka papahana ʻinikua a Wellcare Ohana No Premium (HMO)

ʻOiai he papahana pekelala ʻo Medicare mākaukau nā papahana a mākou no nā kānaka i noho ma kahi i loaʻa nā kōkua lawelawe No ka hoʻomau ʻana aku i lālā o kā papahana pono ʻoe e hoʻomau i ka noho ʻana i kahi i loaʻa nā kōkua lawelawe a ka papahana ʻinikua Hōʻike ʻia ka wahi loaʻa nā kōkua lawelawe ma lalo iho nei

Kō mākou wahi i loaʻa nā kōkua ma Hawaiʻi Honolulu

Inā ke noʻonoʻo nei paha ʻoe i ka haʻalele mai kahi i loaʻa nā kōkua lawelawe e ʻoluʻolu e kelepona i ke keʻena Kōkua lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia pepelu nei) Ke neʻe aku ʻoe e haʻawi ʻia ana iā ʻoe kekahi Wā Kainoa Kūikawā i loaʻa manawa iā ʻoe no ka hoʻololi ʻana aku i ka papahana ʻinikua Original Medicare a i ʻole e kāinoa komo aku i kekahi papahana ʻinikua mālama olakino a i ʻole kekahi papahana ʻinikua lāʻau Medicare i loaʻa ma kāu wahi hou i neʻe aku ai

He mea nui nō hoʻi ʻoe e kāhea aku iā Palekana Ola inā ʻoe e neʻe a hoʻololi paha i kāu leka uila Hiki iā ʻoe ke ʻimi i nā helu kelepona a me ka ʻike pili no ka palekana pilikanaka ma ka Mokuna 2 Māhele 5

Pauku 24 Kupa no US | a i ʻole hoʻokupa kānāwai ʻia

Pono e hōʻoia i ke kūlana he kupa no ʻAmelika Hui Pū ʻIa a i ʻole ua ʻae ʻia ma lalo o ke kānāwai e noho ma ʻAmelika Hui Pū ʻIa Nā ka papahana Medicare (the Centers for Medicare amp Medicaid Services) e hoʻomaopopo aku i ka hui Wellcare Ohana No Premium (HMO) inā hiki ʻole aku iā ʻoe ke hoʻomau aku i lālā no ia kumu hoʻi Pono ka hui Wellcare Ohana No Premium (HMO) e wehe aku iā ʻoe inā loaʻa ʻole iā ʻoe nā mākaukau i hiki aku ai ke noho lālā me lākou


PAUKU 3 He aha nā mea pono ʻē aʻe e loaʻa mai iā mākou

Pauku 31 Kāleka lālā lālā o kāu hoʻolālā - E hoʻohana iā ia e kiʻi i ka mālama a uhi ʻia a me nā lāʻau lapaʻau

ʻOiai he lālā ʻoe o kā mākou hoʻolālā pono ʻoe e hoʻohana i kāu kāleka lālā no kā mākou hoʻolālā ke loaʻa iā ʻoe nā lawelawe i uhi ʻia e kēia hoʻolālā a no nā lāʻau lapaʻau i loaʻa iā ʻoe ma nā hale kūʻai pūnaewele Pono ʻoe e hōʻike i ka mea hāʻawi i kāu kāleka Medicaid inā pili Eia kahi kāleka lālā lālā e hōʻike iā ʻoe i ke ʻano o kāu

MAI hoʻohana i kāu kāleka Medicare ʻulaʻula keʻokeʻo a me ʻuliuli no nā kōkua lawelawe lapaʻau i uhi ʻia ʻoiai ʻoe he lālā o kēia papahana ʻinikua nei Inā hoʻohana ʻoe i kāu kāleka Medicare ma muli o kāu kāleka Wellcare Ohana No Premium (HMO) e pono ana paha ʻoe e uku aku i ka huinanui holoʻokoʻa no nā kōkua lawelawe mālama olakino nou iho E mālama i kāu kāleka Medicare ma kahi palekana E noi ʻia ana paha ʻoe e hōʻikeʻike aku inā makemake ʻoe i kekahi kōkua lawelawe mai ka haukapila mai nā kōkua lawelawe hospice a i ʻole e komo ʻana aku ma kekahi noiʻi hoʻonāʻauao maʻamau

He mea nui hoʻi kēia mau mea a eia ke kumu Inā loaʻa iā ʻoe nā kōkua i uhi ʻia nā kōkua lawelawe ma muli o ka hoʻohana ʻana i kāu kāleka lālā a ka papahana ʻinikua ʻoiai he lālā ʻoe nā mākou e pono ana paha ʻoe e uku aku i ka huinanui holoʻokoʻa no nā kōkua lawelawe mālama olakino nou iho

Inā hōʻino nalowale a ʻaihue ʻia kāu kāleka lālā e kāhea koke aku i nā lawelawe lālā a hoʻouna mākou iā ʻoe i kahi kāleka hou (Paʻi ʻia nā helu kelepona no nā lawelawe lālā ma ka uhi hope o kēia puke)


Pauku 32 ʻO ka Mea hoʻolako amp hale kūʻai hale kūʻai lāʻau lapaʻau Kou alakaʻi i nā mea hoʻolako āpau a me nā hale kūʻai lāʻau i ka pūnaewele o ka papahana

ʻO ka Mea hoʻolako amp hale kūʻai hale kūʻai lāʻau lapaʻau papa inoa i kā mākou mea hoʻolako pūnaewele nā mea hoʻolako pono lāʻau olakino a me nā hale kūʻai pūnaewele

He aha nā mea hoʻolako pūnaeweleMea hoʻolako pūnaewele ʻo ia nā kauka a me nā ʻoihana mālama olakino ʻē aʻe nā pūʻulu olakino nā mea hoʻolako lako olakino paʻa nā haukapila a me nā lawelawe olakino ʻē aʻe i ʻae pū me mākou e ʻae i kā mākou uku a me nā hoʻolālā e pili ana i ke kumukūʻai uku piha Ua hoʻonohonoho mākou no kēia mau mea e hoʻolako i nā lawelawe i uhi ʻia i nā lālā i kā mākou papahana

ʻO nā pūʻulu hoʻolako lapaʻau he mau ʻaha hui o nā kauka pēia pū me nā hui PCP a me nā limahana loea i ka lapaʻau ʻana a me nā hui hoʻolako kōkua mālama ola ʻē aʻe ʻo ia hoʻi nā haukapila i hoʻopaʻa i kekahi ʻaelike me HMO no ka hoʻolako ʻana mai i nā lālā i kāino komo mai ʻO kekahi o nā hui mālama olakino loaʻa nō hoʻi iā lākou nā pōʻai kāinoa komo paʻalula maō nā ʻōnaehana kauka no ka lapaʻau like ʻana ʻoiai ʻae wale nō hoʻi nā kā lākou hui hoʻolako i nā mea maʻi i nā hui hoʻolakoʻē aʻe i pili i nā pūʻulu hui mālama olakino

Loaʻa ka papa inoa o nā mea hoʻolako a me nā mea hoʻolako hou loa ma kā mākou pūnaewele ma wwwwellcarecomohana

No ke aha ʻoe e ʻike ai i nā mea lawelawe i ʻāpana o kā mākou pūnaeweleHe mea nui hoʻi ka maopopo ʻana o wai nā hui hoʻolako i pili i kō mākou ʻōnaehana no ka mea loaʻa nō hoʻi nā kaupalena no nā kūʻē lula iā ʻoe nō hoʻi e noho lālā nei ma lalo o kō mākou papahana ʻinikua e pono ana ʻoe e hoʻohana i nā hui hoʻolako ma kō mākou ʻōnaehana no ka loaʻa ʻana aku o kāu mau kōkua mālama ola a me nā pono kōkua ʻO nā mea wale i hiki ke kūʻē lula ʻia ʻo ia nō hoʻi nā kōkua ʻūlia pōpilikia nā pono kōkua e pono e loaʻa inā loaʻa ʻole nā pono kōkua i pili ʻōnaehana ʻole (i kou wā e kaʻawale ai mai nā wahi i loaʻa nā pono kōkua) nā lapaʻau hoʻomaʻemaʻe koko ma waho-o-ka-wahi-loaʻa nā kōkua lawelawe mālama olakino Nānā aku i ka Mokuna 3 (Ka hoʻohana ʻana i nā kōkua uhi aka papahana ʻinikua no ka loaʻa mai o nā kōkua lawelawe mālama olakino) no nā manaʻo koʻikoʻi e pilil ana i nā kōkua uhi no nā pōulia pōpilikia a me nā mawaho-o-kahi-kōkua-lawelawe

Inā ʻaʻohe āu kope o ka Papa Kuhikuhi Inoa o nā hui Hoʻolako amp Hale Kūʻai Lāʻau hiki iā ʻoe ke noi i kahi kope mai nā Member Services (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke) E noi paha ʻoe i nā lawelawe lālā no ka ʻike


hou aku e pili ana i kā mākou pūnaewele hoʻolako pūnaewele me kā lākou mau koina Hiki iā ʻoe ke ʻike i ka Papa Kuhikuhi Inoa o nā hui Hoʻolako amp Hale Kūʻai Lāʻau ma wwwwellcarecomohana Hiki i nā lawelawe lālā a me ka pūnaewele ke hāʻawi iā ʻoe i ka ʻike hou loa e pili ana i nā loli i kā mākou mau ʻoihana pūnaewele

He aha nā hale kūʻai lāʻau lapaʻau pūnaeweleʻO nā hale kūʻai lāʻau ʻoihana āpau nā āpau āpau āpau i ʻae e hoʻopiha i nā kuhikuhi i uhi ʻia no kā mākou lālā lālā

No ke aha ʻoe e ʻike ai e pili ana i nā hale kūʻai lāʻau lapaʻau pūnaeweleHiki iā ʻoe ke hoʻohana i ka Papa Kuhikuhi Inoa o nā hui Hoʻolako amp Hale Kūʻai Lāʻau e ʻike ai i ka hale kūʻai lāʻau pūnaewele āu e makemake ai e hoʻohana Aia nā hoʻololi i kā mākou pūnaewele o nā hale kūʻai lāʻau lapaʻau no kēia makahiki e hiki mai ana ʻO kahi mea hoʻolako amp hale kūʻai ʻoihana hale kūʻai lāʻau aia ma kā mākou pūnaewele ma wwwwellcarecomohana Hiki iā ʻoe ke kāhea i nā lawelawe lālā no ka ʻike hou a hāʻawi paha iā mākou e leka iā ʻoe i kahi Papa Kuhikuhi amp Mea Hoʻolālā ʻAoʻao Pipi E ʻoluʻolu e loiloi i ka 2022 Papa Kuhikuhi amp Mea Hoʻolālā ʻAoʻao Pilikino e ʻike ai i nā hale kūʻai i loko o kā mākou pūnaewele

E haʻi aku ka Papa kuhikuhi inoa i nā hui hoʻolako amp hale kūʻai lāʻau iā ʻoe i kahi o nā hale kūʻai lāʻau i loko o kā mākou pūnaewele i makemake e hoʻokaʻawale i nā kumukūʻai ʻoi aku paha ka haʻahaʻa ma mua o ka hoʻokaʻawale ʻana o nā kumukūʻai i hāʻawi ʻia e nā hale kūʻai pūnaewele ʻē aʻe no kekahi mau lāʻau

Inā ʻaʻohe ou Papa kuhikuhi inoa i nā hui hoʻolako amp hale kūʻai lāʻau hiki iā ʻoe ke kiʻi i kahi kope mai nā Member Services (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke) I kēlā me kēia manawa hiki iā ʻoe ke kāhea i nā lawelawe lālā e kiʻi i ka ʻike hou e pili ana i nā loli i ka pūnaewele pharmacy Hiki iā ʻoe ke ʻike i kēia ʻike ma kā mākou pūnaewele ma wwwwellcarecomohana

Pauku 33 ʻO ka papa hana Papa inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi)

Loaʻa i ka papahana ʻinikua ka Papa Inoa o nā Lāʻau i Uhi ʻia (Papakuhikuhi Lāʻau) Kapa ʻia e mākou ka Papa Inoa lāʻau no ka pōkole Hōʻike ʻia no hoʻi he aha nā lāʻau i uhi ʻia ma lalo o na pono kōkua a ke Kōkua Lāʻau Kuhikuhi a ka Part D i loaʻa pū mai me kāu Part D Koho ʻia nā lāʻau i kēia papa inoa e a papahana ʻinikua me ke kōkua o kahi hui o nā kauka a me nā kauka lāʻau Pono e hoʻokō ʻia aku ka papa inoa i nā koi i kau ʻia e Medicare Ua ʻae ʻo Medicare i ka Papa Inoa Lāʻau a ka papahana ʻinikua

ʻTellslelo aku ka papa lāʻau lāʻau iā ʻoe inā aia kekahi rula e kaohi i ka uhi ʻana no kāu lāʻau


E hāʻawi mākou iā ʻoe i kahi kope o ka papa inoa lāʻau No ka loaʻa ʻana o ka ʻike piha loa a me ka ʻike e pili ana i nā lāʻau i uhi ʻia hiki iā ʻoe ke kipa i ka pūnaewele o ka hoʻolālā (wwwwellcarecomohana) a kāhea paha i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)

Pauku 34 ʻO ka Part D Ka wehewehe ʻana o nā pono (ka Part D EOB) Nā hōʻike me kahi hōʻuluʻulu o nā uku i hana ʻia no kāu ʻāpana lāʻau kuhikuhi D

Ke hoʻohana nei ʻoe i kāu kōkua D lāʻau lapaʻau lāʻau D hapa e hoʻouna mākou iā ʻoe i kahi hōʻike hōʻuluʻulu e kōkua iā ʻoe e hoʻomaopopo a mālama i nā uku no kāu lāʻau ʻāpana lāʻau D Kapa ʻia kēia hōʻike hōʻuluʻulu manaʻo ʻo Part D Wehewehe i nā Pono (a i ʻole Part D EOB)

Haʻawi nō hoʻi kēia Pono hōʻoia loaʻa kōkua uhi (lāʻau)māhele i ka huinanui holoʻokoʻa o nā lilo i lilo akku ai ma iā ʻoe a me nā poʻe ʻē aʻe ma kou pono ioho a me mākou i lilo aku ai no kau Kōkua Lāʻau Kuhikuhi a ka Part D a me ke kumu kūʻai o nā lāʻau kuhikuhi i uku ʻia aku no kāu pono kōkua a ka Part D E hoʻolako mai no hoʻi ka palapala Part D EOB i nā manaʻo ʻē aʻe e pili ana i nā lāʻau au e lawe nei inā ua piʻi aku paha ke kumu kūʻai o ia lāʻau a me nā lāʻau ʻē aʻe i like ke ʻano o ka lapaʻau ʻana me nā kuleana kaʻana uku ʻemi hou aʻe Maikaʻi hoʻi inā kūkā aku ʻʻpe me kāu mea hoʻopaʻa i kāu kuhikuhi lāʻau e pili ana no kēia mau koho me nā kāki kuleana kaʻana uku mea maʻi emi Mokuna 6 (He aha kāu e uku ai no kāu ʻāpana lāʻau kuhikuhi D) hāʻawi i ka ʻike hou aku e pili ana i ka Part D wehewehe o nā pono a pehea e hiki ai iā ia ke kōkua iā ʻoe e mālama i kāu uhi lāʻau

Loaʻa ka Part D wehewehe o nā pono ma ke noi No ka loaʻa ʻana o kahi kope e ʻoluʻolu e kāhea aku i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke)

Loaʻa iā ʻoe kahi koho e kiʻi i kāu Part D wehewehe o nā pono uila ma o CVS Caremark ʻO ka ʻāpana uila D EOBs (Part D eEOBs) kūlike i ka pepa i hoʻouna ʻia ma ka Part D EOBs Hiki iā lākou ke nānā hoʻoiho paʻi a mālama ʻia me ka hoʻohana ʻana i kahi papapihi a pūnaewele pūnaewele pūnaewele paha E hoʻouna ʻia nā leka uila ke mākaukau kahi Part D EOB e ʻike No ke koho ʻana e loaʻa i nā Part D EOB pepa ʻole e ʻoluʻolu e kipa iā httpCaremarkcom e hoʻopaʻa inoa Hiki iā ʻoe ke pt-ou t i kēlā me kēia manawa


PAUKU 4 Kāu uku ʻinikua ma ka māhina Wellcare Ohana No Premium (HMO)

Pauku 41 Ehia mau kumukūʻai o kāu hoʻolālā

ʻAʻole pono e uku aku i kekahi uku ʻinikua kaʻawale no kā mākou papahana ʻinikua Pono ana ʻoe e hoʻomau i ka uku ʻana aku i kāu uku ʻinikua a ka ʻinikua a ka ʻinikua mālama olakino makule Medicare Part B (koe naʻe inā ke uku ʻia nei kāu uku ʻinikua a ka ʻinikuaʻinikua pākuʻi hou mālama olakino Medicaid Part B)

I kekahi mau hanana hiki i kāu hoʻolālā hoʻolālā ke ʻoi aku I kekahi mau hanana ʻoi aku ka nui o kāu uku hoʻolālā ma mua o ka nui i helu ʻia ma luna ma ka ʻĀpana 41 Hōʻike ʻia kēia kūlana ma lalo

bull No kekahi o nā lālā pono lākou e uku aku ma lalo o ka Part D i ka uku hoʻopaʻi komo lohi no ka mea ʻaʻole lākou i komo ma kekahi papahana ʻinikua mālama olakino Medicare me ke kōkua no ka uku no ka lāʻau kuhikuhi iā lākou i komo mua ai a loaʻa nā pono mākaukau a i ʻole ua hala iā lākou he mau wā hoʻomauʻia o 63 lā a ʻoi i ka manawa i loaʻa ʻole ai nā pono kōkua uku hōʻaiʻē no ka loaʻa ʻana o kekahi kōkua uhi lāʻau kuhikuhi i ia manawa (ʻO ka manaʻo o kōkua uku hōʻaiʻē ʻo ia hoʻi pono ke kōkua uhi lāʻau e uku aku ma nā huina ʻawelike a i ʻole e uku hoʻi paha i ka nui o ka uku ʻinikua no ka uhi lāʻau kuhikuhi maʻamau a ka polokalamu Medicare) No kēia mau lālā nei hoʻohui ʻia nā uku hoʻopaʻi komo lohi a ka Part D me ka uku ʻinikua o nā māhina a pau ʻO kā lākou uku nui ka uku hoʻolālā o ka mahina a me ka nui o kā lākou ʻāpana D hoʻopaʻi

Inā koi ʻia ʻoe e uku i ka Part D kau palena hope o ke kau inoa pili ke kumukūʻai o ka hoʻopaʻi o ke kākau inoa ʻana i ka lōʻihi o kou hele ʻana me ka ʻole o ka Part D a i ʻole ka uhi lāʻau ʻē aʻe i hōʻaiʻē ʻia ʻO ka Mokuna 1 Pauku 5 e wehewehe ana i ka Part D ka hoʻopaʻi no ke kākau inoa lohi

Inā loaʻa iā ʻoe kahi Part D ka lohi o ke kau inoa ʻana a uku ʻole hiki iā ʻoe ke haʻalele ʻia mai ka hoʻolālā

bull Koi ʻia kekahi mau lālā e uku i kahi uku keu i ʻike ʻia ʻo ka Part D Loaʻa e pili ana i ka helu o ka hoʻololi ʻana o ka mahina ʻo IRMAA kekahi no ka mea 2 mau makahiki i hala ua loaʻa iā lākou kahi kālā i hoʻoponopono ʻia i hoʻoponopono ʻia ma luna o kahi helu ma kā lākou ʻauhau IRS hoʻihoʻi Pono nā lālā e pili ana i kahi IRMAA e uku i ka nui o ka uku maʻamau a me kēia uku keu a e hoʻohui ʻia i kā lākou uku nui ʻO ka mokuna 1 ʻāpana 6 wehewehe i ka IRMAA i nā kikoʻī hou aʻe


PAUKU 5 Pono ʻoe e uku i ka Part D hoʻopaʻi hoʻokomo hope

Pauku 51 He aha ka Part D hoʻopaʻi hoʻokomo hope

Kahakaha Inā loaʻa iā ʻoe nā Kōkua keu mai Medicare e uku no kāu lāʻau lapaʻau ʻaʻole ʻoe e uku i ka hoʻopaʻi no ke kākau inoa lohi

ʻO ka uku hoʻopaʻi kāinoa komo lohi ʻo ia no hoʻi kekahi huina kāki i hoʻohui ʻia me kāu uku ʻinikua o ka māhina E pono ana paha ʻoe e uku aku i kekahi ʻaiʻē pohō no ka uku hoʻopaʻi kāinoa komo lohi a ka Part D ma hope mai o ka pau ʻana aku o kāu wā kōkua kāino komo ua noho paha no kekahi wā ha 63 lā a ʻoi ae me ka loaʻa ʻole o ka Part D a i ʻole o kekahi kōkua uhi lāʻau mai kekahi ʻinikua kōkua lāʻau kuhikuhi i loaʻa ke kōkua uku hōʻaiʻē (Ke Kōkua Uku Hōʻaiʻē he kōkua uhi i kūʻia me nā waiwai ana hoʻohālike liʻiliʻi loa a ka Hui ʻinikua mālama olakino a ua maopopo ʻia hoʻi na ka hui no e uku aku ana ma nā huina ʻawelike a i ʻole e uku hoʻi paha i ka nui o ka uku ʻinikua no ka uhi lāʻau kuhikuhi maʻamau) Kaukaʻi no hoʻi ka huina nui o ka uku hoʻopaʻi kāinoa komo lohi i ka lōʻihi au i no aku ai me ka loaʻa ʻole o ka Part D a i ʻole kekahi ʻinikua kōkua uku hōʻaiʻē ʻē aʻe E pono ana ʻoe e uku aku i ka uku hoʻopaʻi kāinoa komo lohi

I kou komo mua ʻana ma kō mākou papahana ʻinikua e hoʻomaopopo no hoʻi mākou iā ʻoe ka huina nui o ka uku hoʻopaʻi komo lohi Kāu kāki hoʻopaʻi komo lohi no ka Part D kapa ʻia kēlā he kou uku no ka ʻinikua

Pauku 52 Ehia nā hapa o ka hoʻopaʻi komo hope o ka Part D

Hoʻoholo ʻo Medicare i ka nui o ka hoʻopaʻi Penei e hana ai

bull ʻO ka mea mua e hana ai helu aku i nā mahina au i noho aku ai me ka kāinoa ʻole ʻana aku ma kekahi papahana ʻinikua lāʻau kuhikuhi a Medicare A i ʻole e helu aku i nā māhina au i noho ai me ka loaʻa ʻole o kekahi ʻinikua kōkua uku hōʻaiʻē inā ua ʻoi aʻe ka nui o nā lā he 63 la a ʻoi aʻe i noho ai me ka loaʻa ʻole o kekahi ʻinikua kōkua uku hōʻaiʻē He 1 ke kāki hoʻopaʻi no kēlā me kēia māhina au i noho aku ai me ka loaʻa ʻole o kekahi ʻinikua kōkua uku hōʻaiʻē Eia kekahi lāʻana inā ua noho aku ʻoe no 14 māhina me ka loaʻa ʻole ʻana o kekahi kōkua uhi he 14 ke kāki hoʻopaʻi

bull A laila hoʻoholo ʻo Medicare i ka nui o ka awelika uku nui no nā hoʻolālā lāʻau Medicare i ka lāhui mai ka makahiki i hala No 2022 he $3337 kēia awelika uku nui


bull E hoʻomaulia i kāu hoʻopaʻi mahina hoʻonui ʻoe i ka pākēneka hoʻopaʻi a me ka awelika uku pānaʻi mahina a laila hoʻopuni iā 10 keneta kokoke I ka laʻana ma aneʻi he 14 manawa $3337 i like ia me $467 Holo kēia i $470 E hoʻohui ʻia kēia nui i ka uku nui o kēlā me kēia mahina no kekahi me kahi Part D ka hoʻopaʻi no ke kākau inoa ʻana

ʻEkolu mea nui e pono ai e hoʻomaopopo e pili ana i kēia Part D uku hope hoʻopaʻi hoʻopaʻi

bull Ka mua ka hoopai e hoʻololi kēlā me kēia makahiki no ka mea o ka awelika o ka malama ka uku nui loa ke hoʻololi kēlā me kēia makahiki Inā piʻi ka uku awelika (e like me ka hoʻoholo a Medicare) e hoʻonui ana kāu hoʻopaʻi

bull Elua oe e hoʻomau e uku i ka hoopai kela mahina no ka like loa me oe i kākau inoa ma ka manao i loaʻa Ka Pila no Medicare Part D lāʻau ia e pōmaikaʻi ai a hiki ina e loli hoʻolālā

bull ʻAkolu inā ʻoe ma lalo o 65 a ke loaʻa nei iā ʻoe nā pono Medicare e hoʻoiho hou ʻia ka Part D ke huli ʻoe i 65 Ma hope o ka makahiki 65 e hoʻokumu ʻia ka hoʻopaʻi o kou komo ʻana D ma hope wale nō i nā mahina i loaʻa ʻole iā ʻoe ka uhi ma hope o kāu kau inoa mua ʻana no ka ʻelemakule i Medicare

Pauku 53 I kekahi mau hanana hiki iā ʻoe ke kākau inoa lohi a ʻaʻole pono e uku i ka uku

ʻOiai ua lohi ʻoe i ke kākau inoa ʻana i kahi hoʻolālā e hāʻawi ana i ka Medicare Part D i ka wā i koho mua ʻia ai ʻoe i kekahi manawa ʻaʻole pono ʻoe e uku i ka hoʻopaʻi no ke kākau inoa ʻana o ka Part D

ʻAʻole ʻoe e uku i kahi uku no ke kākau inoa lohi inā ʻoe i kekahi o kēia mau hanana

bull Inā loaʻa iā ʻoe kahi uhi lāʻau hoʻomākaukau e manaʻo ʻia e uku ma ka awelika ma ka liʻiliʻi e like me ke ʻano o ka lāʻau lapaʻau maʻamau a Medicare Kāhea ʻo Medicare i kēia uhi lāʻau lapaʻau hōʻaiʻē E hoʻomaopopo

Hiki i ka uhi hoʻowalewale ke hoʻopili i ka uhi lāʻau mai kahi haku a i ʻole uniona TRICARE a i ʻole ʻo ka Department of Veterans Affairs E haʻi aku kāu mea ʻinikua a i ʻole kāu ʻaoʻao kumuwaiwai kanaka iā ʻoe i kēlā me kēia makahiki inā hiki ke hōʻoiaʻiʻo ʻia kāu uhi lāʻau E hoʻouna ʻia kēia ʻike iā ʻoe i kahi leka a i ʻole hoʻokomo ʻia i loko o kahi nūpepa mai ka hoʻolālā E mālama i kēia ʻike no ka mea pono ʻoe inā pili ʻoe i kahi hoʻolālā lāʻau Medicare ma hope


E ʻoluʻolu inā loaʻa iā ʻoe kahi palapala hōʻoia o ka uhi hōʻaiʻē ke hoʻopau ʻia kāu uhi olakino ʻaʻole paha ia he manaʻo ua hiki ke hōʻaiʻē ʻia kāu lāʻau lapaʻau kuhikuhi Pono e hoʻolaha i ka leka hoʻomaopopo ua loaʻa iā ʻoe ka hōʻaiʻē lāʻau lapaʻau lāʻau i manaʻo ʻia e uku e like me ka uku a ka Medicare papa kuhikuhi lāʻau lāʻau

ʻO ka mea aʻe ʻaʻole hōʻaiʻē lāʻau hōʻaiʻē hōʻaiʻē nā kāleka hoʻēmi lāʻau hoʻōla lāʻau nā hale kūʻai manuahi a me nā pūnaewele hōʻemi lāʻau

No ka ʻike hou aku e pili ana i ka laulaha hōʻaiʻē e ʻoluʻolu e nānā i kāu puke puke ʻo Medicare amp You 2022 a kāhea iā Medicare ma 1-800-MEDICARE (1-800-633-4227) Kāhea nā mea hoʻohana TTY iā 1-877-486-2048 Hiki iā ʻoe ke kāhea i kēia mau helu no ka manuahi 24 hola o ka lā 7 lā o ka pule

bull Inā ʻaʻohe ou hōʻaiʻē hōʻaiʻē akā ʻaʻole ʻoe ma lalo o 63 mau lā i ka lālani bull Inā ke loaʻa nei iā ʻoe ke Kōkua keu mai Medicare

Pauku 54 He aha kāu e hana ai inā ʻaʻole ʻoe e kūlike e pili ana i kāu Part D hoʻopaʻi hoʻopaʻi

Inā ʻaʻole ʻoe e kūlike e pili ana i kāu Part D hoʻopaʻi hoʻopaʻi no ka hoʻopaʻi inoa hiki iā ʻoe a i ʻole me kou lunamakaʻāinana ke noi no ka loiloi i ka hoʻoholo e pili ana i kāu hoʻopaʻi inoa hope ʻO ka maʻamau pono ʻoe e noi i kēia loiloi ma loko o 60 mau lā mai ka lā ma ka leka mua i loaʻa iā ʻoe e haʻi ana e uku ʻoe i ka hoʻopaʻi no ke kākau inoa lohi Inā ʻoe e uku ana i ka hoʻopaʻi ma mua o ka hui ʻana i kā mākou hoʻolālā ʻaʻohe ou manawa hou aʻe e noi ai i kahi loiloi o kēlā hoʻopaʻi helu inoa hope Kāhea i nā lawelawe lālā e ʻike hou e pili ana i ka hana ʻana (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)

PAUKU 6 Pono ʻoe e uku i kahi Part D ʻē aʻe no kāu loaʻa kālā

Pauku 61 ʻO wai e uku i kahi Part D ʻē aʻe no ka loaʻa kālā

Inā hoʻololi ʻia kāu loaʻa kālā nui e like me ka mea i hōʻike ʻia ma kāu hoʻihoʻi ʻauhau IRS mai 2 mau makahiki i hala aku ma mua o kahi nui e uku ʻoe i ka nui o ke kumukūʻai maʻamau a me kahi nui e pili ana i kēlā me kēia mahina Hoʻohālikelike Hoʻohui ʻIa ʻike ʻia ʻo IRMAA ʻO IRMAA kahi uku keu i hoʻohui ʻia i kāu uku


Inā pono ʻoe e uku aku i kekahi huina keu nā ke Keʻena Helu Mālama Ola ʻaʻole kāu papahana ʻinikua Medicare e hoʻouna ana iā ʻoe kekahi leka e hoʻomaopopo ana iā ʻoe he aha ka huina keu a pehea lā e uku aku ai E huki ʻia no hoʻi kēlā huina uku keu mai kāu pila kīkoʻo pono keu Keʻena Helu Mālama Ola pila kīkoʻo pono keu Papa ʻAlakaʻi Limahana Alahao Hoʻomahaloa a me kāu Pila Kīkoʻo pono keu a ke Keʻena Hoʻomalu Poʻe Hana Pekelala mai nānā ʻole ʻia hoʻi ke ʻano au e uku nei i kāu uku ʻinikua koe naʻe inā lawa ʻole ka huina nui o nā loaʻa māai kāu waiwai uku keu o ka māhina no ka uku ʻana aku i ka huina nui o kā ʻaiʻē Inā ʻaole lawa ka huina nui a kāu pilakīkoʻo pono keu no ka uku ʻana aku i ka uku keu e loaʻa ana iā ʻoe kekahi pila ʻaiʻē mai ka hui Medicare mai Pono ʻoe e uku aku i ka huina nui o ka uku keu i ke aupuni ʻAʻole hiki ke hoʻohui ʻia me kāu uku ʻinikua papahana ʻinikua o nā māhina a pau

Pauku 62 Ehia nā koina Part D ʻē aʻe

Inā kāu hoʻololi i loaʻa kālā loa (MAGI) e like me ka mea i hōʻike ʻia ma kāu hōʻike ʻauhau IRS ma luna o kahi nui e uku ʻoe i kahi kālā keu me ka hoʻohui o kāu uku hoʻolālā mahina No ka ʻike hou aku e pili ana i ka nui keu āu e uku ai ma muli o kāu loaʻa e kipa wwwmedicaregovpart-dcostspremiumsdrug-plan-premiumshtml

Pauku 63 He aha kāu e hana ai inā ʻaʻole ʻoe e kūlike e pili ana i ka uku ʻana i kahi Part D ʻē aʻe

Inā kūlike ʻole ʻoe e pili ana i ka uku ʻana i kahi kālā keu no kāu loaʻa kālā hiki iā ʻoe ke noi iā Palekana Ola e nānā i ka hoʻoholo E ʻike ai i ka ʻike e pili ana i ka hana ʻana i kēia e kāhea aku iā Palekana Ola ma 1-800-772-1213 (TTY 1-800-325-0778)

Pauku 64 He aha ka hana inā ʻaʻole ʻoe e uku i ka nui o ka Part D ʻē aʻe

Uku pololei ʻia ke kālā keu i ke aupuni (ʻaʻole kāu papahana Medicare) no kāu ʻaoʻao Medicare Part D Inā e koi oe ma ke kānāwai e uku i ke keu huina a oe e ole e uku ia oe e e disenrolled mai ka manao a lilo aku kuhikuhi lāʻauʻaoʻao pale

PAUKU 7 Nā ʻike hou aʻe e pili ana i kāu uku uku mahina

Koi ʻia nā lālā he nui e uku i nā uku uku Medicare ʻē aʻeʻO ka hapa nui o nā lālā ʻē aʻe koi ʻia nō hoʻi lākou e uku aku i kekahi uku ʻinikua no nā ʻinikua mālama olakino makule Medicare ʻē aʻe E like no hoʻi me nā mea i wehewehe ʻia aku nei ma ka Māhele 2 ma luna iho nei no ke komo ʻana aku


ma kō mākou papahana ʻinikua pono e loaʻa iā ʻoe nā ʻinikua mālama olakino Medicare ʻelua o ka ʻinikua mālama olakino makule Medicare Part A a me ka ʻinikua mālama olakino makule Medicare Part B No kekahi o nā lālā o kā mākou papahana (nā lālā i loaʻa ʻole nā mākaukau i hiki ai ke loaʻa no ke komo ʻana ma ka papahana manuahi-ka-uku-ʻinikua Part A) e uku nō hoʻi lākou i ka uku ʻinikua no ka ʻinikua mālama olakino Part A ʻO ka hapa nui o nā lālā e uku no lākou i ka uku ʻinikua no ka ʻinikua mālama olakino Medicare Part B Pono ana ʻoe e hoʻomau i ka uku ʻana aku i kāu uku ʻinikua a ka ʻinikua mālama olakino makule Medicare no ka hoʻomua he ka lālā o ka papahana


bull Inā oe e koi ia e uku i ka keu huina a oe e ole e uku ia oe e e disenrolled mai ka manao a lilo aku kuhikuhi lāʻauʻaoʻao pale

bull Inā pono ʻoe e uku i kahi kālā keu Palekana Ola ʻaʻole kāu papahana Medicare e hoʻouna iā ʻoe i kahi leka e haʻi ana iā ʻoe i ka nui o ia kālā

bull No ka ʻike hou aku e pili ana i nā uku Part D e pili ana i ka loaʻa kālā e hele i ka Mokuna 1 ʻĀpana 6 o kēia puke Hiki iā ʻoe ke kipa iā wwwmedicaregov ma ka Pūnaewele a kāhea iā 1-800-MEDICARE (1-800-633-4227) 24 hola o ka lā 7 lā o ka pule Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048 A i ʻole hiki e kelepona aku iā Palekana Ola ma 1-800-772-1213 Pono nā mea hoʻohana TTY e kāhea iā 1-800-325-0778

Kou kope o ka puke haʻawina Medicare amp You 2022 hāʻawi i ka ʻike e pili ana i nā uku Medicare ma ka ʻāpana i kapa ʻia 2022 Nā Koina Medicare Hōʻike kēia i ka ʻokoʻa o nā uku Medicare Part B a me Part D no nā poʻe me nā loaʻa kālā ʻokoʻa Loaʻa i kēlā me kēia kanaka me Medicare kahi kope o ka puke haʻawina Medicare amp You 2022 i kēlā me kēia makahiki i ka hāʻule Loaʻa kēlā mau mea hou iā Medicare iā ia i loko o hoʻokahi mahina ma hope o ke kau inoa mua ʻana Hiki iā ʻoe ke hoʻoiho i kahi kope o ka puke kākau Medicare amp You 2022 mai ka pūnaewele Medicare (wwwmedicaregov) A i ʻole hiki iā ʻoe ke kauoha i kahi kope i paʻi ʻia ma ke kelepona ma 1-800-MEDICARE (1-800-633-4227) 24 mau hola i ka lā 7 mau lā o ka pule Kāhea nā mea hoʻohana TTY iā 1-877-486-2048


Pauku 71 Inā uku ʻoe i ka uku hoʻopaʻi kāinoa lohi a ka Part D loaʻa no he mau ʻano uku ʻana i hiki ai ke uku aku i kāu uku hoʻopaʻi

Inā ke uku ne iā ʻoe i ka uku hoʻopaʻi kāinoa komo lohi a ka Part D he ʻeono mau ʻano uku i loaʻa no ka uku ʻana aku i ka uku hoʻopaʻi Ua hoʻopaʻa ʻia nā koho uku ʻinikua mal una o ka palapala kāinoa komo a ua koho aku ʻoe i ke ʻano o ka uku ʻana iā ʻoe i kāinoa aku ai Hiki nō iā ʻoe ke hoʻololi aku i ke koho uku ʻinikua i kāu i makemake ai e koho ma ke kāhea ʻana mai i ke keʻena Kōkua Lālā

Inā paha ke noʻonoʻo nei ʻoe i ka hoʻololi i ke ʻano o ka uku ʻana i kāu uku hoʻopaʻa a ka Part D ma kahi o ʻekolu māhina ka loʻihi e kali ai no ka hoʻomaka ʻana aku o kēia koho uku hou i koho ʻia Iā mākou e hoʻomākaukau nei i kāu noi no kekahi koho uku hou nou no hoʻi ke kuleana no ka hōʻoia ʻana aku i ka uku ʻana aku i kāu uku hoʻopaʻi kāinoa komo lohi a ka Part D i ka manawa kūpono

Koho 1 Hiki iā ʻoe ke uku ma ka hōʻoiaE koho ana paha ʻoe i ka hoʻouna pololei mai i kāu uku hoʻopaʻi kāinoa komo lohi a ka Part D me kekahi pilakīkoʻo a i ʻole kekahi palapala ʻoka kālā E ʻoluʻolu e hoʻokomo i kāu helu lālā me kāu uku E hoʻouna nā kūpona ʻia nā palapala hōʻoia i ka uku ʻia ʻana o kāu uku ʻinikua ma hope o ka hōʻoia ʻia ʻana o ke kāinoa ʻana a i loko o Kekemapa hoʻi no nā lālā i loaʻa nā kūlana noho lālā Hiki iā ʻoe ke noi i nā kūpona hōʻoia keu ma ke kāhea ʻana i ke keʻena Kōkua Lālā

Ka lā uku no ka uku ʻana i kāu uku hoʻopaʻi kāinoa komo lohi a ka Part D iā mākou ʻo ia no ka lā 20 o nā māhina a pau Ua hiki nō iā ʻoe ke uku mai iā mākou ma ka hoʻouna ʻana mai i kāu pilakīkoʻo a i ʻole kekahi palapala ʻoka kālā a me kāu likiki ʻaiʻē kāu pila ʻaiʻē

Wellcare PO Box 75510

Chicago IL 60675-5510

Pono e hoʻopaʻa ʻia ka inoa o Wellcare ʻOhana No Premium (HMO) ma nā pila kīkoʻo a me nā palapala ʻoka kālā ʻaʻole i ke Kahua no ka papahana ʻinikua mālama olakino Medicare a me ka nā kōkua hui ʻinikua pākuʻi hou mālama olakino Medicaid (CMS) a ʻaʻole hoʻi i ke Keʻena Mālama Olakino a me ke keʻena Kōkua Kānaka o ʻAmelika Hui Pū ʻIa (HHS) Mai waiho aku i nā uku no ka uku hoʻopaʻi kāinoa komo lohi ma ke keʻena a ka papahana ʻinikua

Koho 2 Hiki iā ʻoe ke uku ma ka pūnaewele


Mā muli hoʻi o ka hoʻouna ʻana aku i nā pila kīkoʻo i nā māhina a pau no kāu uku hoʻopaʻi kāinoa komo lohi a ka Part D hiki nō ke huki ʻia mai kāu waihona kīkoʻo a i ʻole ka waihona mālama kālā o ka pānakō a i ʻole e kāki pololei ʻia aku i kāu ʻea kāki Hiki iā ʻoe ke uku aku a kaʻa i ka manawa hoʻokahi a i ʻole e hoʻonohonoho aku i papa manawa no ka uku mau ʻana ʻia i nā māhina a pau ma wwwwellcarecomohana Mai poina i ka ʻeʻe aku ma kāu moʻokāki e kū nei Inā he mea hoʻohana hou pono e hana ʻia kekahi moʻokāki hou nāu ʻOluʻolu e kaʻalauna aku i ke keʻena Kōkua Lālā no nā manaʻo e hōʻike mai ana iā ʻoe pehea e uku aku ai i kāu uku hoʻopaʻi kāinoa komo lohi a ka Part D maō ka moʻokāki pūnaewele (Paʻi ʻia nā helu kelepona a ke keʻena Kōkua Lālā ma ka ʻili hope o kēia pepelu)

Koho 3 Ua hiki nō ke huki ʻia kāu uku hoʻopaʻi kāinoa komo lohi a ka Part D mai kāu pila kīkoʻo Mālama Ola o ka māhina maiUa hiki nō ke huki ʻia kāu uku hoʻopaʻi kāinoa komo lohi a ka Part D mai kāu pila kīkoʻo Mālama Ola o ka māhina mai ʻOluʻolu e kaʻalauna aku me ke keʻena Kōkua Lālā no ka loaʻa ʻana i nā manaʻo e hōʻike ana pehea e hiki ai iā ʻoe ke uku aku ma kēia ʻano Hauʻoli no hoʻi i ka hoʻonohonoho ʻana i kēia nāu (Paʻi ʻia nā helu kelepona a ke keʻena Kōkua Lālā ma ka ʻili hope o kēia pepelu)

Koho 4 Ua hiki nō ke huki ʻia kāu uku hoʻopaʻi kāinoa komo lohi a ka Part D mai kāu pila kīkoʻo Papa ʻAlakaʻi Limahana Alahao Hoʻomahaloa (RRB) o ka māhina maiUa hiki nō ke huki ʻia kāu uku hoʻopaʻi kāinoa komo lohi a ka Part D mai kāu pila kīkoʻo Papa ʻAlakaʻi Limahana Alahao Hoʻomahaloa (RRB) o ka māhina mai ʻOluʻolu e kaʻalauna aku me ke keʻena Kōkua Lālā no ka loaʻa ʻana i nā manaʻo e hōʻike ana pehea e hiki ai iā ʻoe ke uku aku ma kēia ʻano Hauʻoli no hoʻi i ka hoʻonohonoho ʻana i kēia nāu (Paʻi ʻia nā helu kelepona a ke keʻena Kōkua Lālā ma ka ʻili hope o kēia pepelu)

Koho 5 Hiki iā ʻoe ke loaʻa i nā huki aunoa a i ʻole ka hoʻoili kālā kālā uila (EFT)Ma muli hoʻi o ka uku ʻana aku i nā pila kīkoʻo hiki nō ke huki ʻia mai kāu waihona kīkoʻo a i ʻole ka waihona mālama kālā pānakō mai Hana ʻia nā huki kālā huki wale ʻia ma kēlā me kēia māhina a huki ʻia no hoʻi ma waena o ka lā 15 a me ka lā 20 o ka māhina no ka uku ʻinikua o ka māhina


Hiki iā ʻoe ke hoʻopaʻa inoa no EFT ma kā mākou pūnaewele ma wwwwellcarecomohana a i ʻole kāhea aku i kā mākou ʻoihana lawelawe lālā ma ka helu i paʻi ʻia ma ka hope uhi o kēia puke liʻiliʻi Inā hoʻoholo ʻoe e hoʻopaʻa inoa ma ka pūnaewele e ʻoluʻolu e hoʻopihapiha i nā ʻāpana āpau o ka palapala Ke hoʻonohonoho ʻana iā EFT ma kā mākou pūnaewele a i ʻole me nā lawelawe lālā hana mau ke kaʻina hana i kekahi mau lā e hoʻopau E hoʻouna mākou iā ʻoe i kahi leka e hoʻomaopopo iā ʻoe ua kūleʻa ka hoʻonohonoho

Hiki paha iā ʻoe ke noi i kahi palapala e hoʻopihapiha a hoʻi mai iā mākou E ʻoluʻolu e hāhai i nā ʻōkuhi ma ka palapala hoʻopihapiha a hoʻihoʻi iā mākou Ke loaʻa iā mākou kāu pepa hiki i ke kaʻina hana i ʻelua mau mahina a hiki i ka hopena E uku mau ʻoe i kāu pila mahina a hiki i ka hoʻomaopopo ʻia ʻana e ka leka uila o ka mahina maoli e hoʻomaka ana ʻo EFT haʻalele

Koho 6 Hiki iā ʻoe ke uku ma ke kālāE uku paha ʻoe ma ke kālā ma kahi CheckFreePay kahi kokoke iā ʻoe E huli i ka CheckFreePay oe ke kahea 1-800-877-8021 (TTY mea hoʻohana e kahea 711) a me ka haʻalele i ka wwwCHECKFREEPAYcom e ʻike i ka wahi kokoke iā ʻoe Pono ʻoe i kāu Member ID a a i ʻole coupon e hōʻike i ka wā e uku ana kāu kālā

Nā mea e hana ai inā loaʻa kekahi pilikia no ka uku ʻana mai i kāu uku hoʻopaʻi a ka Part DPono e loaʻa mai kāu uku no ka uku hoʻopaʻi kāinoa komo lohi a ka Part D i kō mākou keʻena ma ka lā 20 o nā māhina a pau

Inā loaʻa paha kekahi pilikia no ka uku ʻana mai i kāu uku hoʻopaʻi a ka Part D i ka manawa kūpono ʻoluʻolu e kaʻalauna aku me ke keʻena Kōkua i hiki iā mākou ke kōkua aku e alakaʻi iā ʻoe i kekahi polokalamu i hiki ke kōkua mai iā ʻoe me kāu ʻaiʻē uku hoʻopaʻi a ka Part D (Paʻi ʻia nā helu kelepHona no ke keʻena Kōkua Lālā ma ka ʻili hope o kēia pepelu)

Pauku 72 Hiki nō paha iā mākou ke hoʻololi i kāu uku ʻinikua a ka papahana ʻinikua o ka mahina i ke kau makahiki

ʻAʻole ʻAʻole ʻae ʻia mākou e hoʻomaka i ke kāki ʻana aku i nā kāki uku ʻinikua o nā māhina a pau i loko o ke kau makahiki hoʻokahi Inā loli ka hoʻolālā uku hoʻolālā no kēlā me kēia makahiki e haʻi mākou iā ʻoe i Kepakemapa a e hoʻomaka ka loli ma Ianuali 1

Akā naʻe inā pēlā pono ana paha ʻoe e hoʻomaka i ka uku ʻana a i ʻole ua hiki paha ke hoʻopau aku i ka uku ʻana i ka uku hoʻopaʻi komo lohi (E pono ana paha ʻoe e uku aku i kekahi kāki hoʻopaʻi komo lohi inā hoʻomau aku me ka loaʻa ʻole o kekahi kōkua uhi lāʻau mai kekahi ʻinikua kōkua lāʻau kuhikuhi i loaʻa ke


kōkua uku hōʻaiʻē no 63 lā a ʻoi ae) Ua hiki nō ke hana ʻia pēnei inā loaʻa kekahi pono mākaukau no ke komo ʻana aku ma ka polokalamu Extra Help a i ʻole ua hoʻopau ʻia hoʻi mai ka polokalamu Extra Help ma muli o ka hoʻopau ʻia ʻana o nā pono mākaukau no ia polokalamu i loko hoʻi o ke kau makahiki

bull Inā ke uku nei ʻoe i ka uku hoʻopaʻi kāinoa no ka Part D komo loh a e loaʻa iā ʻoe kekahi pono mākaukau no ke komo ʻana aku ma ka polokalamu Extra Help ʻaʻole pono e uku hou aku i ka uku hoʻopaʻi kāinoa komo lohi

bull Inā ua hoʻopau ʻia ʻoe mai ka polokalamu Extra Help mai e pono ana paha ʻoe e uku aku i kekahi kāki hoʻopaʻi komo lohi inā hoʻomau aku me ka loaʻa ʻole o ka Part D a i ʻole kekahi ʻinikua kōkua lāʻau kuhikuhi i loaʻa ke kōkua uku hōʻaiʻē no 63 lā a ʻoi ae

Hiki iā ʻoe ke ʻike hou aʻe e pili ana i ka papahana Extra Help ma ka Mokuna 2 Pauku 7

PAUKU 8 E ʻoluʻolu e hoʻopaʻa i kāu papa inoa lālā i kēia lā

Pauku 81 Pehea e kōkua ai e hōʻoia i ka ʻike pololei o kā mākou ut yo u

Loaʻa no hoʻi nā hōʻike i hoʻopaʻa ʻia ma kāu palapala kāinoa komo ma kāu wiahona pilikino noho lālā loaʻa no hoʻi kou inoa ka helu wahi a me ka helu kelepona Hōʻike ʻia no hoʻi nā kōkua uhi o nā papahana a me kāu Hui hoʻolako mālama mea maʻi kuamuahui hoʻolako mālama mea maʻi kūkaʻawale (IPA)

He hui ka IPA o nā kauka e like me PCP a me nā loea a me nā mea lawelawe olakino ʻē aʻe me nā halemai i ʻaelike me ka hoʻolālā e hāʻawi i nā lawelawe i nā lālā

Pono nā kauka nā haukapila nā kauka a me nā mea lawelawe ʻē aʻe i ka pūnaewele o ka hoʻolālā e loaʻa i ka ʻike pololei e pili ana iā ʻoe Hoʻohana kēia mau mea lawelawe pūnaewele i kāu moʻohelu lālā e ʻike i nā lawelawe a me nā lāʻau i uhi ʻia a me nā helu hoʻokaʻawale kumukūʻai no ʻoe Ma muli o kēia he mea nui e kōkua ʻoe iā mākou e mālama i kāu ʻike i kēia lā

E ʻike mākou e pili ana i kēia mau hoʻololi bull Kekahi loli i hoʻololi ʻia kou inoa helu wahi a i ʻole helu kelepona bull Loaʻa paha kekahi mau loli me kāu mau kōkua uhi ʻinikua ʻē aʻe (kekahi loli mai kāu wahi hana ka wahi hana a kāu hoa male uku pānaʻi limahana ʻa i ʻole ka Medicaid)


bull Inā loaʻa paha iā ʻoe kekahi noi kuleana uku pohō kekahi uku pohō mai kekahi ʻūlia kaʻa paha

bull Inā ua hoʻopaʻa ʻia paha ma kekahi kahua mālama mea maʻi bull Inā ke loaʻa nei ke kōkua mai haukapila a i ʻole lumi mālama pōulia pōpilikia ma-waho-o-kahi-loaʻa-kōkua a i ʻole hui-hoʻolako--kūloko-ʻole

bull Inā loli kāu mea mālama i (ke poʻe nā lākou e mālama nei iā ʻoe) hoʻokuleana ʻia

bull Inā e komo pū nei ʻoe ma kekahi polokalamu hoʻokolohua maʻi

Inā ua loli kekahi o kēia mau manaʻo i hōʻike ʻoluʻolu e hoʻomaopopo mai iā mākou ma ke kāhea ʻana aku i ke keʻena Kōkua Lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia pepelu nei)

He mea nui nō hoʻi e hoʻopili aku i ka Palekana Ola inā ʻoe e neʻe a hoʻololi paha i kāu leka uila Hiki iā ʻoe ke ʻike i nā helu kelepona a me ka ʻike pili no ka palekana pilikanaka ma ka Mokuna 2 Pauku 5

E heluhelu e pili ana i ka ʻike a mākou e hoʻouna aku ai iā ʻoe e pili ana i nā ʻinikua ʻē aʻe i loaʻa iā ʻoeKoi ʻia ʻo Medicare e hōʻiliʻili mākou i ka ʻike mai iā ʻoe e pili ana i nā ʻinikua ʻē aʻe a i ʻole ka ʻinikua lāʻau i loaʻa iā ʻoe ʻO ia no ka mea pono mākou e hoʻohui i nā uhi ʻē aʻe āu i loaʻa ai me kāu mau pono ma lalo o kā mākou hoʻolālā (No ka ʻike hou aku e pili ana i ka hana o kā mākou uhi inā he ʻinikua ʻē aʻe kāu e ʻike i ka ʻĀpana 10 ma kēia mokuna)

I hoʻokahi manawa i kēlā me kēia makahiki e hoʻouna mākou iā ʻoe i kahi leka e papa inoa ai i nā ʻinikua ʻē aʻe a i ʻole ka ʻinikua lāʻau ʻē aʻe a mākou e ʻike ai E ʻoluʻolu e heluhelu pono i kēia ʻike Inā pololei ʻaʻole pono ʻoe e hana i kekahi mea Inā hewa ʻole ka ʻike a inā he ʻē aʻe kāu i uhi ʻole ʻia e ʻoluʻolu e kāhea i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke)

PAUKU 9 Pale mākou i ka pilikino o kāu ʻike olakino pilikino

Pauku 91 Hōʻoiaʻiʻo mākou e pale ʻia kāu ʻike olakino

Pale aku nā kānāwai Pekelala a me ka mokuʻāina i ka ʻike pilikino o kāu palapala olakino a me ka ʻike olakino pilikino Pale mākou i kāu ʻike olakino pilikino e like me ka mea i koi ʻia e kēia mau kānāwai


No ka ʻike hou aku e pili ana i ka pale ʻana i kāu ʻike olakino pilikino e ʻoluʻolu e hele i ka Mokuna 8 ʻĀpana 13 o kēia puke

PAUKU 10 Pehea e hana ai ka ʻinikua ʻē aʻe me kā mākou papahana

Pauku 101 ʻO ka hoʻolālā hea e uku mua ai inā loaʻa iā ʻoe kahi inikua ʻē aʻe

Ke loaʻa ʻinikua ʻē aʻe (e like me ka uhi olakino hui pūʻulu) aia nā lula i hoʻonohonoho ʻia e Medicare e hoʻoholo inā e uku mua kā mākou hoʻolālā a i ʻole kāu ʻinikua ʻē aʻe ʻO ka ʻinikua e uku mua ana ua kapa ʻia ʻo ia ka uku mua a uku aku i nā palena o kāna uhi ʻana ʻO ka mea e uku i ka lua i kapa ʻia ʻo ka uku uku lua e uku wale inā loaʻa nā koina e wehe ʻia e ka uhi mua ʻAʻole paha e uku ka mea uku kula i nā koina a pau i wehe ʻole ʻia

Pili kēia mau lula no ka ʻoihana a i ʻole ka hui uniona hoʻolālā olakino pili

bull Inā loaʻa iā ʻoe kahi uhi hoʻomaha uku mua ʻo Medicare bull Inā pili kāu papa hoʻonohonoho olakino hui i kāu a i ʻole lālā o ka ʻohana o ka hana i kēia manawa ʻo ka mea nāna e uku mua i kāu makahiki ka helu o ka poʻe i hana ʻia e kāu luna hana a inā he Medicare kāu e pili ana i ka makahiki kīnā a i ʻole E nd-kahua Ka maʻi maʻi (ESRD)

Inā ʻoe ma lalo o 65 a kīnā ʻole a ke hana mau nei ʻoe a ʻohana paha o kāu ʻohana uku mua ʻia kāu papa olakino hui inā he 100 a ʻoi paha nā limahana o ka luna hana a i ʻole ma kahi o hoʻokahi mea hana ma kahi hoʻolālā ʻoihana ʻoi aku ka nui o nā limahana he 100

Inā ʻoi aku ʻoe i 65 a ʻo ʻoe a ʻo kāu wahine paha e hana nei uku mua kāu papa olakino hui inā he 20 a ʻoi paha nā limahana o ka luna hana a i ʻole ma kahi o hoʻokahi mea hana ma kahi hoʻolālā ʻoihana ʻoi aku ka nui o 20 mau limahana

bull Inā loaʻa iā ʻoe kahi Medicare ma muli o ESRD e uku mua kāu hoʻolālā olakino hui no 30 mau mahina ma hope o kou lilo ʻana i Medicare

Uku pinepine kēia ʻano uhi i nā lawelawe e pili ana i kēlā me kēia ʻano

bull ʻInikua hewa ʻole (me ka ʻinikua kaʻa paha) bull Kuleana (me ka ʻinikua kaʻa)


bull Nā pōmaikaʻi pūpū ʻeleʻele bull Uku pānaʻi limahana

ʻAʻole uku mua ʻo Medicaid a me TRICARE no nā lawelawe i uhi ʻia e Medicare Uku wale lākou ma hope o Medicare nā papa olakino hui pūʻulu a a i ʻole Medigap i uku

Inā he ʻinikua ʻē aʻe ʻoe e haʻi i kāu kauka ka haukapila a me ka hale kūʻai Inā he nīnau kāu e pili ana i ka mea e uku mua a i ʻole pono ʻoe e hoʻohou i kāu ʻike ʻinikua ʻē aʻe e kāhea i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke) Pono paha ʻoe e hāʻawi i kāu lālā lālā i ka helu ID i kāu poʻe ʻinikua ʻē aʻe (ke hōʻoia ʻoe i ko lākou ʻike) no laila e uku pololei ʻia kāu mau bila

MOKUNA 2Nā helu kelepona koʻikoʻi

a me nā kumuwaiwai

2022 Hōʻike o ka uhi ʻana no Wellcare Ohana No Premium (HMO) 29Mokuna 2 Nā helu kelepona koʻikoʻi a me nā kumuwaiwai

Mokuna 2 Nā helu kelepona koʻikoʻi a me nā kumuwaiwai

PAUKU 1 Hoʻokaʻaʻike kā mākou hoʻolālā (pehea e kāhea ai iā mākou me ke ʻano o ka hōʻea ʻana iā Member Nā lawelawe ma ke kumumanaʻo) 30

PAUKU 2 Ka Pila no Medicare (pehea e loaa kōkua a me ka ike ana mai o ka Polokalamu Medicare Federal) 38

PAUKU 3 Polokalamu kōkua ʻinikua olakino mokuāina (kōkua manuahi ʻike a a pane i kāu mau nīnau e pili ana iā Medicare) 40

PAUKU 4 ʻOihana Hoʻohālikelike Hoʻohālikelike (uku ʻia e Medicare e nānā i ke ʻano o mālama no nā poʻe me Medicare) 41

PAUKU 5 Palekana kaiapili 42PAUKU 6 Medicaid (kahi papahana pekelala a mokuʻāina hoʻi e

kōkua ai me ka lāʻau lapaʻau mau koina no kekahi poʻe me ka loaʻa kālā a me nā kumuwaiwai liʻiliʻi) 43

PAUKU 7 ʻO ka ʻikepili e pili ana i nā papahana e kōkua i ka poʻe e uku no kā lākou lāʻau i kuhikuhi ʻia 45

PAUKU 8 Pehea e kaʻalauna ai me ka Papa ʻAlakaʻi Limahana Alahao Hoʻomahaloa 49

PAUKU 9 Loaʻa iā ʻoe kahi ʻinikua hui a i ʻole ʻinikua olakino ʻē aʻe mai kahi luna hana 50


PAUKU 1 Hoʻokaʻaʻike kā mākou hoʻolālā (pehea e kāhea ai iā mākou me ke ʻano o ka hōʻea ʻana iā Member Nā lawelawe ma ke kumumanaʻo)

Pehea e hoʻopili ai i nā lawelawe lālā o kā mākou papahanaNo kekahi kōkua me nā noi nā ʻaiʻē a i ʻole nā nīnau pilina kāleka lālā ʻoluʻolu e kāhea mai a i ʻole e kākau i leka i ke keʻena Kōkua Lālā a ka papahana ʻinikua o Wellcare Ohana No Premium (HMO) Hauʻoli no hoʻi mākou e kōkua aku iā ʻoe

Nā kiʻina hana Nā lawelawe lālā - ʻIke Kahea

Kāhea 1-877-457-7621Manuahi nā kāhea i kēia heluMa waena o ʻOkakopa 1 a me Malaki 31 loaʻa nā lunamakaʻāinana i ka Pōʻakahi-Lāpule 8 am i ka 8 pm Ma waena o ʻApelila 1 a Kepakemapa 30 loaʻa nā lunamakaʻāinana Pōʻakahi-Pōʻalima 8 a i ka 8 pmEia nō naʻe e ʻoluʻolu e ʻike i nā hopena pule a me nā lā nui mai ʻApelila 1 a Sepatemaba 30 e pane paha kā mākou ʻōnaehana kelepona automated i kāu kelepona ʻana E ʻoluʻolu e waiho i kou inoa a me kāu helu kelepona a kāhea hou mākou iā ʻoe i loko o hoʻokahi (1) lā ʻoihanaLoaʻa nā lawelawe unuhi manuahi i nā lawelawe lālā no nā mea ʻōlelo Pelekania ʻole

TTY 711Manuahi nā kāhea i kēia heluMa waena o ʻOkakopa 1 a me Malaki 31 loaʻa nā lunamakaʻāinana i ka Pōʻakahi-Lāpule 8 am i ka 8 pm Ma waena o ʻApelila 1 a Kepakemapa 30 loaʻa nā lunamakaʻāinana Pōʻakahi-Pōʻalima 8 a i ka 8 pm

KAKAU MAI IĀ WellcarePO Box 31370Tampa FL 33631-3370

PALAPALA wwwwellcarecomohana


Pehea e hoʻomaopopo ai iā mākou inā makemake ʻoe e hana ia kekahi kōkua koho hoʻoholo ʻuhi ʻanaʻO kekahi koho hoʻoholo he hoʻoholo hoʻi i koho ʻia e ka papahana ʻinikua e pili ana i kāu pono kōkua a me nā kōkua uhi i pono ai ʻoe a i ʻole e pili ana i ka huina nui a mākou e uku aku ana no kāu mau kōkua mālama olakinonālapaʻau ʻia ʻana No nā manaʻo ʻē aʻe pili ana i kēia e nānā aku i ka Mokuna 9 (He aha kāu e hana ai inā he pilikia a i ʻole he hoʻopiʻi paha kāu (nā kekahi koho hoʻoholo uhi kekahi hoʻopiʻi ʻana kekahi hoʻohalahala))

Hiki iā ʻoe ke kelepona mai iā mākou inā he mau nīnau kāu e pili ana i kā mākou kaʻina koho hoʻoholo uhi ʻana

Nā kiʻina hana Nā pono kaʻalauna hoʻoholo koho uhi no nā kōkua mālama mea maʻi

Kāhea 1-877-457-7621Manuahi nā kāhea i kēia heluMa waena o ʻOkakopa 1 a me Malaki 31 loaʻa nā lunamakaʻāinana i ka Pōʻakahi-Lāpule 8 am i ka 8 pm Ma waena o ʻApelila 1 a Kepakemapa 30 loaʻa nā lunamakaʻāinana Pōʻakahi-Pōʻalima 8 a i ka 8 pm


KAKAU MAI IĀ Wellcare Health PlansCoverage Determinations Department - Medical PO Box 31370Tampa FL 33631


Pehea e kaʻalauna ai me mākou kou hana ʻana i kekahi hoʻopiʻi e pili ana i kou mālama ʻia ʻana ʻO ka hana o nā kiʻina hana hoʻopiʻi he hana paʻalula no ka noi ʻana mai iā mākou e nānā hou a e hoʻololi i kekahi o nā koho a mākou i hoʻoholo ai e pili ana i nā kōkua uhi No nā manaʻo ʻē aʻe no ka hana ʻana i kekahi hoʻopiʻi e pili ana no kāu kōkua mālama ʻia ʻana e nānā aku i ka Mokuna 9 (He aha kāu e hana ai inā he pilikia a i ʻole he hoʻopiʻi paha kāu (nā kekahi koho hoʻoholo uhi kekahi hoʻopiʻi ʻana kekahi hoʻohalahala))

Nā kiʻina hana Nā hoʻopiʻi no ka mālama ʻia ʻana ndash pono kaʻalauna



FAX 1-866-201-0657

KAKAU MAI IĀ Wellcare Health PlansAppeals Department - MedicalPO Box 31368Tampa FL 33631-3368


Pehea e hoʻokaʻaʻike ai iā ʻoe ke hoʻopiʻi nei ʻoe e pili ana i kāu mālama olakinoUa hiki nō iā ʻoe ke hana i kekahi hoʻohalahala e pili ana iā mākou a i ʻole i kekahi o kō mākou hui hoʻolako ma kō mākou ʻōnaehana hui hoʻolako pēia pu me kekahi hoʻohalahala e pili ana i ka waiwai o ke ʻano o nā kōkua mālama ʻia ʻana mai ʻoe ʻAʻohe pili o kēia ʻano hoʻohalahala nei i nā kōkua uhi a i ʻole nā kūʻē uku ʻaiʻē (Inā aia kekahi a kāu pilikia me nā kōkua uhi a ka papahana ʻinikua a i ʻole no ka uku ʻana aku e nānā aku ʻoe i ka māhele ma luna iho nei e pili ana i ka hana ʻana i kekahi hoʻopiʻi) No nā manaʻoiʻē aʻe pehea e hana ai i kekahi hoʻohalahala e pili ana i kou mālama olakino ʻia ʻana e nānā aku i ka Mokuna 9 (He aha nā mea e hana ai inā loaʻa iāoe kekahi pilikia a i ʻole kekahi hoʻohalahala (koho kōkua uhi nā hoʻopiʻi nā hoʻohalahala))

Nā kiʻina hana Nā hoʻohalahala e pili ana i nā kōkua mālama ʻia ʻana - pono kaʻalauna



FAX 1-866-388-1769KAKAU MAI IĀ Wellcare Health Plans

Grievance DepartmentPO Box 31384Tampa FL 33631-3384

KE KAHA PŪNAEWELE A MEDICARE

Hiki nō iā ʻoe ke waiho pololei aku i kekahi hoʻohalahala i ka hui ʻinikua mālama olakino Medicare e pili ana i ka Wellcare Ohana No Premium (HMO) No ka waiho ʻana aku i kāu hoʻohalahala e hele aku ma wwwmedicaregovMedicareComplaintFormhomeaspx


Pehea e kaʻalauna ai me mākou inā ke noi nei ʻoe no kekahi hoʻopiʻi no kāu kōkua uhi no nā lāʻau kuhikuhi o ka Part D ʻO kekahi koho hoʻoholo he hoʻoholo hoʻi i koho ʻia e ka papahana ʻinikua e pili ana i kāu pono kōkua a me nā kōkua uhi i pono ai ʻoe a i ʻole e pili ana i ka huina nui a mākou e uku aku ana no kāu mau lāʻau kuhikuhi i uhi ʻia ma lalo o nā pono kōkua a ka Part D i loaʻa pū no hoi me kāu papahana ʻinikua No nā manaʻo ʻēaʻ e e pili ana no ka noi ʻana mai no kekahi hoʻoholo koho uhi ʻia ʻana e pili ana i kāu kōkua uhi Lāʻau Kuhikuhi a ka Part D e nānā aku i ka Mokuna 9 (He aha kāu e hana ai inā he pilikia a i ʻole he hoʻopiʻi paha kāu (nā kekahi koho hoʻoholo uhi kekahi hoʻopiʻi ʻana kekahi hoʻohalahala))

Nā kiʻina hana Nā Hoʻoholo ʻColili no nā Laau Hoʻomaopopo Part D - Ka ʻikepili pili



FAX 1-866-388-1767

KAKAU MAI IĀ Wellcare Health PlansPharmacy - Coverage DeterminationsPO Box 31397Tampa FL 33631-3397



Pehea e kaʻalauna ai me mākou inā ke noi nei ʻoe no kekahi hoʻopiʻi no kāu kōkua uhi no nā lāʻau kuhikuhi o ka Part D ʻO ka hana o na hana hoʻopiʻi he hana paʻalula no ka noi ʻana mai iā mākou e nānā hou a e hoʻololi i kekahi o nā koho a mākou i hoʻoholo ai e pili ana i nā kōkua uhi No nā manaʻo ʻē aʻe no ka hana ʻana i kekahi hoʻopiʻi e pili ana no kāu kōkua uhi lāʻau kuhikuhi a ka Part D e nānā aku i ka Mokuna 9 (He aha kāu e hana ai inā he pilikia a i ʻole he hoʻopiʻi paha kāu (nā kekahi koho hoʻoholo uhi kekahi hoʻopiʻi ʻana kekahi hoʻohalahala))

Nā kiʻina hana Nā hoʻopiʻi hoʻopiʻi no nā lāʻau ʻoka D ʻāpana - Ka ʻike pili

Kāhea 1-877-457-7621Manuahi nā kāhea i kēia heluMa waena o ʻOkakopa 1 a me Malaki 31 loaʻa nā lunamakaʻāinana i ka Pōʻakahi-Lāpule 8 am i ka 8 pm Ma waena o ʻApelila 1 a Kepakemapa 30 loaʻa nā lunamakaʻāinana i ka Pōʻakahi-Pōʻalima 8 kakahiaka i ka 8 pm

TTY 711Manuahi nā kāhea i kēia heluMa waena o ʻOkakopa 1 a me Malaki 31 loaʻa nā lunamakaʻāinana i ka Pōʻakahi-Lāpule 8 am i ka 8 pm Ma waena o ʻApelila 1 a Kepakemapa 30 loaʻa nā lunamakaʻāinana i ka Pōʻakahi-Pōʻalima 8 am i ka 8 pm

FAX 1-866-388-1766

KAKAU MAI IĀ WellCare Prescription Insurance IncAttn Part D AppealsPO Box 31383Tampa FL 33631-3383



Pehea e kaʻalauna ai me mākou inā ke noi nei ʻoe no kekahi hoʻohalahala no kāu kōkua uhi no nā lāʻau kuhikuhi o ka Part D

Ua hiki nō iā ʻoe ke hana i kekahi hoʻohalahala e pili ana iā mākou a i ʻole i kekahi o kō mākou hale kūʻai lāʻau ma kō mākou ʻōnaehana hale kūʻai lāʻau pēia pu me kekahi hoʻohalahala e pili ana i ka waiwai o ke ʻano o nā kōkua mālama ʻia ʻana mai ʻoe ʻAʻohe pili o kēia ʻano hoʻohalahala nei i nā kōkua uhi a i ʻole nā kūʻē uku ʻaiʻē (Inā aia kekahi a kāu pilikia me nā kōkua uhi a ka papahana ʻinikua a i ʻole no ka uku ʻana aku e nānā aku ʻoe i ka māhele ma luna iho nei e pili ana i ka hana ʻana i kekahi hoʻopiʻi) No nā manaʻo ʻē aʻe no ka hana ʻana i kekahi hoʻopiʻi e pili ana no kāu kōkua uhi lāʻau kuhikuhi a ka Part D e nānā aku i ka Mokuna 9 (He aha nā mea e hana ai inā loaʻa iāoe kekahi pilikia a i ʻole kekahi hoʻohalahala (koho kōkua uhi nā hoʻopiʻi nā hoʻohalahala))

Nā kiʻina hana Nā Hoʻohalahala e pili ana i ke kōkua uhi lāʻau kuhikuhi a ka Part D - Pono Kaʻalauna

Kāhea 1-877-457-7621Manuahi nā kāhea i kēia heluMa waena o ʻOkakopa 1 a me Malaki 31 loaʻa nā lunamakaʻāinana i ka Pōʻakahi-Lāpule 8 am i ka 8 pm Ma waena o ʻApelila 1 a Kepakemapa 30 loaʻa nā lunamakaʻāinana i ka Pōʻakahi-Pōʻalima 8 am i ka 8 pm


FAX 1-866-388-1769

KAKAU MAI IĀ Wellcare Health PlansGrievance DepartmentPO Box 31384Tampa FL 33631-3384


Hiki no iā ʻoe ke waiho pololei aku i kekahi hoʻohalahala i ka hui ʻinikua mālama olakino Medicare e pili ana i ka Wellcare Ohana No Premium (HMO) No ka waiho ʻana aku i kāu hoʻohalahala e hele aku ma wwwmedicaregovMedicareComplaintFormhomeaspx


Ma hea e hoʻouna ai i kahi noi e noi iā mākou e uku no kā mākou mahele o ke kumukūʻai no ka mālama olakino a i ʻole kahi lāʻau i loaʻa iā ʻoe

No ka ʻike hou aku e pili ana i nā kūlana e pono ai ʻoe e noi iā mākou no ka uku hou ʻana a i ʻole e uku i kahi bila i loaʻa iā ʻoe mai kahi mea lawelawe e ʻike i ka Mokuna 7 (Ke noi nei iā mākou e uku i kā mākou mahele o kahi pila i loaʻa iā ʻoe no nā lawelawe olakino uhi ʻia a i ʻole nā lāʻau)

E ʻoluʻolu inā hoʻouna ʻoe iā mākou i kahi noi uku a hōʻole mākou i kekahi ʻāpana o kāu noi hiki iā ʻoe ke hoʻopiʻi i kā mākou hoʻoholo E ʻike i ka Mokuna 9 (He aha kāu e hana ai inā he pilikia paha a i ʻole hoʻopiʻi (hoʻopiʻi hoʻoholo hoʻopiʻi hoʻopiʻi)) no ka ʻike hou aku

Nā kiʻina hana Nā noi kōkua uku - pono kaʻalauna

KAKAU MAI IĀ Nā noi noi uku ukuWellcare Health PlansMedical Reimbursement DepartmentPO Box 31381Tampa FL 33631

Noi ʻaoʻao uku DWellcare Health PlansPharmacy - Prescription Reimbursement DepartmentPO Box 31577Tampa FL 33631-3577



PAUKU 2 Ka Pila no Medicare (pehea e loaa kōkua a me ka ike ana mai o ka Polokalamu Medicare Federal)

ʻInikua mālama olakino makule Medicare ndash he polokalamu ʻinikua mālama olakino makule a ka pekelala no nā poʻe i piha 65 a ʻoi makahikia me kekahi poʻe ma lalo mai o 65 makahiki me kekahi o nā kīnānā a me nā poʻe me ka maʻi ʻane pau hakuʻala (ʻo ia hoʻi nā poʻe i pau ka pono o nā hakuʻala a pono hoʻi ka lapaʻau hoʻomaʻemaʻe koko ʻia ʻana a i ʻole kekahi ʻoki hoʻoili hakuʻala )

ʻO ke keʻena pekelala e mālama ana iā Medicare nā Centers for Medicare amp Medicaid Services (i kekahi manawa i kapa ʻia ʻo CMS) Kūkākūkā kēia ʻoihana me nā ʻoihana Medicare Advantage me mākou

Nā kiʻina hana Medicare - ʻIkepili Kāhea

Kāhea 1-800-MEDICARE a i ʻole 1-800-633-4227Manuahi nā kāhea i kēia helu24 mau hola i ka lā 7 mau lā o ka pule

TTY 1-877-486-2048Pono kēia helu i nā pono kelepona kūikawā a no nā poʻe wale nō i loaʻa ka pilikia me ka hoʻolohe ʻana a i ʻole ke kamaʻilio ʻanaManuahi nā kāhea i kēia helu



PALAPALA wwwmedicaregovʻO kēia kahi pūnaewele aupuni aupuni no Medicare Hāʻawi ia iā ʻoe i ka ʻike hou e pili ana iā Medicare a me nā pilikia Medicare o kēia manawa Loaʻa iā ia kahi ʻike e pili ana i nā haukapila nā hale hānai nā kauka nā keʻena olakino home a me nā wahi dialysis Aia pū me nā puke hiki iā ʻoe ke paʻi pololei mai kāu kamepiula Hiki iā ʻoe ke ʻike i nā pilina Medicare i kou mokuʻāinaLoaʻa i ka pūnaewele Medicare ka ʻike kikoʻī e pili ana i kāu Medicare kūpono a me nā koho inoa inoa me nā pono hana aʻe

bull Mea Hana Pono Medicare Hāʻawi i ka ʻike kūlana kūpono Medicare

bull Mea ʻImi Hoʻolālā Medicare Hāʻawi i ka ʻike pilikino e pili ana i nā hoʻolālā lāʻau lapaʻau Medicare i loaʻa nā hoʻolālā olakino Medicare a me nā kulekele Medigap (Medicare Supplement Insurance) i kāu wahi Hāʻawi kēia mau mea hana i kahi kuhi o nā kumukūʻai o waho o ka ʻeke i nā hoʻolālā Medicare like ʻole

U hiki pū no iā ʻoe ke hoʻohana i ke kaha pūnaewele no ka hōʻike ʻana aku iā Medicare e pili ana i nā ʻano hoʻohalahala like ʻole i loaʻa iā ʻoe e pili ana i kō mākou papahana ʻinikua

bull E hōʻike mai iā Medicare e pili ana i kāu hoʻohalahala Hiki nō iā ʻoe ke waiho pololei aku i kekahi hoʻohalahala i ka hui ʻinikua mālama olakino Medicare e pili ana i kā mākou papahana nei No ka waiho ʻana aku i kāu hoʻohalahala e hele aku ma wwwmedicaregovMedicareComplaintFormhomeaspx E kūpaʻa no hoʻi ka hui Medicare i ka mālama ʻana i kāu mau hoʻohalahala a e lawe ʻoʻoleʻa no hoʻi lākou ma ka hoʻokāʻoi ʻana aku i ke kūlana waiwai a ka polokalamu Medicare

Inā ʻaʻohe ou kamepiula hiki i kāu hale waihona puke kūloko a i ʻole kikowaena waena e kōkua iā ʻoe e kipa i kēia pūnaewele me ka hoʻohana ʻana i kāna kamepiula A i ʻole hiki iā ʻoe ke kāhea iā Medicare a haʻi iā lākou i ka ʻike āu e ʻimi nei E ʻike lākou i ka ʻike ma ka pūnaewele paʻi iā ia a hoʻouna iā ʻoe (Hiki iā ʻoe ke kāhea iā Medicare ma 1-800-MEDICARE (1-800-633-4227) 24 hola o ka lā 7 lā o ka pule Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048)


PAUKU 3 Polokalamu kōkua ʻinikua olakino mokuāina (kōkua manuahi ʻike a a pane i kāu mau nīnau e pili ana iā Medicare)

ʻO ka Polokalamu Kōkua ʻInikua Olakino Mokuʻāina (SHIP) kekahi polokalamu a ke aupuni me nā kōkua aʻoaʻo i loaʻa nā mākaukau kōkua ma nā mokuʻāina a pau Ma Hawaiʻi nei kapa ʻia hoʻi ka SHIP o ka Polokalamu Kōkua ʻInikua Mālama Olakino a ke Aupuni o Hawaiʻi Nei (SHIP)

He kōkua Kūʻokoʻa no hoʻi ka Polokalamu Kōkua ʻInikua Mālama Olakino a ke Aupuni o Hawaiʻi Nei (SHIP) (ʻAʻohe on pili me nā hui ʻinikua ʻē aʻe a i ʻole me kekahi papahana ʻinikua mālama olakino) He polokalamu ʻaupuni i loaʻa nā waiwai kālā mai ke aupuni pekelala mai no ka haʻawi ʻana aku i kekahi kōkua aʻoaʻo maunahi i nā poʻe me nā ʻinikua mālama olakino makule a Medicare

Hiki i nā kākāōlelo kōkua kōkua ola olakino ʻo Hawaiʻi State (SHIP) ke kōkua iā ʻoe me kāu nīnau Medicare a i ʻole nā pilikia Hiki iā lākou ke kōkua iā ʻoe e hoʻomaopopo i kāu mau pono Medicare kōkua iā ʻoe e hana i nā hoʻopiʻi e pili ana i kāu mālama olakino a i ʻole lāʻau hoʻomalu a kōkua iā ʻoe e hoʻoponopono i nā pilikia me kāu bila Medicare Hiki i nā kākāʻōlelo kōkua kōkua Mokuʻāina ʻo Hawaiʻi State (SHIP) ke kōkua iā ʻoe e hoʻomaopopo i kāu koho Medicare plan a pane i nā nīnau e pili ana i ka hoʻololi ʻana i nā hoʻolālā

NĀ KIʻINA HANA NO KA LOAʻA ʻANA O NĀ KŌKUA A KA POLOKALAMU SHIP a me nā KUMU WAIWAI ʻĒ AʻE

bull E kipa iā wwwmedicaregov bull Kaomi ma Forms Help and Resources ma ka ʻaoʻao ʻākau o ka papa kuhikuhi ma luna

bull I ke kulu iho e kaomi iā Phone Numbers amp Websites bull He mau koho ʻē aʻe kāu

Koho 1 Hiki iā ʻoe ke loaʻa iā kaʻauʻau kai live Koho 2 Hiki iā ʻoe ke kaomi ma luna o kekahi o nā TOPICS i ka papa kuhikuhi ma lalo

Koho 3 Hiki iā ʻoe ke koho i kāu STATE mai ka papa kuhikuhi iho a kaomi iā GO Lawe kēia iā ʻoe i kahi ʻaoʻao me nā helu kelepona a me nā kumuwaiwai kikoʻī i kou mokuʻāina


Nā kiʻina hana Polokalamu Kōkua ʻInikua Olakino Mokuʻāina ʻo Hawaiʻi (SHIP)

Kāhea 1-808-586-72991-888-875-9229

TTY 1-866-810-4379Pono kēia helu i nā pono kelepona kūikawā a no nā poʻe wale nō i loaʻa ka pilikia me ka hoʻolohe ʻana a i ʻole ke kamaʻilio ʻana

KAKAU MAI IĀ Hawaii SHIP Executive Office on Aging No 1 Capitol District250 South Hotel Street Suite 406Honolulu Hawaii 96813-2831

PALAPALA httpwwwhawaiishiporg

PAUKU 4 ʻOihana Hoʻohālikelike Hoʻohālikelike (uku ʻia e Medicare e nānā i ke ʻano o mālama no nā poʻe me Medicare)

Ua hoʻonohonoho ʻia kahi ʻoihana hoʻomaikaʻi hoʻomaikaʻi e lawelawe ana i nā mea kōkua Medicare i kēlā me kēia mokuʻāina No Hawaii ua kapa ʻia ka Hui Hoʻonā Hou e like me Livanta - ʻo Hawaiʻi ʻo ko Hawaiʻi Hui Hoʻohālikelike

Livanta - He hui kauka a ko ka Hawaii Hoʻolālā Hoʻolaha Pono ʻoihana e uku ʻia e ke aupuni Pekelala Uku ʻia kēia hui e Medicare e nānā a kōkua i ka hoʻomaikaʻi ʻana i ka maikaʻi o ka mālama no nā poʻe me Medicare He hui kūʻokoʻa ʻo Livanta - He Hui Hoʻohui Kūpono ʻo Hawaiʻi ʻAʻole pili ia me kā mākou papahana

Pono ʻoe e hoʻokaʻaʻike iā Livanta - ka Hoʻolālā Hoʻohui Mea Maikaʻi Hawaiʻi ma nā ʻano o kēia ʻano

bull He hoʻopiʻi kāu e pili ana i ka maikaʻi o ka mālama i loaʻa iā ʻoe bull Manaʻo ʻoe e pau koke ana ka uhi ʻana no kāu noho haukapila bull Manaʻo ʻoe ʻo ka uhi ʻana no kāu mālama olakino home mālama pono ʻana i kahi ʻoihana kahu maʻi a i ʻole nā lawelawe ʻoihana Rehabilitation Outpatient (CORF) e hoʻopau koke ana


Nā kiʻina hana Livanta - Ka ʻAha Hui Hoʻomaikāʻoi Kūlana i Hawaiʻi

Kāhea 1-877-588-11239 am - 5 pm hola kūloko Poʻakahi - Poʻalima 11 am - 3 pm hola kūloko hopena pule a me nā lā nui

TTY 1-855-887-6668No kēia helu nei pono ka loaʻa ʻana o kekahi lako keleponai hana ʻia no nā poʻe i hana nui hoʻi ka lohe ʻana a i ʻole ehana nui paha ka walaʻau ʻana

KAKAU MAI IĀ Livanta BFCC-QIO Program 10820 Guilford Road Suite 202 Annapolis Junction MD 20701

PALAPALA httpswwwlivantaqiocom

PAUKU 5 Palekana kaiapili

He kuleana ko Palekana Ola no ka hoʻoholo ʻana i ka pono a me ka mālama ʻana i ke kākau inoa ʻana no Medicare US nā kupa a me nā kamaʻāina paʻa kū kānāwai kū i ke ʻano he 65 a ʻoi paha a i ʻole kīnā a i ʻole End-Stage Renal Disease a kū i kekahi mau kūlana kūpono lākou no Medicare Inā ke kiʻi nei ʻoe i nā loiloi ʻo Palekana Ola hana maʻalahi ke kākau inoa ʻana i Medicare Inā ʻaʻole ʻoe e kiʻi i nā hōʻoia ʻo Palekana Ola pono ʻoe e kau inoa ma Medicare No ke noi ʻana iā Medicare hiki iā ʻoe ke kāhea iā Palekana Ola a i ʻole kipa i kāu keʻena Palekana Ola

ʻO ke kuleana pilikino kekahi kuleana no ka hoʻoholo ʻana i ka mea e uku i kahi kālā keu no kā lākou ʻāpana lāʻau lāʻau D no ka mea he ʻoi aku kā lākou loaʻa kālā Inā loaʻa iā ʻoe kahi leka mai Palekana Ola e haʻi ana iā ʻoe pono ʻoe e uku i ka nui keu a he mau nīnau e pili ana i ka nui a i ʻole ua iho kāu loaʻa kālā ma muli o kahi hanana hoʻololi ola hiki iā ʻoe ke kāhea i ka Palekana Ola e noi ai no ka noʻonoʻo hou

Inā neʻe a hoʻololi paha ʻoe i kāu leka uila he mea nui e hoʻopili aku iā ʻoe i ka Palekana Ola e hōʻike iā lākou


Nā kiʻina hana Keʻena Helu Mālama Ola ndash nā pono kaʻalauna

Kāhea 1-800-772-1213Manuahi nā kāhea i kēia heluLoaʻa ma ka hola 700 o ke kakahiaka a i ka 700 o ke ahiahi ka Pōʻakahi a hiki i ka PōʻalimaHiki iā ʻoe ke hoʻohana i nā lawelawe kelepona automated Palekana Ola e hoʻopaʻa i ka ʻike i hoʻopaʻa ʻia a alakaʻi i kekahi ʻoihana 24 mau hola i ka lā

TTY 1-800-325-0778Pono kēia helu i nā pono kelepona kūikawā a no nā poʻe wale nō i loaʻa ka pilikia me ka hoʻolohe ʻana a i ʻole ke kamaʻilio ʻanaManuahi nā kāhea i kēia heluLoaʻa ma ka hola 700 o ke kakahiaka a i ka 700 o ke ahiahi ka Pōʻakahi a hiki i ka Pōʻalima

PALAPALA wwwssagov

PAUKU 6 Medicaid (kahi papahana pekelala a mokuʻāina hoʻi e kōkua ai me ka lāʻau lapaʻau mau koina no kekahi poʻe me ka loaʻa kālā a me nā kumuwaiwai liʻiliʻi)

ʻO ka hui Medicaid he polokalamu hoʻi i hoʻohui ʻia ma lalo o ka mokuʻāina a me ka pekelala no ke kōkua ʻana me nā ʻaiʻē pilina mālama olakino no nā poʻe me nā loaʻa waiwai ʻuʻuku a me nā kumuwaiwai nui ʻole Hiki iā kekahi mau poʻe i nā papahana Medicare ke loaʻa Medicaid pū

ʻO kekahi mea aʻe loaʻa nā polokalamu maō ka hui ʻinikua pākuʻi hou mālama olakino Medicaid no ke kōkua ʻana i nā poʻe me ka ʻinikua mālama olakino makule Medicare e uku aku i kō lākou uku ʻinikua no ka lākou ʻInikua Medicare e like me nā uku inikua o ka ʻinikua Medicare Kōkua hoʻi kēīa mau Polokalamu Kōkua Mālama Waiwai ʻInikua a Medicare i nā poʻe me nā waiwai loaʻa ʻuʻuku a me nā kumuwaiwai nui ʻole a e kōkua no hoʻi i kēia mau poʻe i ka mālama kālā ʻana i nā makahiki a pau

bull Nā lālā Medicare i hoʻokahu ʻāpono ʻia (QMB) Kōkua no ka uku ʻana i nā uku ʻinikua no ka ʻinikua mālama olakino makule Medicare Part A a me ka Part B a me nā kuleana kaʻana uku ʻinikua a nā lālā (e like me nā uku


pilikino koena uku mea maʻi a me nā kāki mea maʻi) (Loaʻa nō hoʻi i nā poʻe me ka QMB kuleana no ka loaʻa piha ʻana o nā kōkua ʻinikua mālama olakino Medicaid (QMB+))

bull Nā Pākuʻi ʻInikua Mālama Olakino Makule Medicare no nā lālā i Hoʻokahu ma ne Waiwai Loaʻa ʻUʻuku (SLMB) E kōkua nō hoʻi kēia polokalamu nei e uku aku i nā uku ʻinikua no ka Part B (Kūpono kekahi poʻe me SLMB no nā pono Medicaid piha (SLMB +))

bull Nā kānaka e hana nei i ʻāpono ʻia ke komo ʻana (QI) E kōkua nō hoʻi kēia polokalamu nei e uku aku i nā uku ʻinikua no ka Part B

bull Nā mea kīnā ʻole a me nā poʻe hana (QDWI) E kōkua nō hoʻi kēia polokalamu nei e uku aku i nā uku ʻinikua no ka Part A

No ka ʻike hou aku e pili ana iā Medicaid a me kāna mau papahana e kāhea aku iā Hawaii QUEST Integration Program (Medicaid)

Nā kiʻina hana Ka polokalamu pakuʻina o QUEST Hawaiʻi (Medicaid) - nā pono kaʻalauna

Kāhea 1-800-316-8005745 am - 430 pm ndashhola Hawaiʻi Poʻakahi ndash Poʻalima

TTY 1-800-603-1201No kēia helu nei pono ka loaʻa ʻana o kekahi lako kelepona i hana ʻia no nā poʻe i hana nui hoʻi ka lohe ʻana a i ʻole e hana nui paha ka walaʻau ʻana

KAKAU MAI IĀ Hawaii QUEST Integration Program (Medicaid)1404 Kilauea AvenueHilo HI 96720-4670

PALAPALA httpsmedquesthawaiigovenhtml


PAUKU 7 ʻO ka ʻikepili e pili ana i nā papahana e kōkua i ka poʻe e uku no kā lākou lāʻau i kuhikuhi ʻia

Polokalamu Kōkua keu a MedicareHāʻawi ʻo Medicare iā Kōkua keu e uku i nā kumukūʻai lāʻau lapaʻau no ka poʻe i loaʻa ka loaʻa kālā a me nā kumuwaiwai Hoʻopili nā kumuwaiwai i kāu mālama kālā a me nā waihona akā ʻaʻole kou home a kaʻa paha Inā kūpono ʻoe loaʻa iā ʻoe ke kōkua no ka uku ʻana i kēlā me kēia uku no ka hoʻolālā lāʻau lāʻau Medicare i kēlā me kēia mahina hoʻemi ʻia i kēlā me kēia makahiki a me nā copayment kuhikuhi Heluhelu ʻia kēia Kōkua keu i kāu koina o waho o ka ʻeke

Kūpono koho kekahi poʻe no Kōkua keu a ʻaʻole pono e noi Ua leka uila ʻo Medicare i kahi leka i ka poʻe i koho kūpono ʻia no Kōkua keu

Hiki paha iā ʻoe ke kiʻi iā Kōkua keu e uku no kāu uku lāʻau a me nā kumukūʻai E ʻike ai inā kūpono ʻoe no ka loaʻa ʻana o ke Kōkua keu kāhea

bull 1-800-MEDICARE (1-800-633-4227) nā poʻe hoʻohana i ka TTY pono e kāhea 1-877-486-2048 24 hola o ka lā 7 lā o ka pule

bull ʻO ka Office Palekana Ola ma 1-800-772-1213 ma waena o 7 o ke kakahiaka a i ka 7 o ke ahiahi ka Pōʻakahi a ka Pōʻalima Pono nā mea hoʻohana TTY e kāhea iā 1-800-325-0778 (nā noi) a i ʻole

bull Kāu Keʻena Medicaid ma kou mokuʻāina (nā palapala kāinoa komo) (Nānā i ka māhele 6 o kēia mokunano nā pono kaʻalauna)

Inā manaʻo ʻoe ua kūpono ʻoe no Kōkua keu a manaʻoʻiʻo ʻoe ke uku nei ʻoe i ka nui o ka mahele kūʻai kumukūʻai inā loaʻa kāu palapala kuhikuhi i kahi hale kūʻai lāʻau ua hoʻokumu kā mākou papa hana i kahi hana e ʻae iā ʻoe e noi i ke kōkua i ka loaʻa ʻana o nā hōʻike o kāu pae copayment kūpono a i ʻole inā loaʻa iā ʻoe nā hōʻike e hāʻawi i kēia hōʻike iā mākou

bull Kāhea i nā lawelawe lālā ma ka helu kelepona i paʻi ʻia ma ka uhi hope o kēia puke a haʻi i ka lunamakaʻā e manaʻo ʻoe ua kūpono ʻoe no Kōkua keu Koi ʻia ʻoe e hāʻawi i kekahi o nā ʻano o nā palapala (Hōʻike ʻIke Loaʻa Loa)

Kope o ke kāleka Medicaid o ka mea e pōmaikaʻi nei e hoʻopili ana i ka inoa o ka mea e pono ai a me ka lā kūpono i loko o ka mahina ma hope o Iune o ka makahiki ʻē aʻe i hala

Kope o kahi palapala Mokuʻāina e hōʻoia ana i ke kūlana Medicaid hana i loko o hoʻokahi mahina ma hope o Iune o ka makahiki kalena i hala


ʻO kahi paʻi mai ka faila hoʻopaʻa inoa uila Mokuʻāina e hōʻike ana i ke kūlana Medicaid i hoʻokahi mahina ma hope o Iune o ka makahiki kalena i hala

ʻO kahi paʻi paʻi mai nā ʻōnaehana Medicaid o ka Mokuʻāina e hōʻike ana i ke kūlana Medicaid i loko o hoʻokahi mahina ma hope o Iune o ka makahiki kalena i hala

ʻO nā palapala ʻē aʻe i hāʻawi ʻia e ka Mokuʻāina e hōʻike ana i ke kūlana Medicaid i loko o hoʻokahi mahina ma hope o Iune o ka makahiki kalena i hala

He leka mai ka Palekana Ola Administration (SSA) e hōʻike ana e loaʻa i kēlā me kēia kanaka ka loaʻa kālā palekana kōkua (SSI)

He palapala noi i waiho ʻia e Deemed Eligible e hōʻoia nei i ka mea e loaʻa ana hellip aut kūpono kūpono no ke kōkua keuhellip (SSA publication HI 03094605)

Inā ua hoʻokumu ʻia ʻoe a manaʻo ʻoe ua kūpono ʻoe i ka mahele like ʻana o ke kumukūʻai e kāhea i nā lawelawe lālā ma ke kelepona i paʻi ʻia ma ka uhi hope o kēia puke a haʻi aku i ka lunamakaʻāwi āu i manaʻo ai ua kūpono ʻoe no ke kōkua hou aku Koi ʻia ʻoe e hāʻawi i kekahi o nā ʻano o nā palapala

Kuhi mai kahi hale e hōʻike ana i ka uku Medicaid ma kou inoa no kahi mahina piha piha i hoʻokahi mahina ma hope o Iune o ka makahiki ʻē aʻe i hala

Kope o kahi palapala mokuʻāina e hōʻoia i ka uku ʻana o Medicaid ma kou inoa i ka pono no kahi mahina piha piha ma hope o Iune o ka makahiki ʻē aʻe i hala a i ʻole

ʻO kahi paʻi paʻi mai nā ʻōnaehana Medicaid o ka Mokuʻāina e hōʻike ana i kāu kūlana ʻona i hoʻokumu ʻia ma ka liʻiliʻi o ka noho piha ʻana o ka mahina kalena no nā kumu uku Medicaid i hoʻokahi mahina ma hope o Iune o ka makahiki kalena i hala

bull Inā ʻaʻole hiki iā ʻoe ke hāʻawi i nā palapala i hōʻike ʻia ma luna a manaʻo ʻoe hiki paha iā ʻoe ke kōkua no ke kōkua hou aku e kāhea i nā lawelawe lālā ma ka helu kelepona i paʻi ʻia ma ka ʻaoʻao hope o kēia puke a e kōkua mai kahi lunamakaʻāinana iā ʻoe

bull Ke loaʻa iā mākou nā hōʻike e hōʻike ana i kāu pae copayment e hoʻohou mākou i kā mākou ʻōnaehana i hiki ai iā ʻoe ke uku i ka palapala hoʻoiho pono ke loaʻa iā ʻoe kāu kauka hou aʻe ma ka lāʻau kūʻai Inā uku ʻoe i kāu uku e uku aku mākou iā ʻoe E hoʻouna paha mākou i kahi hōʻoia iā ʻoe i ka nui o kāu uku nui a i ʻole e hoʻolōʻihi mākou i nā pānaʻi e hiki mai ana Inā ʻaʻole i hōʻiliʻili ka hale kūʻai lāʻau i kahi copayment mai iā ʻoe a ke hāpai nei


i kāu palapala hoʻoiho ma ke ʻano he ʻaiʻē āu e ʻaiʻē ai hiki iā mākou ke uku pololei i ka hale kūʻai Inā uku ʻia kahi mokuʻāina no ʻoe hiki iā mākou ke uku pololei i ka mokuʻāina E ʻoluʻolu e kāhea i nā lawelawe lālā inā he nīnau kāu (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke)

Polokalamu Hoʻoiho Gap Coverage MedicareHoʻolako nō hoʻi ka polokalamu Hoʻemi Uku Uhi Kōwā ʻinikua mālama olakino makule Medicare me nā kumukūʻai emi o nā lāʻau mai nā ʻoihana mikiʻala hana lāʻau no nā lāʻau me ka inoa hoʻokila ʻia ma ka Part D no nā lālā i hiki aku i ka palena uhi kōwā a e loaʻa ʻole nei hoʻi o ke Extra Help No nā lāʻau lapaʻau inoa ka 70 uku hoʻēmi i hāʻawi ʻia e nā mea hana e kāpae i nā uku hāʻawi no nā koina i ka hakahaka Uku nā lālā i ka 25 o ke kumukūʻai i kūkākūkā ʻia a me kahi ʻāpana o ka uku hāʻawi no nā lāʻau lapaʻau inoa

Inā hiki ʻoe i ke āpau e uhi ai e hoʻopili mākou i ka uku hōʻemi i ka wā e hoʻopiʻi ai kāu kauka lāʻau iā ʻoe no kāu kuhikuhi a me kāu Part D wehewehe o nā pono (Part D EOB) e hōʻike i kahi hōʻemi i hāʻawi ʻia ʻO ka nui āu e uku ai a me ka nui i hōʻemi ʻia e ka mea hana e helu ai i kāu koina o waho o ka ʻeke me he mea lā ua uku ʻoe iā lākou a neʻe iā ʻoe ma waena o ke āpau uhi ʻAʻole helu ʻia ka nui i uku ʻia e ka hoʻolālā (5) i kāu koina waho o ka ʻeke

Loaʻa iā ʻoe kekahi uhi no nā lāʻau laulaha Inā hiki ʻoe i ke āpau uhi uku ka hoʻolālā 75 o ke kumukūʻai no nā lāʻau laulaha a uku ʻoe i ke koena 25 o ke kumukūʻai No nā lāʻau laulaha ʻaʻole helu ʻia ka nui i uku ʻia e ka hoʻolālā (75) i kāu koina waho o ka ʻeke ʻO ka nui āu e uku ai a helu ʻoe iā ʻoe ma waena o ke āpau Eia kekahi ua hoʻokomo ʻia ka uku hoʻolilo ma ke ʻano he ʻāpana o ke kumukūʻai o ka lāʻau

Inā he mau nīnau kāu e pili ana i ka loaʻa o nā uku hoemi no nā lāʻau āu e lawe nei a i ʻole e pili ana i ka Medicare Coverage Gap Discount Program ma ka laulā e ʻoluʻolu e kelepona i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke)

He aha inā inā ʻoe i uhi ʻia mai kahi Polokalamu Kōkua Kōkua Kākoʻo AIDS (ADAP)He aha ka Polokalamu Kōkua Kākoʻo AIDS (ADAP)ʻO ka Polokalamu Kokua Lapaʻau AIDS (ADAP) i nā kānaka kūpono i ka ADAP e noho nei me ka maʻi HIV AIDS i ke kōkua ʻana i nā lāʻau HIV e ola ai ʻO nā lāʻau lapaʻau Medicare Part D i uhi ʻia e ADAP i kūpono no ke kōkua hāʻawi kaʻina kūʻai

ʻO ka Polokalamu Kōkua Kōkua Kākoʻo AIDS (ADAP) ʻo ia ka ADAP o kou mokuʻāina


Kahakaha No ke koho ʻia no ka ADAP e hana ana i kou Mokuʻāina pono i kēlā me kēia kanaka ke kū i kekahi mau pae hoʻohālikelike e like me ka hōʻoia o ka noho ʻana o ka Mokuʻāina a me ke kūlana HIV loaʻa haʻahaʻa e like me ka mea i wehewehe ʻia e ka Mokuʻāina a me ke kūlana ʻinikua ʻole ʻia

Inā ʻoe i kākau inoa ʻia i kēia manawa i kahi ADAP hiki iā ia ke hoʻomau i ka hāʻawi ʻana iā ʻoe me Medicare Part D kōkua kōkua hoʻokaʻawale i ke kumukūʻai no nā lāʻau i ka Papa kuhikuhi lāʻau kuhikuhi ADAP I mea e hoʻomau ai i ka loaʻa ʻana o kēia kōkua e ʻoluʻolu e hoʻomaopopo i kāu limahana limahana ADAP kūloko o nā loli i kāu inoa Medicare Part D a i ʻole helu kuhi

ʻO ka Polokalamu Kōkua Kōkua Kākoʻo AIDS (ADAP) i kou mokuʻāina e helu ʻia ma lalo

Nā kiʻina hana ka polokalamu kōkua lāʻau AIDS (ADAP) - Nā pono kaʻalauna

Kāhea 1-808-733-9360745 am - 430 pm manawa kūloko Pōʻakahi - Pōʻalima

TTY 711

KAKAU MAI IĀ

Harm Reduction Services728 Sunset AvenueHonolulu HI 96816

PALAPALA httphealthhawaiigovharmreductionhiv-aidshiv-programshiv-medical-management-services

No nā manaʻo ʻē aʻe e pili ana no nā pono hoʻokahu ʻāpono maʻamau nā lāʻau i uhi ʻia a i ʻole pehea e kāino komo ai ma kēia polokalamu nei ʻoluʻolu e kāhea aku i ka polokalamu kōkua lāʻau AIDS (ADAP) me nā pono kaʻalauna i hoʻopaʻa ʻia ma luna iho nei

Pehea inā loaʻa iā ʻoe ke kōkua a ke Extra Help mai a Medicare mai no ke kōkua ʻana mai e uku no nā uku ʻaiʻē lāʻau kuhikuhi Ua hiki nō paha ke loaʻa mai nā kumukūʻai kūʻai emiʻAʻole Inā loaʻa iā ʻoe ke Extra Help ua loaʻa mua no hoʻi iā ʻoe ke kōkua uhi no ka uku ʻana i kāu mau lāʻau kuhikuhi i ka wā kōkua uhi kōwā

Pehea inā ʻaʻole loaʻa iā ʻoe nā kūʻai emi a e manaʻo no paha ʻoe e pono no hoʻi ka loaʻa ʻana akuInā manaʻo ʻoe ua hōʻea ʻoe aku ʻoe i ka pae ʻanuʻu kōkua uhi kōwā a ʻaʻole no hoʻi i haʻawi ʻia nā kumu kūʻai a ke kūʻai emi i ka uku ʻana aku ʻoe no kāu lāʻau


me ʻinoa i kila ʻia pono no hoʻi ʻoe e nānā hou aku i kekahi māhele aʻe o ka hoʻomanaʻo no ka Ka wehewehe ʻana o nā pono kōkua a ka Part D (Ka Part D EOB) inā ʻaʻole ʻike ʻia kēlā kūʻai emi ma Ka Wehewehe ʻana o nā Pono Kōkua a ka Part D pono ʻoe e hoʻomaopopo mai iā mākou no ka hōʻoia ʻana mai inā ua pololei kāu mau hōʻike ma kāu palapala hōʻike lāʻau kuhikuhi a ua hoʻāno hou ʻia hoʻi Inā e ʻāpono ʻole hoʻi mākou e pono e uku hou ʻia aku ʻoe ua hiki nō iā ʻoe ke hana aku i kekahi hoʻopiʻi Ua hiki nō ke loaʻa iā ʻoe kekahi kōkua no ka hana ʻana aku i kekahi hoʻopiʻi mai ka Polokalamu Kōkua ʻInikua Olakino Mokuʻāina (SHIP) mai (Aaia nā helu kelepona ma ka māhele 3 o kēia mokuna nei) a i ʻole ma ke kāhea ʻana ma 1-800-MEDICARE (1-800-633-4227) nā poʻe hoʻohana i ka TTY pono e kāhea 1-877-486-2048 24 hola o ka lā 7 lā o ka pule

PAUKU 8 Pehea e kaʻalauna ai me ka Papa ʻAlakaʻi Limahana Alahao Hoʻomahaloa

ʻO ka Papa ʻAlakaʻi ʻOihana Alahao Hoʻomaha Loa he ʻaha hui kūʻokoʻa a ka pekelala no ka hoʻoponopono ʻana i nā ʻike maopopo o nā polokalamu kōkua a ke aupuni no nā limahana ʻoihana alahao a me kō lākou ʻōhana Inā he mau nīnau kāu e pili ana i kāu mau pono kōkua mai ka Papa ʻAlakaʻi ʻOihana Alahao Hoʻomaha Loa e kaʻalauna aku me ke keʻena

Inā ke loaʻa nei iā ʻoe ka ʻinikua mālama olakino makule Medicare mai ka Papa ʻAlakaʻi ʻOihana Alahao Hoʻomaha Loa mai he mea nui hoʻi ka hoʻomaopopo ʻana aku iā lākou inā e neʻe ana paha ʻoe a i ʻole inā ua loli paha kāu helu wahi a ka pahu leka

Method Papa ʻAlakaʻi ʻOihana Alahao Hoʻomaha Loa - nā pono kaʻalauna

Kāhea 1-877-772-5772Manuahi inā kāhea aku i kēia helu neiInā kāomi ʻoe i ka 0 hiki iā ʻoe ke walaʻau aku me kekahi ʻelele o ka hui RRB mai ka 900 am a 330 pm Poʻakahi Poʻalua Poʻahā a me ka Poʻalima a mai ka 900 am a 1200 pm i ka PoʻakoluInā kāomi ʻoe i ka 1 hiki iā ʻoe ke hoʻohana aku i ka mīkini laina kelepona a ka hui RRB HelpLine no ka loaʻa ʻana o nā manaʻo i ʻoki leo ʻia a e hoʻoponopono hoʻi i kekahi hana a hemo hoʻi no 24 hola o ka lā pēia pū ma nā Poʻaono a me nā lā nui



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PAUKU 9 Loaʻa iā ʻoe kahi ʻinikua hui a i ʻole ʻinikua olakino ʻē aʻe mai kahi luna hana

Inā loaʻa paha iā ʻoe (a i ʻole kou hoa male paha) nā pono kōkua mai kāu (a i ʻole kou hoa male paha) wahi hana a i ʻole kekahi pūʻulu hoʻomahaloa paha i pili me kēia papahana ʻinikua nei ua hiki iā ʻoe ke kāhea aku i ka luna hoʻoponopono pono kōkua mālama olakino a ka wahi hanaʻuniona a i ʻole i ke keʻena Kōkua Lālā inā he mau nīnau kāu Ua hiki iā ʻoe ke nīnau mai e pili ana i kāu (a i ʻole kou hoa male paha) wahi hana a i ʻole nā pono kōkua mālama olakino a nā kānaka hoʻomahaloa nā uku ʻinikua e uku ai a i ʻole nā wā hemo o ke kau kāinoa komo i hiki ai ke kāinoa aku (ʻAia nā helu kelepona no ke keʻena Kōkua Lālā i paʻi ʻia ma ka ʻili hope loa o kēia pepelu nei ) Ua hiki pū iā ʻoe ke kāhea aku i ka helu 1-800-MEDICARE (1-800-633-4227 TTY 1-877-486-2048) me nā nīnau e pili i kāu kōkua uhi ʻInikua mālama olakino makule Medicare ma lalo o kēia papahana ʻinikua nei

Inā loaʻa iā ʻoe kahi uhi lāʻau lāʻau kuhikuhi ʻē aʻe ma o kāu (a ʻo kāu wahine paha) ʻo ka mea hana a i ʻole ka pūʻulu retiree e ʻoluʻolu e kāhea iā luna o nā pono o kēlā hui Hiki i ka luna hoʻoponopono ke kōkua aku iā ʻoe e hoʻoholo pehea e hoʻoponopono ai pehea lā e hana ana kāu uhi kōkua lāʻau kuhikuhi me kā mākou papahana ʻinikua

MOKUNA 3

Ke hoʻohana nei i ka uhi o ka hoʻolālā no kāu lawelawe olakino

2022 Hōʻike o ka uhi ʻana no Wellcare Ohana No Premium (HMO) 52Mokuna 3 Ke hoʻohana nei i ka uhi o ka hoʻolālā no kāu lawelawe olakino

Mokuna 3 Ke hoʻohana nei i ka uhi o ka hoʻolālā no kāu lawelawe olakino

PAUKU 1 Nā mea e ʻike e pili ana i ka uhi ʻana i kāu mālama olakino ma ke ʻano he lālā o kā mākou hoʻolālā 54

Pauku 11 He aha nā mea hoʻolako pūnaewele a me nā lawelawe uhi54

Pauku 12 Nā lula maʻamau no ka mālama ʻana i kāu mālama olakino e ka hoʻolālā 55

PAUKU 2 Hoʻohana aku i nā hui hoʻolako i loaʻa ma ka ʻōnaehana a ka papahana no ka loaʻa ʻana aku o kāu kōkua mālama olakino 56

Pauku 21 Pono ʻoe e koho aku i kekahi hui hoʻolako mālama mea maʻi kuamua (PCP) no ka hoʻolako ʻana mai a e hoʻoholo pono mai i kou mālama ʻia ʻana mai 56

Pauku 22 He aha hoʻi nā kōkua mālama olakino a me nā kōkua ʻē aʻe i hiki ai ke loaʻa iā ʻoe me ka loaʻa mua ʻole ʻana o kekahi ʻāpono mai kekahi o kāu PCP mai 59

Pauku 23 Pehea e loaʻa ai ke kōkua mai kekahi kauka loea kūikawā mai a i ʻole mai nā ʻōnaehana hui hoʻolako ʻē aʻe mai 60

Pauku 24 Pehea e loaʻa ai ke kōkua mālama olakino mai nā hui hoʻolako ʻōnaehana-kūloko-ʻole mai 61

PAUKU 3 Pehea e loaʻa ai nā lawelawe i uhi ʻia ke loaʻa ʻoe i kahi pilikia a i ʻole koi nui no ka mālama a i ʻole kahi pōpilikia 62

Pauku 31 Ke mālama ʻana inā loaʻa ʻoe i kahi pilikia olakino 62Pauku 32 Ka mālama ʻana inā makemake nui ʻoe i nā lawelawe 64Pauku 33 Ka mālama ʻana i ka wā o kahi pōpilikia65

PAUKU 4 He aha inā e kau pololei ʻia ʻoe no ke kumukūʻai piha o kāu lawelawe uhi ʻia 66

Pauku 41 Hiki iā ʻoe ke noi iā mākou e uku i kā mākou mahele o ke kumukūʻai o nā lawelawe uhi ʻia 66

Pauku 42 Inā ʻaʻole uhi ʻia nā lawelawe e kā mākou hoʻolālā pono ʻoe e uku i ke kumukūʻai holoʻokoʻa 66

PAUKU 5 Pehea e uhi ai kāu mau lawelawe olakino ke ʻoe i loko o kahi noiʻi noiʻi noiʻi 67

Pauku 51 He aha ia he noiʻi noiʻi hoʻokolohua 67Pauku 52 Ke komo ʻoe i kahi noiʻi noiʻi noiʻi na wai e uku no ke aha 68


PAUKU 6 ʻO nā lula no ka uhi ʻana i kahi mālama i loko o kahi hale mālama ola olakino haipule 69

Pauku 61 He aha kahi ʻoihana ola olakino haipule ʻole 69Pauku 62 Ke loaʻa nei ka mālama mai kahi hui mālama ola olakino ʻole

hoʻomana70PAUKU 7 Nā kānāwai no ke kuleana o nā pono olakino paʻa 71

Pauku 71 E loaʻa iā ʻoe nā lako pono olakino ma hope o ka hana ʻana i kahi helu o nā uku ma lalo o kā mākou hoʻolālā 71

PAUKU 8 Nā Rula no ka Pono Oxygen Pono a me ka mālama ʻana 72Pauku 81 He aha nā pono oxygen e kuleana ai ʻoe 72Pauku 82 He aha kāu hoʻokaʻawale kumukūʻai E hoʻololi paha ia ma

hope o 36 mau mahina 72Pauku 83 He aha ka hana inā haʻalele ʻoe i kāu hoʻolālā a hoʻi i Original

Medicare72


PAUKU 1 Nā mea e ʻike e pili ana i ka uhi ʻana i kāu mālama olakino ma ke ʻano he lālā o kā mākou hoʻolālā

E wehewehe nō hoʻi kēia mokuna nei iā ʻoe he aha nā mea e pono ai no ka hoʻohana ʻana i kēia papahana nei no ka loaʻa ʻana o nā kōkua uhi no kāu kōkua mālama ʻia ʻana mai Haʻawi ʻia no hoʻi nā wehewehe no nā ʻōlelo i hoʻohana ʻia nei a e wehewehe ʻia no hoʻi nā lula e pono ai e hahai no ka loaʻa ʻana iā ʻoe nā lapaʻau olakino nā pono kōkua a me nā pono kōkua mālama pilina olakino i uhi ʻia ma lalo o ka papahana ʻinikua

No nā manaʻo koʻikoʻi o nā kōkua mālama olakino i uhi ʻia e kō mākou papahana a ʻehia ka huina kālā au e uku aku ai inā inā loaʻa iā ʻoe kēia kōkua mālama nei e hoʻohana aku i ka pakuhi pono kōkua mālama olakino ma loko o ka kekahi mokuna aʻe ma hope o kēia ka Mokuna 4 (Pakuhi Pono Kōkua Mālama Olakino he aha nā mea i uhi ʻia a ʻehia e pono ai ʻoe e uku aku ai)

Pauku 11 He aha nā mea hoʻolako pūnaewele a me nā lawelawe uhi

Eia kekahi mau wehewehe e hiki ke kōkua iā ʻoe e hoʻomaopopo pehea ʻoe e mālama ai a me nā lawelawe i uhi ʻia nāu ma ke ʻano he lālā o kā mākou papahana

bull Nā mea hoʻolako he mau kauka a me nā ʻoihana mālama olakino ʻē aʻe i laikini ʻia e ka mokuʻāina e hāʻawi i nā lawelawe olakino a me ka mālama Hoʻokomo pū ʻia ka huaʻōlelo nā mea hoʻolako i nā haukapila a me nā wahi lawelawe olakino ʻē aʻe

bull Mea hoʻolako pūnaewele ʻo ia nā kauka a me nā ʻoihana mālama olakino ʻē aʻe nā hui olakino nā haukapila a me nā lawelawe olakino ʻē aʻe i ʻaelike me mākou e ʻae i kā mākou uku a me kāu huina kālā e like me ka uku piha Ua hoʻonohonoho mākou no kēia mau mea e hoʻolako i nā lawelawe i uhi ʻia i nā lālā i kā mākou papahana Pili pololei nā mea hoʻolako i kā mākou pūnaewele iā mākou no ka mālama a lākou e hāʻawi ai iā ʻoe Ke ʻike ʻoe i kahi mea hoʻolako pūnaewele uku ʻoe i kāu ʻāpana o ke kumukūʻai no kā lākou lawelawe

bull Nā lawelawe i uhi ʻia e hoʻopili i nā lawelawe olakino āpau nā lawelawe mālama olakino nā lako a me nā pono i uhi ʻia e kā mākou hoʻolālā Ua helu ʻia kāu mau lawelawe i uhi ʻia no ka mālama olakino i ka pakuhi pōmaikaʻi ma ka Mokuna 4


Pauku 12 Nā lula maʻamau no ka mālama ʻana i kāu mālama olakino e ka hoʻolālā

Ma ke ʻano he hoʻolālā olakino Medicare pono kā mākou hoʻolālā e uhi i nā lawelawe āpau i uhi ʻia e Original Medicare a pono e hāhai i nā lula uhi ʻo Original Medicare

E uhi pinepine kā mākou hoʻolālā i kāu mālama lapaʻau ʻoiai ka

bull Hoʻokomo ʻia ka mālama e loaʻa iā ʻoe i ka Pakuhi Pilikino Pilikino o ka papahana (ʻo kēia pakuhi ma ka Mokuna 4 o kēia puke)

bull ʻO ka mālama e loaʻa iā ʻoe e noʻonoʻo ʻia he pono olakino Pono kūpono i ke ʻano o nā lawelawe nā lako a i ʻole nā lāʻau e pono ai no ka pale ʻana ka ʻike ʻana a i ʻole ka mālama ʻana i kāu kūlana olakino a kū i nā pae i ʻae ʻia o ka hana olakino

bull Loaʻa iā ʻoe kekahi hui hoʻolako mālama mea maʻi kuamua (PCP) e hoʻolako nei a e hoʻoholo pono nei i kou mālama ʻia ʻana mai I ka lilo ʻana mai hoʻi i lālā ma lalo o kō mākou papahana ʻinikua pono ʻoe e koho aku i kekahi PCP ma kō mākou ʻōnaehana PCP (no nā manaʻo ʻē aʻe e pili ana i kēia e nānā aku i ka māhele 21 ma kēia mokuna nei)

Ma kekahi mau hana maʻamau pono kāu ʻōnaehana PCP e haʻae mua i kekahi ʻāpono ma mua o ka hiki ʻana ke hoʻohana aku i nā hui hoʻolako i loaʻa ma ka ʻōnaehana a ka papahana ʻinikua e like me nā kauka kūikawā i loea ma kalapaʻau ʻana nā haukapila nā kahua mālama mea maʻi me nā kahu maʻi loea a i ʻole kekahi hui hoʻolako mālama ola ma kou Wahi noho Kapa ʻia hoʻi kēia e kuhikuhi ʻia iā ʻoe No nā manaʻoʻē aʻe e pili ana i kēia e nānā aku i ka māhele 23 ma kēia mokuna nei

ʻAʻole pono kekahi kōkua kuhikuhi ʻia mai kāu PCP mai no nā kōkua mālama puolia pōpilikia a i ʻole nā pono kōkua e pono e lapaʻau koke ʻia ma muli o ka nui loa o ka pilikia o ka olakino Loaʻa pū kekahi mau kōkua mālama olakino ʻē aʻe i hiki ai ke loaʻa iā ʻoe me ka loaʻa mua ʻole ʻana o kekahi ʻāpono mua ʻia ʻana mai kāu PCP mai (no nā manaʻo ʻē aʻe e pili ana i kēia e nānā aku i ka māhele 22 ma kēia mokuna nei)

bull Pono no hoʻi e loaʻa aku nā kōkua mālama olakino mai kekahi o nā ʻōnaehana hui hoʻolako mai (no nā manaʻo ʻē aʻe e pili ana i kēia e nānā aku i ka māhele 2 ma kēia mokuna nei) I ka hapa nui o ka manawa o nā kōkua mālama olakino i loaʻa mai iā ʻoe mai nā hui hoʻolako-ʻōnaehana-kūloko-ʻole (kekahi hui hoʻolako i pili ʻole i ka ʻōnaehnaha a ka papahana ʻinikua) mai e uhi ʻole ʻia no hoʻi Eia ʻekolu mau kūʻē lula i ʻae ʻia


Uhi no hoʻi ka papahana ʻinikua i nā kōkua mālama puolia pōpilikia a i ʻole nā pono kōkua e pono e lapaʻau koke ʻia ma muli o ka nui loa o ka pilikia o ka olakino e loaʻa mai iā ʻoe ma kekahi hui hoʻolako ʻōnaehana-kūloko-ʻole No nā manaʻoʻē aʻe e pili ana i kēia a no ka ʻike ʻana he aha hoʻi nā kōkua mālama pōulia pōpilikia a i ʻole nā pono kōkua e pono e lapaʻau koke ʻia mamuli o ka nui loa o ka pilikia o ka olakino e nānā aku i ka māhele 3 ma loko o kēia mokuna nei

Inā pono ka loaʻa ʻana o kekahi kōkua mālama olakino e pono ai ke kōkua uhi a ka ʻinikua mālama olakino makule Medicare no ka uhi ʻia ʻana i hiki ʻole ai i nā ʻōnaehana hui hoʻolako ke uhi aku ua hiki nō ke loaʻa aku ke kōkua uhi mai nā hui hoʻolako kūloko-ʻole mai ʻOluʻolu e kāhea mai iā mākou no ka maopopo ʻana e pili ana i nā lula no ka loaʻa mua ʻana o kekahi ʻāpono e pono ai ʻoe e hoʻomau aku i ka hahai ma mua o ka ʻimi ʻana aku i kēia mālama ʻia ʻana Inā ma kēia kūlana ʻano nei e uku no hoʻi ʻoe i ka huina nui hoʻokahi au e uku ai no nā kōkua mālama e loaʻa mai iā ʻoe mai kekahi hui hoʻolako ma kō mākou ʻōnaehana hui hoʻolako No nā manaʻo ʻē aʻe pehea e loaʻa ai nā ʻāpono no ka hoʻohana ʻana i nā kauka ʻōnaehana kūloko ʻole e nānā aku i ka māhele 24 ma kēia mokuna nei

Ka papahana e uhi ai i nā lapaʻau hoʻomaʻemaʻe koko hakuʻala i loaʻa iā ʻoe ma nā kahua lapaʻau hoʻomaʻemaʻe koko i laikini ʻia a ma nā ʻōnaehana a ka papahana ʻinikua mālama olakino Medicare inā aia ʻoe ma waho o kahi i loaʻa nā pono kōkua a ka papahana ʻinikua

PAUKU 2 Hoʻohana aku i nā hui hoʻolako i loaʻa ma ka ʻōnaehana a ka papahana no ka loaʻa ʻana aku o kāu kōkua mālama olakino

Pauku 21 Pono ʻoe e koho aku i kekahi hui hoʻolako mālama mea maʻi kuamua (PCP) no ka hoʻolako ʻana mai a e hoʻoholo pono mai i kou mālama ʻia ʻana mai

He aha ka PCP a he aha ka hana a ka PCP iā ʻoe

I ka lilo ʻana mai hoʻi i lālā ma lalo o kō mākou papahana ʻinikua pono ʻoe e koho aku i kekahi PCP ma kō mākou ʻōnaehana PCP ʻO ka PCP he kou hoa mālama olakino e hoʻolako mai a e hoʻoponopono nō hoʻi i kou mālama ʻia ʻana mai ʻO kāu PCP kahi ʻoihana mālama ola i kū i nā koina mokuʻāina a hoʻomaʻamaʻa ʻia e hāʻawi iā ʻoe i ka mālama olakino maʻamau ʻO ia nō hoʻi nā kauka i waiho ʻia me nā kuleana no ke ʻano o kou olakino a me ka mālama ʻana i nā ʻohana nā mālama maʻamau nā lāʻau kōkua loko kino Kahu maʻi lapaʻau (NP) kekahi kahu maʻi i laikini ʻia e ke aupuni i loaʻa nā aʻoaʻo kūikawā e hoʻolako ana nō


hoʻi i nā mālama olakino maʻamau a i ʻole nā kōkua kauka lapaʻau (PA) kekahi palapala i hiki ke kapa ʻia aku he PCP e hoʻolako nō hoʻi i nā kōkua kūmua a e noho pū hoʻi mai i PCP nou

Waiho ʻia nō hoʻi nā nānā kauka maʻamau me kāu PCP nā lākou no e mālama mai iā ʻoe E kōkua pū ana nō hoʻi kāu PCP ma ka hoʻoholo a e hoʻoponopono aku i ka hapa nui o kāu mau kōkua uhi i loaʻa iā ʻoe i lālā hoʻi ma lalo o kō mākou papahana E loaʻa nō hoʻi nā

bull nā x-ray bull nā hōʻike keʻena nānā maʻi bull nā lapaʻau pohala bull nā mālama ʻana ʻia mai e nā kauka loea kūikawā bull nā ʻae komo haukapila a me bull nā kōkua makaʻala mālama

Hoʻoponopono ʻana i kāu mau kōkua uhi ʻana ʻo ia nō hoʻi ka makaʻala mau ʻana mai iā ʻoe ma ke kāhea ʻana mai a i ʻole e noi paha i kekahi mau papahana hui hoʻolakoʻē aʻe e kōkua mai pili ana no kou mālama ʻia ʻana a pehea la ka holomua No kekahi mau ʻano o nā kōkua a i ʻole nā lako ʻē aʻe e pono ana e loaʻa kekahi ʻāpono ma mua o ka loaʻa ʻana ʻo ia mau pono lā (e ʻāpono mua ʻia ma mua) Inā pono e ʻāpono mua ʻia kekahi o nā kōkua au e makemake nei nā kāu PCP no e hoʻouna mai i nā noi no ka ʻāpono ʻana Ma muli kāu PCP ma ka hoʻoholo a e hoʻoponopono aku i ka hapa nui o kāu mau kōkua mālama ola maikaʻi inā e hoʻouna ʻia aku o kāu mau palapala mālama olakino i hala i ke keʻena a kāu PCP ʻO ka maʻamau e pono ana ʻoe e hele mua aku e ʻike i kāu PCP no nā nānā kauka maʻamau e pili ana i kou olakino Maikaʻi inā haʻawi ʻoe i nā kuleana hoʻoponopono i nā pono kōkua mālama ola a pau i kāu PCP ʻOluʻolu e nānā aku i ka māhele 23 ma kēia mokuna nei no nā manaʻo ʻē aʻe

I kekahi manawa e pono ana kāu PCP a i ʻole kekahi kauka lapaʻau kūikawā a i ʻole nā hui kākoʻoʻ ēaʻe au i hele nei e ʻike e loaʻa kekahi pono ʻāpono (ʻāpono mua) mai iā mākou mai no kekahi mau ʻano lapaʻau i uhi ʻia nā pono kōkua a me nā pono ʻikemu E nānā aku i ka Mokuna 4 ma kēia pepelu nei no nā pono kōkua a me nā ʻikemu i pono ai e ʻāpono mua ʻia

Inā makemake ʻoe e walaʻau aku me kāu kauka i nā manawa ma hope o ka paʻa ʻana o nā keʻena e kelepona aku i ke keʻena a kāu kauka a e hoʻokuʻi ʻia ana ʻoe i kāu kauka e loaʻa ana iā ʻoe kekahi mīkini ʻoki leo me nā kuhikuhi e haʻi ana iā ʻoe ma hea e hiki ai ke loaʻa aku ai o nā kōkua a i ʻole kekahi kauka ʻē aʻe paha i hoʻolako nei i ke kōkua au e makemake nei Inā ke loaʻa nei paha ʻoe i kekahi pilikia a he pōulia popilikia paha e kāhea koke aku hoʻi i ka helu 911


Pehea ʻoe e koho ai i kāu PCPNo ke koho ʻana i kāu PCP e hele aku ma kō mākou kaha pūnaewele ma wwwwellcarecomohana a e koho aku i kekahi PCP mai kō mākou ʻōnaehana hui hoʻolako mai Ua hiki pū i ke keʻena Kōkua Lālā ke kōkua pū mai iā ʻoe e koho aku i kekahi PCP Ma hope o kou koho ʻana aku i kāu PCP e kāhea aku i ke keʻena Kōkua Lālā me kāu i koho aku ai Pono nō hoʻi ka PCP au i koho aku ai mai kō mākou ʻōnaehana mai

Inā paha e loaʻa kekahi papahana me kekahi kauka loea kūikawā a i ʻole haukapila pana au i makemake ai e hoʻohana e nānā mua aku nō hoʻi inā aia ke kauka loea kūikawā a i ʻole haukapila ma ka ʻōnaehana PCP a mākou

Inā ʻaʻole ʻoe e koho aku ʻoe i kekahi PCP a i ʻole inā paha e koho ʻoe i kekahi PCP i loaʻa ʻole me kēia papahana nei e koho wale ʻia ana kekahi PCP nou e mākou

Ke hoʻololi nei i kāu PCPHiki iā ʻoe ke hoʻololi i kāu PCP no kekahi kumu i kēlā me kēia manawa ʻO kekahi mea ʻē aʻe i kekahi manawa e hiki mai nō hoʻi ka wā e haʻalele wale ana kekahi o nā PCP i kō mākou ʻōnaehana o nā hui hoʻolako a e pono ana ʻoe e huli hou aku i kekahi PCP hou Ma lalo o kekahi mau kūlana koi ʻia kā mākou mau mea lawelawe e hoʻomau i ka mālama ma hope o ka haʻalele ʻana i kā mākou pūnaewele No nā kikoʻī kikoʻī e kāhea aku i ke keʻena Kōkua Lālā (ua paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke)

Inā manaʻo paha ʻoe i ka hoʻololi ʻana i kāu PCP ʻOluʻolu e kāhea aku i ke keʻena Kōkua Lālā E hoaʻo pākahi ana nā PCP i ke kuhikuhi aku iā ʻoe i kekahi o nā kauka Loea kūikawā a ka papahana i hoʻohana hoʻi i kekahi o nā haukapila ma loko o kō lākou ʻōnaehana ʻO ka manaʻo hoʻi o kēia oa ka PCP a ka papahana ʻinikua au e koho ai nānā nō hoʻi ke koho o nā kauka loea kūikawā a ka nā haukapila au e hoʻohana aku ai Inā loaʻa paha kekahi kauka loea kūikawā a i ʻole haukapila paha au i makemake ai e hoʻohana i nānā aku hoʻi inā hoʻohana kāu PCP a ka papahana i kēlā mau kauka loea kūikawā a i ʻole haukapila paha

Hiki no i ke keʻena Kōkua Lālā ke kōkua mai iāʻoe i kw koho ʻana aku i kekahi i kekahi PCP hou Maikaʻi inā haʻawi manawa hoʻi ʻoe no ka hoʻololi ana i kāu PCP Inā e noi mai ʻoe e hoʻololi i kāu PCP i ka lā 10 o ka mā˙ina a i ʻole ma mua aʻe o kēlā e hoʻomaka no hoʻi ka mana uhi kōkua i ka lā mua o ka māhina in kapa ʻia hoʻi (ka wā i ʻoka iā me 1 māhina) Inā kāhea mai ʻoe ma hope mai po ka lā 10 o ka māhina e hoʻomaka ana kāu lā e loli ai ka PCP i ka lā 1 o kekahi māhina ʻē aʻe ʻO kekahi LaʻanaInā ua hana ʻoe i kekahi noi hoʻololi PCP i ka lā 10 o Ianuali e hoʻololi ʻia no hoʻi kāu PCP i ka lā 1 o Pepeluali No ka uhi ʻia ʻana aku i


nā pono kōkua i pono e uhi ʻia ma lalo o ko mākou papahana inikua pono no hoʻi e hoʻomau aku i ka mālama i kāu i nā pono kōkua e loaʻa nei iāʻoe kauoha ʻia a i ʻole hoʻoponopono ʻia maō kāu PCP a hiki aku i ka wā e hoʻomaka ai ka loli ʻa o ka PCP Mai poina i ka nīnau aku i ke keʻena Kōkua Lālā e pili ana i kēīa iā ʻoe e koho ana i kekahi PCP hou I kou kāhea ʻana aku pono e hoʻomaopopo aku i ke Keʻena Kōkua Lālā inā ʻaia ʻoe ma lalo o ka mālama kauka o kekahi kauka laekahi kūikawā a i ʻole ke loaʻa nei nā pono kōkua i pono ai hoʻi kāu PCP e loaʻa mua i kekahi ʻāpono mua ʻia ʻana (e like me kekahi kōkua mālama olakino ma ka hale a me nā lako mālama ola ʻoʻoleʻa)

Pauku 22 He aha hoʻi nā kōkua mālama olakino a me nā kōkua ʻē aʻe i hiki ai ke loaʻa iā ʻoe me ka loaʻa mua ʻole ʻana o kekahi ʻāpono mai kekahi o kāu PCP mai

Ua hiki ke loaʻa iā ʻoe nā pono kōkua i hoʻopaʻa ʻia ma lalo iho nei me ka loaʻa mua ʻole ʻana o kekahi ʻāpono mai kāu PCP mai

bull Nā nānā kauka maʻamau no nā wāhine ka nānā waiū Nānā kauka makaʻala puʻuwaiū (X-Ray ʻia ʻana o ka waiū) Nānā hōʻike pap a me nā hōʻike nānā maʻi puʻukole o ka mea nui hoʻi o ka hoʻohana ʻana i nā hui ʻōnaehana hoʻolako nānā maʻi

bull Nā hou kui maʻi polū lāʻau kōkoʻo COVID-19 a me ka lāʻau nūmōnia o ka mea nui hoʻi o ka hoʻohana ʻana i nā hui ʻōnaehana hoʻolako nānā maʻi

bull Nā kōkua pōulia pōpilikia mai nā ʻōnaehana hui hoʻolako a i ʻole mai nā hui ʻōnaehana-kūloko-ʻole

bull Nā kōkua e pono e lapaʻau koke ʻia ma muli o ka nui loa o ka pilikia o ka olakino mai nā ʻōnaehana hui hoʻolako a i ʻole mai nā hui ʻōnaehana-kūloko-ʻole i makemake nui a inā hoʻi i hiki ʻole ke loaʻa aku o ia mau mea lā (elm inā paha ʻoe ma waho aʻe o kahi loaʻa nā kōkua a ka papahana)

bull Nā lapaʻau hoʻomaʻemaʻe koko hakuʻala i loaʻa iā ʻoe ma nā kahua lapaʻau hoʻomaʻemaʻe koko i laikini ʻia a ma nā ʻōnaehana a ka papahana ʻinikua mālama olakino Medicare inā aia ʻoe ma waho o kahi i loaʻa nā pono kōkua a ka papahana ʻinikua (Inā hiki ʻoluʻolu e kāhea mua aku i ke keʻena Kōkua Lālā ma mua o ka haʻalele ʻana aku i hiki ai iā mākou ke kōkua aku e hoʻoponopono i kekahi kōkua lapaʻau hoʻomaʻemaʻe koko kūikawā i kou wā e huakaʻi ai ma kahi ʻē Aia nā helu kelepona ma ka ʻili hope loa o kēia pepelu nei)


Pauku 23 Pehea e loaʻa ai ke kōkua mai kekahi kauka loea kūikawā mai a i ʻole mai nā ʻōnaehana hui hoʻolako ʻē aʻe mai

ʻO ke kauka loea he kauka nāna e hāʻawi i nā lawelawe mālama olakino no kahi maʻi kikoʻī a i ʻole ʻāpana o ke kino Nui a hewahewa nā ʻano loea Eia kekahi mau laʻana

bull Mālama nā Oncologists i nā mea maʻi me ka maʻi ʻaʻai bull Mālama nā Cardiologists i nā mea maʻi me nā ʻano puʻuwai bull Mālama nā Orthopedists i nā mea maʻi me kekahi iwi ami a i ʻole nā ano uaua

Ma mua o kou ʻike ʻana aku i kekahi kauka loea kūikawā pono hoʻi e ʻāpono mua ʻia aku e kāu PCP Kapa ʻia hoʻi kēia ka kōkua kuhikuhi i kekahi kauka Loea kūikawā He mea nui hoʻi ka loaʻa ʻana aku o kekahi kōkua kuhikuhi mai kou PCP mai ma mua o kou ʻike ʻana aku i kekahi kauka loea i ka lapaʻau kūikawā a ka papahana a i ʻole kekahi mau hui hoʻolako ʻē aʻe Loaʻa nō hoʻi kekahi mau kūʻē lula nā nānā kauka maʻamau no nā wāhine i wehewehe ʻia ma ka māhele 22 Inā loaʻa ʻole iā ʻoe kekahi kōkua kuhikuhi mamua o ka loaʻa ʻana aku o ke mai kekahi kauka loea i ka lapaʻau kūikawā a ka papahana a i ʻole kekahi mau hui hoʻolako ʻē aʻe e pono ana no ʻoe e uku aku i na kōkua nou iho

Inā makemake ke kauka loea kūikawā iā ʻoe e hoʻi hou aku no na nānā kauka kōkua mālama e hōʻoia mua aku inā uhi ʻia aku nā nānā kaukaʻē aʻe me nā kōkua kuhikuhi a kāu PCP i waiho mua ai no nā kauka loea i ka lapaʻau kūikawā a i ʻole kekahi mau hui hoʻolako ʻē aʻe

Pono ana nō hoʻi kekahi ʻāpono mua ʻana ʻia ma mua o ka loaʻa ʻana mai o nā kōkua mai kō mākou papahana ʻinikua mai Kapa ʻia kēia ka pono e ʻāpono mua ʻia Inā pono ka loaʻa mua ʻana o kekahi ʻāpono mua ʻia ʻana no nā kōkua au e makemake nei nā kau PCP a i ʻole kekahi o nā ʻonaehana hui kākoʻo ʻē aʻe e noi aku i kekahi ʻāpono mua ʻiaʻ ana mai kō mākou papahana mai E nānā mua ʻia ana nā noi a e hoʻouna ʻia ana nō hoʻi nā hāʻina (hoʻoholo manaʻo a ka hui nānā) i hoʻoholo ʻia iā ʻoe a me kāu hui hoʻolako E nānā aku i ka Pakuhi Pono Kōkua Mālama Olakino ma loko o ka mokuna 4 māhele 21 o kēia pepelu nei no nā kōkua koʻikoʻi i pono ai e ʻāpono mua ʻia

He aha inā inā haʻalele kahi loea a mea lawelawe pūnaewele ʻē aʻe i kā mākou hoʻolālāHiki iā mākou ke hoʻololi i nā haukapila nā kauka a me nā loea (nā mea hoʻolako) i loko o kāu hoʻolālā i ka makahiki Nui nā kumu e haʻalele ai kāu


mea lawelawe i kāu hoʻolālā akā inā haʻalele kāu kauka a mea loea paha i kāu hoʻolālā he kuleana kou a me nā pale i hōʻuluʻulu ʻia ma lalo

bull ʻOiai e loli paha kā mākou pūnaewele o nā mea hoʻolako i loko o ka makahiki koi ʻo Medicare e hāʻawi iā ʻoe me ke komo ʻole i nā kauka kūpono a me nā loea

bull E hana mākou i kahi hilinaʻi maikaʻi e hāʻawi iā ʻoe i ka leka hoʻomaopopo ma kahi o 30 mau lā e haʻalele ana kāu mea hoʻolako i kā mākou hoʻolālā i loaʻa iā ʻoe ka manawa e koho ai i kahi mea hāʻawi

bull E kōkua mākou iā ʻoe i ke koho ʻana i kahi mea lawelawe kūpono hou e hoʻomau i ka mālama ʻana i kāu pono olakino

bull Inā aia ʻoe ma loko o kekahi kōkua lapaʻau ʻia ʻana mai ua loaʻa no hoʻi iā ʻoe ka pono e noi aku ai a laila e hana like aku mākou me ʻoe no ka hōʻoia ʻana aku i ka loaʻa ʻana aku iā ʻoe ia kōkua i pono ai e lapaʻau ʻia me ka loaʻa ʻole o kekahi ʻimihana

bull Inā manaʻo ʻoe ʻaʻole mākou i hoʻolako iā ʻoe me ka mea lawelawe kūpono e pani ai i kāu mea lawelawe mua a i ʻole e mālama pono ʻia kāu mālama he kuleana kāu e faila i kā mākou hoʻopiʻi

bull Inā ua lohe paha ʻoe ke haʻalele mai kāu kauka a i ʻole kekahi kauka loea kūikawā i kāu papahana ʻinikua ʻoluʻolu e hoʻomaopopo mai iā mākou i hiki ai iā mākou ke kōkua aku i ka huli ʻana aku i hui hoʻolako no ka mālama ʻana mai iā ʻoe

Inā makemake ʻoe i kōkua ma muli o ka haʻalele ʻana o kahi loea a mea lawelawe pūnaewele paha i kā mākou hoʻolālā e ʻoluʻolu e kelepona i ke keʻena Kōkua Lālā ma ka helu i helu ʻia ma ka ʻaoʻao hope o kēia puke

Pauku 24 Pehea e loaʻa ai ke kōkua mālama olakino mai nā hui hoʻolako ʻōnaehana-kūloko-ʻole mai

Inā pono e loaʻa iā ʻoe ke kōkua uhi lapaʻau i uhi ʻia e ka ʻinikua mālama olakino makule Medicare a ʻaole hiki i kekahi o nā ʻōnaehana hui hoʻolako ke hoʻolako aku i kēia mālama ʻia ʻana ua hiki nō ke loaʻa kekahi kōkua mai kekahi o nā hui hoʻolako ʻōnaehana kūloko ʻole mai Pono no e hōʻoia mua aku kā mākou papahana ua loaʻa ʻole hoʻi kekahi o nā ʻōnaehana hui hoʻolako i loaʻa a e hoʻomaopopo hoʻi i ka papahana e noi aku i kekahi ʻāpono nou no ka loaʻa ʻana aku o nā pono kōkua mai kekahi hui hoʻolako ʻōnaehana kūloko ʻole mai Inā ʻāpono ʻia e haʻawi ʻia ana kekahi palapala ʻāpono i ka huihoʻolako ʻōnaehana kūloko ʻole no ka haʻawi ʻana aku i ka pono kōkua


He pono kou no ka loaʻa ʻana aku o nā kōkua mai nā hui hoʻolako ʻōnaehana kūloko ʻole no nā kōkua mālama pōulia pōpilikia a i ʻole nā pono kōkua e pono e lapaʻau koke ʻia mamuli o ka nui loa o ka pilikia o ka olakino Kekahi mea ʻē aʻe pono kā mākou papahana e hoʻolako aku i nā kōkua lapaʻau hoʻomaʻemaʻe koko no nā mea maʻi me ka maʻi ʻane pau hakuʻala (ESRD) i huakaʻi aku ma waho mai o kahi i loaʻa ʻana o nā kōkua a ka papahana ʻinikua a ua hiki ʻole ke loaʻa kekahi o nā ʻōnaehana hui hoʻolako Pono e hana ʻia nā kōkua ESRD ma kekahi kahua lapaʻau hoʻomaʻemaʻe koko i laikini ʻia e ka hui mālama olakino makule Medicare

PAUKU 3 Pehea e loaʻa ai nā lawelawe i uhi ʻia ke loaʻa ʻoe i kahi pilikia a i ʻole koi nui no ka mālama a i ʻole kahi pōpilikia

Pauku 31 Ke mālama ʻana inā loaʻa ʻoe i kahi pilikia olakino

He aha kahi pilikia olakino a he aha kāu e hana ai inā loaʻa iā ʻoe

ʻO kahi pilikia olakino ke manawa ʻoe a i ʻole kekahi mea ʻimi naʻau ʻē aʻe me ka ʻike awelika o ke olakino a me nā lāʻau lapaʻau manaʻo ʻoe he mau hōʻailona olakino kāu e pono ai i ka lāʻau lapaʻau koke e pale i ka pohō o ke ola ka pohō o kahi lālā a i ʻole ka nalowale ʻana o ka hana o ka lālā ʻO nā ʻōuli lapaʻau he maʻi paha ʻeha ʻehaʻeha loa a i ʻole kahi ʻano olakino e hele wikiwiki nei i ka ʻino

Inā loaʻa ʻoe i kahi pilikia olakino

bull E kiʻi i ke kōkua me ka hiki wawe Kāhea iā 911 no ke kōkua a i ʻole e hele i kahi lumi pilikia kokoke a haukapila paha Kāhea i kahi kaʻa kaʻahua inā pono ʻoe E hana i pono e kiʻi apono ia ai me ka hihia mua mai kou PCP

bull I ka manawa e hiki ai e hōʻoia ua haʻi ʻia i kā mākou hoʻolālā e pili ana i kāu pilikia Pono mākou e ukali i kāu mālama ulia pōpilikia E kāhea ʻoe a i ʻole kekahi mea ʻē aʻe e haʻi iā mākou e pili ana i kāu mālama ulia pōpilikia ma waena o 48 mau hola Hiki iā ʻoe ke kelepona i nā lawelawe lālā ma ka helu ma hope o kēia puke liʻiliʻi a i ʻole ka helu ma ke kua o kāu kāleka lālā

He aha ka mea e uhi ʻia inā loaʻa ʻoe i kahi pilikia olakinoE uhi ʻia no hoʻi ʻoe menā kōkua pōulia mālama ʻia ʻana i nā manawa like ʻole au e makemake ai maʻō maʻaneʻi o ʻAmelika Hui Pū ʻIa a me nā panalāʻau ma lalo i ia ʻaupuni Helu pū ʻia nā kōkua pōulia ka uhi pōulia koʻikoʻi a puni ka honua e ka papahana ʻinikua Wellcare Ohana No Premium (HMO) Uhi no hoʻi kō mākou papahana ʻinikua i nā kōkua halihali mea maʻi i kekahi kahua kōkua pōulia a e pono no hoʻi kēia mau kōkua nei a inā hoʻohana ʻia aku i nā ʻano kaʻahele ʻē aʻe e paumāʻele no hoʻi ke olakino o ia mea maʻi No nā manaʻo ʻē aʻe e nānā aku i ka Pakuhi Pono Kōkua Mālama Olakino ma loko o ka Mokuna 4 o kēīa pepelu nei


ʻAʻole uhi ʻo Medicare i ka mālama kūpilikiʻi ma waho o ʻAmelika Hui Pū ʻIa Eia nō naʻe uhi kā mākou papa i nā lawelawe kūloko a puni ka honua ma waho o ʻAmelika Hui Pū ʻIa ma lalo o nā kūlana aʻe

bull Uhi ʻia ʻoe a hiki i $50000 ke hele ʻoe ma waho o ʻAmelika Hui Pū ʻIa ma lalo o kāu ulia pōpilikia ma ka honua holoʻokoʻa ʻAʻole e uhi ʻia nā kumukūʻai i ʻoi aku i kēia nui

bull Ka hoʻi ʻana i ʻAmelika Hui Pū ʻIa mai kahi ʻāina ʻē aʻe a me nā lāʻau i kūʻai ʻia ʻoiai ʻaʻole uhi ʻia ma waho o ʻAmelika Hui Pū ʻIa Hoʻohui ʻia ʻaʻole e kāpae ʻia nā kaʻana o ke keʻena pilikia inā ʻae ʻia ʻoe no ka mālama maʻi maʻi maʻi

bull E ʻoluʻolu e leka iā mākou ma waena o 48 mau hola inā hiki e ʻōlelo aʻoaʻo iā mākou no kāu kipa ʻana i kahi lumi pilikia

No ka ʻike hou aku e nānā i ka Emergency Care and Urgently Needed Services ma ka Pakuhi Pilikino Lapaʻau ma ka Mokuna 4 o kēia puke a i ʻole kelepona i nā lawelawe lālā ma ke kelepona i helu ʻia ma ka ʻaoʻao hope o kēia puke

Inā loaʻa ʻoe i kahi pilikia e kamaʻilio mākou me nā kauka e hāʻawi nei iā ʻoe i kahi mālama pilikia e kōkua i ka mālama ʻana a me ka mālama ʻana i kāu mālama E hoʻoholo nā kauka e hāʻawi ana iā ʻoe i kahi mālama pilikia i ka wā paʻa kou kūlana a ua pau ka pilikia olakino

Ma hope o ka pau ʻana o ka pōulia pōpilikia ua hiki nō hoʻi ke loaʻa nā kōkua makaʻala mea maʻi no ka makaʻala ʻana aku i kou olakino Ua uhi ʻia ana no hoʻi nā nānā kauka makaʻala olakino e kō mākou papahana Inā paha i hoʻolako ʻia kāu kōkua mālama olakino pōulia pōpilikia e nā hui hoʻolako ʻōnaehana kūloko ʻole nā mākou no e hoʻoponopono aku i ka loaʻa ʻana aku o nā lawe ʻana aku i nā kuleana mālama ʻia ʻana e kō mākou hui hoʻolako ʻōnaehana kūloko i ke kūpono maikaʻi ʻana aku o kou olakino a i ʻole i ka ʻae ʻana ʻia hoʻi mai ʻO nā nānā kauka no ka makaʻala ʻana mai nā ʻōnaehana kūloko ʻole ma hope o ka pau ʻana o ka pōulia pōpilikia e pono ana hoʻi nā kōkua mālama e ʻāpono mua ʻia e ka papahana ma mua o ka hoʻomau ʻia ʻana o ke kōkua

He aha inā ʻaʻole ia he pilikia olakinoI kekahi manawa paʻakikī paha e ʻike inā loaʻa ʻoe i kahi pilikia olakino ʻO kahi laʻana hele paha ʻoe i loko no ka mālama ulia pōpilikia - e noʻonoʻo ana he pilikia nui kou olakino - a ʻōlelo paha ke kauka ʻaʻole ia he pilikia olakino ma hope o nā mea āpau Inā ʻaʻole ia he pilikia inā ʻoe i noʻonoʻo pono i ka olakino olakino olakino e uhi mākou i kāu mālama

Eia naʻe ma hope o ka hōʻoia ʻana o ke kauka ʻaʻole ia he pōulia e mālama wale ana nō mākou i ka lawelawe keu inā loaʻa mai ka lawelawe ma kēia mau ʻano ʻelua


bull E hele aku ʻoe i kekahi o nā hui hoʻolako ʻōnaehana no ka loaʻa ʻana mai o nā kōkua mālama olakino ʻē aʻe

bull ndash a i ʻole ndash Inā he kōkua mālama ʻē aʻe i ʻike ʻia he kōkua uhi pōulia koʻikoʻi e pono e kōkua ʻia a e hahai no hoʻi ʻoe i nā lula no ka loaʻa ʻana mai o ia kōkua la (no nā manaʻo ʻē aʻe e pili ana i kēia e nānā aku i ka māhele 32 ma lalo iho nei)

Pauku 32 Ka mālama ʻana inā makemake nui ʻoe i nā lawelawe

He aha nā lawelawe e makemake nui ʻiaʻO nā lawelawe e pono koke ai nā pilikia ʻole nā maʻi olakino ʻike ʻole ʻia ʻeha a i ʻole ke ʻano e pono ai ka mālama olakino koke E hoʻolako ʻia paha nā lawelawe e pono ai e nā mea lawelawe pūnaewele a i ʻole nā mea lawelawe i waho o ka pūnaewele ke loaʻa ʻole a loaʻa ʻole paha nā mea lawelawe pūnaewele ʻO ke kūlana i manaʻo ʻole ʻia hiki no ka laʻana lilo i lapalapa i ʻike ʻole ʻia o kahi kūlana i ʻike ʻia i loaʻa iā ʻoe

He aha inā ʻoe ma ka wahi lawelawe o ka hoʻolālā ke makemake nui ʻoe e mālamaMaikaʻi inā e hoaʻo mau aku ʻoe e kiʻi i kēia kōkua pono kōkua e pono e lapaʻau koke ʻia mai nā ʻōnaehana hui hoʻolako mai Koe naʻe inā loaʻa ʻole nā hui hoʻolako a i ʻole ua hiki ʻole ke kōkua mai ia mau hui hoʻolako la ʻaʻole hoʻi pono ke kali ʻana aku iā lākou no ka loaʻa ʻana mai o ia mau hui kōkua nā mākou no e uhi aku i nā pono kōkua e pono e lapaʻau koke ʻia au i hoʻohana aku ai me nā hui hoʻolako kūloko ʻole

ʻOluʻolu e hoʻomaopopo mau aku i ke keʻena a kāu PCP 24 hola o ka lā inā pono kekahi pono kōkua e pono e lapaʻau koke ʻia E hoʻouna ʻia ana paha ʻoe i kekahi kahua nānā kauka no pono kōkua e pono e lapaʻau koke ʻia Loaʻa no hoʻi nā papa inoa o nā kahua nānā kauka no pono kōkua e pono e lapaʻau koke ʻia loaʻa no hoʻi ma loko o ka Papa Kuhikuhi o nā Kauka a me hale kūʻai lāʻau a i ʻole ma kō mākou kaha pūnaewele ma wwwwellcarecomohana Inā ua nānā ʻia ʻoe no nā pono kōkua e pono e lapaʻau koke ʻia ma ke keʻena nānā kauka a kāu kauka ponoʻī e pono ana ʻoe e uku aku i ka uku kāki ʻo ia nānā ʻana ʻia mai akā naʻe inā ua nānā ʻia ka no nā pono kōkua e pono e lapaʻau koke ʻia ma kekahi kahua nānā kauka no pono kōkua e pono e lapaʻau koke ʻia a i ʻole kekahi keʻena nānā kauka hele wale i loko nāu no e uku aku i ka uku kākī ʻano ʻokoʻa ana paha E nānā aku i ka Mokuna 4 Pākuhi Kōkua Lapaʻau (he aha nā mea i uhi ʻia a ʻehia e pono ai ʻoe e uku aku ai) no nā uku kāki i hoʻopili ʻia me ke kōkua i hoʻolako ʻia mai e ke keʻena kauka a i ʻole kekahi kahua nānā kauka no pono kōkua e pono e lapaʻau koke ʻia a i ʻole ma kekahi keʻena nānā kauka hele wale i loko


Hiki pū iā ʻoe ke kaʻalauna aku i ka Laina Kōkua Kahu Maʻi i nā manawa like ʻole au e makemake ai i kōkua Mākaukau no hoʻi na kahu maʻi mākaukau me nā hāʻina e pili ana i kāu mau nīnau no 24 hola o ka lā ʻehiku lā o ka pule No nā manaʻo ʻē aʻe e pili no ke kōkua a ka Laina Kōkua Kahu Maʻi e nānā aku i ka waeʻano o nā pono kōkua a nā polokalamu a mālama olakino maikaʻi (Wellness) ma loko o ka Mokuna 4 (Pākuhi Kōkua Lapaʻau (nā mea i uhi ʻia a me kāu mea e uku ai)) a i ʻole e kāhea aku i ke keʻena Kōkua Lālā (Paʻi ʻia nā helu kelepona ma ka ʻili hope loa o kēia pepelu nei)

He aha inā ʻoe ma waho ka wahi lawelawe o ka hoʻolālā ke makemake nui ʻoe e mālamaInā paha aia ʻoe ma waho aʻe o kahi pono kōkua a e hiki ʻole ke loaʻa aku i nā kōkua mālama mai kekahi ʻōnaehana hui hoʻolako mai na kā mākou papahana ʻinikua no e uhi mai i nā pono kōkua e pono e lapaʻau koke ʻia i loaʻa mai iā ʻoe mai nā ʻano hui hoʻolako ʻē aʻe

Uhi kā mākou papahana i nā pono kōkua pōulia a me nā uhi pōulia koʻikoʻi a puni ka honua nei i hana ʻia ma waho aʻe o ʻAmelika Hui Pū ʻIa ma lalo hoʻi o kēia mau kūlana i waiho ʻia Akā naʻe uhi ʻole ʻia hoʻi nā kōkua mālama pōulia ma waho aʻe o ʻAmelika Hui Pū ʻIa e Medicare

bull Uhi ʻia ʻoe a hiki i $50000 ke hele ʻoe ma waho o ʻAmelika Hui Pū ʻIa ma lalo o kāu ulia pōpilikia ma ka honua holoʻokoʻa Koina e oi aku mamua o keia dala e i e uhiʻia

bull Ka halihali hoʻi i kaʻAmelika Hui Pūʻia mai kekahi aina a me ka lapaʻauʻia kuaiia ana waho o ka Amerika Huipuia i i uhi Hoʻohui ʻia ʻaʻole kāpae ʻia nā koina lumi pilikia inā ʻae ʻia ʻoe no ka mālama maʻi maʻi maʻi



Pauku 33 Ka mālama ʻana i ka wā o kahi pōpilikia

Inā ke kiaʻāina o kou mokuʻāina ka US ʻO ke kākau ʻōlelo o ke olakino a me nā lawelawe kanaka a i ʻole ka Pelekikena o ʻAmelika Hui Pū ʻIa i haʻi i kahi kūlana o ka pōpilikia a i ʻole ka ulia pōpilikia i kou wahi ʻāina kuleana nō ʻoe e mālama mai kāu hoʻolālā

E ʻoluʻolu e kipa i kēia pūnaewele wwwwellcarecomohana no ka ʻike e pili ana i ka loaʻa ʻana o ka mālama e pono ai i ka wā o kahi pōpilikia


ʻO ka mea maʻamau inā ʻaʻole hiki iā ʻoe ke hoʻohana i kahi mea lawelawe pūnaewele i ka wā o kahi pōpilikia e ʻae kāu hoʻolālā iā ʻoe e loaʻa ka mālama mai nā mea lawelawe i waho o ka pūnaewele ma ka kaʻana like ʻana i nā kumukūʻai Inā ʻaʻole hiki iā ʻoe ke hoʻohana i ka hale kūʻai lāʻau lapaʻau i ka wā o kahi pōpilikia hiki paha iā ʻoe ke hoʻopiha i kāu lāʻau i kuhikuhi ʻia i kahi hale kūʻai mai waho o ka pūnaewele E ʻoluʻolu e ʻike i ka Mokuna 5 ʻĀpana 25 no ka ʻike hou aku

PAUKU 4 He aha inā e kau pololei ʻia ʻoe no ke kumukūʻai piha o kāu lawelawe uhi ʻia

Pauku 41 Hiki iā ʻoe ke noi iā mākou e uku i kā mākou mahele o ke kumukūʻai o nā lawelawe uhi ʻia

Inā ua uku ʻoe ma mua o kāu ʻāpana no nā lawelawe i uhi ʻia a inā i loaʻa iā ʻoe kahi bila no ke kumukūʻai holoʻokoʻa o nā lawelawe lapaʻau uhi ʻia e hele i ka Mokuna 7 (Ke noi nei iā mākou e uku i kā mākou mahele o kahi pila i loaʻa iā ʻoe no ka uhi ʻia nā lawelawe lapaʻau a i ʻole nā lāʻau lapaʻau) no ka ʻike e pili ana i ka mea e hana ai

Pauku 42 Inā ʻaʻole uhi ʻia nā lawelawe e kā mākou hoʻolālā pono ʻoe e uku i ke kumukūʻai holoʻokoʻa

Mālama kā mākou papahana i nā lawelawe lapaʻau a pau e pono ai ka lālā a helu ʻia kēia mau lawelawe ma kā ka papahana Pākuhi o nā Pono Kōkua (aia kēia pākuhi ma ka mokuna 4 o kēia puke) a e loaʻa mai ana ma ke ʻano i wehewehe ʻē ʻia ma nā lula o ka papahana Nou ke kuleana o ka uku piha ʻana i nā lawelawe i mālama ʻole ʻia e kā mākou papahana ʻoiai ʻaʻole ia he lawelawe i mālama ʻia e mākou a i ʻole ua loaʻa mai ka lawelawe ma waho o ka ʻōnaehana me ka ʻāpono mua ʻole ʻia mai

Inā he mau nīnau kāu e pili ana inā e uku mākou no kekahi lawelawe olakino a mālama paha āu e noʻonoʻo nei he kuleana kāu e nīnau iā mākou inā mākou e uhi iā ia ma mua o ka loaʻa ʻana iā ia He kuleana nō kāu e noi i kēia ma ka palapala Inā mākou e ʻōlelo ʻaʻole mākou e uhi i kāu lawelawe aia iā ʻoe ke kuleana e hoʻopiʻi i kā mākou hoʻoholo ʻaʻole e uhi i kāu mālama

Mokuna 9 (He aha kāu e hana ai inā he pilikia a hoʻopiʻi paha ʻoe (hoʻoholo hoʻoholo hoʻopiʻi hoʻopiʻi)) he ʻike hou aku e pili ana i ka mea e hana ai inā makemake ʻoe i kahi hoʻoholo uhi mai iā mākou a makemake paha e hoʻopiʻi i kahi hoʻoholo ua hana mua mākou Hiki paha iā ʻoe ke kāhea i nā lawelawe lālā e kiʻi i ka ʻike hou aku (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)


No nā pono kōkua i uhi ʻia i loaʻa kekahi kaupalena no nā pono kōkua e uku no hoʻi ʻoe i ka huina nui holoʻokoʻa o nā ʻano pono kōkua i uhi ʻia e loaʻa mai iā ʻoe ma hope mai o ka hoʻohana ʻana aku a pau loa nā waiwai a kāu kōkua uhi no ia ʻano kōkua i uhi ʻia ʻO nā huina nui au e uku aku ai i ka hōʻea ʻana aku i ka palena pau o ia pono kōkua helu ʻole ʻia hoʻi kēia i me kāu huina nui holoʻokoa o nā loli-mai-kou-paiki-kālā-mai O kekahi lāʻana e pono ana paha ʻoe e uku i ka huna nui holoʻokoʻa no nā kōkua i loaʻa mai kekahi kahua mālama mea maʻi me nā kahu maʻi mākaukau ma hope mai o ka hōʻea ʻana aku i ka palenapau o nā waiwai kōkua uku a ka papahana ʻinikua no nā kaupalena o nā kōkua Ma hope o ka hoʻohana ʻana aku ʻoe a pau aʻe ka waiwai o nā kaupalena o nā pono kōkua helu ʻole ʻia hoʻi kēia i me kāu huina nui holoʻokoa o nā loli-mai-kou-paiki-kālā-mai Ua hiki nō iā ʻoe ke kāhea aku i ke keʻena Kōkua Lālā inā makemake ʻoe e maopopo ʻana i ka huina nui a kāu kaupalena pono kōkua au i hoʻohana aku ai

PAUKU 5 Pehea e uhi ai kāu mau lawelawe olakino ke ʻoe i loko o kahi noiʻi noiʻi noiʻi

Pauku 51 He aha ia he noiʻi noiʻi hoʻokolohua

ʻO kahi noiʻi noiʻi noiʻi (i kapa ʻia ʻo hoʻokolohua hoʻokolohua) kahi ala e hoʻāʻo ai nā kauka a me nā ʻepekema i nā ʻano lapaʻau hou e like me ka maikaʻi o ka hana ʻana o kahi lāʻau ʻino Hōʻaʻo lākou i nā kaʻina hana olakino hou a i ʻole nā lāʻau i ke noi ʻana i nā mea manawaleʻa e kōkua i ka hoʻopaʻa ʻana ʻO kēia ʻano haʻawina kekahi o nā kaʻina hope loa o ka hana noiʻi e kōkua i nā kauka a me nā ʻepekema e ʻike inā holo pono kahi ala hou a inā palekana ia

ʻAʻole wehe ʻia nā noiʻi noiʻi maʻi āpau i nā lālā o kā mākou hoʻolālā Pono ʻae ʻo Medicare i ka noiʻi noiʻi Inā ʻoe e komo i kahi noiʻi i loaʻa iā Medicare ʻaʻole i i ʻae ʻia e kuleana ʻoe no ka uku ʻana i nā koina āpau no kou komo ʻana i ka hoʻopaʻa haʻawina

I ka manawa e ʻae ai ʻo Medicare i ke aʻo ʻana e kāhea kahi mea e hana ana i ka noiʻi iā ʻoe e wehewehe hou aku e pili ana i ka noiʻi a ʻike inā hoʻokō ʻoe i nā koi a nā ʻepekema e holo nei i ka noiʻi Hiki iā ʻoe ke komo i ke aʻo ʻana inā hoʻokō ʻoe i nā koina no ke aʻo ʻana a me ka ʻike piha ʻoe a me ka ʻae i nā mea e pili ana inā ʻoe e komo i ka noiʻi

Inā ʻoe e komo i kahi noi i ʻāpono ʻia e Medicare uku ka Original Medicare i ka hapa nui o nā kumukūʻai no nā lawelawe i uhi ʻia e loaʻa iā ʻoe ma ke ʻano he ʻāpana Ke komo nei ʻoe i kahi noiʻi noiʻi noiʻi hiki iā ʻoe ke hoʻopaʻa inoa i loko


o kā mākou papahana a hoʻomau i ka loaʻa ʻana o ke koena o kāu mālama (ka mālama e pili ʻole ana i ka noiʻi) ma o kā mākou papahana

Inā makemake ʻoe e komo i kahi noiʻi noiʻi lapaʻau ʻae ʻia e Medicare ʻaʻole ʻoe e ʻaʻole e ʻae ʻia e mākou a i ʻole kāu PCP Hāʻawi nā mea hāʻawi i kāu mālama ma ke ʻano he ʻāpana o ka noiʻi noiʻi maʻi ʻaʻole i ʻāpana o kā mākou papahana o nā mea hāʻawi

ʻOiai ʻaʻole pono ʻoe e ʻae i kā mākou hoʻolālā e komo i kahi noiʻi noiʻi noiʻi pono ʻoe e haʻi iā mākou ma mua o kou hoʻomaka ʻana e komo i kahi noiʻi noiʻi noiʻi

Inā ʻoe e hoʻolālā i ke komo ʻana i kahi noiʻi noiʻi noiʻi e hoʻokaʻaʻike i nā lawelawe a nā lālā (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke) e hoʻomaopopo iā lākou e komo ana ʻoe i ka hoʻokolohua hoʻokolohua a e ʻike i nā kikoʻī kikoʻī e pili ana i kāu hoʻolālā e uku

Pauku 52 Ke komo ʻoe i kahi noiʻi noiʻi noiʻi na wai e uku no ke aha

Ke hui pū ʻoe me kahi noi noiʻi noiʻi lapaʻau i ʻae ʻia e Medicare uhi ʻia ʻoe no nā mea maʻamau a me nā lawelawe i loaʻa iā ʻoe ma ke ʻano he ʻāpana e like me

bull ʻO ka lumi a me ka papa no kahi noho haukapila e uku ai ʻo Medicare inā ʻaʻole ʻoe ma kahi haʻawina

bull ʻO kahi hana a lāʻau lapaʻau ʻē aʻe inā he ʻāpana ia o ka noiʻi noiʻi bull Ka mālama ʻana i nā hopena a me nā pilikia o ka mālama hou

Original Medicare kumu e uku i ka hapa nui o ke kumukūʻai o nā lawelawe uhi ʻia e loaʻa iā ʻoe ma ke ʻano he ʻāpana Ma hope o ka uku ʻana o Medicare i kāna ʻāpana o ke kumukūʻai no kēia mau lawelawe e uku pū kā mākou hoʻolālā i kahi ʻāpana o nā kumukūʻai E uku mākou i ka ʻokoʻa ma waena o ke kaʻana like ʻana o ke kumukūʻai ma Original Medicare a me kāu kaʻana like ʻana ma ke ʻano he lālā o kā mākou hoʻolālā Kuhi kēia e uku ʻoe i ka nui like no nā lawelawe i loaʻa iā ʻoe ma ke ʻano he ʻāpana o ke aʻo ʻana e like me kāu e loaʻa ai kēia mau lawelawe mai kā mākou hoʻolālā

Eia kekahi laʻana o ana i ka waiwai e lilo aku i kaʻana like hana E iho mai ka ka olelo ana oe i ke Keʻena hoao i koina $100 i kekahi hapa o ka noiʻi mahele E ʻōlelo pū mākou ʻo kāu mahele o nā koina no kēia hoʻāʻo he $20 ma lalo o Original Medicare akā ʻo ka hoʻāʻo he $10 ma lalo o nā pono o kā mākou hoʻolālā I kēia hihia uku ka Original Medicare i $80 no ka hoʻāʻo a uku mākou i $10 hou Kuhi kēia e uku ʻoe i $10 ʻo ia ka nui like āu e uku ai ma lalo o nā pono o kā mākou papahana


I mea e uku ai mākou i kā mākou mahele o nā kumukūʻai pono ʻoe e hoʻouna i kahi noi no ka uku Me kāu noi pono ʻoe e hoʻouna iā mākou i kahi kope o kāu hoʻolaha Medicare hōʻuluʻulu manaʻo a i ʻole nā palapala ʻē aʻe e hōʻike ana he aha nā lawelawe i loaʻa iā ʻoe ma ke ʻano he ʻāpana o ka hoʻopaʻa aʻo ʻana i kāu mau ʻaiʻē E ʻoluʻolu e ʻike i ka Mokuna 7 no ka ʻike hou aku e pili ana i ka hoʻouna ʻana i nā noi no ka uku

Inā ʻoe he ʻāpana o kahi noiʻi noiʻi maʻi ʻaʻole Medicare a i ʻole a kā mākou hoʻolālā e uku no kekahi o nā mea aʻe

bull ʻO ka maʻamau ʻaʻole Medicare e ʻaʻole uku no ka mea hou a i ʻole ka lawelawe e hoʻāʻo nei ka hoʻopaʻa ʻana inā ʻaʻole uhi ʻo Medicare i ka mea a lawelawe paha inā ʻaʻole ʻoe ʻaʻole i kahi hoʻopaʻa

bull Nā mea a me nā lawelawe a ka hoʻopaʻa haʻawina hāʻawi iā ʻoe a i ʻole kekahi mea komo me ka manuahi

bull Hāʻawi wale ʻia nā huahana a i ʻole nā lawelawe e hōʻiliʻili i nā ʻikepili a hoʻohana ʻole ʻia i kāu mālama olakino pololei ʻO kahi laʻana ʻaʻole uku ʻo Medicare no ka scan CT mau mahina i hana ʻia ma ke ʻano he ʻāpana o ke aʻo inā e koi maʻamau kāu ʻano olakino i hoʻokahi scan CT

Makemake ʻoe e ʻike houHiki iā ʻoe ke kiʻi hou aku i ka ʻike e pili ana i ke komo ʻana i kahi noiʻi noiʻi maʻi ma o ke kipa ʻana ʻana i ka pūnaewele Medicare e heluhelu a hoʻoiho ai i ka paʻi puke Medicare and Clinical Research Studies (Loaʻa ka hoʻolaha ma wwwmedicaregovPubspdf02226-Medicare-and-Clinical-Research-Studiespdf)

Hiki iā ʻoe ke kāhea iā 1-800-MEDICARE (1 -800-633-4227) 24 hola o ka lā 7 lā o ka pule Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048

PAUKU 6 ʻO nā lula no ka uhi ʻana i kahi mālama i loko o kahi hale mālama ola olakino haipule

Pauku 61 He aha kahi ʻoihana ola olakino haipule ʻole

ʻO kahi keʻena mālama ola olakino haipule kahi ʻoihana e hāʻawi i ka mālama no kahi kūlana e mālama maʻamau ʻia i kahi haukapila a i ʻole kahi lawelawe kahu hānai akamai Inā kūʻē ka mālama ʻana i kahi haukapila a i ʻole kahi hale hānai mākaukau i nā manaʻo haipule o kahi lālā e hāʻawi mākou i ka uhi no ka mālama ʻana i kahi keʻena mālama ola kino ʻole haipule Hiki iā ʻoe ke koho e alualu i ka mālama olakino i kēlā me kēia manawa no kekahi kumu Hāʻawi wale ʻia kēia


pōmaikaʻi no nā lawelawe maʻi maʻi Part A (nā lawelawe mālama ola olakino ʻole) E uku wale ʻo Medicare no nā lawelawe mālama ola olakino ʻole i hāʻawi ʻia e nā haipule n ma waena waena nā hale mālama olakino cal

Pauku 62 Ke loaʻa nei ka mālama mai kahi hui mālama ola olakino ʻole hoʻomana

No ka mālama ʻana mai kahi keʻena mālama ola olakino haipule ʻole pono ʻoe e pūlima i kahi palapala kū kānāwai e ʻōlelo nei ua kūʻē ʻole ʻoe i ka loaʻa ʻana o ka lāʻau lapaʻau ʻaʻole koe

bull ʻO ka mālama olakino ʻole koe wale ka mālama olakino a mālama ʻia paha e manawaleʻa a me ʻaʻole koi ʻia e kekahi kānāwai pekelala mokuʻāina a kūloko paha

bull ʻO ka mālama lapaʻau Exed ʻo ka mālama olakino a i ʻole ka lāʻau lapaʻau āu e loaʻa ai ʻaʻole manawaleʻa a i ʻole koi ʻia ma lalo o ke kānāwai pekelala mokuʻāina a kūloko paha

E uhi ʻia e kā mākou hoʻolālā ʻo ka mālama āu e loaʻa ai mai kahi keʻena mālama ola olakino haipule pono e hoʻokō i nā ʻano aʻe

bull Pono e hōʻoia ʻia ka wahi e hāʻawi ai i ka mālama e Medicare bull ʻO kā mākou papa kuhi o nā lawelawe i loaʻa iā ʻoe e kaupalena ʻia i hoʻomana ʻole ʻano o ka mālama

bull Inā loaʻa iā ʻoe nā lawelawe mai kēia kula i hāʻawi ʻia iā ʻoe i kahi keʻena pili nā ʻōlelo aʻe

Pono ʻoe e loaʻa i kahi ʻano olakino e ʻae iā ʻoe e loaʻa i nā lawelawe i uhi ʻia no ka mālama ʻana i ka haukapila maʻi a i ʻole mālama mālama mākau

- a me - pono ʻoe e ʻae i mua o kā mākou hoʻolālā ma mua o kou ʻae ʻia ʻana i ka hale hana a i ʻole ʻaʻole e uhi ʻia kou noho ʻana

ʻAʻole i uhi ʻia kāu noho ʻana i loko o kahi keʻena mālama olakino ʻole olakino e kā mākou hoʻolālā ke ʻole ʻoe e ʻae ʻia (ʻae) ma mua o kā mākou papa hana a e hoʻopili ʻia i nā palena palena like e like me ka mālama maʻi a mea mālama maʻi hānai āu e mālama ai loaʻa E ʻoluʻolu e nānā i ka Pakuhi Pilikino Lapaʻau ma ka Mokuna 4 no nā lula uhi a me nā ʻike hou aku e pili ana i ka hoʻokaʻawale ʻana i nā kumukūʻai a me nā palena no ka haukapila maʻi a me ka uhi hānai hānai akamai


PAUKU 7 Nā kānāwai no ke kuleana o nā pono olakino paʻa

Pauku 71 E loaʻa iā ʻoe nā lako pono olakino ma hope o ka hana ʻana i kahi helu o nā uku ma lalo o kā mākou hoʻolālā

ʻO nā pono olakino paʻa (DME) nā mea e like me ka lako pono o ka oxygen a me nā pono nā noho huila nā mea hele nā ʻōnaehana moena mana nā koʻokoʻo nā pono diabetic nā hāmeʻa e hoʻopuka ana i ka haʻiʻōlelo nā pōkā infusion IV nā nebulizers a me nā moena o ka haukapila i kauoha ʻia e kahi mea hoʻolako no ka hoʻohana ʻana i ka home Loaʻa i nā lālā mau nā mea e like me nā prosthetics Ma kēia ʻāpana kūkākūkā mākou i nā ʻano DME ʻē aʻe e pono ai ʻoe e hoʻolimalima

I ka Original Medicare nā poʻe e hoʻolimalima i kekahi ʻano o ka DME ponoʻī nā pono hana ma hope o ka uku ʻana i nā uku uku no ka mea no 13 mau mahina E like me kekahi lala o ko mākou manao nae oe IeAUPIIe IAa IO e ole Aoai ona o eiaaioa DME ikamu i mea nani wale ka nui l e-pa yments oe e ai no ka ukana oiai he l amp acirclacirc o ko mākou manao Ma lalo o kekahi mau palena palena palena e hoʻoili mākou i ka kuleana o ka mea DME iā ʻoe Kāhea i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke) e ʻike e pili ana i nā koina āu e pono ai e hoʻokō a me nā palapala e pono ai e hāʻawi

He aha ka hana i nā uku āu i hana ai no nā lako olakino kūpaʻa inā ʻoe e kuapo i ka Original MedicareInā ʻaʻole ʻoe i loaʻa ka kuleana o ka mea DME ʻoiai i kā mākou hoʻolālā pono ʻoe e uku i 13 mau uku uku hou ma hope o kou hoʻololi ʻana i Original Medicare i mea e pono ai ka mea ʻO nā uku āu i hana ai i kā mākou hoʻolālā ʻaʻole e helu ʻia i kēia mau uku uku 13

Inā ʻoe i hana ma lalo o 13 mau uku no ka mea DME ma lalo o Original Medicare ma mua o ua komo ʻoe i kā mākou papahana ʻaʻole helu pū ʻia kāu uku ma mua i nā uku 13 i ukali ʻia Pono ʻoe e uku i 13 mau uku ukali hou ma hope o kou hoʻi ʻana i Original Medicare i mea e pono ai ka mea ʻAʻohe ʻokoʻa i kēia hihia ke hoʻi ʻoe i Original Medicare


PAUKU 8 Nā Rula no ka Pono Oxygen Pono a me ka mālama ʻana

Pauku 81 He aha nā pono oxygen e kuleana ai ʻoe

Inā ʻāpono ʻia ʻoe no ka loaʻa ʻana aku o kekahi kōkua uhi lako mīkini ea ʻokikene a ka hui ʻinikua mālama olakino makule Medicare no laila inā e hoʻomau aku ʻoe i ka noho lālā ma lalo o mākou na ka Wellcare Ohana No Premium (HMO) e uhi aku

bull Ka hoʻolimalima o nā pono oxygen bull Ka lawe ʻana i nā mea o oxygen a me oxygen bull ʻO ka tubing a me nā mea kōkua oxygen e pili ana no ka lawe ʻana o ka oxygen a me nā ʻike oxygen

bull Mālama a me nā hoʻoponopono ʻana o nā pono oxygenInā haʻalele ʻoe ʻoe i ka hui Wellcare Ohana No Premium (HMO) a i ʻole ʻaʻole pono ka loaʻa ʻana aku o ka lako mīkini ea ʻokikene pono no hoʻi e hoʻihoʻi hou ʻia aku ka lako mīkini ea ʻokikene i kahi a loaʻa mai ai

Pauku 82 He aha kāu hoʻokaʻawale kumukūʻai E hoʻololi paha ia ma hope o 36 mau mahina

ʻO kāu kuleana kaʻana uku no ka lako mīkini ea ʻokikene a Medicare i uhi ʻia he 20 o ke koena uku a ka mea maʻi i nā 36 māhina a pau

inā ua uku aku ʻoe i ka uku hoʻolimalima no nā lako mīkini ea ʻokikene no 36 mau māhina ma mua o ke komo ʻana mai i ka Wellcare Ohana No Premium (HMO) o kāu kuleana kaʻana uku ma Wellcare Ohana No Premium (HMO) he 20 o ke koena uku a ka mea maʻi

Pauku 83 He aha ka hana inā haʻalele ʻoe i kāu hoʻolālā a hoʻi i Original Medicare

Inā ua uku aku ʻoe i ka uku hoʻolimalima no nā lako mīkini ea ʻokikene no 36 mau māhina ma mua o ke komo ʻana mai i ka Wellcare Ohana No Premium (HMO) e komo mai ma kō mākou papahana no 12 māhina a laila e hoʻi hou aku i ka hui ʻinikua mālama olakino Original Medicare e uku aku no hoʻi ʻoe i ke kuleana kaʻana uku piha no nā uhi kōkua no nā lako mīkini ea ʻokikene

Ua like no hoʻi me kēia inā ua uku aku ʻoe i nā uku no 36 māhina i kou noho ʻana mai ma lalo o ka Wellcare Ohana No Premium (HMO) a laila e hoʻi hou aku i ka hui ʻinikua mālama olakino Original Medicare e uku aku no hoʻi ʻoe i ke kuleana kaʻana uku piha no nā uhi kōkua no nā lako mīkini ea ʻokikene

MOKUNA 4Pakuhi Pilikino Pilikino

(he aha ka mea i uhi ʻia a he aha kāu e uku ai)

2022 Hōʻike o ka uhi ʻana no Wellcare Ohana No Premium (HMO) 74Mokuna 4 Palapala Pilikino Pilikino (he aha ka mea i uhi ʻia a he aha

kāu e uku ai)

Mokuna 4 Palapala Pilikino Pilikino (he aha ka mea i uhi ʻia a he aha kāu e uku ai)

PAUKU 1 Ka hoʻomaopopo ʻana i kāu kumukūʻai ma waho o ka ʻeke no nā lawelawe i uhi ʻia 75

Pauku 11 Nā ʻano o ke kumukūʻai ʻeke āu e uku ai no kāu mau lawelawe i uhi ʻia 75

Pauku 12 He aha nā mea āu e uku ai no Medicare Part A a me Part B i uhi ʻia i nā lawelawe lapaʻau 75

Pauku 13 ʻAʻole ʻae kā mākou hoʻolālā i nā mea hāʻawi e kaulike pila iā ʻoe 76

PAUKU 2 E hoʻohana i ka Pakuhi Pilikino Lapaʻau e ʻike ai i ka mea i uhi ʻia nou a pehea ka nui āu e uku ai 77

Pauku 21 ʻO kāu mau pono olakino a me nā koina ma ke ʻano he lālā o ka hoʻolālā 77

PAUKU 3 He aha nā lawelawe i uhi ʻole ʻia e ka hoʻolālā 143Pauku 31 Hana mākou i nā lawelawe ʻaʻole uhi (hoʻokoe ʻia) 143


kāu e uku ai)

PAUKU 1 Ka hoʻomaopopo ʻana i kāu kumukūʻai ma waho o ka ʻeke no nā lawelawe i uhi ʻia

Kuhi kēia mokuna i kāu mau lawelawe i uhi ʻia a me nā mea āu e uku ai no kāu mau pono lapaʻau Aia i loko o kahi Pakuhi Pilikino Lapaʻau e papa inoa nei i kāu mau lawelawe i uhi ʻia a hōʻike i ka nui āu e uku ai no kēlā me kēia lawelawe uhi ʻia ma ke ʻano he lālā o kā mākou hoʻolālā Ma hope ma kēia mokuna hiki iā ʻoe ke ʻike i ka ʻike e pili ana i nā lawelawe lapaʻau ʻaʻole i uhi ʻia Hoʻomaopopo pū ia i nā palena i kekahi mau lawelawe

Pauku 11 Nā ʻano o ke kumukūʻai ʻeke āu e uku ai no kāu mau lawelawe i uhi ʻia

I mea e ʻike ai i ka ʻike uku a mākou e hāʻawi aku ai iā ʻoe i kēia mokuna pono ʻoe e ʻike e pili ana i nā ʻano o nā uku i waho o ka ʻeke āu e uku ai no kāu mau lawelawe i uhi ʻia

bull A copayment ʻo ia ka uku paʻa āu e uku ai i kēlā me kēia manawa ke loaʻa iā ʻoe kekahi mau lawelawe lapaʻau Uku ʻoe i kahi copayment i ka manawa e loaʻa ai iā ʻoe ka lawelawe lapaʻau (Ka Pakuhi Pilikino Pilikino ma ka ʻĀpana 2 e haʻi hou aʻe e pili ana i kāu copayments)

bull Coinsurance ʻo ia ka pākēneka āu e uku ai no ka huina kumukūʻai o kekahi mau lawelawe lapaʻau Uku ʻoe i ka uku kālā i ka manawa e loaʻa ai iā ʻoe ka lawelawe lapaʻau (Ka Pakuhi Pilikino Pilikino ma ka ʻĀpana 2 haʻi hou aku iā ʻoe e pili ana i kāu coinsurance)

ʻO ka hapa nui o ka poʻe i kūpono i ka Medicaid a i ʻole no ka papahana Medicare beneficiary (QMB) kūpono ʻaʻole pono e uku i nā deductibles copayments a i ʻole ka waihona kālā E hōʻike pono i kāu hōʻoia o Medicaid a i ʻole QMB kūpono i kāu mea hāʻawi inā pili Inā manaʻo ʻoe ua noi ʻia ʻoe e uku kūpono ʻole e hoʻopili aku i nā lawelawe a nā lālā

Pauku 12 He aha nā mea āu e uku ai no Medicare Part A a me Part B i uhi ʻia i nā lawelawe lapaʻau

ʻOiai ua noho lālā hoʻi ʻoe ma lalo o ka papahana ʻinikua mālama olakino ʻoiaʻe Medicare Advanatage loaʻa no hoʻi kekahi kaupalena o ka nui lilo i hemo mai kou paiki kālā mai i nā makahiki pākahi no nā pono kōkua mālama olakino a ka ʻōnaehana-kūloko i uhi ʻia e ka Part A a me ka Part B (e nānā aku i ka Pakuhi Pono Kōkua Mālama Olakino ma loko o ka māhele 2 ma lalo iho nei) Kapa ʻia hoʻi kēia kaupalena nei o ka huina nui holoʻokoʻa o nā lilo mai-kou-paiki-kālā-mai no nā kōkua mālama olakino


kāu e uku ai)

I lālā no hoʻi ma lalo o kō mākou papahana ʻinikua o ka nui loa e hiki ai iā ʻoe ke uku aku mai-kou-paiki-kālā-mai no ka Part A a me ka Part B o na kōkua i uhi ʻia i loko o 2022 he $5700 ʻO ka huina au e uku ai no na uku kāki a me nā koena uku a ka mea maʻi no nā kōkua uhi ʻōnaehana-kūloko helu ʻia aku no hoʻi i kāu huina nui holoʻokoʻa o nā lilo mai-kou-paiki-kālā-mai (ʻO ka huina nui au e uku ai no kāu kōkua lāau kuhikuhi a ka Part D helu ʻole ʻia hoʻi i kāu huina nui holoʻokoʻa o nā lilo mai-kou-paiki-kālā-mai) Kekahi mea ʻē aʻe ʻo ka huina au e uku ai no kekahi o nā pono kōkua helu ʻole ʻia nō hoʻi i kāu huina nui holoʻokoʻa o nā lilo mai-kou-paiki-kālā-mai Māka ʻia kēia mau pono kōkua nei me kekahi māka kaha kuhi () i loko o ka Pakuhi Pono Kōkua Lapaʻau Inā hōʻea aku ʻoe i ka huina nui holoʻokoʻa o nā lilo mai-kou-paiki-kālā-mai o $5700 ʻaʻole pono oe e uku aku i nā huina nui holoʻokoʻa o nā lilo mai-kou-paiki-kālā-mai no ke koena o ka mahahiki no nā kōkua i uhi ʻia e ka Part A a me ka Part B Eia naʻe e pono ana ʻoe e hoʻomau i ka uku ʻana aku i kāu uku ʻinikua a ka ʻiInikua mālama olakino makule Part B (koe naʻe inā ke uku ʻia nei kāu uku ʻinikua a ka ʻInikua mālama olakino Medicaid Part B)

Pauku 13 ʻAʻole ʻae kā mākou hoʻolālā i nā mea hāʻawi e kaulike pila iā ʻoe

I lālā hoʻi ʻoe a kō mākou papahana ʻinikua o kekahi palekana nui hoʻi nou ʻo ia hoʻi ka uku ʻana aku i kāu māhele o ka huina kuleana kāʻana uku i ka loaʻa ʻana aku o nā pono kōkua mai kō mākou papahana ʻinikua mai ʻAʻole mākou e ʻae i nā hui hoʻolako e hoʻokomo i kekahi o nā kāki kaʻawale ʻē aʻe i kapa ʻia ka palekana kaulike pila ʻaiʻē E kū mau no hoʻi o kēia palekana ʻia ʻana (pono ʻole e uku aku a ʻoi aʻe i ka huina nui o ke kuleana kaʻana uku) a he mea ʻole hoʻi inā uku aku mākou i ka hui hoʻolako i kekahi huina nui ma lalo mai o ka huina nui a lākou e kāki nei no kekahi kōkua a inā paha e loaʻa mai kekahi kūʻē a ʻaʻole hoʻi mākou e uku i o nā kāki hui hoʻolako

Penei e hana ai kēia pale

bull Inā he copayment kāu hoʻokaʻawale kālā ʻana (kahi nui o nā kālā no ka laʻana $1500) a laila uku ʻoe i kēlā kālā no kēlā me kēia lawelawe i uhi ʻia mai ka mea lawelawe pūnaewele ʻOi aku ka nui o kāu mau copay ke loaʻa iā ʻoe ka mālama mai nā mea lawelawe i waho o ka pūnaewele

bull Inā he iniha kālā kāu kaʻana kālā ʻana (kahi pākēneka o ka huina o nā uku) no laila ʻaʻole ʻoe e uku hou aku ma mua o kēlā pākēneka Eia nō naʻe pili kāu kumukūʻai i ke ʻano o ka mea hāʻawi āu e ʻike ai

Inā e loaʻa mai iā ʻoe nā kōkua uhi mai kekahi o nā hui hoʻolako ma ka ʻōnaehana e uku ʻoe i kekahi pākeneka o koena uku a ka mea maʻi


kāu e uku ai)

a hoʻonui ʻia me ka uku paneʻe a ka uku pānaʻi a ka papahana ʻinikua (i hoʻoholo ʻia i loko o nā ʻaelike ma waena o nā hui hoʻolako a me ka papahana ʻinikua)

Inā e loaʻa mai iā ʻoe nā kōkua uhi mai kekahi o nā hui hoʻolako ʻōnaehana-kūloko-ʻole i hana like pū mai me ka hui Medicare e uku ʻoe i kekahi pākeneka o koena uku a ka mea maʻi a hoʻonui ʻia me ka pākeneka uku a Medicare no nā hui hoʻolako e komo pū nei ma kēia hana (Mai poina uhi no hoʻi ka papahana ʻinikua i nā pono kōkua i hoʻolako ʻia e nā hui hoʻolako ʻōnaehana-kūloko-ʻole i kekahi manawa wale no inā e loaʻa mai iā ʻoe kekahi kōkua kuhikuhi)

Inā e loaʻa mai iā ʻoe nā kōkua uhi mai kekahi o nā hui hoʻolako ʻōnaehana-kūloko-ʻole i komo ʻole mai no ka hana like ʻana me ka hui Medicare e uku ʻoe i kekahi pākeneka o koena uku a ka mea maʻi a hoʻonui ʻia me ka pākeneka uku a Medicare no nā hui hoʻolako komo ʻole mai a hana like ma kēia hana (Mai poina uhi no hoʻi ka papahana ʻinikua i nā pono kōkua i hoʻolako ʻia e nā hui hoʻolako ʻōnaehana-kūloko-ʻole i kekahi manawa wale nō inā e loaʻa mai iā ʻoe kekahi kōkua kuhikuhi)

bull Inā manaʻo ʻoe he koina kau ka mea hāʻawi iā ʻoe e kāhea i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)

PAUKU 2 E hoʻohana i ka Pakuhi Pilikino Lapaʻau e ʻike ai i ka mea i uhi ʻia nou a pehea ka nui āu e uku ai

Pauku 21 ʻO kāu mau pono olakino a me nā koina ma ke ʻano he lālā o ka hoʻolālā

Hoʻopaʻa ʻia no hoʻi nā pono kōkua i uhi ʻia e kō mākou papahana ma ka Pakuhi Kōkua Lapaʻau ma kekahi ʻaoʻao aʻe a me ka huina e pono ai ʻoe e uku no nā lilo mai-kou-paiki-kālā-mai no nā kōkua pākahi Uhi ʻia nā pono kōkua i hoʻopaʻa ʻia ma ka Pakuhi Kōkua Lapaʻau inā e loaʻa nā koina no ka uhi ʻana ʻia aku

bull Pono e hoʻolako ʻia kāu lawelawe Medicare uhi ʻia e like me nā kulekele uhi i hoʻokumu ʻia e Medicare

bull ʻO kāu mau lawelawe (e like me ka mālama olakino nā lawelawe nā lako a me nā pono) pono pono pono i ka lāʻau Pono kūpono i ke ʻano o nā lawelawe nā lako a i ʻole nā lāʻau e pono ai no ka pale ʻana ka ʻike ʻana a i ʻole ka mālama ʻana i kāu kūlana olakino a kū i nā pae i ʻae ʻia o ka hana olakino


kāu e uku ai)

bull Loaʻa mai kāu kōkua mālama olakino mai kekahi ʻōnaehana hui hoʻolako mai I ka hapa nui o ka manawa o nā kōkua mālama olakino i loaʻa mai iā ʻoe mai nā hui hoʻolako-ʻōnaehana-kūloko-ʻole a e uhi ʻole ʻia no hoʻi Hoʻolako nō hoʻi ka Mokuna 3 i nā manaʻo ʻē aʻe e pili ana i nā waiwai e pono ai no ka hoʻohana ʻana i nā ʻhui hoʻolako ma ka ʻōnaehana hui hoʻolako no kekahi o na kōkua a me nā kumu hoʻi i pono ai mākou e uhi aku ia mau kōkua mai kekahi o nā hui hoʻolako-ʻōnaehana-kūloko-ʻole

bull Loaʻa iā ʻoe kekahi hui hoʻolako mālama mea maʻi kuamua (PCP) i hoʻolako mai a e hoʻoholo pono mai i kou mālama ʻia ʻana mai Ma kekahi mau hana maʻamau pono kāu ʻōnaehana PCP e haʻawi mua i kekahi ʻāpono ma mua o ka hiki ʻana ke hoʻohana aku i nā hui hoʻolako i loaʻa ma ka ʻōnaehana a ka papahana ʻinikua Kapa ʻia hoʻi kēia ke kōkua kuhikuhi Hoʻolako no hoʻi ka Mokuna 3 i nā manaʻo ʻē aʻe e pili ana i ka loaʻa ʻana o kekahi kōkua kuhikuhi a me nā kumu hoʻi i pono ʻole ai kekahi kōkua kuhikuhi

bull ʻO kekahi o nā pono kōkua i hoʻopaʻa ʻia ma ka Pakuhi Pono Kōkua Lapaʻau i uhi wale ʻia nō inā loaʻa mua kekahi ʻāpono i kāu kauka a i ʻole kāu hui hoʻolako mai iā (i kekahi manawa kapa ʻia ʻāpono mua ʻia mākou mai ʻO nā pono kōkua i uhi ʻia e pono ai kekahi ʻāpono mua ʻia ʻana ua māka ʻia me nā hua ʻōlelo o Pakuhi Pono Kōkua Lapaʻau i uhi ʻia me nā hua ʻōlelo i hoʻohiō ʻia

Nā mea nui ʻē aʻe e ʻike e pili ana i kā mākou uhi ʻana

bull E like me nā hoʻolālā olakino Medicare a pau uhi mākou i nā mea āpau e uhi ai ʻo Original Medicare No kekahi o kēia mau pono uku ʻoe i ʻoi aku i kā mākou papa hana ma mua o kāu e hana ai ma Original Medicare No nā poʻe ʻē aʻe uku ʻoe i liʻiliʻi (Inā makemake ʻoe e ʻike hou aʻe e pili ana i ka uhi a me nā kumukūʻai o Original Medicare e nānā i kāu puke haʻawina Medicare amp You 2022 E ʻike iā ia ma ka pūnaewele ma wwwmedicaregov a i ʻole e noi i kahi kope ma ke kāhea ʻana iā 1-800-MEDICARE (1-800-633-4227) 24 hola o ka lā 7 lā o ka pule Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048)

bull No nā lawelawe pale āpau i uhi ʻia me ka uku ʻole ma lalo o Original Medicare uhi pū mākou i ka lawelawe me ka uku ʻole aku iā ʻoe Eia nō naʻe inā mālama ʻia a nānā ʻia ʻoe no kahi ʻano olakino e kū nei i ka wā o ke kipa ke loaʻa iā ʻoe ka lawelawe pale e noi ana kahi copayment no ka mālama i loaʻa no ke ʻano olakino e kū nei

bull I kekahi manawa hoʻohui ʻo Medicare i ka uhi ma lalo o Original Medicare no nā lawelawe hou i ka makahiki Inā hoʻohui ʻo Medicare i ka uhi no nā lawelawe i 2022 a i ʻole Medicare a i ʻole kā mākou hoʻolālā e uhi i kēlā mau lawelawe


kāu e uku ai)

E ʻike ʻoe i kēia ʻāpala ma hope o nā lawelawe pale i ka pakuhi pōmaikaʻi

Pakuhi Pilikino Pilikino

Nā lawelawe i uhi ʻia nāu He aha kāu e pono ai uku ke loaʻa iā ʻoe kēia mau lawelawe

Ke nānā ʻana i kahi aneurysm ʻōpū ʻōpū ʻO kahi ultrasound kānana hoʻokahi manawa no ka poʻe makaʻu Mālama wale ka hoʻolālā i kēia kānana inā loaʻa iā ʻoe kekahi mau pilikia a inā loaʻa iā ʻoe kahi kuhikuhi no ia mea mai kāu kauka kauka kōkua kahu hānai a i ʻole ka loea kahu maʻi maʻi

ʻAʻohe kālā kālā copayment a i ʻole lawe ʻia no nā lālā kūpono i kēia kānana pale

Lapaʻau kui pākē no nā ʻeha kūluma o ke kua o laloEia nā pono kōkua i uhi ʻiaUhi ʻia he 12 nānā kauka i loko o 90 lā e ka hui ʻinikua Medicare no nā hoʻoilina ma lalo o kēia mau kumu kūikawā neiNo ka pono o kēia pono kōkua o ka wehewehe ʻia ʻana o ʻeha kūluma o ke kua o lalo

bull ma kahi o 12 pule a ʻoi aku bull ʻaʻohe kumu ʻaʻohe kumu i ʻeha aʻe nei (ie ʻaʻohe pili i ka maʻi ʻaʻai pehu ʻia palahēhē apa maʻi)

bull ʻaʻohe pili i kekahi ʻoki ʻia ʻana a bull ʻaʻohe pili i ka hāpai keiki ʻana

E uhi ʻia he ʻewalu mau kau no kēlā mau maʻi e hōʻike ana i kahi hoʻomaikaʻi ʻAʻole hiki ke hāʻawi ʻia i ʻoi aku ma mua o 20 mau lāʻau lapaʻau acupuncture i kēlā me kēia makahikiPono e hoʻopau ʻia ka mālama ʻana inā ʻaʻole hoʻomaikaʻi a hoʻomanawanui paha ka mea maʻi

$0 uku kāki no nā kōkua uhi-Medicare ʻia no ka lapaʻau kui pākē i loaʻa mai ma ke keʻena kauka PCP o ka pae 1 o nā pae ʻōnaehana hui hoʻolako $25 uku kāki no nā kōkua uhi-Medicare ʻia no ka lapaʻau kui pākē i loaʻa mai ma ke keʻena kauka PCP o ka pae 2 o nā pae ʻōnaehana hui hoʻolako$35 uku kāki no nā kōkua uhi-Medicare ʻia no ka lapaʻau kui pākē i loaʻa mai ma ke keʻena kauka PCP o ka pae 1 o nā pae ʻōnaehana hui hoʻolako $50 uku kāki no nā kōkua uhi-Medicare ʻia no ka lapaʻau kui pākē i loaʻa mai ma ke keʻena kauka lapaʻau kūikawā lae kahi o ka pae 2 o nā pae ʻōnaehana hui hoʻolako Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


Nā Koina Mea hoʻolakoHiki i nā kauka (e like me ka wehewehe ʻana ma 1861(r)(1) o ka Palekana Ola Act (the Act) ke hāʻawi aku i ka ʻākupuncture e like me nā koi mokuʻāina e pili anaʻO nā mea kōkua kauka (PA) nā kahu hānai (NPs) nā loea kahu maʻi lapaʻau (CNSs) (e like me ka mea i ʻike ʻia i ka 1861(aa)(5) o ke Kānāwai) a hiki i nā limahana kōkua ke hoʻolako i ka acupuncture inā kū lākou i nā koina mokuʻāina pili āpau a loaʻa iā

bull kahi kekelē laeoʻo a i ʻole pae kekelē laeoʻo i ka acupuncture a i ʻole ka lāʻau lapaʻau oriental mai kahi kula i ʻae ʻia e ke Komisina Accreditation on Acupuncture and Oriental Medicine (ACAOM) a

bull kahi laikini i kēia manawa piha ʻeleu a me ka palena ʻole e hana i ka acupuncture i kahi mokuʻāina Teritori a i ʻole Commonwealth (ʻo ia hoʻi ʻo Puerto Rico) o ʻAmelika Hui Pū ʻIa a i ʻole Apana o Columbia

Pono nā limahana kōkua e hoʻolako ana i ka acupuncture ma lalo o ka pae kūpono o ka nānā ʻana o ke kauka PA a i ʻole NP CNS i koi ʻia e kā mākou rula ma 42 CFR sectsect 41026 a me 41027

$20 uku kāki no nā kōkua uhi-Medicare ʻia no ka lapaʻau kui pākē i loaʻa mai ma ke keʻena kauka haʻihaʻi iwi Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


Uhi no hoʻi kō mākou papahana ʻinikua ma kahi o 24 kōkua pakuʻi (uhi-Medicare ʻole ʻia) nānā kauka lapaʻau kui pākē i nā makahiki a pau i ka hapa nui o ka manawa pono ʻoe e hoʻohana i kekahi hui hoʻolako i hai ʻia a loaʻa no hoʻi kekaho ʻaelike no ka loaʻa ʻana o nā kōkua uhi E ʻoluʻolu e kāhea i kā mākou hoʻolālā inā he nīnau kāu e pili ana i ka hoʻohana ʻana i kēia keu ponoNā lawelawe acupuncture i uhi ʻia e hoʻopili ʻia

bull Kekahi nānā kauka mea maʻi hou a i ʻole kekahi mea maʻi maʻamau no kekahi loiloi ʻana i kekahi pilikia olakino hou a i ʻole kekahi ʻeha puka wale

bull Nā loiloi pili maʻi no kekahi mea maʻi maʻamau (i loko o 3 makahiki mai kekahi loiloi hou)

bull E hāhai i nā kipa a ke keʻena mdash pili paha i nā lawelawe acupuncture a i ʻole ka hōʻike hou

bull ʻO ka manaʻo ʻelua me kahi mea hāʻawi ʻokoʻa i ka pūnaewele

bull Nā lawelawe koʻikoʻi a kūwaho hoʻiNo ka loaʻa ʻana o kahi palapala hoʻopiʻi no ka ʻike hou aku a i ʻole no ke kōkua ʻana i kahi lawelawe pūnaewele hiki iā ʻoe ke kelepona i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke) a i ʻole kipa i kā mākou pūnaewele ma wwwwellcarecomohana

ʻO $0 copay no kēlā me kēia kipa (Non-Medicare uhi ʻia) kipa acupuncture no 24 mau kipa i kēlā me kēia makahiki


kāu e uku ai)


Nā lawelawe Ambulance bull Uhi ʻia nā kōkua halihali mea maʻi a pēia pū me nā mokulele a me nā mokulele pelumakani a me nā kaʻa hali mea maʻi i kahua kūpono kokoke loa i hiki ai ke hoʻolako mai i nā mālama i makemake ʻia i nā lālā me nā ʻano maʻi e pono ai kēia mau kōkua nei a inā hoʻohana aku i nā ʻano kaʻahele ʻeaʻe e paumāʻele no hoʻi a i ʻole inā ua ʻāpono mua ʻia e ka papahana ʻinikua

$220 uku kāki mea maʻi no hoʻokahi huakaʻi hele pololei no kekahi kōkua kaʻa hali mea maʻi i uhi-Medicare ʻiaPono paha e ʻae ʻia ka ʻae no ka mokulele ʻēheu paʻa a me nā halihali kū ʻoleʻAʻole e kāpae ʻia ka mahele kūʻai inā ʻae ʻia ʻoe no ka mālama maʻi maʻi maʻi

bull Nā kōkua kaʻahele pili-pōulia ʻole maō ke kaʻa hali mea maʻi a he pono no hoʻi inā ua palapala ʻia hoʻi he pono hoʻi kēia mau kōkua nei a inā hoʻohana aku i nā ʻano kaʻahele ʻeaʻe e paumāʻele no hoʻi ke olakino a ka mea maʻi a o ka huakaʻi ma ke kaʻa hali mea maʻi ua pili no hoʻi i nā lako mālama olakino

$220 copay no kēlā me kēia huakaʻi hoʻokahi no nā lawelawe ʻoihana kaʻa kaʻa i uhi ʻia MedicarePono paha e ʻae ʻia ka ʻae no ka mokulele ʻēheu paʻa a me nā halihali kū ʻoleʻAʻole e kāpae ʻia ka mahele kūʻai inā ʻae ʻia ʻoe no ka mālama maʻi maʻi maʻi

ʻImi kino hoʻoikaika kinoʻO ka hoʻāʻo kino ʻana o ka makahiki me ka nīnaninau ʻana i ka puʻuwai lung ʻōpū a me nā ʻōnaehana neurological a me ka nānā lima ʻana i ke kino (e like me ke poʻo ka ʻāʻī a me nā ʻaoʻao) a me nā moʻolelo kikoʻī ʻohana a me nā lawelawe i komo pū i loko o ka Kipa Wellness Makahiki

$0 no nā nānā kauka kau makahiki maʻamau no ka nānā pono kino holoʻokoʻa

Kipa maikaʻi makahikiInā loaʻa iā ʻoe ka Part B ma mua o 12 mau mahina hiki iā ʻoe ke kiʻi i kahi kipa maikaʻi makahiki e hoʻomohala a hōʻano hou i kahi papa hana pale pilikino pilikino e pili ana i kāu olakino a me nā mea pilikia Uhi ʻia kēia manawa i kēlā me kēia 12 mahina

ʻAʻohe kāki koena uku mea maʻi uku kāki mea maʻi a i ʻole uku pilikino no nā nānā kauka ola pono kau makahiki


kāu e uku ai)


Nota ʻAʻole hiki i kāu kipa makahiki makahiki mua ke hana ma waena o 12 mau mahina o kāu kipa pale Welina i Medicare Eia nō naʻe ʻaʻole pono ʻoe e kipa Welina i Medicare e uhi ʻia no nā kipa maikaʻi makahiki ma hope o kou loaʻa ʻana o ka Part B no 12 mau mahina

Nā ana nuipaʻa iwiNo nā kānaka i loaʻa nā mākaukau (ʻo ka maʻamau eia ka manaʻo o ka poʻe i ka nalowale ʻana o ka iwi a i ʻole ka makaʻu ʻana i ka maʻi iwi haki wale) uhi ʻia kēia mau pono kōkua nei i nā 24 māhina a pau a i ʻole i inā pono e hana mau ʻia no ka pono o ke olakino nā kaina hana lapaʻau no ka hōʻoia i ke ana nuipaʻa o ka iwi iwi lahilahi a i ʻole no ka nānā i ka ikaika o nā iwi a me kekahi wehewehe ʻano mai ke kauka mai e pili ana i kāna i ʻike ai

ʻAʻohe kāki koena uku mea maʻi uku kāki mea maʻi a i ʻole uku pilikino no nā ana nuipaʻa iwi inā ia uhi ʻia e Medicare

O ka loiloi ʻana i ka maʻi ʻaʻai umauma (mammograms)

ʻO nā lawelawe i uhi ʻia bull Hoʻokahi mammogram maʻamau ma waena o nā makahiki 35 a 39

bull Hoʻokahi mamamogram kānana i kēlā me kēia 12 mahina no nā makahiki wahine he 40 a ʻoi

bull ʻO nā hoʻokolohua umauma lapaʻau hoʻokahi i kēlā me kēia 24 mahina

bull Hoʻokahi mammogram diagnostic e like me ka mea pono e pono ai ka lāʻau

ʻAʻohe kāki koena uku mea maʻi uku kāki mea maʻi a i ʻole uku pilikino no nā nānā kauka makaʻala puʻuwaiū

$0 copay no hoʻokahi mammogram diagnostic e like me ka mea pono e pono ai ka lāʻauPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


Nā kōkua hoʻopolapola maʻi puʻuwaiNā polokalamu ʻapomanaʻo e pili ana i ka hoʻopolapola ʻana mai kekahi maʻi puʻuwai mai i loaʻa pū nā hoʻoikaika kino nā pono hoʻonāʻauao a me nā kākoʻo o kekahi limahana aʻoaʻo a e uhi ʻia no hoʻi kēia mau pono kōkua nei no nā poʻe i loaʻa nā mākaukau i koi ʻia me kekahi kauoha mai ke kauka mai

$35 copay no i uhi ʻia e Medicare nā lawelawe hoʻōla puʻuwaiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Uhi ka papa i nā polokalamu hoʻoikaika kino puʻuwai e ʻoi aku ka ʻoi a ʻoi aku paha ma mua o nā polokalamu hoʻoponopono naʻau

$35 copay no Medicare-uhi nā lawelawe hoʻōla puʻuwai koʻikoʻiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

O ka maʻi Cardiovascular maʻi e hōʻemi ai i ke kipa (hoʻōla no ka maʻi maʻi maʻi)

Uhi no hoʻi mākou i hoʻokahi wale nānā kauka o ka makahiki me kāu kauka hoʻolako mālama mea maʻi kuamua no ke kōkua ʻana aku e hoʻemi mai i nā pilikia o nā maʻi aʻa puʻuwai Iā ʻoe ma kekahi o kēia nānā kauka nei e kūkā ana paha kāu kauka e pili ana i ka hoʻohana ʻana i ka lāʻau aspirin (inā kūpono) nānā i kou ana koko piʻi a e haʻawi pū mai no hoʻi i nā manaʻo kōkua no ka hōʻoia ʻana aku i kou ʻai pono ʻana aku no ke ola pono o ka puʻuwai

ʻAʻohe uku ʻinikua kōkoʻo koena kaʻana uku kāki mea maʻi a uku pilikino no ka pono kōkua lawelawe hoʻōla mākala puʻuwai maiau

ʻO ka hoʻāʻo ʻana i ka maʻi CardiovascularʻO nā hoʻokolohua koko no ka ʻike ʻana i nā maʻi o ka maʻi puʻuwai (a i ʻole nā mea ʻē aʻe e pili ana i kahi kiʻekiʻe o ka maʻi maʻi maʻi) i kēlā me kēia 5 mau makahiki (60 mau mahina)

ʻAʻohe uku ʻinikua kōkoʻo koena kaʻana uku kāki mea maʻi a uku pilikino no nā ana mākala puʻuwai i mālama ʻia i kēlā me kēia makahiki 5


kāu e uku ai)


O ka loiloi ʻana o ka maʻi ʻaʻai a me ka maʻi ʻōpū

ʻO nā lawelawe i uhi ʻia bull No nā wahine āpau uhi ʻia nā hōʻike Pap a me nā hōʻike pelvic i hoʻokahi manawa i kēlā me kēia 24 mahina

bull Inā nui kou makaʻu ʻana i ka maʻi ʻaʻai a ʻōpū paha a i ʻole he mau makahiki hānau keiki ʻoe a ua hōʻoia ʻia kahi hōʻike Pap i loko o 3 mau makahiki i hala hoʻokahi hōʻike Pap i kēlā me kēia 12 mahina

ʻAʻohe kāki koena uku mea maʻi uku kāki mea maʻi m a i ʻole uku pilikino no nā nānā kauka lapaʻau PAP a me nā nānā loiloi o ka iwi kā i uhi ʻia e ka hui Medicare

Nā lawelawe ChiropracticʻO nā lawelawe i uhi ʻia

bull Uhi wale nō mākou i nā hoʻonoho lima ʻia ʻana o nā iwi kuamoʻo no ka hoʻonoho hou ʻana i nā iwi pāhemo

$20 uku kāki mea maʻi no nā kōkua uhi-Medicare no nā lapaʻau kauka haʻihaʻi iwiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

ʻO ka loiloi ʻana i ka maʻi ʻaʻai ColorectalNo ka poʻe 50 a ʻoi paha ua uhi ʻia kēia mau mea

bull ʻO ka sigmoidoscopy maʻalahi (a i ʻole ke kānana barium enema ma ke ʻano he koho) i kēlā me kēia 48 mahina

ʻO kekahi o nā aʻe aʻe i kēlā me kēia 12 mahina bull ʻO ka hoʻāʻo ʻana o ke kōkō ma muli o Guaiac (gFOBT)

bull Hōʻikeʻike immunochemical fecal (FIT)Nānā ʻia ka DNA i nā kānana kala i kēlā me kēia makahiki 3No ka poʻe makaʻu nui i ka maʻi ʻaʻai kala uhi mākou

bull ʻO ke kānana kolona (a i ʻole ke kānana barium enema ma ke ʻano he koho) i kēlā me kēia 24 mahina

ʻAʻohe kāki koena uku mea maʻi uku kāki mea maʻi a i ʻole uku pilikino i uhi ʻia e ka hui Medicare no nā nānā kauka ola pono kau makahiki


kāu e uku ai)


No ka poʻe ʻaʻole makaʻu nui i ka maʻi ʻaʻai kala uhi mākou

bull Ke nānā ʻana i nā kolonekia i kēlā me kēia 10 mau makahiki (120 mau mahina) akā ʻaʻole naʻe i loko o 48 mau mahina o kahi sigmoidoscopy kānana

bull Nā lawelawe Barium Enema i uhi ʻia e Medicare

$0 copay no Medicare-covered Nā lawelawe Barium Enema

Nā lawelawe kahua nihoMa ke ʻano laulā ʻaʻole uhi ʻia nā lawelawe kahua niho pale (e like me ka hoʻomaʻemaʻe nā hōʻike niho maʻamau a me nā kukuna niho) e Original Medicare Uhi mākou

bull Nā kōkua i uhi hui mālama olakino Medicare no ka hana niho (Kaupalena ʻia nā kōkua uhi no nā ʻoki ʻia ʻana o ke ʻauwae a i ʻole nā hakakino i pili i ka ʻauwae ka hoʻonoho hou ʻana i nā ʻauwae nahā a i ʻole kekahi o nā iwi helehelena nā huki niho no ka hoʻomākaukau ʻana i ke ʻauwae no kekahi lapaʻau pāhawewe ʻikehu no ka maʻi ʻaʻai ʻiʻo ulu a i ʻole nā kōkua i hiki ke uhi ʻia inā hoʻolako ʻia e kekahi kauka)

Nā lawelawe i uhi ʻia e Medicare$35 uku kāki no nā kōkua nānā niho pākahi i uhi ʻia e Medicare no nā hui hoʻolako Pae 1 $50 uku kāki no nā kōkua nānā niho pākahi i uhi ʻia e Medicare no nā hui hoʻolako Pae 2 Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Additional lawelawe Loaʻa kekahi huina nui holoʻokoʻa no nā pono kōkua papahana ʻinikua o $1500 i loaʻa mau i nā makahiki a pau no nā kōkua pale maʻi niho a me nā kōkua hoʻonāʻauao mālama niho Nāu no hoʻi ke kuleana no nā huina nui i ʻoi aku i ka huina nui holoʻokoʻa


kāu e uku ai)


bull Mālama Niho Preventive (ʻo nā lawelawe i uhi ʻia me kēia)

Kōkua pale maʻi nīho

Nā nānā loiloi loko waha - 2 nānā ʻana o ka makahiki

$0 copay no kēlā me kēia hōʻike waha Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Nā hoʻomaʻemaʻe niho (prophylaxis) - 2 nānā ʻana o ka makahiki

$0 copay no kēlā me kēia hoʻomaʻemaʻe Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Lapaʻau lāʻau fluoride - 1 manawa o ka makahiki

$0 copay no kēlā me kēia lapaʻau fluoridePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Nā paʻi kiʻi x - ray niho - 1 paʻa kiʻi x-ray i nā 1 a 3 makahiki a pau

$0 copay no nā x-ray niho no ke kipaPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull Nānā Niho Comprehensive (ʻo nā lawelawe i uhi ʻia e like me kēia

Nā lawelawe maʻamau ʻole - 1 i kēlā me kēia lā a i 24 mau mahina

Kahua niho piha

$0 uku kāki mea maʻi kōkua-maʻamau ʻole pākahiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Nā lawelawe hōʻoia - 1 i kēlā me kēia makahiki

$0 uku kāki mea maʻi no nā kōkua nānā ā loaʻa ke ʻano o ka pilikia me nā niho pākahiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


Nā kōkua hoʻihoʻi hou - 1 manawa i nā 12 a 84 mau mahina

$0 uku kāki mea maʻi no nā kōkua hoʻihoʻi hou pākahiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Lapaʻau nā kōkua nānā loko niho - 1 no kēlā me kēia niho

$0 uku kāki mea maʻi no nā kōkua nānā loko niho pākahiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Nā Periodontics - 1 i kēlā me kēia 6 a 36 mau mahina

$0 uku kāki mea maʻi no nā nānā pehu kaʻekaʻe pākahiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Nā huki niho - 1 no kēlā me kēia niho $0 uku kāki mea maʻi huki niho pākahiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Kūkulu pono niho hou a me nā papa niho - 1 no kēlā me kēia niho i nā 12 a 84 mahina

$0 uku kāki mea maʻi kūkulu pono niho hou pākahiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

ʻOki wahahelehelena - 1 ʻoki i loko o 12 a 60 māhina a i ʻole kou ola ʻana

$0 uku kāki no nā ʻoki wahahelehelena pākahiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


Pili nā palena a me nā hoʻokahuli Ma mua o ka loaʻa ʻana o nā lawelawe ʻōlelo ʻia nā lālā e kūkākūkā i kā lākou koho koho me kahi lawelawe lawelawe niho maʻamau e komo nei Pono e hoʻomaka a hoʻopau ʻia ka mālama ʻana a uhi ʻia e ka hoʻolālā i ka makahiki hoʻolālā ʻO ke kumukūʻai o nā lawelawe kahua niho ʻaʻole i uhi ʻia e ka hoʻolālā ke kuleana o ka lālāPono e loaʻa nā lawelawe kōkua kōkua (ie Non-Medicare uhi ʻia) mai kahi mea hoʻolako i mea e uhi ʻia ai e ka hoʻolālā No nā nīnau e pili ana pehea e ʻike ai i kahi mea hoʻolako faila i kahi hoʻopiʻi kahi papa inoa kikoʻī o nā kaʻina hana i uhi ʻia a i ʻole no ka ʻike hou aku e kāhea i nā lawelawe lālā ma 1-877-457-7621 (TTY 711) a i ʻole kipa iā mākou ma kā mākou pūnaewele ma wwwwellcarecomohana

Nānā kaumahaUhi mākou i hoʻokahi kānana no ke kaumaha i kēlā me kēia makahiki Pono e hana i ka kānana i kahi hoʻonohonoho mālama mua e hiki ai ke hāʻawi i ka mālama ʻana a me a i ʻole nā mea kuhikuhi


ʻO ka kānana diabetesUhi no hoʻi mākou i nā nānā kauka ʻimi maʻi (pēia pu nā hoʻokē ʻai no ka hōʻike ana koko mimikō) inā loaʻa iā ʻoe kekahi o kēia mau maʻi hoʻopilikia olakino maʻi koko piʻi (hypertension) maʻi naʻokoko a me nā pae triglyceride (dyslipidemia) mōmona loa a i ʻole noho lōʻihi me nā ana koko mimikō nui loa (glucose) Uhi ʻia hoʻi nā hōʻike ʻimi maʻi inā loaʻa iā ʻoe nā pono mākaukau i koi ʻia a i ʻole mōmona loa me kekahi maʻi mimikō ma ka ʻohana Ma ka nānā ʻana aku i nā hōpena o ka hōʻike ua hiki paha ke loaʻa iā ʻoe ʻelua nānā kauka maʻi mimikō i nā 12 māhina a pau

ʻAʻohe kāki koena uku mea maʻi uku kāki mea maʻi a i ʻole uku pilikino no nā nānā kauka no ka hōʻike maʻi mimikō ua uhi ʻia e Medicare


kāu e uku ai)


Nā kōkua hoʻomaʻamaʻa makaʻala maʻi mimikō nā kōkua a me nā lako maʻi mimikō

No nā poʻe āpau i loaʻa i ka maʻi diabetes (insulin a ʻaʻohe n-insu mea hoʻohana lin) ʻO nā lawelawe i uhi ʻia

bull Nā lako e kiaʻi ai i kāu kōpaʻa kōpala Nānā i ka glucose glucose nā kaha hoʻāʻo glucose i ke koko nā hāmeʻa lancet a me nā lancets a me nā hāʻina glucose-control no ka nānā ʻana i ka pololei o nā kaha hoʻāʻo a me nā mea nānā

$0 uku kāki mea maʻi no nā lako makaʻala mimikō i uhi ʻia e ka hui MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull No ka poʻe me ka maʻi diabetes i loaʻa i ka maʻi maʻi diabetic wawae nui Hoʻokahi pālua no kēlā me kēia makahiki ʻāpana o nā kāmaʻa i hana ʻia me ka hoʻomaʻamaʻa pilikino (me nā inserts i hoʻolako ʻia me ia mau kāmaʻa) a me ʻelua mau kāmaʻa hou o inserts a i ʻole ʻelua mau kāmaʻa hohonu a ʻekolu mau hoʻokomo inserts (ʻaʻole me nā hoʻokomo hoʻoneʻe hoʻoneʻe ʻole i hoʻolako ʻia me kēlā mau kāmaʻa) Hoʻopili pū ʻia me ka hoʻopili

20 koena uku a ka mea maʻi no nā kāmaʻa lapaʻau pehu i uhi ʻia e ka hui Medicare a i ʻole nā pale loko kāmaʻa no na poʻe maʻi mimikō i loaʻa ka maʻi mimikō koʻikoʻi o ka wāwaePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull Uhi ʻia nā kōkua hoʻomaʻamaʻa makaʻala maʻi mimikō ma lalo o kekahi mau ʻano wale nō

Nā lako OneTouchTM mai iā Lifescan ʻo ia hoʻi nā lako i koho ʻia e mākou (lako ana monakō amp līpine kau koko) No ka loaʻa hou ʻana aku o nā manaʻo e pili ana i nā ikamu ma ka pono lako mimikō i hoʻopaʻa ʻia ma ka papainoa lako makaʻala maʻi mimikō ʻoluʻolu e kaʻalauna aku me ke keʻena Kōkua Lālā ma ka helu i hoʻopaʻa ʻia ma ka ʻaoʻao hope loa o kēia pepelu neiInā hoʻohana ʻoe i nā lako makaʻala maʻi mimikō i koho ʻole ʻia e ka papahana ʻinikua e kūkākūkā aku me kāu hui hoʻolako no ka loaʻa ʻana o kekahi kuhikuhi lako a i ʻole e noi aku no kekahi ʻāpono mua ʻia ʻana no kekahi lako ana monakō a me nā lipine kau koko i-koho-ʻole ʻia

$0 uku kāki no nā kōkua hoʻomaʻamaʻa makaʻala maʻi mimikō i uhi ʻia e ka hui Medicare


kāu e uku ai)


Nā pono olakino paʻa (DME) a me nā lako e pili ana(No ka wehewehe ʻana o ka pono pono olakino e nānā i ka Mokuna 12 o kēia puke)Nā pono lako i uhi ʻia akā ʻaʻole i kaupalena ʻia i nā noho huila nā koʻokoʻo pela moe uila nā lako lapaʻau maʻi mimikō kekahi pela haukapila i ʻoka ʻia e kekahi o nā hui hoʻolako no ka hoʻohana ʻana i ka hale nā lako pauma IV nā lako hoʻolele leo nā lako ʻokikene nā mīkini hana mahu a me nā koʻokoʻo hele wāwae Uhi nō hoʻi mākou i nā pono i ʻike ʻia he lako kōkua mālama ola DME i uhi ʻia e ka ʻinikua pākuʻi hou mālama olakino Original Medicare Inā ʻaʻole loaʻa kekahi o nā lako me nā inoa i kila ʻia a ʻole kekahi lako a kekahi ʻoihana mikiʻala e kekahi o nā hui hoʻolako a mākou ua hiki nō iā ʻoe ke noi aku iā lākou e hoʻokomo i kekahi ʻoka kūikawā nou Loaʻa pū nā papa inoa hou o nā hui hoʻolako ma kō mākou kaha pūnaewele wwwwellcarecomohana

20 koena uku a ka mea maʻi no nā lako mālama olakino ʻoʻoleʻa i uhi ʻia e ka hui MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

20 coinsurance no nā lāʻau lapaʻau i uhi ʻia e MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Nā kōkua hoʻolako pōulia pili olakinoʻO nā kōkua hoʻolako koʻikoʻi he kōkua hoʻi nō

bull Hoʻolako ʻia e kekahi hui hoʻolako i loaʻa nā mākaukau no ka hoʻolako ʻana i nā kōkua koʻikoʻi a me

bull I pono e loaʻa no ka huli i ke kumu o ka pilikia a i ʻole e hoʻomalu aku i kekahi pōulia pōpilikia o ka maʻi

$90 kope no i uhi ʻia e Medicare kipa ʻana i kahi lumi pilikiaʻAʻole ʻoe e uku i kēia kālā inā aia ʻoe ma loko o 24 mau hola i ʻae ʻia i ka haukapila


kāu e uku ai)


Pōulia pili olakino ndash ʻO kekahi pōulia pili olakino ʻo ia hoi inā paha ʻoe a i ʻole kekahi poʻe nāʻauao a ʻakahele me kekahi ʻike kūpono e pili ana i ke olakino a me nā lāʻau i manaʻo ai hoʻi ua loaʻa iā ʻoe kekahi hōʻailona maʻi olakino a pono hoʻi e kōkua koke ʻia me nā kōkua lapaʻau ʻia ʻana mai no ka pakele ʻana aku mai ka make mai muku ʻana o kekahi lālā kino a i ʻole no ka lōlō ʻana paha kekahi lālā o ke kino ʻO kēia mau hōʻailona mai ʻo ia paha kekahi maʻi ʻana ʻeha paha nui ka ʻeha koni a i ʻole kekahi ʻano nāwaliwali pili olakino e piʻi aʻe hoʻi ka hoʻolawe hala inā mālama koke ʻia aku ʻO nā kaʻana uku kāki no nā kōkua pōulia e pono ai ke kōkua i hoʻolako ʻia e kekahi ʻōnaehana kūloko ʻole ua like ke ʻano o ka hoʻolako ʻana me ka hui hoʻolako ʻōnaehana kūloko

Inā ke loaʻa nei iā ʻoe kekahi kōkua pōulia pōpilikia mai kekahi haukapila kūloko ʻole a ke makemake nei i kekahi mālama ʻia ʻana no ka mea maʻi noho haukapila no kou pilikia a me ka mālama pono a ola aku pono nō hoʻi ʻoe e hoʻi hou aku i kekahi haukapila ma ka ʻōnaehana no ka hoʻomau ʻana aku o ka uhi ʻia ʻana a i ʻole e pono nō hoʻi ka loaʻa ʻana aku o kekahi ʻāpono mua ʻia ʻana e ka papahana ʻinikua no ka loaʻa ʻana aku o ke kōkua mai nā haukapila ʻōnaehana kūloko ʻole a o kāu mea a uku aku ai ʻo ia no ka uku no ke kuleana kaʻana uku au e pono ai e uku aku i ka haukapila ʻōnaehana kūloko

Uhi ʻia nā lawelawe kūwaho ma waho o ʻAmelika Hui Pū ʻIa

$90 kope no nā lawelawe kūikawā ma waho o ʻAmelika Hui Pū ʻIaʻAʻole e kāpae ʻia ka mahele o ka lumi pilikia ma ka honua holoʻokoʻa inā ʻae ʻia ʻoe no ka mālama maʻi maʻi maʻiUhi ʻia ʻoe a hiki i$50000 i kēlā me kēia makahiki no ka pilikia a i ʻole nā lawelawe e pono ai ma waho o ʻAmelika Hui Pū ʻIa


kāu e uku ai)


Nā papahana aʻo olakino a olakinoLaina ʻNurlelo Aʻo NurseʻO ke aʻo telephonic manuahi ʻole a me nā ʻōlelo aʻo a ka kahu hānai mai nā kauka lapaʻau hoʻomaʻamaʻa Loaʻa ka laina aʻoaʻo kahu hānai i 24 mau hola i ka lā 7 mau lā i ka pule no ke kōkua me nā nīnau e pili ana i ke olakino Hiki iā ʻoe ke kiʻi i ka laina ʻōlelo aʻoaʻo a kahi kahu ma o ka helu kelepona ma kāu kāleka ID lālā a i ʻole ke kāhea ʻana i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke) no ka hoʻolilo ʻana i ka laina ʻōlelo aʻoaʻo kahu

$0 uku kāki no ke kōkua laina kōkua kahu maʻi

Pono ponoUhi kā mākou papa i kahi lālā e kōkua i ke kākoʻo i kahi nohona ola a olakino hoʻi Ma ke ʻano he lālā hoʻoikaika kino hiki iā ʻoe ke komo i nā hiʻohiʻona aʻe me ka uku ʻole

bull ʻO ka lālā lālā hoʻoikaika kino koho mai kahi o nā kikowaena hoʻoikaika kino i komo i ka papahana hoʻoikaika kino

bull Nā Paina Fitness home Inā ʻaʻole hiki iā ʻoe ke kipa i kahi kikowaena hoʻoikaika kino a makemake paha i ka hana ʻana ma ka home hiki iā ʻoe ke koho mai kahi ʻano o nā Home Fitness Kits me kahi Fitbit a Garmin paha tracker hiki ke hoʻohana ʻia Hiki iā ʻoe ke loaʻa a i ka 1 kit no ka makahiki pono

bull Polokalamu hoʻoikaika kino uila koho mai 8000+ wikiō hoʻoikaika kino ma o ka noi ma o ka waihona puke kikohoʻe

No ka ʻike hou aku e pili ana i ka pono hoʻoikaika kino e ʻoluʻolu e kelepona i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke) a i ʻole ʻike i kā mākou pūnaewele ma wwwwellcarecomohana

$0 uku kāki no nā kōkua hoʻoikaika kino


kāu e uku ai)


Nā kōkua lapaʻau pepeiaoʻO nā kōkua nānā lohe pepeiao a me nā loiloi kaualewa lohe pepeiao i hoʻolako ʻia e kāu hui hoʻolako no ka hoʻoholo ʻana inā pono kekahi kōkua lapaʻau a uhi ʻia hoʻi he mea maʻi noho haukapila ʻole inā ua hoʻolako ʻia mai e kekahi kauka kauka loiloi kani lohe nā hui hoʻolako ʻē aʻe

$35 uku kāki no nā kōkua nānā pepeiao i uhi ʻia e ka hui Medicare o ka pae 1 o nā pae hui hoʻolako$50 uku kāki no nā kōkua nānā pepeiao i uhi ʻia e ka hui Medicare o ka pae 2 o nā pae hui hoʻolakoPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Uhi pū no hoʻi kō mākou papahana ʻinikua i nā kōkua pakuʻi (elm nānā maʻamau) lapaʻau pepeiao

Nā lawelawe hoʻolohe (Supplemental (ʻo ia hoʻi maʻamau)

bull 1 nānā lohe pepeiao i nā makahiki a pau $0 copay no 1 hōʻike hoʻolohe hoʻolohe maʻamau i kēlā me kēia makahikiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull 1 nā hoʻokukū ʻapo lohe pepeiao a me nā loiloi pepeiao i nā makahiki a pau

$0 uku kāki no 1 hoʻokukū ʻapo lohe pepeiao a me nā loiloi pepeiao i nā makahiki a pauPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull 1 ʻapo lohe i hoʻokomo loko kino ʻole ʻia o ka makahiki o nā pepeiao pākahi o ka makahiki a hiki aku i ka uku holoʻokoʻa palena pau o $2000 ʻO nā pono kōkua lako he palapala hoʻohiki lako 1 makahiki a me hoʻokahi ʻope iho

$0 uku kāki no 2 ʻapolohe pepeiao i nā makahiki a pauPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


Hoʻomanaʻo Pono e loaʻa nā kōkua lapaʻau pepeiao maʻamau mai kekahi o nā hui hoʻolako ma lalo o mākou i hiki ai ke uhi ʻia aku nā kōkua e ka papahana ʻO nā kāki ʻē aʻe ma luna mai o $2000 nāu no hoʻi ke kuleana no ka uku ʻana aku uhi ʻole ʻia nā ʻapo lohe keu No nā manaʻo ʻē aʻe e pili ana i nā hale kūʻai lako pepeiao a me nā pono kōkua ʻoluʻolu e kāhea aku i ke keʻena Kōlkua Lālā ((Paʻi ʻia nā helu kelepona ma ka ʻili hope loa o kēia pepelu nei) a i ʻole e kipa aku i kō mākou kaha pūnaewele wwwwellcarecomohana

Loiloi HIVNo ka poʻe e noi ana i kahi hōʻike loiloi HIV a i ʻole ka mea i hoʻonui i ka makaʻu no ka maʻi HIV uhi mākou

bull Hoʻokahi hōʻike hōʻike kānana i kēlā me kēia 12 mahina

No nā wahine hāpai uhi mākou bull ʻEkolu mau hōʻike loiloi i ka wā o ka hāpai ʻana

ʻAʻohe kāki koena uku mea maʻi uku kāki mea maʻi a i ʻole uku pilikino no nā nānā ʻimi mea hoʻomaʻi HIV i uhi ʻia e ka hui Medicare

Mālama ʻoihana olakino homeMa mua o ka loaʻa ʻana o nā lawelawe olakino home pono i kahi kauka e hōʻoia e pono ʻoe i nā lawelawe olakino home a e kauoha i nā lawelawe olakino home e hāʻawi ʻia e kahi keʻena olakino home Pono ʻoe e home ʻo ia hoʻi ka haʻalele ʻana i ka home kahi hana nuiAia nā lawelawe i uhi ʻia akā ʻaʻole kau palena ʻia i

bull ʻO nā lawelawe kahu hānai mākaukau a me nā lawelawe kōkua olakino home (E uhi ʻia ma lalo o ke kōkua mālama ola home ʻo kāu lawelawe hānai a me nā lawelawe kōkua olakino home i hui pū ʻia he pono ma mua o 8 mau hola i kēlā me kēia lā a me 35 mau hola i kēlā me kēia pule)

$0 uku kāki mea maʻi no nā limahana kōkua ma ka home i uhi ʻia e ka hui ʻinikua mālama olakino MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


bull Hoʻoikaika kino hoʻomaʻamaʻa hana a me ka haʻiʻōlelo haʻi ʻōlelo

bull Nā lawelawe lapaʻau a me nā lawelawe kaiāulu

bull Nā pono lāʻau a me nā ponoKōkua keʻehina ma ka haleKe kōkua keʻehina ma ka hale loaʻa nā lako hou kui aʻakoko a i ʻole nā hou kui pohu lima no ka hoʻoholo ʻana i nā lāʻau a i ʻole nā lāʻau koʻohune i kekahi mea maʻi ma kō lākou hale ʻO nā māhele ʻāpana e pono ai no ka hoʻoholo ʻana i kekahi kōkua keʻehia ma ke hale ʻo ia no hoʻi nā lāʻau (lāʻana lāʻau pale aku hoʻomaʻi globulin kūpalehia) nā lako hou kui (lāʻana kekahi pauma lāʻau) a me nā pono lako (lāʻana nā ʻili a me nā kui)ʻO nā kōkua uhi ʻana loaʻa nō hoʻi akā ʻaʻole kau palena ʻia i

bull Nā kōkua polopeka pēia pu me nā kōkua kahu maʻi hoʻolako ʻia no ma ke ʻano o nā mālama i hoʻoholo ʻia

bull Nā hoʻomaʻamaʻa no ka mea maʻi a me nā pono hoʻonāʻauao inā paha uhi ʻia ma lalo o nā pono kōkua lako mālama olakino ʻoʻoleʻa

bull Nā lako makaʻala kahi ʻē bull Nā kōkua makaʻala no ka hoʻolako ʻana o nā kōkua keʻehia ma ka hale a me nā kōkua keʻehia lāʻau ma ka hale i hoʻolako ʻia e kekahi hui hoʻolako kōkua keʻehia mākaukau

$0 uku kāki mea maʻi no nā kōkua polopeka mai kāu kauka hoʻolako mālama mea maʻi kuamua (PCP) pēia pū me nā kōkua kahu maʻi na aʻoʻao a me ka hoʻonāʻauao ʻia ʻana mai na lako makaʻala kahi ʻē a me nā lako kōkua makaʻala o ka pae 1 o nā hui hoʻolako



kāu e uku ai)

Nā lawelawe i uhi ʻia nāu He aha kāu e pono ai uku ke loaʻa iā ʻoe kēia mau lawelawe$35 uku kāki mea maʻi no nā kōkua polopeka mai kāu kauka hoʻolako mālama mea maʻi kuamua pēia pū me nā kōkua kahu maʻi na aʻoʻao a me ka hoʻonāʻauao ʻia ʻana mai na lako makaʻala kahi ʻē a me nā lako kōkua makaʻala o ka pae 1 o nā hui hoʻolako

$50 uku kāki mea maʻi no nā kōkua polopeka mai kāu kauka hoʻolako mālama mea maʻi kuamua pēia pū me nā kōkua kahu maʻi na aʻoaʻo a me ka hoʻonāʻauao ʻia ʻana mai na lako makaʻala kahi ʻē a me nā lako kōkua makaʻala o ka pae 2 o nā hui hoʻolako Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Uhi ʻia nā lako hoʻokomo home infusion a me nā lako ma lalo o kāu pono Durable Medical Equipment (DME) E ʻoluʻolu e ʻike i ka ʻāpana Pono pono olakino (DME) a me nā lako e pili ana no ka ʻike hoʻokaʻawale kumukūʻai


kāu e uku ai)

Nā lawelawe i uhi ʻia nāu He aha kāu e pono ai uku ke loaʻa iā ʻoe kēia mau lawelaweUhi ʻia nā lāʻau hoʻowalewale home ma lalo o kāu Medicare Part B Nā Kauka Lapaʻau e pono ai E ʻoluʻolu e ʻike i ka ʻāpana ʻo Medicare Part B Prescription Drugs no ka ʻike hoʻokaʻawale kālā

Kōkua mālama a hospiceUa hiki nō ke loaʻa mai iā ʻoe ke kōkua mālama mai nā ʻano kōkua hospice like ʻole i ʻāpono ʻia e ka hui Medicare Ua ʻāpono ʻia nā pono kōkua hospice iā ʻoe i ka haʻawi ʻana aku o kāu kauka a me ka luna hoʻoponopono olakino a hospice kekahi wanana maʻi make e hōʻoiaʻiʻo ana ua loaʻa iā ʻoe kekahi maʻi make a loaʻa iā ʻoe 6 māhina a i ʻole ma lalo mai o kou ola ʻana inā e holo aku ia maʻi ma konā ala i wānana ʻia Ua hiki nō ke loaʻa kekahi kauka hospice mai ka ʻōnaehana hui hoʻolako kūloko a i ʻole mai kekahi hui hoʻolako ʻōnaehana kūloko ʻoleʻ O nā kōkua uhi ʻana

bull Nā lāʻau no ka hoʻomalu ʻana i nā hōʻailona maʻi a me nā ʻeha

bull Kōkua mālama puʻuhoʻomaha pōkole bull Kōkua mālama ma ka hale

Ke kau inoa ʻoe i loko o kahi hale hoʻokipa hōʻoia Medicare ʻO ka papahana kāu mau lawelawe hoʻokipa a me kāu mau Part A a Part B e pili ana i kāu prognosis maʻi e uku ʻia e Original Medicare ʻaʻole kā mākou papahana

Noi paha ka lawelawe ʻana i ke kumukūʻai kauka no nā lawelawe kūkā nīwila E ʻike i ka ʻāpana ʻoihana kauka Physical Practitioner o kēia pakuhi no ka ʻike e pili ana i ka hoʻokaʻawale kālā ʻana

No ka hospice lawelawe a no ka lawelawe i uhi ia e Ka Pila no Medicare Part A a me B a ua pili i kou maʻi prognosis Original Medicare (ma mua o ko kakou manao) e uku no kou hospice nā lawelawe a me kekahi Part A a me Part B e pili ana i kāu wānana maʻi ʻOiai ʻoe i loko o ka papahana hoʻokipa e hōʻaiʻē kāu mea lawelawe hale hānai iā Original Medicare no nā lawelawe i uku ʻia e Original Medicare


kāu e uku ai)


Kōkua mālama a hospice (hoʻomau)No ka lawelawe i uhi ia e Ka Pila no Medicare Part A a B a me ka meaʻaʻole e pili ana i kou maʻi prognosis Inā oe e pono ai ole-pilikia ole-urgently i nele i lawelawe i uhi ma lalo o Ka Pila no Medicare Part A a B a me ia mea ʻaʻole pili i kāu wānana maʻi ʻo kāu kumukūʻai no kēia mau lawelawe e pili ana inā ʻoe e hoʻohana i kahi mea hoʻolako i kā mākou papahana o kā mākou papahana

bull Inā loaʻa iĀ ʻoe nā lawelawe i uhi ʻia mai ka mea lawelawe pūnaewele uku wale ʻoe i ka nui mahele o ke kumukūʻai no nā lawelawe pūnaewele

bull Inā loaʻa iā ʻoe nā kōkua i uhi ʻia mai nā hui hoʻolako ʻōnaehana kūloko ʻole mai e uku no hoʻi oe i ke kaʻana uku ma lalo o ka kāki-no-ke-kōkua (Original Medicare)

No nā kōkua e loaʻa mai iā ʻoe i uhi ʻia e kō mākou papahana ʻinikua akā ʻaʻole uhi ʻia e ka Medicare Part A a i ʻole Part B E hoʻomau ana no ka uhi ʻia aku ʻoe me nā kōkua uhi-papahana i uhi ʻole ʻia e ka Part A a me ka Part B a ʻaʻole pilikia inā pili a pili ʻole me kāu wānana loaʻa i ka maʻi make E uku no ʻoe i kāu huina kaʻana uku mea maʻi a ka papahana ʻinikua no kēia mau pono kōkua neiNo nā lāʻau e uhi ʻia e ka pōmaikaʻi o ka Part D ʻAʻole uhi ʻia nā lāʻau e nā poʻe lawelawe ʻelua a me kā mākou papahana i ka manawa like No ka ʻike hou aku e ʻoluʻolu e ʻike i ka Mokuna 5 Pauku 94 (He aha inā ʻoe ma ka haukapila i hōʻoia ʻia ʻo Medicare)Nānā Inā makemake ʻoe i ka mālama hale ʻole (mālama ʻaʻole pili i kāu wānana maʻi) pono ʻoe e kelepona iā mākou e hoʻonohonoho i nā lawelaweUhi kā mākou papa hana i nā lawelawe kūkākūkā hale hoʻokipa (hoʻokahi manawa wale nō) no kekahi mea maʻi maʻi ʻole i koho i ka pono hoʻokipa


kāu e uku ai)


Nā hou kui lāʻau kūpalehiaʻO nā pono kōkua Medicare Part B i uhi ʻia

bull Lāʻau koʻokoʻo Nūmōnia bull Kui maʻi polū hoʻokahi hou ʻana ma ke kau maʻi polū i ke kau haʻulelau a me ke kauʻanu a me nā kui polū ʻē aʻe inā pono e loaʻa

bull Hou kui lāʻau koʻokoʻo ʻeaʻōlena B inā kiʻekiʻe nā kūlana hōʻaʻano a i ʻole aia nā kūlana hōʻaʻano i ke kūlana waena i hiki ai ke loaʻa koke iā ʻoe ka mai ʻeaʻōlena B

bull Lāʻau koʻokoʻo maʻi COVID-19 bull Nā lāʻau koʻokoʻo ʻē aʻe inā aia ʻoe ma ka pae kiʻekiʻe o nā kūlana hōʻaʻano a e ʻapono ʻia hoʻi e nā lula kōkua uhi a ka Part B a ka hui Medicare

Uhi pū mākou i kekahi o nā lāʻau koʻokoʻo i loaʻa nā pono kōkua a ke kōkua lāʻau kuhikuhi a ka Part D

ʻAʻohe kālā pilikino copayment a i ʻole lawe ʻia no Medicare-uhi pneumonia influenza Hepatitis B a me COVID-19 vaccineNo nā lāʻau lapaʻau ʻē aʻe i uhi ʻia e Medicare (inā makaʻu ʻoe a hui lākou i nā rula ʻo Medicare Part B) e ʻoluʻolu e nānā i ka ʻāpana lāʻau lāʻau lāʻau Medicare Part B o kēia pakuhi no ka pili pili kaʻana kālā

Pono kekahi mau lāʻau Part B e ʻae i ka ʻae ʻana e uhi ʻia


kāu e uku ai)


Mālama mea maʻi noho haukapilaʻO ia nā mea maʻi noho haukapila lapaʻau ʻāwiwī mea maʻi noho haukapila lapaʻau hoʻopolapola nā haukapila mālama mea maʻi noho lōʻihi a me nā ʻano kōkua mea maʻi noho haukapila ʻē aʻe Hoʻomaka no hoʻi nā kōkua mālama mea maʻi noho haukapila i ka lā e hoʻopaʻa ʻia ai ʻoe ma ka haukapila ma lalo o ke kauoha a kekahi kauka ʻO ka lā mā mua o kou hoʻokuʻu ʻia ʻana ka lā hope loa o kou noho mea maʻi noho haukapila ʻanaUhi ʻia ʻoe no 120 mau lā no ka noho mea maʻi noho haukapila i uhi ʻia e ka hui Medicare

No nā hoʻokomo noho haukapila i uhi ʻia e ka hui Medicare o nā hoʻokomo pākahi he $372 uku kāki o ka lā no 1 lā a 5 lā a laila $0 uku kāki mea maʻi mai ka 6 o ka lā a 90 lā no nā kōkua mālama haukapila i uhi ʻia e ka hui Medicare $0 uku kāki mea maʻi o ka lā no 91 mau lā a 120 lā no nā lā keu i uhi ʻia e ka hui Medicare Nā lā mālama ola holoʻokoʻa $0 copay i kēlā me kēia lāʻO nā lā mālama ola āpau he mau lā hou aʻe e uku ai ka hoʻolālā no ka mea aia nā lālā i ka haukapila no ka mea i ʻoi aku i ka nui o nā lā i uhi ʻia e ka hoʻolālā Loaʻa i nā lālā he 60 mau lā mālama i hiki ke hoʻohana ʻia i ko lākou wā e ola nei Inā loaʻa iā ʻoe kahi ʻae mālama maʻi maʻi i ka haukapila ma waho o ka pūnaewele ma hope o ka hoʻokūpaʻa ʻia o kāu kūlana pilikia ʻo kāu koina ke koina e uku ai ʻoe ma kahi haukapila pūnaewele


kāu e uku ai)


Mālama mea maʻi noho haukapila (hoʻomau)ʻO kēia nā kōkua i uhi ʻia akā ʻaʻole i kaupalena ʻia i

bull Nā lumi hapa-kapu (a i ʻole kekahi lumi kapu inā pono no nā pono mālama olakino i ʻāpono ʻia)

bull Nā meaʻai e like me nā papaʻai kūikawā bull Nā lawelawe kahu hānai maʻamau bull Nā kumukūʻai o nā keʻena mālama kūikawā (e like me ka mālama nui ʻana a i ʻole nā mālama mālama coronary)

bull Nā lāʻau a me nā lāʻau bull Nā hōʻike Lab bull X-ray a me nā lawelawe radiology ʻē aʻe bull Nā lāʻau lapaʻau pono a me nā pono lapaʻau bull Hoʻohana o nā mīkini pono e like me nā noho huila

bull ʻO nā kumukūʻai lumi lumi a me nā lumi hoʻōla bull ʻO ke olakino ʻoihana a me ka ʻōlelo haʻi ʻōlelo

bull Nā lawelawe hoʻomāinoino lāʻau maʻi maʻi maʻi bull Ma lalo hoʻi o kekahi mau kuleana ua uhi ʻia kekahi o kēia mau hoʻoili loko kino ʻoki pale ʻonohi hakuʻala hakuʻala-mālama puʻuwai ʻake ʻakemāmā puʻuwai ʻakemāmā lolo iwi hā-hunaola a me nā nāʻau nāʻaukeu inā makemake ʻoe i kekahi hoʻoili loko kino nā makou no e hoʻoponopono aku i ka hoʻoholo ʻana i kekahi loiloi ʻia ʻana o kāu noi e kekahi kikoweana i loaʻa nā ʻāpono hoʻoili loko kino e ka hui Medicare a nā lākou no e koho aku inā paha kūpono ʻoe no kekahi kūlana hoʻoili loko kino ʻO nā hui hoʻolako kōkua hoʻoili loko kino loaʻa no nā hui hoʻolako hoʻoili loko kino kūloko a i ʻole loaʻa no nā hui hoʻolako hoʻoili loko kino ma waho aʻe o ka wahi i loaʻa nā pono kōkua Inā aia kekahi o kō mākou hui hoʻolako hoʻoili loko kino ʻōnaehana-kūloko ma

Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

ʻAʻohe pili nā wā hoʻolako pono kōkua haukapila i kēia ʻano hana No nā kōkua mālama mea maʻi noho haukapila hoʻohana ʻia no hoʻi o ke kuleana kaʻana uku i wehewehe ʻia aku nei mal una iho nei i nā manawa a pau e hoʻopaʻa ʻia ai ʻoe ma ka haukapila ʻO nā kōkua hali mea maʻi i kekahi kahua kaʻawale ʻē aʻe (a like me kekahi haukapila no nā mea maʻi noho haukapila lapaʻau hoʻopolapola) kapa ʻia kēlā he hoʻokomo haukapila hou


kāu e uku ai)


Mālama mea maʻi noho haukapila (hoʻomau) waho aʻe o ke kōkua mālama a ke kaiaulu ua

hiki nō iā ʻoe ke koho aku i kekahi hui hoʻolako hoʻoili loko kino kūloko o ka mea nui e ʻāpono mai hoʻi ka hui hoʻolako hoʻoili loko kino kūloko i ka huina pākeneka uku a ka hui ʻinikua mālama olakino (Original Medicare) Inā e hoʻolako aku ka mākou papahana i ke kōkua hoʻoili loko kino ma kekahi wahi ma waho aʻe o nā kōkua mālama kaiaulu hoʻoili loko kino mai a e koho ʻoe i kekahi hui hoʻolako hoʻoili loko kino mamao loa nā mākou no e hoʻoponopono aku i kahi noho a me nā pono kaʻahele nou a me hoʻokahi hoa hele No nā uku pānaʻi o nā wahi noho a me nā lako kaʻahele pono no hoʻi he 60 mile o ka huakaʻi holo ʻana a i ke kahua a ka hui hoʻolako hoʻoili loko kino a e kaupalena ʻia no hoʻi i ka huina nui o $10000 no nā lapaʻau hoʻoili loko kino pākahi he mea ʻole ka mamao a me ka lōʻihi o ka lapaʻau ʻia ʻana

bull Koko - me ka mālama a me ka hoʻokele Hoʻomaka ka uhi o ke koko holoʻokoʻa a me nā ʻulaʻula piha i ka pint mua o ke koko e pono ai Uhi ʻia nā ʻāpana ʻē aʻe āpau o ke koko e hoʻomaka ana me nā pint mua i hoʻohana ʻia

bull Nā lawelawe kaukaKahakaha I lilo ia i mea maʻi maʻi pono kāu mea hāʻawi e kākau i kahi kauoha e ʻae iā ʻoe ma ke ʻano he maʻi maʻi o ka haukapila ʻOiai inā ʻoe e noho i ka haukapila i ka pō e manaʻo ʻia ʻoe he mea maʻi Inā ʻaʻole maopopo iā ʻoe inā he maʻi maʻi a i ʻole ka mea maʻi waho pono ʻoe e nīnau i nā limahana o ka haukapila

Hoʻohana ʻia nā kāki kuleana kaʻana uku i ka lā mua o ka hoʻokomo ʻana ʻia mai a ʻaʻole hoʻohui ʻia me ka lā hoʻokuʻu ʻia aku


kāu e uku ai)


Mālama mea maʻi noho haukapila (hoʻomau)Hiki iā ʻoe ke ʻike i ka ʻike hou aku i loko o ka pepa ʻo Medicare i kapa ʻia ʻo He Haukapila Halemai ʻO ʻoe a i ʻole Kauka Inā he lāʻau lapaʻau kāu - e nīnau Loaʻa kēia pepa ʻike ma ka Pūnaewele ma wwwmedicaregovPubspdf11435-Are-You-an-Inpatient-or-Outpatientpdf a i ʻole ke kelepona ʻana iā 1-800-MEDICARE (1-800-633-4227) Kāhea nā mea hoʻohana TTY iā 1-877-486-2048 Hiki iā ʻoE ke kāhea i kēia mau helu no ka manuahi 24 hola o ka lā 7 lā o ka puleMālama mea maʻi pilikia ʻoālaala hoʻokahiʻO nā kōkua uhi i loaʻa loaʻa pū nā kōkua mālama no nā mea maʻi pilikia ʻoālaala hoʻokahi me nā kōkua uhi noho haukapilaUhi ʻia ʻoe no 90 mau lā o nā hoʻokomo noho haukapila pākahi no nā kōkua noho ʻana i uhi ʻia e ka hui MedicareLoaʻa no hoʻi kekahi kaupalena no ka noho haukapila ʻana he 190 lā ke kaupalena o ka noho ola ʻana ma ka haukapila no nā mea maʻi piliki ʻoālaala hoʻokahi i hoʻolako ʻia hoʻi nā kōkua ma kekahi haukapila mālama mea maʻi pilikia noʻonoʻo Pili ʻole no hoʻi kēlā 190 lā kaupalena i nā kōkua hoʻoponopono pilikia noʻonoʻo ma kekahi māhele kōkua hoʻoponopono pilikia noʻonoʻo a kekahi haukapila maʻamau Inā ua hoʻohana ʻoe i kekahi hapa o kēla kōkua o 190-lā ke kaupalena o ka noho ola ʻana ma mua o ke kāinoa komo ʻana ma lalo o kō mākou papahana ʻinikua Medicare no laila ua hiki nō iā ʻoe ke hoʻohana aku i ke koena lā i koe o ia kōkua noho ola ʻana me nā lā i hoʻohana ʻia ma ka pono kōkua a ka papahana au i hoʻohana mua ai

No nā hoʻokomo noho haukapila i uhi ʻia e ka hui Medicare o nā hoʻokomo pākahi he $325 uku kāki o ka lā no 1 lā a 5 lā a laila $0 uku kāki mea maʻi mai ka 6 o ka lā a 90 lā no nā kōkua mālama haukapila i uhi ʻia e ka hui MedicareNā lā mālama ola holoʻokoʻa $0 copay i kēlā me kēia lāʻO nā lā mālama ola āpau he mau lā hou aʻe e uku ai ka hoʻolālā no ka mea aia nā lālā i ka haukapila no ka mea i ʻoi aku i ka nui o nā lā i uhi ʻia e ka hoʻolālā Loaʻa i nā lālā he 60 mau lā mālama i hiki ke hoʻohana ʻia i ko lākou wā e ola nei


kāu e uku ai)

Nā lawelawe i uhi ʻia nāu He aha kāu e pono ai uku ke loaʻa iā ʻoe kēia mau lawelaweInā loaʻa iā ʻoe kahi ʻae mālama maʻi maʻi i ka haukapila ma waho o ka pūnaewele ma hope o ka hoʻokūpaʻa ʻia o kāu kūlana pilikia ʻo kāu koina ke koina e uku ai ʻoe ma kahi haukapila pūnaewelePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

ʻAʻole pili nā wā pōmaikaʻi o ka haukapila Medicare No ka mālama olakino noʻonoʻo maʻi maʻi ʻo ka hoʻokaʻawale kālā i hōʻike ʻia ma luna aʻe nei e pili ana i kēlā me kēia manawa e ʻae ʻia ʻoe i ka haukapila Hoʻololi ʻia i kahi hale kaʻawale (e like me Acute Inpatient Rehabilitation Hospital a i ʻole kekahi Haukapila mālama Acute) i manaʻo ʻia he komo hou

Hoʻohana ʻia nā kumukūʻai kumukūʻai e hoʻomaka ana i ka lā mua o ke komo ʻana a ʻaʻole i hoʻokomo i ka lā o ka hoʻokuʻu ʻana


kāu e uku ai)


Noho mea maʻi Nā kōkua uhi i loaʻa ma ka haukapila a i ʻole ma kekahi SNF i ka wā i uhi ʻole ʻia o ka mea maʻi noho haukapilaInā ua hoʻohana pau loa aku ʻoe i kāu kōkua uhi me maʻi noho haukapila a i ʻole ʻaʻole paha kūpono ka noho mea maʻi noho haukapila a ʻaʻole hoʻi pono ʻaʻole hoʻi makou e e uhi aku ana i kou noho ʻana i mea maʻi noho haukapila Akā naʻe no kekahi kumu paha e uhi ana mākou i kekahi mau pono kōkua wale no e loaʻa mai iā ʻoe i kou noho ʻana ma kahaukapila a i ʻole ma kekahi kahua mālama mea maʻi me nā kahu maʻi mākaukau (SNF)

bull Nā kōkua kauka

bull Hōʻike ʻimi mea maʻi (nā hōʻike keʻena hoʻokolohua)

bull X-ray radium a me ka lapaʻau isotope a me nā lako pono hana a ka limahana a me nā pono kōkua

bull Nā lako ʻoki ʻia ʻana bull Lāʻau hoʻopololei kimeki a me nā lako ʻē aʻe i hoʻohana ʻia no hoʻemi ʻana i nā iwi haki a i ʻole nā kuʻi pāhemo

bull Nā lako kuʻi lālā kino a me nā lako kākoʻo lohi (ma waho aʻe o nā lako niho) i lawe no hoʻi i ka wahi o kekahi mahele o ka loko kino() a i ʻole kekahi māhele o ka hana ʻana o kekahi loko kino i paumaʻele loa a ʻaole hiki ke hana a i ʻole kekahi mahele loko kino e hoʻomaka nei e pau nei ka pono pēia pū me nā pono kākoʻo a i ʻole nā lako no ke kākoʻo ʻana ia māhele o ke kino

E uhi mau ʻia nā lawelawe i helu ʻia ma nā mahele hoʻokaʻawale kumukūʻai i hōʻike ʻia i ka pakuhi pōmaikaʻi no ka lawelawe kikoʻī

No nā lako olakino i uhi ʻia e Medicare e like me ka cast a me ka splints uku ʻoe i ka nui mahele o ke kumukūʻai e hāʻawi ai i kahi lawelawe kikoʻī


kāu e uku ai)


bull ʻO ka wāwae ka lima ke kua a me nā ʻāʻī o ka ʻāʻī trusses a me nā wāwae i hana ʻia nā lima a me nā maka e pili ana i nā hoʻoponopono hoʻoponopono a me nā mea pani e pono ai no ka haki ʻaʻahu nalo ʻana a i ʻole he loli i ke ʻano o ke kino o ka mea maʻi

bull Hoʻoikaika kino haʻi ʻōlelo a me ka lāʻau ʻoihana

Nā Meaʻai$0 uku kāki mea maʻi no nā kōkua mālama olakino e pono e loaʻa nā meaʻai no ma hope o ke ʻoki ʻia ʻana a i ʻole kekahi mea ʻinu i hoʻowali ʻia i uhi ʻia e ka papahanaE pono ana paha kekahi kōkua kuhikuhi ʻana

ʻAi ʻAi Paʻi bull No nā lālā i hoʻokuʻu ʻia mai kahi hale maʻi (Haukapila Haukinau Maʻi ʻAiʻi a i ʻole Rehabilitation Inpatient) e hāʻawi ka hoʻolālā i ka nui o 3 mauʻai i kēlā me kēia lā no 14-mau lā no ka nui o 42 mau meaʻai me ka uku ʻole iā ʻoe Hiki iā ʻoe ke koho e loaʻa i nā meaʻai maloʻo hou nā papa paʻa paʻa a i ʻole kahi hihia o nā lulu olakino Hiki iā ʻoe ke koho e loaʻa i kahi hui o nā meaʻai a me nā lulu i loko o kāu palena palena o ke keu pono me ka nui o hoʻokahi hihia o nā lulu i kēlā me kēia manawa

Nā ʻAi MīkiniNo nā lālā ma lalo o kekahi kōkua hoʻomaʻamaʻa makaʻala maʻi me kekahi maʻi kuluma ʻōmaʻimaʻi ua hiki nō ke loaʻa iā lākou nā papa ʻaina meaʻai olakino maikaʻi i pili hoʻi i kekahi māhele o ia polokalamu makaʻala no ke alakaʻi ʻana aku iā ʻoe me kēia mau loli o kou nohoa hou

bull ʻO nā kūlana kūpono kūpono e pili ana iā AIDS hānō nā maʻi pulmonary obstructive maʻi (COPD) nā puʻuwai puʻuwai kūpikipiki nā maʻi o ke aʻa ka maʻi kō a me ka hanu kiʻekiʻe

$0 uku kāki mea maʻi no nā kōkua mālama olakino e pono e loaʻa nā meaʻai a i ʻole kekahi mea ʻinu i hoʻowali ʻia i uhi ʻia e ka papahana Pono ana paha kekahi kōkua kuhikuhi


kāu e uku ai)


bull Hiki paha iā ʻoe ke loaʻa i kahi ʻai o 3 mau meaʻai olakino i kēlā me kēia lā a i nā lā he 28 no ka nui o 84 mau meaʻai i kēlā me kēia mahina Hiki ke hoʻohana ʻia kēia keu pono no kahi ʻoi aku o 3 mau mahina i kēlā me kēia makahiki

bull Kumuhana i ka loaʻa hiki iā ʻoe ke koho e loaʻa i nā meaʻai maloʻo hou nā papa paʻa paʻa a a i ʻole kahi hihia o nā lulu olakino Hiki iā ʻoe ke koho e loaʻa i kahi hui o nā meaʻai a me nā lulu i loko o kāu palena o ka mahina me ka nui o hoʻokahi hihia o nā lulu i kēlā me kēia mahina

Lapaʻau pono lapaʻauʻO kēia pōmaikaʻi no nā poʻe me ka maʻi diabetes kidney (kidney) (ʻaʻole naʻe ma ka dialysis) a ma hope paha o kahi transplant kidney inā kauoha ʻia e kāu kaukaHoʻopili mākou i 3 nā lawelawe aʻoaʻo aʻoaʻo ʻekahi a hoʻokahi i loko o kou makahiki mua i loaʻa iā ʻoe nā lawelawe olakino olakino olakino ma lalo o Medicare (pili pū kēia me kā mākou hoʻolālā nā hoʻolālā Medicare Advantage ʻē aʻe a i ʻole Original Medicare) a me 2 mau hola i kēlā me kēia makahiki ma hope o kēlā Inā loli kou ʻano lapaʻau a ʻike hōʻoia paha hiki iā ʻoe ke loaʻa i nā hola hou aʻe o ka mālama ʻana me ke kauoha a ke kauka Pono e kauka i kēia lawelawe a hoʻomaikaʻi hou i kā lākou kauoha i kēlā me kēia makahiki inā makemake ʻia kāu lapaʻau i ka makahiki ʻē aʻe e hiki mai ana

ʻAʻohe kāki koena uku mea maʻi uku kāki mea maʻi a i ʻole uku pilikino no nā lapaʻau me nā papa ʻaina meaʻai olakino maikaʻi i uhi ʻia e ka hui Medicare


kāu e uku ai)


Polokalamu Kāohi Mīkini Medicare (MDPP)E uhi ʻia nā lawelawe MDPP no nā mea kōkua Medicare kūpono ma lalo o nā hoʻolālā olakino Medicare āpauʻO MDPP kahi ʻano olakino olakino olakino olakino e hoʻolako i ka hoʻomaʻamaʻa kūpono i ka loli lānai lōʻihi hoʻonui i ka hoʻoikaika kino a me nā hoʻolālā hoʻonā pilikia no ka loaʻa ʻana o nā pilikia e mālama ai i ka pohō kaumaha a me kahi nohona olakino

ʻAʻohe kāki koena uku mea maʻi uku kāki mea maʻi a i ʻole uku pilikino no nā pono kōkua MDPP

Nā lāʻau lapaʻau lāʻau Medicare Part BUhi ʻia kēia mau lāʻau i lalo o ka Part B o ka Original Medicare Loaʻa i nā lālā o kā mākou hoʻolālā i ka uhi no kēia mau lāʻau ma o kā mākou hoʻolālā Hoʻopili ʻia nā lāʻau i uhi ʻia

bull Nā lāʻau i hana pinepine ʻole ʻia e ka mea maʻi a ʻīkī ʻia a i ʻole infuse ʻoiai ʻoe e hele nei i ke kauka ka haukapila a i ʻole nā lawelawe kikowaena ʻākau

bull Lāʻau lawe ʻoe i ka hoʻohana ʻana i nā pono olakino paʻa (e like me nebulizers) i ʻae ʻia e ka hoʻolālā

bull Hāʻawi ʻoe i nā mea Clotting iā ʻoe iho i ka injection inā he hemophilia ʻoe

bull Nā lāʻau immunosuppressive inā ua kāinoa aku ʻoe i loko o la Medicare Part A i ka manawa o ka lapaʻau hoʻoili lokokino

bull ʻO nā lāʻau osteoporosis injectable inā home ʻoe e loaʻa i ka haʻi iwi i hōʻoia ʻia e ke kauka e pili ana i ka osteoporosis post-menopausal a ʻaʻole hiki ke hoʻokele iā ʻoe iho i ka lāʻau

Pono paha kekahi o nā lāʻau e hoʻokomo ʻia ma ʻAnuʻu Hoaʻo Mua

20 kuleana kaʻana uku no nā lāʻau a ka Part B i uhi ʻia e ka hui Medicare Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


bull Nā Aniani bull ʻO kekahi lāʻau ʻino anti-cancer a me nā lāʻau anti-nausea

bull ʻO kekahi mau lāʻau no ka dialysis home me heparin ka lāʻau lapaʻau no ka heparin ke pono i ka lāʻau nā anesthetics topical a me nā agena erythropoiesis stimulate (e like me Procritreg)

bull Intravenous Immune Globulin no ka mālama ʻana i ka home i nā maʻi maʻi pale maʻi mua

E lawe ka loulou iā ʻoe i kahi papa inoa o nā Part B i hiki ke hoʻokau ʻia i ka Step Therapy wwwwellcarecommedicare Uhi mākou i kekahi mau lāʻau āpau ma lalo o kā mākou Part B a me Part D lāʻau pono lāʻau Hoʻomaopopo ka Mokuna 5 i ka Part D lāʻau lapaʻau lāʻau pono me nā lula āu e pono ai e hāliʻi e uhi ʻia nā kuhikuhi ʻO ka mea āu e uku ai no kāu ʻāpana lāʻau lāʻau Part D ma o kā mākou papahana e wehewehe ʻia ma ka Mokuna 6

20 kuleana kaʻana uku no nā lāʻau lapaʻau maʻi ʻaʻai (chemotherapy) a ka Part B i uhi ʻia e ka hui MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Pōmaikaʻi aʻoaʻo aʻoaʻo aʻoaʻo kōkua NutritionaldietaryUhi mākou i nā kau ʻōlelo aʻoaʻo ma o kahi kauka lāʻai i hoʻopaʻa inoa ʻia a i ʻole ʻoihana meaʻai me kahi kauoha mai kāu kauka e hoʻoponopono i nā loli i kāu hana i hiki ke hoʻomaikaʻi i kahi olakino āu ʻO ke olakino aʻoaʻo aʻoaʻo he hana kākoʻo e kau i nā mea nui hoʻokumu i nā pahuhopu a hana i nā hoʻolālā hana pilikino e hōʻoia a hoʻoulu i ke kuleana no ka mālama pilikino

$0 uku kāki mea maʻi no nā nānā kauka no nā kōkua aʻoaʻo pākahi e pili ana i nā ʻai pono


kāu e uku ai)


O ka nānā ʻana i ka Obesity a me ka therapy e hāpai i ka pohō kaumaha

Inā loaʻa iā ʻoe kahi helu kino nui o 30 a ʻoi paha uhi mākou i ka ʻōlelo aʻo ikaika e kōkua ai iā ʻoe e lilo i ka paona Uhi ʻia kēia ʻōlelo aʻoaʻo inā loaʻa ʻoe iā ia i kahi hoʻonohonoho mālama mua kahi e hiki ai ke hoʻopili ʻia me kāu hoʻolālā pale ākea E kamaʻilio me kāu kauka mālama mua a mea hana paha e ʻike hou aʻe

ʻAʻohe kāki koena uku mea maʻi uku kāki mea maʻi a i ʻole uku pilikino no nā nānā kauka ola pono kau no ka ʻimi mea hoʻomaʻi mālama olakino a me lapaʻau no ka pale aku ʻana maʻi e pili ana i ka mōmona loa

Nā lawelawe papahana hoʻomaʻamaʻa OpioidHiki i nā lālā o kā mākou hoʻolālā me ka maʻi hoʻohana opioid (OUD) ke loaʻa ka uhi ʻana o nā lawelawe e mālama iā OUD ma o kahi Polokalamu Hana Opioid (OTP) e pili pū me nā lawelawe aʻe

bull US ʻAi a me nā lāʻau hoʻomalu lāʻau lapaʻau (FDA) -pono ʻia ka opioid agonist a me ka antagonist lapaʻau-kōkua lapaʻau (MAT) nā lāʻau

bull Kaʻakahi a Haʻawi aku i nā lāʻau MAT (inā pili) bull Hoʻohana i ka ʻōlelo aʻo aʻoaʻo bull Kanaka a me ka hui therapy bull Hoʻāʻo Toxicology bull Hana i nā kiʻina hana bull Nā loiloi wā

$35 uku kāki no nā lapaʻau lāʻau ʻopiuma i uhi ʻia e ka hui Medicare o ka pae 1 o nā hui hoʻolako$50 uku kāki no nā lapaʻau lāʻau ʻopiuma i uhi ʻia e ka hui Medicare o ka pae 2 o nā hui hoʻolakoPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Nā hoāʻo hōʻoia diagnostics a me nā lawelawe therapeutic a me nā lakoAia nā lawelawe i uhi ʻia akā ʻaʻole kau palena ʻia i

bull X-kukuna $0 copay no i uhi ʻia e Medicare X-rayPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


bull Radiation (radium and isotope) therapy me ka ʻenehana nā mea a me nā lako

20 kuleana kaʻana uku no nā kōkua lapaʻau hoʻōla me nā pono pāhawewe uhi ʻia e ka hui MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull Nā lako hana e like me nā lole bull Splints cast a me nā hāmeʻa ʻē aʻe i hoʻohana ʻia e hōʻemi i nā haki a me nā hemo ʻana

20 kuleana kaʻana uku no nā kōkua lako mālama olakino a me na kimeki a me nā lāʻau hoʻopololeiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull Nā hōʻike keʻena hoʻokolohua maʻi $0 copay no uhi ʻia Medicare nā lawelawe keʻena hoʻokolohua (e laʻa urinalysis)Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)



$0 uku kāki mea maʻi no nā kōkua uhi lapaʻau koko i uhi ʻia e ka ʻinikua mālama olakino makule MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull Nā hōʻike ʻimi maʻi mea maʻi noho haukapila ʻole - nā kōkua ʻimi mea maʻi maō nā pono pāhawewe ʻole (e like me nā nānā pāheu a i ʻole EKG) hoʻomaka ana me nā pint mua i hoʻohana ʻia

bull Nā hōʻike ʻimi maʻi mea maʻi noho haukapila ʻole (e like me nā hōʻike pōhihihi e like me ka CT MRI MRA SPECT) - Nā kōkua ʻimi mea maʻi me nā pono pāhawewe ʻaʻole hoʻi akakiʻi X-ray pālahalaha

$30 uku kāki no nā kōkua hōʻike ʻimi maʻi mea maʻi noho haukapila ʻole - nā kōkua ʻimi mea maʻi maō nā pono pāhawewe ʻole (eg nā nānā pāheu a i ʻole EKG) i uhi ʻia e ka hui MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana$300 uku kāki no nā kōkua ʻimi maʻi mīkini nānāloko i uhi ʻia e ka hui Medicare Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull Hōʻike ana ea o ke akemāmā no ka maʻi aʻa akemāmā o ka (COPD) (spirometry) ʻO ka hōʻike ana ea kekahi hōʻike i hoʻohana ʻia ma kahi nānā kauka no ke ana ʻana i ka ikaika a kou akemāmā ma hope mai o ka lapaʻau ʻia ʻana no ka maʻi COPD

$0 uku kāki mea maʻi no ka hōʻike ana hanu (spirometry) no nā lālā i ʻike ʻia hoʻi ua loaʻa ka maʻi COPDPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull Huli lolelole DEXA $0 copay no DEXA Scan Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)

Nā lawelawe i uhi ʻia nāu He aha kāu e pono ai uku ke loaʻa iā ʻoe kēia mau lawelaweInā loaʻa iā ʻoe nā lawelawe he nui mai ka mahele lawelawe like i ka lā like e kuleana ʻoe e uku i ka nui copay nui no kēlā mahele lawelawe ma kēlā wahiEia nō naʻe inā he copay ka pōmaikaʻi no hoʻokahi lawelawe a ʻo ka pōmaikaʻi no kahi lawelawe ʻē aʻe he inihi kālā e noi ʻia ʻoe e uku i ka copay a me ka wili kālā

Ke nānā aku nei i ka haukapilaHāʻawi ʻia nā lawelawe nānā i nā lawelawe mai waho o ka haukapila e hoʻoholo inā pono ʻoe e ʻae ʻia ma ke ʻano he mea maʻi a i ʻole hiki ke hoʻokuʻu ʻiaNo ka uhi ʻia ʻana o nā lawelawe o ka haukapila i waho pono lākou e hoʻokō i nā pae Medicare a e manaʻo ʻia he kūpono a pono Uhi ʻia nā lawelawe nānā ke hāʻawi ʻia e ke kauoha a ke kauka a i ʻole kekahi mea ʻae ʻia e ke kānāwai laikini mokuʻāina a me nā kānāwai o nā limahana o ka haukapila e ʻae i nā mea maʻi i ka haukapila a kauoha paha i nā hoʻokolohua waho

$90 uku kāki no nā kōkua makaʻala mea maʻi noho haukapila ʻole inā waiho ʻia ʻoe ma kekahi kūlana makaʻala i loko o ka keʻena mālama pōulia $300 uku kāki no nā kōkua makaʻala mea maʻi noho haukapila ʻole inā waiho ʻia ʻoe ma kekahi kūlana makaʻala Loaʻa nā uku keu no nā lāʻau kuhikuhi ma lalo o ka ʻinikua mālama olakino Medicare Part BPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


Kahakaha Inā ʻaʻole i kākau ka mea hāʻawi i kahi kauoha e ʻae iā ʻoe ma ke ʻano he mea maʻi i ka haukapila he mea maʻi i waho a uku i nā huina kaʻana like kālā no nā lawelawe haukapila maʻi ʻOiai inā ʻoe e noho i ka haukapila i ka pō e manaʻo ʻia ʻoe he mea maʻi Inā ʻaʻole ʻoe maopopo inā ʻoe he outpatient pono ʻoe e nīnau i nā limahana o ka haukapilaHiki iā ʻoe ke ʻike i ka ʻike hou aku i loko o ka pepa ʻo Medicare i kapa ʻia ʻo He Haukapila Halemai ʻO ʻoe a i ʻole Kauka Inā he lāʻau lapaʻau kāu - e nīnau Aia kēia pepa ʻoiaʻiʻo ma ka Pūnaewele ma wwwmedicaregovPubspdf11435-Are-You-an-Inpatient-or-Outpatientpdf ole ma ke kahea 1-800-MEDICARE (1-800-633-4227) Kāhea nā mea hoʻohana TTY iā 1-877-486-2048 Hiki iā ʻoe ke kāhea i kēia mau helu no ka manuahi 24 hola o ka lā 7 lā o ka pule Nā lawelawe haukapila maʻiUhi mākou i nā lawelawe lapaʻau e pono ai e loaʻa iā ʻoe i ka keʻena maʻi o kahi haukapila no ka hōʻoia ʻana a i ʻole ka mālama ʻana i kahi maʻi a ʻeha pahaAia nā lawelawe i uhi ʻia akā ʻaʻole kau palena ʻia i

bull Nā lawelawe i loko o kahi keʻena pilikia a i ʻole kahi haukapila maʻi e like me nā lawelawe nānā a i ʻole ke ʻoki ʻana i waho

bull Nā hoʻokolohua hoʻokolohua a me nā diagnostics i hoʻopiʻi ʻia e ka haukapila

bull Ka mālama olakino noʻonoʻo e like me ka mālama ʻana i kahi papahana hoʻokipa hapa ke hōʻoia ʻia e kahi kauka e koi ʻia ka mālama maʻi me ka ʻole o ia

Uku no hoʻi ʻoe i nā huina nui o ke kuleana kaʻana uku i pili i ka huina nui i hōʻike ʻia ma kēia Pakuhi Pono Kōkua Mālama Olakino no nā kōkua i kuhi ʻia

No nā lako olakino i uhi ʻia e Medicare e like me ke kimeki a me ka lāʻau hoʻopololei iwi uku nō hoʻi ʻoe i nā huina nui o ke kuleana kaʻana uku i pili i ka huina nui i hōʻike ʻia ma kēia


kāu e uku ai)


bull X-ray a me nā lawelawe radiology ʻē aʻe i hoʻopiʻi ʻia e ka haukapila

bull Nā lako olakino e like me nā splints a me nā pā

bull ʻO kekahi mau lāʻau a me nā meaola i hiki ʻole iā ʻoe ke hāʻawi iā ʻoe iho

Kahakaha Inā ʻaʻole i kākau ka mea hāʻawi i kahi kauoha e ʻae iā ʻoe ma ke ʻano he mea maʻi i ka haukapila he mea maʻi waho a uku i nā huina kaʻana like kālā no nā lawelawe haukapila maʻi ʻOiai inā ʻoe e noho i ka haukapila i ka pō e manaʻo ʻia ʻoe he mea maʻi Inā ʻaʻole ʻoe maopopo inā ʻoe he outpatient pono ʻoe e nīnau i nā limahana o ka haukapilaHiki iā ʻoe ke ʻike i ka ʻike hou aku i loko o ka pepa ʻo Medicare i kapa ʻia ʻo He Haukapila Halemai ʻO ʻoe a i ʻole Kauka Inā he lāʻau lapaʻau kāu - e nīnau Aia kēia pepa ʻoiaʻiʻo ma ka Pūnaewele ma wwwmedicaregovPubspdf11435-Are-You-an-Inpatient-or-Outpatientpdf ole ma ke kahea 1-800- MEDICARE (1-800-633-4227) Kāhea nā mea hoʻohana TTY 1-877-486-2048 Hiki iā ʻoe ke kāhea i kēia mau helu no ka manuahi 24 hola o ka lā 7 lā o ka pule Mālama ola olakino maʻiʻO nā lawelawe i uhi ʻiaʻO nā lawelawe olakino noʻonoʻo i hāʻawi ʻia e ka psychiatrist laikini laikini a mokuʻāina paha kauka psychologist ka limahana pilikino ka loea kahu maʻi lapaʻau kauka kahu maʻi kauka kōkua a i ʻole kekahi ʻoihana lawelawe olakino noʻonoʻo pono Medicare i ʻae ʻia ma lalo o nā kānāwai mokuʻāina pili


kāu e uku ai)


bull Nā lawelawe i hāʻawi ʻia e kahi psychiatrist $25 copay no kēlā me kēia Medicare i uhi ʻia i kēlā me kēia maʻi kipa me kahi psychiatristPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

$25 copay no kēlā me kēiaKipa aku ʻo Medicare i uhi ʻia me ka psychiatristPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull Hāʻawi ʻia nā lawelawe e nā lawelawe mālama ola noʻonoʻo ʻē aʻe

$25 copay no kēlā me kēia i uhi ʻia e Medicare kipa kipa pākahi me nā mea mālama ola noʻonoʻo ʻē aʻePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

$25 copay no kēlā me kēia i uhi ʻia e Medicare kipa hoʻolauna pūʻulu me nā mea lawelawe olakino noʻonoʻo ʻē aʻePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


Ma waho aʻe o ke kōkua mālama pilikia noʻonoʻo o nā mea maʻi noho haukapila ʻole i uhi ʻia e ka ka hui Medicare e uhi pū no hoʻi mākou i nā kōkua aʻoaʻo no nā kumuhana maʻamau e like me ka noho male ʻana pilina ʻohana a me nā manaʻo kaumaha Ua hiki nō iā ʻoe ke hele aku e ʻike i kekahi polopeka hoʻoponopono pilikia o ʻoālaala hoʻokahi a i ʻole e hoʻohana aku i kēia mau kōkua ʻē aʻe maō ke kelepona a i ʻole maō ka eʻe ʻma ka pūnaewele puni honua ma ka hoʻohana ʻana iā Teladoctrade ka hui hoʻolako telehealth a kō mākou papahana ʻinikua hiki nō ke hoʻopaʻa i kekahi nānā kauka kōkua hoʻoponopono pilikia o ʻoālaala hoʻokahi 7 lā o ka pule mai ka 7 am - 9 pm o nā hola kūloko Kāhea mai iā Teladoctrade ma 1-800-835-2362 TTY711

$0 uku kāki no nā nānā kōkua aʻoaʻo pākahi a ka hui hoʻolako Teladoctrade

Nā kōkua hoʻoponopono ola mea maʻi noho haukapila ʻoleʻO nā kōkua i uhi ʻia e komo pū me ka hoʻoikaika kino ka hoʻomaʻamaʻa ʻoihana a me ka ʻōlelo haʻi ʻōleloHoʻolako ʻia nā Kōkua Hoʻoponopono ola Mea Maʻi noho Haukapila ʻOle ma nā kahua mea maʻi noho haukapila ʻole like ʻole e like me kekahi keʻena haukapila no nā mea maʻi noho haukapila ʻole nā keʻena kōkua hoʻoponopono kūʻokoʻa a me nā kahua hoʻonāʻauao hoʻoponopono ola (nā CORF)

bull Hoʻolako ʻia nā kōkua e kekahi mea kōkua pākōlea

$35 uku kāki no nā kōkua pākōlea i uhi ʻia e ka hui Medicare pākahi o ka pae 1 o nā hui hoʻolako$40 uku kāki no nā kōkua pākōlea i uhi ʻia e ka hui medicare pākahi o ka pae 2 o nā hui hoʻolako Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


bull Hoʻolako ʻia nā kōkua e kekahi mee kōkua hoʻoponopono ʻoihana

$35 uku kāki no nā kōkua hoʻoponopono ʻoihana i uhi ʻia e ka hui Medicare pākahi o ka pae 1 o nā hui hoʻolako$40 uku kāki no nā kōkua hoʻoponopono ʻoihana i uhi ʻia e ka hui Medicare pākahi o ka pae 2 o nā hui hoʻolakoPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull Hoʻolako ʻia nā kōkua e kekahi mee kōkua hoʻoponopono hoʻomaʻamaʻa walaʻau

$35 uku kāki no nā kōkua hoʻomaʻamaʻa walaʻau i uhi ʻia e ka hui Medicare pākahi o ka pae 1 o nā hui hoʻolako$40 uku kāki no nā kōkua hoʻomaʻamaʻa walaʻau i uhi ʻia e ka hui Medicare pākahi o ka pae 2 o nā hui hoʻolakoPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


Nā lawelawe hoʻomāinoino lāʻau hoʻopapaʻO nā lawelawe i uhi ʻiaNā kōkua hoʻoponopono hei e like me kekahi hui pākahi ʻana ai ʻole ma kekahi pūʻulu paha no kekahi wā kūkākūkā hoʻoponopono i hoʻolako ʻia e kekahi kauka kōkua hoʻoponopono noʻonoʻo limahana kōkua launa ʻana kahu maʻi kauka kekahi limahana kākoʻo pākōlea a i ʻole nā kōkua hoʻoponopono noʻonoʻo ʻē aʻe me nā ʻike lapaʻau i laikini ʻia e ka hui Medicare no nā kiʻina hana hoʻoponopono pilikia noʻonoʻo a i ʻole kekahi polokalamu i ʻāpono ʻia e nā kānāwai mokuʻāina

$25 uku kāki no nā kōkua i lapaʻau i uhi ʻia e ka hui Medicare pākahi o ka pae 1 o nā hui hoʻolakoPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

$25 copay no kēlā me kēia uhi ʻia Medicare kipa hoʻolauleʻa huiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

ʻO ka maʻi maʻi ma waho me nā lawelawe i hāʻawi ʻia ma nā keʻena maʻi maʻi waho a me nā keʻena ʻokiʻoki ambulatoryKahakaha Inā ʻoe e hana ana i kahi ʻokiʻoki ma kahi haukapila pono ʻoe e nānā me kāu mea lawelawe e pili ana inā he mea maʻi maʻi a maʻi maʻi paha Inā ʻaʻole i kākau ka mea hāʻawi i kahi kauoha e ʻae iā ʻoe ma ke ʻano he mea maʻi i ka haukapila he mea maʻi waho ʻoe a uku i kanā mahele hoʻokaʻawale kālā no ka ʻoki kūwaho ʻOiai inā ʻoe e noho i ka haukapila i ka pō e manaʻo ʻia ʻoe he mea maʻi

bull Hāʻawi ʻia nā lawelawe ma kahi haukapila maʻi $300 uku kāki no nā kōkua nānā kauka no ka ʻoki ʻana ma kekahi kahua haukapila mea maʻi noho haukapila ʻole i uhi ʻia e ka hui MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


bull Hāʻawi ʻia nā lawelawe ma kahi kikowaena ʻoki lāʻau

$250 kope no kēlā me kēia kipa Medicare-uhi ʻia i kahi kikowaena hōʻoki kino Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Nā Mea Kūlana Kiʻi LoaHiki iā ʻoe ke hoʻohana i kou pono a ʻo nā huahana OTC i manaʻo ʻia no kāu hoʻohana wale nō Maʻalahi ke kiʻi ʻana i kāu mau meaHoʻolako no hoʻi kō mākou papahana ʻinikua i kekahi pono kōkua o $85 i nā ʻekolu māhina a pau no ka hoʻolilo ʻana no ke kūʻai ʻana i nā ʻikamu kūʻai loaʻa e kūʻai nele kuhikuhi lāʻau OTC i ʻāpono ʻia e ka papahana mai CVS mai Loaʻa nō hoʻi iā ʻoe nā kuleana kūʻai ʻana i nā ʻikamu OTC i ʻāpono ʻia mai ka puke ʻoka mai ma ke kelepona ʻana aku ma ka ʻeʻe ʻana ma ka pūnaewele puni honua a i ʻole hiki nō ke kūʻai aku ma kekahi po nā hale kūʻai CVS like ʻole me ka hoʻʻohana pū ʻana i kāu kāleka ID lālā Ua hiki nō iā ʻoe ke waiho aku i kekahi ʻoka ma ka papa inoa ʻikamu maō ka pūnaewele puni honua ma wwwcvscomotchsohana a i ʻole inā kāhea ʻoe i ka helu 1-866-819-2516 (TTY 711) a nā mākou no e kālewa manuahi aku i nā ikamu i kou hale ʻOluʻolu e hoʻomanaʻo e loli no hoʻi ka papa inoa ʻikamu OTC i kēlā me kēia makahiki ʻOluʻolu a nānā hou i ka papa inoa o nā ʻikamu e kū nei no nā ʻike ʻana he aha ʻikamu hou i loaʻa maia no ka hōʻoia ʻana hoʻi inā loaʻa kekahi mau loli o nā ʻikamu mai kēlā makahiki aku nei He kaupalena hoʻi ma nā ʻoka ʻia maō ka hale leka i 3 wale ʻoka maō ka hale leka o hoʻokahi hapahā makahiki He mau kaupalena ʻē aʻe paha e hoʻokau ʻia ana no ka nui i hiki ke ʻoka ʻia o kekahi mau ʻikamu o hoʻokahi hapahā o ka makahiki ua hoʻopaʻa ma loko i ka papa inoa ʻikamu

$0 copay


kāu e uku ai)


Nānā Ma lalo o kekahi mau hanana diagnostics (e like me nā pono e hōʻike ana i ke kahe o ke koko ka maʻi kō ka maʻi diabetes nā kānana kala a me ka HIV) a me nā kōkua kōkua puhipaka ma lalo o nā pono olakino o ka hoʻolālā No ka loaʻa ʻana o nā mea a me nā pono hana i helu ʻia ma luna pono ʻoe (ke hiki) e hoʻohana i nā pōmaikaʻi ʻē aʻe o kā mākou hoʻolālā ma mua o ka hoʻolilo ʻana i kāu ʻae kālā OTCNā lawelawe hoʻokipa hapaNoho haukapila hapa manawa he polokalamu i hoʻonohonoho ʻia a hoʻolako ʻia me nā lako lapaʻau hoʻoponopono noʻonoʻo me he haukapila mea maʻi noho haukapila ʻole a i ʻole mai kekahi kikowaena kaiaulu kōkua olapono o ʻoālaala hoʻokahi a e ʻoʻolela hou aʻe no hoʻi nā kōkua ma mua o nā kōkua e loaʻa mai kāu keʻena kauka mai a i ʻole keʻena kōkua hoʻoponopono he ala ʻē aʻe no hoʻi inā makemake ʻole i nā kōkua hoʻopaʻa haukapila ʻia

$55 uku kāki no nā noho haukapila hapa manawa o nā lā pākahi i uhi ʻia e ka hui Medicare Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Nā lawelawe kauka Hoʻomaʻamaʻa e like me ke kipa ʻana a ke keʻena o ke kaukaʻO nā lawelawe i uhi ʻia

bull Nā kōkua mālama olakino e pono e loaʻa no ka mālama ʻia ʻana mai a i ʻole nā kōkua ʻoki ʻana i hoʻolako ʻia hoʻi ma ke keʻena o kekahi kauka hui hoʻolako mālama mea maʻi kuamua

$0 uku kāki no nā nānā kauka pākahi ma ke keʻena PCP uhi ʻia e ka hui Medicare ma ka pae 1 o nā hui hoʻolako $25 uku kāki no nā nānā kauka pākahi ma ke keʻena PCP uhi ʻia e ka hui Medicare ma ka pae 2 o nā hui hoʻolako


kāu e uku ai)


bull Nā kōkua mālama olakino e pono e loaʻa no ka mālama ʻia ʻana mai a i ʻole nā kōkua ʻoki ʻana i hoʻolako ʻia hoʻi ma loko o kekahi kikowaena no nā lapaʻau ʻoki kōkua hele i ʻāpono ʻia kekahi keʻena haukapila no nā mea maʻi noho haukapila ʻole a i ʻole ma nā wahi ʻē aʻe

E ʻike i ka Outpatient Surgery ma mua i kēia pakuhi no nā mea pili koina mahele huina no mākaʻikaʻi ʻana i ke kikowaena opu a i ʻole ma kahi maʻi maʻi waho hoʻonohonoho

bull Kūkākūkā ʻike a me ka mālama ʻana e ka loea

$35 uku kāki no nā nānā kauka pākahi ma ke keʻena kauka kūikawā uhi ʻia e ka hui Medicare ma ka pae 1 o nā hui hoʻolako$50 uku kāki no nā nānā kauka pākahi ma ke keʻena kauka kūikawā uhi ʻia e ka hui Medicare ma ka pae 2 o nā hui hoʻolakoPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull ʻO nā ʻoihana polopeka mālama ola ʻē aʻe $0 uku kāki no nā nānā kauka pākahi ma ke keʻena ʻoihana polopeka mālama ola ʻē aʻe ma ka pae 1 o nā keʻena hui hoʻolako mālama mea maʻi kuamua $35 uku kāki no nā nānā kauka pākahi ma ke keʻena ʻoihana polopeka mālama ola ʻē aʻe ma ka pae 1 o nā keʻena kūikawā


kāu e uku ai)

Nā lawelawe i uhi ʻia nāu He aha kāu e pono ai uku ke loaʻa iā ʻoe kēia mau lawelawe$25 uku kāki no nā nānā kauka pākahi ma ke keʻena ʻoihana polopeka mālama ola ʻē aʻe ma ka pae 2 o nā keʻena hui hoʻolako mālama mea maʻi kuamua $50 uku kāki no nā nānā kauka pākahi ma ke keʻena ʻoihana polopeka mālama ola ʻē aʻe ma ka pae 1 o nā keʻena kūikawāPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull Nā nānā lohe pepeiao a me nā loiloi kaualewa lohe pepeiao maʻamau i hana ʻia e kāu PCP a i ʻole kauka kūikawā inā kauoha kāu kauka iā ia no ka ʻike ʻana ai inā pono ʻoe i kekahi lapaʻau

$35 uku kāki no nā nānā lohe pepeiao i uhi ʻia e ka hui Medicare ma ke keʻena o kekahi hui hoʻolako pae 1 a i ʻole he $50 uku kāki no nā nānā lohe pepeiao i uhi ʻia e ka hui Medicare ma ke keʻena o kekahi hui hoʻolako pae 2Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


bull ʻO kekahi mau lawelawe telehealth e like me Nā lawelawe e pono ai nā lawelawe olakino home nā kauka lapaʻau mua ka hoʻomaʻamaʻa hana ka loea nā ʻaha pākahi no ka olakino noʻonoʻo nā lawelawe Podiatry nā ʻoihana mālama olakino ʻē aʻe nā kau pākahi no ka Psychiatric Physical Therapy and Speech-Language Pathology Services Nā kau o kēlā me kēia me kēia no ka hōʻinoʻino Substance Substance a me ka hoʻomaʻamaʻa pono pilikino Manaʻo Diabetes

Loaʻa iā ʻoe ke koho o ke kiʻi ʻana i kēia mau lawelawe ma o kahi kipa pilikino ʻana a i ʻole e telehealth Inā koho ʻoe e kiʻi i kekahi o kēia mau lawelawe e telehealth pono ʻoe e hoʻohana i kahi mea lawelawe pūnaewele nāna e hāʻawi i ka lawelawe e telehealth

Hāʻawi kā mākou hoʻolālā i 24 mau hola i kēlā me kēia lā 7 mau lā i kēlā me kēia pule e kipa uila i ke kauka i hōʻoia ʻia e ka papa ma o TeladocTM e kōkua i ka hoʻoponopono ʻana i nā ʻano olakino nīnau ʻO nā lawelawe i uhi ʻia e laʻa me nā lāʻau lapaʻau laula olakino olakino dermatology a me nā mea hou aʻeʻO ke kipa uila (ʻike ʻia ma ke ʻano he kūkākūkā kelepona) he kipa me ke kauka ma o ke kelepona a i ʻole ka pūnaewele me ka hoʻohana ʻana i ke kelepona paʻalima papapihi a i ʻole kamepiula Pono paha kekahi ʻano o nā kipa ʻana i ka pūnaewele a me kahi hāmeʻa i hiki i ka pahupaʻikiʻiNo ka ʻike hou aku a i ʻole e hoʻonohonoho i kahi manawa e kelepona iā TeladocTM ma 1-800-835-2362 (TTY 711) 24 mau hola i ka lā 7 mau lā o ka pule

$0 uku kāki no nā nānā kauka hoʻomalele maō TeladocTMʻOluʻolu e hoʻomanaʻo Uhi wale ʻia nō ka $0 uku kāki ma luna iho nei inā ua loaʻa mai nā kōkua mai iā TeladocTM mai Inā ua loaʻa mai nā kōkua mai ka hele ʻana aku i ke keʻena a i ʻole kekahi kōkua mai kekahi kōkua kelelapaʻau mai kekahi o nā ʻōnaehana hui hoʻolako a ʻaʻole me kekahi hui kalepa nānā kauka hoʻomalele mai e pono ana ʻoe e uku aku i ke kuleana kaʻana uku i hoʻopaʻa ʻia no kēlā mau hui hoʻolako i kaha puni ʻia ma loko o kēia pakuhi pono kōkua (elm inā loaʻa paha kekahi kōkua kelemālamaola mai kāu PCP mai e uku aku ʻoe i ka PCP nā kuleana kaʻana uku)



kāu e uku ai)


bull ʻO kekahi mau o nā kōkua kelemālamaola ʻo ia no nā kūkā hoʻoponopono nā kōkua ʻimi kumu o ka maʻi a me nā lapaʻau mai kekahi kauka a i ʻole kekahi kahuna lapaʻau no nā mea maʻi ma nā kuaʻāina a i ʻole ma nā wahi noho i ʻāpono ʻia e ka hui Medicare

bull Nā kōkua kelemālamaola no nā nānā kauka ma kēlā me kēia māhina e pili i nā maʻi ʻane pau hakuʻala no nā lālā i loaʻa nā lako hoʻomaʻemaʻe koko ma ka hale ma kekahi kahua pili-haukapila a i ʻole kikowaena hoʻomaʻemaʻe koko pili-haukapila kahua kōkua hoʻomaʻemaʻe koko a i ʻole ma kahi noho a kekahi lālā

bull Nā kōkua kelemālamaola no ka nānā a loaʻa nā maʻi loiloi a i ʻole e lapaʻau i na hōʻailona maʻi kūhewa he mea ʻole kou wahi

bull Nā kōkua kelemālamaola no nā lālā me nā pilikia hei lāʻau a i ʻole maʻi pilikia noʻonoʻo ʻoālaala hoʻokahi he mea ʻole kō lākou wahi

bull Nā hoʻopaʻa-inoa hoʻomalele (kekahi lāʻana ma ke kelepona a i ʻole ma ka laina kolekole wikiō) me kāu kauka no he 5-10 minuke inā

ʻAʻole ʻoe he mea maʻi hou a me ʻaʻohe pili o ka hoʻopaʻa-inoa me ka nānā kauka i hala aku nei o 7 lā a me

ʻO ka hoʻopaʻa-inoa ʻaʻole ia he hoʻopaʻa manawa nānā kauka i loko o 24 hola a i ʻole e loaʻa koke loa ana kekahi nānā kauka

E uku ʻoe i ka hoʻokaʻawale kālā e pili ana i nā lawelawe loea (e like me ka mea i wehewehe ʻia ma lalo o Nā Kauka LapaʻauHoʻomaʻamaʻa me nā Kipa ʻOihana ʻO Kauka ma luna)


kāu e uku ai)


bull Ka loiloi ʻana o ka wikiō a me a i ʻole nā kiʻi āu e hoʻouna ai i kāu kauka a me kekahi wehewehe ʻana a me kekahi nānā ʻukali mai ke kauka mai i loko no hoʻi o 24 hola inā

ʻAʻole ʻoe he mea maʻi hou a me ʻaʻohe pili o ka loiloi ʻana me ka nānā kauka i hala aku nei o 7 lā a me

ʻO ka loiloi ʻana ʻaʻole ia he hoʻopaʻa manawa nānā kauka i loko o 24 hola a i ʻole e loaʻa kokeloa ana kekahi nānā kauka


bull Nā kūkākūkā ma waena o kāu kauka a me nā kauka ʻē aʻe maō ke kelepona pūnaewele puni honua a i ʻole maō nā palapala mālama olakino ʻano pāpaʻa uila


bull ʻO ka manaʻo ʻelua e ka mea lawelawe pūnaewele ʻē aʻe ma mua o ka ʻoki ʻana



kāu e uku ai)


bull Nā nānā kauka niho kūikawā (kaupalena ʻia nā kōkua uhi no nā ʻoki ʻia ʻana o ke ʻauwae a i ʻole nā hakakino i pili i ka ʻauwae ka hoʻonoho hou ʻana i nā ʻauwae nahā a i ʻole kekahi o nā iwi helehelena nā huki niho no ka hoʻomākaukau ʻana i ke ʻauwae no kekahi lapaʻau pāhawewe ʻikehu no ka maʻi ʻaʻai ʻiʻo ulu a i ʻole nā kōkua i hiki ke uhi ʻia inā hoʻolako ʻia e kekahi kauka)

$35 uku kāki no nā kōkua nānā niho pākahi i uhi ʻia e Medicare no nā hui hoʻolako Pae 1 a i ʻole he $50 uku kāki no nā hui hoʻolako pākahiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻanaMa waho aʻe o ka cost-shares ma luna e loaʻa kahi copay a me a i ʻole nā uku puʻukia no ka Pono Pono uhi ʻia ʻo Medicare Nā lawelawe no nā pono hana olakino paʻa a me nā lako nā pono hoʻokamakama a me nā lako nā hoʻokolohua diagnostics outpatient a me nā lawelawe therapeutic maka aniani a me nā pilina ma hope o ke kaha ʻana o ka cataract nā lāʻau lapaʻau lāʻau Part D a me nā lāʻau lāʻau lāʻau Medicare Part B e like me ia i hoākāka ʻia ma kēia Chart


kāu e uku ai)


Nā lawelawe PodiatryʻO nā lawelawe i uhi ʻia

bull Nā kōkua ʻimi maʻi a me nā kōkua lapaʻau a iʻole nā lapaʻau ʻoki ʻana no nā ʻeha nui a i ʻole kekahi maʻi o ka wāwae (e like me ka maʻi manamana hamale poʻonui a i ʻole nā maʻi hila wāwae kīpā)

bull Nā kōkua mālama wāwae maʻamau no nā lālā me kekahi ʻano kūlana maʻi e pilikia ai nā lālā kino lalo

$35 uku kāki no nā kōkua lapaʻau wāwae i uhi ʻia e ka hui Medicare ma ka pae 1 o nā hui hoʻolako $50 uku kāki no nā kōkua lapaʻau wāwae i uhi ʻia e ka hui Medicare ma ka pae 2 o nā hui hoʻolako Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

ʻO nā hoʻokolohua loiloi maʻi ʻaʻai ProstateNo nā kāne 50 a ʻoi paha makahiki nā lawelawe i uhi ʻia e hoʻopili i kēia ma hoʻokahi manawa i kēlā me kēia 12 mahina

bull Hōʻike hoʻokolohua digital $0 copay no kaUku ʻia i ka makahiki e ka Medicare

bull Hōʻike Nānā Ana Koko Kumuʻiʻo (PSA) ʻAʻohe kālā pilikino copayment a i ʻole lawe ʻia no kahi hōʻike PSA makahiki


kāu e uku ai)


Nā mea hana Prosthetic a me nā lako e pili anaNā hāmeʻa (ʻē aʻe ma mua o ka niho) e pani i nā mea āpau a ʻāpana paha o kahi ʻāpana o ke kino a hana paha Hoʻopili kēia akā ʻaʻole kau palena ʻia nā ʻeke colostomy a me nā lako e pili pono ana i ka mālama colostomy nā pacemaker nā mea paʻa nā kāmaʻa prosthetic nā lālā hana a me nā umauma umauma (e like me ka Bronziere surgical ma hope o ka mastectomy) Hoʻopili pū kekahi i nā lako e pili ana i nā mea hoʻokamakama a me ka hoʻoponopono ʻana a me a i ʻole ka hoʻololi ʻana i nā hāmeʻa hoʻokamakama Hoʻopili pū kekahi i ka uhi ʻana ma hope o ka hemo ʻana o ka cataract a i ʻole ke kaha ʻana o ka cataract - e ʻike iā Vision Care ma hope ma kēia ʻāpana no ka kikoʻī kikoʻī

20 kuleana kaʻana uku no nā kōkua lako kuʻi lālā kino a me nā kāmaʻa a me kaulelele kūikawā no nā wāwae i uhi ʻia e ka hui MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

20 coinsurance no nā lako olakino i uhi ʻia e Medicare e pili ana i nā pono hana hoʻokamakamaPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Nā Pono Kōkua Hoʻopolapola Maʻi ʻAkemāmāUhi ʻia nā polokalamu hoʻonaʻauao hoʻopolapola maʻi ʻakemmāmā no nā lālā i loaʻa liʻliʻi kūpono a nui loa hoʻi o ka maʻi a kapa ʻia hoʻi he maʻi kūluma o ke akemāmā (COPD) a me kekahi ʻoka no nā lako lapaʻau hoʻopolapola maʻi ʻkūluma o ke ʻakemmāmā mai ke kauka mai

$30 copay no kēlā me kēiaKipa ʻo Medicare i nā lawelawe hoʻoponopono pulmonary uhi ʻia Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

O ka loiloi a me nā ʻōlelo aʻo e hōʻemi i ka hoʻohana hewa ʻana i ka waiʻona

Uhi mākou i hoʻokahi kānana inu kolohe ʻana no nā mākua me Medicare (me nā wahine hāpai) e hoʻohana hewa ʻana i ka waiʻona akā ʻaʻole pili i ka waiʻonaInā ʻoe e nānā pono no ka hoʻohana pono ʻole ʻana i ka wai ʻona hiki iā ʻoe ke kiʻi i ʻehā mau ʻōlelo aʻoaʻo he alo alo he alo i ke alo i kēlā me kēia makahiki (inā ʻoe mākaukau a makaʻala i ke aʻo ʻana) i hāʻawi ʻia e ke kauka mālama pono mua a mea lawelawe paha i kahi hoʻonohonoho mālama mua

ʻAʻohe kālā kālā copayment a i ʻole lawe ʻia no ka loiloi ʻia e uhi ʻia e Medicare a me ka ʻōlelo aʻoaʻo e hoʻēmi i ka pono pale pale kolohe


kāu e uku ai)


O ka loiloi no ka maʻi ʻaʻai māmā me ka tomography compute dosis liʻiliʻi (LDCT)

No nā kānaka mākaukau uhi ʻia kahi LDCT i kēlā me kēia 12 mahinaKūpono lala i kanaka elemakule 55 - 77 makahiki ka poe i ole hoailona a me symptoms o akemāmā Ka maʻi aʻai akāʻo wai i ka mōʻaukala o ka paka e uwahi ana no ma ka liʻiliʻi loa 30 pack-makahiki a me ka poe a ianoiyuaa a ka uahi a me ka i pakele e uwahi ana i loko o nā makahiki he 15 i hala aku nei i loaʻa ka palapala i kākau ʻia no LDCT i ka manawa o ke aʻo ʻana i ka maʻi ʻaʻai puʻupuʻu a me ke kipa ʻana i ka hoʻoholo hoʻoholo e kū ana i nā pae Medicare no ia mau kipa ʻana a hāʻawi ʻia e kahi kauka a i ʻole ka mea lawelawe lapaʻau ʻoleNo nā nānā loiloi mai ʻaʻai o ka ʻakemāmā LDCT ma hope mai o ka nānā loiloi mai ʻaʻai o ka ʻakemāmā LDCT mua loa e pono ai hoʻi ka loaʻa ʻana o kekahi palapala ʻoka i kākau ʻia no nā loiloi mai ʻaʻai o ka ʻakemāmā LDCT i hoʻolako ʻia mai paha e kekahi kauka ai ʻole kekahi limahana mālama olakino pilinā kauka ʻole me nā mākaukau no ia ʻano hana Inā paha e koho ʻia kekahi hui ʻēaʻe e hoʻolako mai i nā pono kōkua loiloi nā kōkua aʻoaʻo a me nā manaʻo i hoʻohoolo ʻia e pili ana i nā mai ʻaʻai o ka ʻakemāmā LDCT e pono no hoʻi e loaʻa nā waiwai mākaukau i koi ʻia e ka hui Medicare no ia ʻano kipa ʻana

ʻAʻohe kāki koena uku mea maʻi uku kāki mea maʻim a i ʻole uku pilikino no nā nānā kauka loiloi a me nā kōkua aʻoaʻo kōkua a me nā mai ʻaʻai o ka ʻakemāmā LDCT i uhi ʻia a ke hui Medicare


kāu e uku ai)


O ka loiloi no nā maʻi i loaʻa i ka moekolohe (STIs) a me nā ʻōlelo aʻoaʻo e pale aku ai iā STIs

Uhi mākou i nā kānana hoʻoili kolohe (STI) no chlamydia gonorrhea syphilis a me Hepatitis B Uhi ʻia kēia mau kānana no nā wahine hāpai a no kekahi poʻe e hoʻonui i ka makaʻu no kahi STI ke kauoha ʻia nā hoʻokolohua e kahi kahu mālama mua Uhi mākou i kēia mau hoʻāʻo i hoʻokahi manawa i kēlā me kēia 12 mau mahina a i ʻole kekahi mau manawa i ka wā hāpaiHoʻopili pū mākou i 2 kanaka 20 a 30 mau minuke fa ce-to- alo i nā ʻaha aʻoaʻo aʻoaʻo kiʻekiʻe kiʻekiʻe i kēlā me kēia makahiki no nā mākua hana kolohe i ka nui o ka makaʻu no ka STIs E uhi wale mākou i kēia mau kau ʻōlelo aʻoaʻo ma ke ʻano he lawelawe pale inā hāʻawi ʻia ia e kahi mea lawelawe mua a hana ʻia i kahi wahi mālama mua e like me ke keʻena o ke kauka

ʻAʻohe kāki koena uku mea maʻi uku kāki mea maʻim a i ʻole uku pilikino no nā nānā kauka loiloi a me nā kōkua aʻoaʻo kōkua no ka maʻi STIs i uhi ʻia a ke hui Medicare

ʻO nā lawelawe e mālama i ka maʻi maʻi maʻiʻO nā lawelawe i uhi ʻia

bull ʻO nā lawelawe aʻo maʻi maʻi kidney e aʻo i ka mālama ʻana i nā puʻupaʻa a kōkua i nā lālā e hoʻoholo kūpono e pili ana i kā lākou mālama No nā lālā me ka maʻi maʻi maʻi kōpaʻa IV ke kuhikuhi ʻia e kā lākou kauka uhi mākou i ʻeono mau kau o nā lawelawe aʻo maʻi maʻi maʻi i kēlā me kēia ola

20 koena uku mea maʻi i no nā kōkua hoʻonāʻauao o ka maʻi hakuʻala i uhi ʻia e Medicare

bull Nā lapaʻau hoʻomaʻemaʻe koko a ka maʻi mimikō mea maʻi noho haukapila ʻole (loaʻa pū nā kōkua hoʻomaaʻemaʻe koko mimikō inā ma kahi ʻē mai kahi loaʻa ke kōkua i wehewehe ʻia ma ka Mōkuna 3)

20 coinsurance no Medicare-uhi maʻi o waho renal dialysis lapaʻau


kāu e uku ai)


bull Nā lapaʻau hoʻomaʻemaʻe koko a ka maʻi mimikō mea maʻi noho haukapila (inā ua hoʻokomo haukapila ʻia i me maʻi noho haukapila no nā kōkua mālama kuikawā)

E ʻike i ka Halemai Haukapila Haukapila no nā koina kumukūʻai e pili ana i nā lāʻau dialysis maʻi maʻi

bull Nā hoʻomaʻamaʻa lapaʻau hoʻomaʻemaʻe koko a ka maʻi mimikō-no lākou iho (loaʻa nā kōkua hoʻonāʻau no ke aʻo ʻana ʻia mai ʻoe me kāu lako lapaʻau hoʻomaʻemaʻe koko

20 coinsurance noHoʻomaʻamaʻa pilikino dialysis e uhi ʻia iā Medicare

bull Nā pono hana dialysis hale a me nā lako 20 coinsurance noUila lāʻau uhi home uhi ʻia ʻo MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

20 coinsurance no Medicare-uhi dialysis lakoPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull ʻO kekahi mau kākoʻo kōkua ma ka home (e like me inā pono e kipa ʻia e nā limahana hoʻomaʻamaʻa e nānā i kāu hoʻomākaukau i ka hana hoʻomaʻemaʻe koko e kōkua ai hoʻi i nā loaʻa ai kekahi ulia pōpilikia a nānā i kāu lako dialysis a me ka lako wai)

Uhi ʻia kekahi mau lāʻau no ke kōkua hoʻomaʻemaʻe koko ma lalo o kāu pono kōkua lāʻau Medicare Part B No ka ʻike e pili ana i ka uhi ʻana no nā lāʻau lāʻau Part B e ʻoluʻolu e hele i ka ʻāpana Medicare Part B nā lāʻau i kuhikuhi ʻia

20 coinsurance no nā lawelawe kākoʻo home i uhi ʻia e Medicare


kāu e uku ai)


Mālama mālama kahu hānai (SNF) mālama(no kekahi wehewehe ʻia ʻana i ka manaʻo o ke kahua mālama mea maʻi me nā kahu maʻi mākaukau (SNF) e nānā aku i ka Mokuna 12 o kēia pepelu nei Kapa pū ʻia hoʻi ke kahua mālama mea maʻi me nā kahu maʻi mākaukau (nā SNFs)

Ma kahi o 100 lā o hoʻokahi kau wā lākou kōkua ma kekahi hoʻopaʻa ʻia a me nā kōkua mālama a nā kahu maʻi mākaukau loa ma kekahi SNF a i ʻole kekahi wahi mālama ʻēaʻe i loaʻa nā pono mākaukau i koi ʻia no ka loaʻa ʻana aku kēia mau uhi i waiho ʻia e nā papahana a me ka hui Medicare ʻO ka huina o 100 lā no nā pono kōkua wā lako kōkua pākahi helu pū ʻia nā lā SNF i hoʻolako ʻia mai maō ka papahana Original Medicare ma ka wā lākou kōkua a i ʻole kekahi ʻoihana aʻe a ka hui Medicare AdvantageʻO kēia nā kōkua i uhi ʻia ʻakā ʻaʻole i kaupalena ʻia i

bull ʻO kahi lumi Semiprivate (a i ʻole kahi keʻena pilikino inā pono ka lāʻau)

bull Nā meaʻai me nā papaʻai kūikawā bull Nā lawelawe hānai mākau bull Hoʻoikaika kino hoʻomaʻamaʻa hana a me ka haʻiʻōlelo haʻi ʻōlelo

bull Nā lāʻau i lawelawe ʻia iā ʻoe ma ke ʻano he mahele o kāu papa o ka mālama (Kēia nā mea i kū maʻa i ke kino e like me nā mea paʻa o ke koko)


Pūnaewele PūnaeweleNo ke komo ʻana i uhi ʻia e Medicare no ka wā pono$0 copay i kēlā me kēia lā no nā lā 1 a 20 a me $172 copay i kēlā me kēia lā no nā lā 21 a 100 noMālama ʻia kahi lawelawe kahu hānai maʻi i uhi ʻia e MedicareUku ʻoe i nā koina āpau no kēlā me kēia lā ma hope o ka lā 100Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


bull Hoʻolako pinepine ʻia nā lāʻau lapaʻau a me nā lāʻau lapaʻau e SNF

bull ʻO nā hoʻokolohua Laboratory e hāʻawi mau ʻia e SNF

bull ʻO nā kukuna X a me nā lawelawe radiology ʻē aʻe i hāʻawi mau ʻia e SNF

bull Hoʻohana o nā mīkini e like me nā noho huila i hāʻawi mau ʻia e SNF

bull Nā lawelawe kauka HoʻomaʻamaʻaʻO ka maʻamau e loaʻa iā ʻoe kāu mālama SNF mai nā lawelawe pūnaewele Eia nō naʻe ma lalo o kekahi mau kumu i helu ʻia ma lalo hiki paha iā ʻoe ke uku i ka hoʻokaʻawale ʻana i nā kumukūʻai no kahi ʻoihana ʻaʻole kahi lawelawe pūnaewele inā ʻae ka hale i nā kālā a kā mākou hoʻolālā no ka uku

bull Kahi hale hānai a i ʻole ke hoʻomau ʻana i kahi kaiāulu hoʻomaha mālama kahi āu e noho pono ana ma mua o kou hele ʻana i ka haukapila (ʻoiai ke hāʻawi ia i kahi kahu mālama kahu hānai akamai)

bull ʻO kahi SNF kahi e noho ai kāu wahine i ka manawa e haʻalele ai ʻoe i ka haukapila

Wā Lako Kōkua ndash Hoʻomaka ka wā lako kōkua i ka lā mua e komo ai ʻoe ma ke kahua mālama mea maʻi me nā kahu maʻi mākaukau loa Pau ka wa lako kōkua i ka loaʻa ʻole ʻana mai o kekahi kōkua kahu maʻi mākaukau loa i loaʻa ma ke kahua mālama mea maʻi me nā kahu maʻi mākaukau loa i loko o kekahi SNF no 60 lā o ka manawa Inā komo aku ʻoe ma kekahi mālama mea maʻi me nā kahu maʻi mākaukau loa i ka pau ʻana o kekahi wā lako kōkua e hoʻomaka aku no hoʻi ka wā Lako kōkua hou i kou komo ʻana aku ma kekahi kahua mālama mea maʻi ʻAʻohe palena o nā wā lako kōkua Hoʻomaka ke kulean kaʻana uku mea maʻi i ka lā mua e komo ai ʻoe ma ia kahua a ʻaʻole hoʻohui pū ʻia ka lā hoʻokuʻu


kāu e uku ai)


Ke puhi nei a me ka paka ʻana i ka hoʻopau ʻana (ʻōlelo aʻoaʻo e hōʻoki i ka puhi ʻana a i ʻole ka paka ʻana)

Inā oe ke hoʻohana paka akā e mai i na hoailona a me symptoms o ka paka i nā maʻi mākou uhi mau aʻoaʻo ia e hookanaka hoāʻo i loko o ka 12-malama au me ke kāohi hana me ka uku ole iā oe Hoʻopili ʻia kēlā me kēia hoʻāʻo aʻoaʻo ʻana a ʻehā mau kipa helehelena a he aloInā oe ke hoʻohana paka a ua ua diagnosed me ka paka i nā maʻi ole e lawe lapaau i hiki ke loli ma ka paka mākou uhi cessation aʻo lawelawe Uhi mākou i ʻelua mau ʻōlelo aʻoaʻo i haʻalele i nā hoʻāʻo i loko o kahi mau makahiki 12 akā naʻe e uku ʻoe i ka mahele maʻi maʻi a i ʻole ka hoʻokaʻawale ʻana i nā kumukūʻai Loaʻa i kēlā me kēia hoʻāʻo aʻoaʻo a ʻehā fa ce-to-fa ce kipa

ʻAʻohe koena uku mea maʻi kāki mea maʻi a i ʻole uku pilikino no ka puhi Medicare uhi ʻia a me ka paka ʻana i nā pono pale pale aku ʻana o ka puhi paka

Nā kōkua haʻalele puhi paka keuUhi pū no hoʻi ko mākou papahana i 5 kipa kōkua haʻalele puhi paka keu maō ka pūnaewele puni honua a maō ke kelepona me kekahi limahana kōkua aʻoʻao Hoʻolako ʻia mai nā wā kōkua mai kekahi kauka lapaʻau i loaʻa nā ʻike hoʻomākaukau kōkua ʻana mai nā mākaukau alakaʻi kōkua ma ka loli o ka nohona hou kōkua no hoʻi ma ke ʻano he pae ka hoʻoponopono ʻana nā kōkua aʻoaʻo a me nā ʻike hoʻonāʻauao Hoʻolako wale ʻia no kēia pono kōkua nei maō ka hui hoʻolako kelemālamaola a TeladocTM No nā manaʻo ʻēaʻe a i ʻole no ka hoʻoponopono ʻana aku i kekahi wā kipa kōkua e kāhea aku iā TeladocTM at 1-800-835-2362 (TTY 711) 24 hola o ka lā 7 lā o ka pule Keʻena Kōkua Lālā(Paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia pepelu nei) a i ʻole e kipa aku i ko lākou kaha pūnaewele ma wwwwellcarecomohana

$0 uku kāki no nā kōkua kipa kōkua haʻalele puhi paka keu


kāu e uku ai)


Lapaʻau hoʻoikaika kino me ke kōkua makaʻala (SET)Uhi ʻia kēai pono kōkua SET no nā lālā i loaʻa i ka maʻi aʻa koko hāiki (PAD)Ma kahi o 36 mau wā hoʻoikaika kino i māhele ʻia maō 12 mau pule a e uhi ʻia no hoʻi inā hoʻokō ʻia nā pono o ka papahana e ka hui hoʻolako SETPono ka polokalamu e SET

bull Loaʻa no nā wā hoʻoikaika kino ha 30-60 mau minuke ka lōʻihi me kekahi haʻawina- hoʻomaʻamaʻa lapaʻau no nā mea maʻi aʻa koko hāiki PAD

bull E alakaʻi ʻia i loko o kahi wahi hoʻomaha o ka haukapila a i ʻole ke keʻena o ke kauka

bull Hāʻawi ʻia e nā limahana kōkua kūpono e pono ai e ʻoi aku ka maikaʻi ma mua o nā mea hōʻino a aʻo ʻia i ka hoʻomaʻamaʻa hoʻoikaika kino no PAD

bull E mālama pono ʻia e ke kauka kauka kōkua a i ʻole kahu hana kahu kahu hānai maʻi nāna e hoʻomaʻamaʻa ʻia i nā ʻenehana kākoʻo a me ke ola holomua

Hiki ke uhi ʻia ʻo SET ma waho o 36 mau kau ma mua o 12 mau pule no kahi 36 mau kau hou aʻe no ka lōʻihi o ka manawa inā manaʻo ʻia he lāʻau lapaʻau e ka mea mālama ola

$30 uku kāki no nā wā kōkua lapaʻau hoʻoikaika kino me ke kōkua makaʻala i uhi ʻia e ka hui MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


Nā pono kōkua poulia koʻikoʻiHoʻolako ʻia nā pono kōkua e pono e lapaʻau koke ʻia mamuli o ka nui loa o ka pilikia o ka olakino nā pono kōkua e pono e lapaʻau koke ʻia mamuli o ka nui loa o ka pilikia o ka olakino no nā lapaʻau ʻana no ka lapaʻau ʻana i nā pilikia pulia-pōpilikia ʻole nā maʻi olakino i ʻike mua ʻole ʻia ua ʻeha paha a i ʻole kekahi maʻi i pono e lapaʻau koke ʻia mamuli o ka nui loa o ka pilikia o ka olakino E hoʻolako ʻia no paha ka mea maʻi e pono e ia lapaʻau koke ʻia e kekahi ʻōnaehana hui hoʻolako kūloko a i ʻole kekahi hui hoʻolako ʻōnaehana kū loko ʻole inā hiki ʻole ke loaʻa aku nā kōkua a nā hui hoʻolako a mākou a i ʻole hiki ʻole paha ke hele aku iōna lāUa like no ke kāki kuleana kaʻana uku o nā pono kōkua e pono e lapaʻau koke ʻia mamuli o ka nui loa o ka pilikia o ka olakino i hoʻolako ʻia e nā hui hoʻolako ʻōnaehana kūloko ʻole inā ua hoʻolako ʻia e kekahi o nā ʻōnaehana hui hoʻolako kūloko

$65 uku kāki mea maʻi no nā pono kōkua e pono e lapaʻau koke ʻia mamuli o ka nui loa o ka pilikia o ka olakino ʻAʻole pono e uku aku ʻoe i kēia huina nei inā ua hoʻopaʻa ʻia ʻoe ma ka haukapila ma loko no hoʻi o 24 hola no ka piliki maʻi hoʻokahi

Uhi ʻia nā lawelawe kūpono i waho o ʻAmelika Hui Pū ʻIa

$90 kope no nā lawelawe e pono ai ma waho o ʻAmelika Hui Pū ʻIaʻAʻole kipa ʻia nā lawelawe e pono ai ma ka honua holoʻokoʻa co st-s hare inā ʻoe e ʻae ʻia no ka mālama maʻi maʻi maʻiUhi ʻia ʻoe a hiki i$50000 i kēlā me kēia makahiki no ka pilikia a i ʻole nā lawelawe e pono ai ma waho o ʻAmelika Hui Pū ʻIa


kāu e uku ai)


Mālama ʻike hihiʻoʻO nā lawelawe i uhi ʻia

bull Nā kōkua kauka maka mea maʻi noho haukapila ʻole no nā kōkua ʻimi maʻi a me nā lapaʻau ʻana i nā maʻi a me nā ʻeha o ka maka a me nā lapaʻau maʻi emi ka ʻike o ka maka ma muli o ka ka oʻo loa o ka maka uhi ʻole ʻia hoʻi nā nānā kauka maka no nā loiloi maka maʻamau (ana maka) no ka loaʻa ʻana o kekahi makaʻaniʻani hoʻonui ʻikeʻaniani ʻōnohi

$35 uku kāki no nā loiloi maka ʻē aʻe a pau no ka lapaʻau ʻana i kekahi maʻi o ka maka i ka pae 1 o nā hui hoʻolako $50 uku kāki no nā loiloi maka ʻē aʻe a pau no ka lapaʻau ʻana i kekahi maʻi o ka maka i ka Pae 2 o nā hui hoʻolakoPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

bull No ka poʻe i pilikia nui i ka glaucoma e uhi mākou hoʻokahi kānana glaucoma i kēlā me kēia makahiki ʻO ka poʻe i ka pilikia nui o ʻO ka glaucoma kekahi nā kānaka me ka mōʻaukala ʻohana o ka glaucoma ka poʻe me ka maʻi diabetes ʻApelika-ʻAmelika nona nā makahiki he 50 a ʻoi aku ka nui a me ka poʻe Hispanic ʻAmelika he 65 a ʻoi paha

$0 uku kāki no nā loiloi maka imi maʻi kaukuma o ka maka i uhi ʻia e ka hui Medicare

bull No ka poʻe me ka maʻi mimikō i uhi ʻia ka loiloi no ka maʻi mimikō o ka ʻōnohi hoʻokahi manawa i kēlā me kēia makahiki

$0 uku kāki no nā loiloi imi maʻi ʻōnohi pōahiahi o ka maka i uhi ʻia e ka hui MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


bull ʻO nā aniani ʻelua a i ʻole nā aniani kelepona hoʻopili ma hope o kēlā me kēia kahakaha cataract e komo pū ana me kahi aniani intraocular (Inā he ʻelua mau hana cataract kaʻawale ʻaʻole hiki iā ʻoe ke mālama i ka pōmaikaʻi ma hope o ke ʻoki mua a kūʻai i nā aniani ʻelua ma hope o ke kaha ʻelua)

Uhi kā mākou papahana Hoʻokahi nānā loiloi ana ike pono ʻana o ka maka no ka loaʻa ʻana aku o kekahi makaʻaniani kuhikuhi hoʻopololei i uhi ʻia a ka hui Medicare i ka mōakāka ka ʻike ʻana Nā kāki no kekahi hoʻokūkū ʻaniani ʻōnohi i uhi ʻia a ka hui Medicare

$0 uku kāki no nā lako kau maka i uhi ʻia e ka hui Medicare 0 uku kāki no nā lako kau maka ʻo ia hoʻi no nā lālā a mākou e like me kabull Nā pale pale maka no ke kumu o ke kuhikuhi ʻana i nā maka aniani uhi uhi ʻia Medicarebull ʻO nā aniani kaulike e hoʻopili ana no nā aniani hoʻopili uhi uhi ʻia MedicarePono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

I nā mea ʻē aʻe i uhi ʻia e ka papahana he kōkua pākuʻi no ka olapono(elm loiloi maʻamau) o ka ike ʻana he

bull Hoʻokahi loiloi ʻimi maʻi maʻamau o ka makahiki O nā kōkua loiloi ʻo ia no ka loiloi ʻimi maʻi kaukoma no nā poʻe i nui ka maʻi kaukoma a me ka maʻi ʻane pau hakuʻala no ka maʻi mimikō

Nā lawelawe ʻike hānai (ie maʻamau)

$0 copay no 1 mau hoʻokolohua maka maʻamau i kēlā me kēia makahikiPono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana


kāu e uku ai)


bull ʻO ka nui lako kau maka i hiki ai ke loaʻa ʻaʻole kaupalena ʻia ka nui i hiki ke loaʻa Kekahi lako waiwai o $300 i nā makahiki a pau no kēia mau lako nei

Nā aniani maka (frame and lens) a i ʻole He aniani aniani wale nō Nā mōlina aniani wale a ʻole ʻO nā aniani kalepa ma kahi o nā aniani aniani a i ʻole

Hoʻoikaika nā lako pono hihiʻoKaha hoʻopili ʻia nā uku aniani moʻo aniani e ka hoʻolālāKa huina nui o $300 no nā lako pono waiwai a ka papahana ʻinikua no nā lako i ke kumu kūʻai hale kūʻai liʻiliʻi (e like me nā koho ʻaniani e like me kekahi hoʻoluʻu ʻaniani a i ʻole kekahi lako uhi mālama ʻaniani)ʻAʻole hoʻokomo ʻia ka maka maka uhi uhi lāʻau Medicare i ka supplemental (ie ka hana maʻamau) keu pono

$0 copay for eyewear Pono ana paha e loaʻa kekahi ʻāpono mua ʻia ʻana

Hoʻomanaʻo Nou no hoʻi ke kuleana uku i ʻoi aku i ka huina nui holoʻokoʻa o nā kōkua waiwai pākuʻi o $300 (elm loiloi maʻamau) no nā lako kau makaNānā Pono e loaʻa nā lawelawe ʻike (supplement nā manawa maʻamau) mai kahi mea hoʻolako e komo ana i mea e uhi ʻia ai e ka hoʻolālā

ʻAʻole hiki i nā lālā ke hoʻohana i kā lākou mau kōkua waiwai pākuʻi uhi ʻia no ka hoʻolako ʻana aku i ka lākou waiwai uhi ma luna o nā lako kau maka i uhi ʻia e ka hui Medicare

No nā nīnau o pehea e hiki ai ia ʻoe ke ʻimi aku a loaʻa kekahi hui hoʻolako a i ʻole no kekahi mau manaʻo ʻeaʻe e kāhea aku i ko mākou keʻena Kōkua Lālā lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia pepelu nei)


kāu e uku ai)


Nā kōkua nānā kauka no ka mālama olakino no ka pale aku ʻana maʻi a Welcome to MedicareUhi no hoʻi ka papahana i kēia uhi no-ka-manawa wale no o nā kōkua nānā kauka no ka mālama olakino no ka pale aku ʻana maʻi Welcome to Medicare Hoʻolako ʻia hoʻi kēia nānā kauka kāʻohi nei i ka loilloi ʻana i kou pono olakino pēīa pū me nā lako hoʻonāʻauao a me nā kōkua aʻoaʻo e pili ana i nā kōkua kāʻohi no kou pono iho no (loaʻa pū kekahi mau kōkua ʻimi maʻi a me nā huo kui) a me nā kōkua kuhikuhi i nā lako kōkuamālama ʻē aʻe i makemake ʻiaHe mea nui kēia Uhi no hoʻi mākou i nā kōkua nānā kauka no ka mālama olakino no ka pale aku ʻana maʻi a Welcome to Medicare ma ka māhele mua 12 māhina wale nō i loaʻa aku ai iā ʻoe ka papahana ʻinikua o Medicare Part B Inā hoʻopaʻa ʻoe i kekahi wā nānā kauka e hoʻomaopopo aku i kāu kauka e makemake ʻoe e hoʻopaʻa i wā nānā kauka kāʻohi hei a Welcome to Medicare

ʻAʻohe kālā kālā copayment a i ʻole lawe ʻia no ka kipa pale Welina i Medicare

bull Uhi ʻia ʻo nā hoʻolako EKG a Medicare ma hope o nā kōkua nānā no ka mālama olakino no ka pale aku ʻana maʻi a Welcome to Medicare

$30 uku kāki no nā kōkua i uhi ʻia ʻo nā hoʻolako EKG a Medicare ma hope o nā kōkua nānā kauka no ka mālama olakino no ka pale aku ʻana maʻi a Welcome to Medicare


kāu e uku ai)

PAUKU 3 He aha nā lawelawe i uhi ʻole ʻia e ka hoʻolālā

Pauku 31 Hana mākou i nā lawelawe ʻaʻole uhi (hoʻokoe ʻia)

Hōʻike no hoʻi kēia māhele iā ʻoe i nā kōkua i wehe ʻia mai nā kōkua uhi Medicare mai a no laila e uhi ʻole ʻia no hoʻi e kēia papahana nei Inā ua wehe ʻia ua ʻike ʻia hoʻi ʻaʻohe kōkua mai kēia papahana nei no ka uhi ʻana aku kēia mau kōkua

Hoʻopaʻa ʻia no hoʻi nā pono kōkua ma ka pakuhi i loaʻa ma lalo iho nei a me nā ikamu i uhi a uhi ʻole ʻia ma lalo hoʻi o kekahi kūlana a i ʻole e uhi ʻia hoʻi me kekahi kūʻē lula i waiho ʻia

Inā loaʻa kēia mau pono kōkua nei i wehe ʻia ( i uhi ʻole ʻia) e pono no hoʻi ʻoe e uku aku i kēia mau pono kōkua nou iho ʻAʻole mākou e uku aku ana no nā pono kōkua mālama olakino wehe ʻia mai nā papa inoa i hoʻopaʻa ʻia ma ka pakuhi ma lalo iho nei koe naʻe inā e hahai i nā kūʻē lula i hoʻopaʻa ʻia ʻO nā kūʻē lula wale no i waiho ʻia e uku aku no hoʻi makou inā paha ua hoʻopiʻi mai kekahi o kēia mau kōkua uhi ʻole ʻia e pili ana i nā kōkua uhi mālama ola kino i pono ai mākou e uku aku a i ʻole e uhi aku ma muli hoʻi o kekahi mau kūlana pilina olakino (No nā manaʻo ʻē aʻe e no ka hana ʻana i kekahi hoʻopiʻi no nā pono kōkua uhi ʻole ʻia (No ka ʻike e pili ana i ka hoʻopiʻi ʻana i kahi hoʻoholo a mākou i hana ai e uhi ʻole i kahi lawelawe olakino e hele i ka Mokuna 9 Pauku 53 i kēia puke)

Hōʻike ʻia nā ʻoki a me nā palena āpau ma nā lawelawe i ka Pōmaikaʻi Pōmaikaʻi a i ʻole ma ka pakuhi ma lalo

ʻOiai inā loaʻa iā ʻoe nā lawelawe i kāpae ʻia ma kahi wahi pilikia ʻaʻole uhi ʻia nā lawelawe i kāpae ʻia a ʻaʻole uku kā mākou hoʻolālā no lākou


kāu e uku ai)

ʻAʻole uhi ʻia nā lawelawe e Medicare

ʻAʻole uhi ʻia ma lalo o nā kūlana

Uhi ʻia ma lalo o nā kūlana kikoʻī

ʻO ke kīʻaha cosmetic a me nā kaʻina hana

Uhi ʻia i nā hihia o kahi ulia pōpilikia a i ʻole no ka hoʻomaikaʻi ʻana i ka hana o kahi lālā kino kinoUhi ʻia no nā pae āpau o ke kūkulu hou ʻana no ka umauma ma hope o ka mastectomy a no ka umauma ʻole i hoʻopilikia ʻia e hana i kahi hiʻohiʻona symmetrical

Mālama ʻia ka mālama Custodial i kahi home kahu hale hoʻokipa a i ʻole nā wahi lawelawe ʻē aʻe inā ʻaʻole ʻoe e koi i ka mālama olakino mākaukau a i ʻole ka mālama kahu hānai mākaukauʻO ka mālama mālama kahi mālama pilikino ʻaʻole ia e koi i ka hoʻomau ʻana o ka ʻike o ka lāʻau lapaʻau a i ʻole nā limahana paramedical e like me ka mālama e kōkua iā ʻoe me nā kiʻina hana o ka nohona o kēlā me kēia lā e like me ka ʻauʻau ʻana a me ka lole


kāu e uku ai)




ʻO nā kiʻina hana lapaʻau a me nā ʻoki lāʻau hoʻokolohuaʻO nā kaʻina hana hoʻokolohua a me nā huahana nā mea a me nā kaʻina hana i hoʻoholo ʻia e kā mākou hoʻolālā a me Original Medicare e ʻae ʻole ʻia e ka kaiāulu olakino

E uhi ʻia e Original Medicare ma lalo o kahi noi noiʻi noiʻi i hōʻoia ʻia e Medicare a i ʻole e kā mākou hoʻolālā(E nānā i ka Mokuna 3 ʻĀpana 5 no ka ʻike hou aku e pili ana i nā noiʻi noiʻi noiʻi)

ʻO nā uku i uku ʻia no ka mālama ʻia e kou ʻohana ponoʻī a i ʻole nā lālā o kou ʻohana

Mālama kahu hānai piha i kou home

Nā meaʻai i lawe ʻia mai i ka home

Hoʻokomo ʻia nā lawelawe home me nā kōkua maʻamau o ka home me ka mālama ʻana i ka hale a i ʻole ka hoʻomākaukau ʻana i ka meaʻai māmā

Nā lawelawe Naturopath (hoʻohana i nā kūlohelohe a i ʻole nā hoʻoponopono ʻokoʻa)


kāu e uku ai)




Kāmaʻa kāmaʻa Orthopedic

Inā he ʻāpana nā wāwae o ka paʻa wāwae a hoʻokomo ʻia i ke kumukūʻai o ka paʻa a i ʻole nā kāmaʻa no ke kanaka me ka maʻi diabetic wāwae

ʻO nā mea pilikino i loko o kou lumi i ka haukapila a i ʻole kahi wahi kahu hānai mākaukau e like me ke kelepona a i ʻole ke kīwī

Keena pilikino i kahi haukapila

Uhi wale ʻia ke pono lapaʻau

Keratotomy radial ʻoki kino LASIK a me nā kōkua ʻike haʻahaʻa ʻē aʻe

Hoʻohuli i nā kaʻina hana sterilization a i ʻolelako hana pale pale ʻole

Mālama i ka hana maʻamau

Hoʻopili ʻia ka hana lima ʻana o ka iwi kuamoʻo e hoʻoponopono i kahi subluxation


kāu e uku ai)




Mālama wāwae maʻamau Hāʻawi ʻia kekahi mau kaupalena palena ʻia e like me nā kuhikuhi Medicare e laʻa inā he maʻi diabetes ʻoe

ʻAʻole kūpono a kūpono nā lawelawe e like me nā kūlana o Original Medicare

Nā hāmeʻa kākoʻo no nā wāwae

Orthopedic a i ʻole therapeutickāmaʻa no ka poʻe me ka maʻi diabetic wāwae wāwae

MOKUNA 5Ke hoʻohana nei i ka uhi o ka hoʻolālā

no kāu lāʻau lāʻau kuhikuhi Part D

2022 Hōʻike o ka uhi ʻana no Wellcare Ohana No Premium (HMO) 149Mokuna 5 Ke hoʻohana nei i ka uhi o ka hoʻolālā no kāu lāʻau lāʻau

kuhikuhi Part D

Mokuna 5 Ke hoʻohana nei i ka uhi o ka hoʻolālā no kāu lāʻau lāʻau kuhikuhi Part D

PAUKU 1 Hoʻolauna 151Pauku 11 Hōʻike kēia mokuna i kāu uhi ʻana no nā lāʻau Part D 151Pauku 12 Nā lula maʻamau no ka ʻaoʻao D lāʻau ʻē aʻe o ka hoʻolālā 152

PAUKU 2 Hoʻopiha i kāu kuhikuhi ma kahi kauka lāʻau lapaʻau a i ʻole ma o ka lawelawe leka uila o ka hoʻolālā 153

Pauku 21 I uhi ʻia kāu palapala kauoha e hoʻohana i kahi kauka lāʻau lapaʻau 153

Pauku 22 Ke ʻike nei i nā hale kūʻai lāʻau paʻa pūnaewele 153Pauku 23 Ke hoʻohana nei i nā lawelawe hoʻonohonoho leka uila o ka

hoʻolālā 155Pauku 24 Pehea e hiki ai iā ʻoe ke loaʻa i kahi wā lōʻihi o nā lāʻau 157Pauku 25 Āhea ʻoe e hoʻohana ai i kahi lāʻau lapaʻau ʻaʻole i loko o ka

pūnaewele o ka hoʻolālā 158PAUKU 3 Pono kāu mau lāʻau i ka papa inoa Papa Inoa Lapaʻau 160

Pauku 31 Hōʻike ka Papa Inoa Lapaʻau i ka ʻāpana ʻo D lāʻau i uhi ʻia 160Pauku 32 Aia ʻeono mau papahele kaʻanalike kumu kūʻai no nā lāʻau

i ka Papa Inoa Lapaʻau 161Pauku 33 Pehea e hiki ai iā ʻoe ke ʻike inā aia kahi lāʻau kikoʻī ma ka

Kauka Lapaʻau 162PAUKU 4 Aia nā kapu ma ka uhi ʻana no kekahi mau lāʻau 163

Pauku 41 No ke aha i kapu ai kekahi mau lāʻau163Pauku 42 He aha nā ʻano kapu 163Pauku 43 Pili paha kekahi o kēia mau kapu i kāu lāʻau 164

PAUKU 5 He aha inā ʻaʻole uhi ʻia kekahi o kāu lāʻau i ke ala āu e makemake ai e uhi ʻia 165

Pauku 51 Aia kekahi mau mea hiki iā ʻoe ke hana inā ʻaʻole uhi ʻia kāu lāʻau i ke ala āu e makemake ai e uhi ʻia 165

Pauku 52 He aha kāu e hana ai inā ʻaʻole kāu lāʻau i ka Lāʻau Lapaʻau a i ʻole ke kapu ʻia ka lāʻau i kekahi ala 166

Pauku 53 He aha kāu e hana ai inā kāu lāʻau i loko o kahi pae hoʻokaʻawale kumukūʻai āu e manaʻo ai kiʻekiʻe loa paha 168


kuhikuhi Part D

PAUKU 6 He aha inā e loli kāu uhi ʻana no kekahi o kāu lāʻau 169Pauku 61 Hiki ke loli i ka papa inoa lāʻau i loko o ka makahiki 169Pauku 62 He aha ka mea e hana inā hoʻololi ka uhi no kahi lāʻau āu e

lawe nei 169PAUKU 7 He aha nā ʻano lāʻau ʻʻaʻole i uhi ʻia e ka hoʻolālā 172

Pauku 71 Ke ʻano o nā lāʻau ʻaʻole mākou e uhi 172PAUKU 8 Hōʻike i kāu kāleka lālā lālā ke hoʻopiha ʻoe i kahi

kuhikuhi 174Pauku 81 Hōʻike i kāu kāleka lālā 174Pauku 82 He aha inā ʻaʻohe ou kāleka lālā me ʻoe 174

PAUKU 9 ʻO ka ʻāpana lāʻau lāʻau D ma nā hanana kūikawā 174Pauku 91 He aha inā inā ma ka haukapila ʻoe a i ʻole kahi hanai hānai

mākaukau no kahi noho i uhi ʻia e ka hoʻolālā 174Pauku 92 He aha inā inā ʻoe he kamaʻāina i kahi wahi mālama lōʻihi

(LTC) 175Pauku 93 He aha inā inā e kiʻi ʻoe i ka uhi lāʻau mai kahi haku a papa

hana pūʻulu retiree paha 175Pauku 94 He aha inā inā ʻoe ma ka hale hoʻokipa hōʻoia Medicare 176

PAUKU 10 Nā papahana e pili ana i ka palekana o ka lāʻau a me ka mālama ʻana i nā lāʻau 177

Pauku 101 Nā papahana e kōkua i nā lālā e hoʻohana pono i nā lāʻau 177Pauku 102 Polokalamu Hoʻokele lāʻau (DMP) e kōkua i nā lālā e hoʻohana

pono i kā lākou mau lāʻau opioid 178Pauku 103 ʻO ka papahana Medication Therapy Management (MTM) e

kōkua i nā lālā e hoʻokele i kā lākou lāʻau 179


kuhikuhi Part D

Ua ʻike anei ʻoe aia he papahana e kōkua i ka poʻe e uku i kā lākou lāʻau

Kōkua ka papahana Kōkua keu i ka poʻe me nā kumu waiwai palena ʻole e uku no kā lākou mau lāʻau No ka ʻike hou aku e nānā i ka Mokuna 2 Pauku 7

Ke kōkua nei ʻoe i kēia manawa no ka uku ʻana i kāu lāʻau

Inā ʻoe i loko o kahi papahana e kōkua i ka uku ʻana i kāu mau lāʻau kekahi ʻike i kēia Hōʻike o ka uhi e pili ana i nā kumukūʻai no ka ʻāpana lāʻau lāʻau D ʻole pili iā ʻoe Ua hoʻouna aku mākou iā ʻoe i kahi hoʻokomo ʻokoʻa i kapa ʻia ʻo Evidence of Coverage Rider for People Who Get Extra Help Paying for Prescription Drugs (i kapa ʻia ʻo Low Income Subsidy Rider a i ʻole LIS Rider) e haʻi ana iā ʻoe e pili ana i kāu lāʻau kaupalena Inā ʻaʻohe āu mea hoʻokomo e ʻoluʻolu e kāhea i nā lawelawe a nā lālā a noi no ka LIS Rider (Paʻi ʻia nā helu kelepona no nā lawelawe lālā ma ka uhi hope o kēia puke)

PAUKU 1 Hoʻolauna

Pauku 11 Hōʻike kēia mokuna i kāu uhi ʻana no nā lāʻau Part D

ʻO kēia mokuna wehewehe i nā lula no ka hoʻohana ʻana i kāu uhi ʻana no nā lāʻau Part D Hōʻike ka mokuna aʻe i nā mea āu e uku ai no nā lāʻau Part D (Mokuna 6 He aha kāu e uku ai no kāu ʻāpana lāʻau kuhikuhi D)

Ma waho aʻe o kāu kōkua uhi no ke kōkua uku lāʻau o ka Part D o ka mākou papahana ʻinikua uhi pū no hoʻika mākou papahana i kekahi o nā lāʻau ma lalo o nā pono kōkua uhi mālama olakino No ka Part A a ka ʻinikua mālama olakino Medicare uhi ʻia nā lāʻau i haʻawi ʻia ai iā ʻoe i ka wā e uhi ʻia ai ʻoe e ka ʻInikua Mālama Olakino i ka wā noho haukapila a i ʻole i ka noho ʻana ma kekahi kahua mālama mea maʻi me nā kahu maʻi mākaukau loa o nā lāʻau i uhi ʻia e ka Part B a ka Medicare ʻo ia hoʻi kekahi o nā lāʻau lapaʻau maʻi ʻaʻai kekahi o nā lāʻau hou kui e haʻawi ʻia ai iā ʻoe i ka manawa nānā kauka a me nā lāʻau e haʻawi ʻia ai iā ʻoe ma nā kahua hoʻomaʻemaʻe koko a me nā lāʻau i hoʻolako ʻia mai ma kekahi kahua hoʻomaʻemaʻe koko a nā mea maʻi mimikō Mōkuna 4 (Pakuhi Pono Kōkua Malama Olakino he aha nā mea i uhi ʻia a me kāu mahele e uku aku ai) e hōʻike ʻia no hoʻi e pili ana i nā pono kōkua a me ke kumu kūʻai o nā lāʻau no nā wā e noho aku ai ma ka haukapila a i ʻole ma kekahi kahua mālama mea maʻi me nā kahu maʻi mākaukau loa a pēia pū me nā pono kōkua a me ke kumu kūʻai o nā lāʻau no ka Part B o nā lāʻau


kuhikuhi Part D

E uhi ʻia no paha kāu mau lāʻau e ka papahana ʻinikua Original Medicare inā ʻaia ʻoe ma kekahi kōkua hospice Uhi wale no hoʻi ko mākou papahana ʻinikua i nā kōkua lāʻau Medicare Part A B a me ka D a me nā lāʻau i pili i kāu hōʻoiaʻiʻo loaʻa maʻi make a me nā kūlana maʻi i pili pū me ia hōʻoia ʻana a nolaila loaʻa ʻole hoʻi nā kōkua uhi ma lalo o ke kōkua uhi hosipce a ka hui Medicare No nā manaʻo ʻē aʻe ʻoluʻolu e nānā aku i ka Māhele 94 (Pehea inā ʻāia ʻoe ma loko o ka Medicare-certified hospice) No nā manaʻo e pili ana i nā kōkua uhi hospice e nānā aku i ka Mōkuna 4 (Pakuhi Pono Kōkua Mālama Olakino he aha nā mea I uhi ʻia a ʻehia e pono ai ʻoe e uku aku ai)

Kūkākūkā nā Part Aʻe e pili ana i ka uhi ʻana o kāu lāʻau i lalo o nā rula pōmaikaʻi o ka Part D Pauku 9 Part D ʻāpana lāʻau i nā hanana kūikawā e pili ana i ka ʻike hou aku e pili ana i kāu Part D uhi a me ka Medicare maoli

Pauku 12 Nā lula maʻamau no ka ʻaoʻao D lāʻau ʻē aʻe o ka hoʻolālā

E uhi ka hoʻolālā i kāu mau lāʻau inā lōʻihi ʻoe e hahai i kēia mau rula maʻamau

bull Pono ʻoe i kahi mea hoʻolako (kauka kauka niho a i ʻole prescriber ʻē aʻe) e kākau i kāu kauka

bull Pono paha kāu mea kākau e ʻae iā Medicare a i ʻole nā palapala faila me CMS e hōʻike ana ua kūpono ʻo ia e kākau i nā kuhikuhi a i ʻole e hōʻole ʻia kāu kuleana D Pono ʻoe e nīnau i kāu poʻe kuhikuhi i ka manawa hou āu e kelepona ai a kipa paha inā kū lākou i kēia ʻano Inā ʻaʻole e ʻoluʻolu e makaʻala he manawa no kāu mea kākau e hoʻouna i nā pepa e pono ai e hana

bull Pono ʻoe e hoʻohana i kahi hale kūʻai lāʻau lapaʻau e hoʻopiha i kāu kuhikuhi (E nānā i ka ʻĀpana 2 E hoʻopihapiha i kāu palapala kuhikuhi ma ka hale kūʻai lāʻau lapaʻau a i ʻole ma o ka lawelawe kauoha leka uila o ka plan)

bull Pono kāu lāʻau i ka papa inoa Ka papa inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi) (kapa mākou iā ia ka Lāʻau Lapaʻau no ka pōkole) (E nānā i ka ʻĀpana 3 Pono kāu mau lāʻau i ka papa inoa Ka Papa Lapaʻau)

bull Pono e hoʻohana ʻia kāu lāʻau lapaʻau no ka hōʻailona hōʻike lāʻau lapaʻau ʻO kahi hōʻailona lāʻau ʻae ʻia he hoʻohana ia o ka lāʻau i ʻae ʻia e ka Food and Drug Administration a i kākoʻo ʻia e kekahi mau puke kūmole (E nānā i ka ʻĀpana 3 no ka ʻike hou aku e pili ana i kahi hōʻike lapaʻau i ʻae ʻia)


kuhikuhi Part D

PAUKU 2 Hoʻopiha i kāu kuhikuhi ma kahi kauka lāʻau lapaʻau a i ʻole ma o ka lawelawe leka uila o ka hoʻolālā

Pauku 21 I uhi ʻia kāu palapala kauoha e hoʻohana i kahi kauka lāʻau lapaʻau

I ka hapanui o nā hihia uhi ʻia kāu mau kauka wale nō inā piha lākou i nā hale kūʻai kūʻai pūnaewele o ka hoʻolālā (E ʻike i ka ʻĀpana 25 no ka ʻike e pili ana i ka wā a mākou e uhi ai i nā kuhikuhi i hoʻopiha ʻia i nā hale kūʻai mai waho o ka pūnaewele)

ʻO kahi hale kūʻai lāʻau lapaʻau kahi lāʻau lapaʻau i loaʻa kahi ʻaelike me ka hoʻolālā e hāʻawi i kāu lāʻau i kauoha ʻia uhi ʻia ʻO ka huaʻōlelo nā lāʻau i uhi ʻia ʻo ia hoʻi nā lāʻau ʻae a pau o ka Part D i uhi ʻia ma ka papa inoa lāʻau lāʻau o ka hoʻolālā

ʻO nā keʻena kāwili lāʻau ʻōnaehana e hana ana i ke koena kaʻana uku kāki mea maʻi kūmau a me nā hale kāwili lāʻau e hana ana i ke koena kaʻana uku kāki mea maʻi maikaʻi Aia iā ʻoe ke ʻano keʻena kāwili lāʻau ʻōnaehana āu e kipa ai no ka loaʻa ʻana mai o ka lāʻau kuhikuhi i mālama ʻia Emi iho paha ka uku o ke koena kaʻana uku kāki mea maʻi ma nā keʻena kāwili lāʻau e hana ana i ke koena kaʻana uku mea maʻi maikaʻi

Pauku 22 Ke ʻike nei i nā hale kūʻai lāʻau paʻa pūnaewele

Pehea ʻoe e ʻike ai i kahi hale kūʻai lāʻau lapaʻau pūnaewele i kou wahiNo ka loaʻa ʻana o kahi lāʻau lapaʻau pūnaewele hiki iā ʻoe ke nānā i kāu Papa Kuhikuhi Inoa i nā Hui Hoʻolako amp Hale Kūʻai Lāʻau e kipa i kā mākou pūnaewele (wwwwellcarecomohana) a kāhea paha i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)

Ua hiki iā ʻoe ke hele aku ma nā hale kūʻai lāʻau like ʻole ma ko mākou ʻōnaehana hale kūʻai Akā naʻe e emi hou aʻe ana paha ka uku ʻana no kāu lāʻau i uhi ʻia inā hoʻohana ʻoe i kekahi o nā hale kūʻai lāʻau i loaʻa nā kōkua kākoʻo kaʻana uku kāki koho ma mua o ka hoʻohana ʻana i kekahi ʻōnaehana hale kūʻai lāʻau me nā kuleana kaʻana uku ʻinikua Nā ka Papa Kuhikuhi Inoa i nā Hui Hoʻolako amp Hale Kūʻai Lāʻau no e hōʻike ʻia no hoʻi o nā ʻōnaehana hale kūʻai lāʻau hea i loaʻa nā kōkua kākoʻo kaʻana uku kāki koho Ua hiki iā ʻoe ke loaʻa hou aku i nā manaʻo e pili ana i kāu lilo mai kāu paiki kālā mai a e loli no hoʻi me ke ʻano o nā lāʻau ma ke kaʻalauna ʻana mai me mākou Inā Kuapo ʻoe mai kekahi ʻōnaehana hale kūʻai mai a i kekahi a makemake ʻoe e hoʻopiha hou aku i kāu lāʻau au e lawe nei ua hiki iā ʻoe ke noi aku no e hoʻopaʻa hou ʻia mai kekahi kuhikuhi lāʻau hou e kāu mea hoʻolako a i ʻole e hoʻoili aku i kāu ʻoka kuhikuhi lāʻau i kāu ʻōnaehana hale kūʻai hou


kuhikuhi Part D

He aha inā inā haʻalele ka lāʻau lapaʻau āu e hoʻohana nei i ka pūnaeweleInā haʻalele ka hale kūʻai lāʻau āu e hoʻohana nei i ka pūnaewele o ka hoʻolālā pono ʻoe e ʻike i kahi hale kūʻai hou i loko o ka pūnaewele A i ʻole inā ʻo ka hale kūʻai lāʻau āu e hoʻohana nei e noho i loko o ka pūnaewele akā ʻaʻole hāʻawi hou i ka hoʻokaʻawale ʻana i nā koina makemake paha ʻoe e hoʻololi i kahi lāʻau lapaʻau ʻokoʻa No ka loaʻa ʻana o kahi hale kūʻai lāʻau lapaʻau pūnaewele i kou wahi hiki iā ʻoe ke loaʻa i ke kōkua mai nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke) a i ʻole hoʻohana i ka Papa Kuhikuhi Inoa i nā Hui Hoʻolako amp Hale Kūʻai Lāʻau Hiki iā ʻoe ke ʻike i ka ʻike ma kā mākou pūnaewele ma wwwwellcarecomohana

He aha inā ʻoe e makemake i kahi hale kūʻai lāʻau lapaʻau kūikawāI kekahi manawa pono e hoʻopiha ʻia nā kuhikuhi ma kahi kauka lāʻau lapaʻau loea ʻO nā lāʻau lapaʻau kūikawā me

bull Nā hale kūʻai e hāʻawi ana i nā lāʻau no ka hoʻōla home infusion bull ʻO nā hale kūʻai lāʻau e hoʻolako aku i nā mea maʻi noho loa o nā kahua-mālama mea maʻi noho lōʻihi (LTC) ʻO ka maʻamau loaʻa no i nā kahua-mālama mea maʻi noho lōʻihi(e like me kekahi kahua noho mea maʻi me nā Kahu maʻi) loaʻa no iā lākou i ka lākou hale kūʻai lāʻau ponoʻī Inā ʻoe ma kahi keʻena LTC pono mākou e hōʻoia hiki iā ʻoe ke loaʻa maʻamau i kāu mau pono ʻoihana D ma o kā mākou pūnaewele o nā hale kūʻai lāʻau LTC ʻo ia ka lāʻau lapaʻau a ka hale LTC e hoʻohana ai Inā loaʻa iā ʻoe kahi pilikia i ke kiʻi ʻana i kāu pono D ʻāpana i kahi keʻena LTC e ʻoluʻolu hoʻokaʻaʻike i nā lawelawe a nā lālā Inā hana nui ka loaʻa ʻana aku o nā pono kōkua a kāu Part D ma kekahi kahua LTC ʻoluʻolu e hoʻomaopopo aku i ke keʻena Kokua Lālā

bull Nā hale kūʻai lāʻau e lawelawe ana i ka Polokalamu Ola Ola IndiaTribalUrban Health Program Program (ʻaʻole loaʻa ma Pokoliko) Koe i nā ulia pōpilikia nā ʻAmelika ʻAmelika a i ʻole nā Āina Alaska wale nō ke komo i kēia mau hale kūʻai lāʻau i kā mākou pūnaewele

bull Nā hale kūʻai lāʻau e hāʻawi ana i nā lāʻau i kaupalena ʻia e ka FDA i kekahi mau wahi a i ʻole koi i ka lawelawe kūikawā ʻana ka hoʻonohonoho ʻana o nā mea lawelawe a i ʻole ke aʻo ʻana i kā lākou hoʻohana (Kahakaha Kēia hanana e hana kākaʻikahi)

No ka huli ʻana i kahi hale kūʻai lāʻau lapaʻau loea e nānā i kāu Mea Hoʻolaha amp Hoʻokaʻaʻike Papa Kuhikuhi a i ʻole kāhea i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke)


kuhikuhi Part D

Pauku 23 Ke hoʻohana nei i nā lawelawe hoʻonohonoho leka uila o ka hoʻolālā

No kekahi ʻano lāʻau hiki iā ʻoe ke hoʻohana i nā lawelawe leka uila hoʻonohonoho pūnaewele ʻO ka maʻamau ʻo nā lāʻau i hāʻawi ʻia ma o ke kauoha leka he lāʻau ia āu e lawe ai i kahi manawa maʻamau no kahi maʻi olakino a lōʻihi paha Kaha ʻia nā lāʻau i loaʻa ʻole ma o ka lawelawe leka uila o ka hoʻolālā ʻo NM i kā mākou papa inoa lāʻau

Hāʻawi ka lawelawe leka uila a kā mākou hoʻolālā iā ʻoe e kauoha iā a hiki i kahi lako o 90 mau lā

E kiʻi i nā palapala hoʻonohonoho a me ka ʻike e pili ana i ka hoʻopihapiha ʻana i kāu palapala kuhikuhi ma ka leka uila

1 Kāhea i kā mākou lawelawe lawelawe lawelawe leka uila ma 1-866-808-7471 (TTY 711) 24 mau hola i ka lā 7 lā o ka pule A i ʻole ʻeʻe on mailRXwellcarecom

2 E hoʻopihapiha i ka palapala leka uila3 Pono e leka uila i nā ʻōlelo kauoha hou me ka palapala kākau inoa Hiki i nā

mea hoʻolako ke fax i nā kuhikuhi hou no ka leka uila ma 1-866-892-81944 Hoʻouna ʻia ka hapa nui o nā kauoha e ka US ʻOihana Leka Pono paha nā

mea i kāohi ʻia i kahi pūlima makua ma ka loaʻa ʻana ʻAʻole hōʻike ka ʻōpala i kahi hōʻailona e hoʻopili ʻia nā lāʻau Inā makemake ʻoe i nā hoʻonohonoho hoʻouna ʻokoʻa no ka pilikino a i ʻole nā kumu ʻē aʻe e ʻoluʻolu e leka uila i kā mākou lawelawe leka uila Nā lawelawe lālā ma ke helu kelepona i helu ʻia ma luna

5 E ʻoluʻolu e ʻae i nā lā kalena 10-14 no ka lawe ʻana Hoʻomaka ka lā kalena 10-14 ke loaʻa iā mākou kāu palapala kuhikuhi a me kāu palapala kauoha

6 Hoʻopili i ka ʻikepili a uku a uku paha inā pili e hōʻalo i nā lohi7 ʻAe mākou i nā hōʻoia kāleka hōʻaiʻē a me nā kāleka hōʻaiʻē E ʻoluʻolu mai

hoʻouna kālā8 E koi nā palapala kuhikuhi a nā lālā ʻae ʻole i ka lāʻau lapaʻau e hoʻopili iā ʻoe

no ʻaeInā ʻoe e hoʻohana i kahi hale kūʻai lawelawe leka uila ʻaʻole i ka pūnaewele o ka hoʻolālā ʻaʻole e uhi ʻia kāu palapala kuhikuhi


kuhikuhi Part D

ʻO ka maʻa mau e hoʻouna ʻia kahi kauoha kauka lāʻau kauoha iā ʻoe ma mua o 14 mau lā Eia naʻe i kekahi manawa lohi paha kāu kuhikuhi leka uila No nā lāʻau lapaʻau lōʻihi e pono ai i kēia manawa koke e noi i kāu kauka no ʻelua mau kuhikuhi hoʻokahi no ka lako o 30 lā e hoʻopiha ai i kahi hale kūʻai kūʻai e komo nei a hoʻokahi no kahi lako lōʻihi e hoʻopihapiha ma o ka leka uila Inā loaʻa iā ʻoe kahi pilikia me ka hoʻopiha ʻana i kāu lako o 30 lā ma kahi hale kūʻai kūʻai ke komo aku nei ke lohi ʻia kāu palapala kauoha leka e ʻoluʻolu e kāhea i kāu hale kūʻai lāʻau lapaʻau me kā mākou Provider Service Center ma 1-866-800-6111 (TTY 1-888-816-5252) 24 hola o ka lā 7 lā o ka pule no ke kōkua Hiki i nā lālā ke kelepona i nā leka uila Nā lawelawe lālā ma 1- 866-808-7471 (TTY 711) 24 mau hola i ka lā 7 lā o ka pule A i ʻole ʻeʻe on mailRXwellcarecom

Loaʻa nā kuhikuhi hou i ka hale kūʻai lāʻau mai ke keʻena o kāu kauka E hoʻopihapiha a hoʻopakele ka hale kūʻai me nā lāʻau hou i loaʻa iā ia mai nā lawelawe mālama ola me ka nānā ʻole ʻia ʻana me ʻoe inā paha

bull Ua hoʻohana ʻoe i nā lawelawe leka uila me kēia hoʻolālā i ka wā i hala a i ʻole

bull E hoʻopaʻa inoa aku ʻoe no na hali wale ʻia mai o nā kuhikuhi lāʻau hou i loaʻa pololei mai mai kekahi mea hoʻolako malama olakino mai Ua hiki iā ʻoe ke noi aku no kekahi kōkua hoʻouna wale ʻia ʻana o nā lāʻau kuhikuhi hou i kēia aanawa a i ʻole i nā manawa like ʻole ma ke kāhea ʻana mai i ka laina ʻoka lāʻau kuhikuhi maō ka hale leka ma ke keʻena Kōkua Lālā ma 1-866-808-7471 (TTY711) 24 hola o ka lā 7 lā o ka pule A i ʻole e ʻeʻe aku ma ke kaha pūnaewele o mailRXwellcarecom

Inā loaʻa mai iā ʻoe kekahi lāʻau kuhikuhi i hoʻouna wale ʻia mai maō ka hale leka au i makemake ʻole ai a ʻaʻole hoʻi i hoʻomaopopo ʻia ʻoe inā makemake paha ʻoe ma mua o ka hoʻouna ʻia ʻana ua hiki paha ke loaʻa hou iā ʻoe kāu kālā Ina ua hoʻohana mua ʻoe i ke kōkua oka maō ka hale leka ma mua a e makemake ʻole paha i ka hale kūʻai lāʻau e hoʻopau i ka hoʻopiha pākahi wale ʻia ʻana o nā laʻau kuhikuhi hou ʻoluʻolu e hoʻomaopopo mai iā mākou ma ke kāhea ʻana mai i i ka laina ʻoka lāʻau kuhikuhi maō ka hale leka ma ke keʻena Kōkua Lālā ma 1-866-808-7471 (TTY711) 24 hola o ka lā 7 lā o ka pule a i ʻole e ʻeʻe aku ma ke kaha pūnaewele o mailRXwellcarecom

Inā ʻaʻole ʻoe i hoʻohana i kā mākou leka uila i ka hoʻouna ʻana a a i ʻole hoʻoholo e hoʻopau i ka hoʻopihapiha piha ʻana o nā kauka hou e launa pū ka lāʻau iā ʻoe i kēlā me kēia manawa ke loaʻa kahi palapala hou mai kahi lawelawe mālama ola e ʻike inā makemake ʻoe e hoʻopiha a hoʻouna koke ʻia ka lāʻau Hāʻawi kēia iā ʻoe i kahi manawa kūpono e ʻike pono ai ke hāʻawi nei ka lāʻau lapaʻau i ka lāʻau kūpono (e like me ka ikaika ka nui a me ka palapala) a inā pono e ʻae iā ʻoe e hoʻopau a hoʻolohi paha i ke kauoha ma


kuhikuhi Part D

mua o ka uku ʻia ʻana a hoʻouna ʻia He mea nui e pane ʻoe i kēlā me kēia manawa ke kāhea ʻia ʻoe e ka lāʻau lapaʻau e hoʻomaopopo iā lākou i ka mea e hana ai me ke kuhikuhi hou a pale i nā lohi i ka hoʻouna ʻana

No ke koho-haʻalele ʻana aku o nā hoʻouna wale ʻia ʻana o nā kuhikuhi lāʻau hou i loaʻa pololei mai ke keʻena a kāu hui hoʻolako mālama olakino mai ʻoluʻolu e hoʻomaopopo mai iā mākou me ke kāhea ma ke kāhea ʻana mai i i ka laina ʻoka lāʻau kuhikuhi maō ka hale leka ma ke keʻena Kōkua Lālā ma 1-866-808-7471 (TTY711) 24 hola o ka lā 7 lā o ka pule A i ʻole e ʻeʻe aku ma ke kaha pūnaewele o mailRXwellcarecom

Hoʻopiha hou i nā kuhikuhi leka uila No ka hoʻopiha hou ʻana i kāu lāʻau loaʻa iā ʻoe ke koho e kau inoa no kahi polokalamu hoʻopihapiha hoʻopihapiha Ma lalo o kēia papahana e hoʻomaka mākou e hana i kāu refill hou aʻe ke hōʻike koke kā mākou mau moʻolelo iā ʻoe e kokoke ana i ka pau ʻana o kāu lāʻau E kāhea ka lāʻau iā ʻoe ma mua o ka hoʻouna ʻana i kēlā me kēia hoʻopihapiha e pono pono ʻoe i nā lāʻau hou aku a hiki iā ʻoe ke hoʻopau i nā hoʻopihapiha i hoʻonohonoho ʻia inā lawa ʻoe i kāu lāʻau a inā ua loli kāu lāʻau Inā koho ʻoe ʻaʻole e hoʻohana i kā mākou polokalamu refill auto e ʻoluʻolu e kelepona i kāu hale kūʻai lāʻau 10-14 mau lā ma mua o kou manaʻo e pau nā lāʻau i loaʻa iā ʻoe e ʻike pono i ka hoʻouna ʻia ʻana o kāu kauoha iā ʻoe i ka manawa

No ke koho ʻana i kā mākou papahana e hoʻomākaukau pono ana i nā hoʻopihapiha leka uila e ʻoluʻolu kāhea iā mā byou ma ke kāhea ʻana i kāu hale kūʻai leka uila

bull CVS Caremark 1-866-808-7471 (hiki i nā mea hoʻohana TTY ke kāhea iā 711)

I hiki ai i ka hale kūʻai lāʻau ke loaʻa aku iā ʻoe no ka hōʻoia ʻana i nā ʻoka ma mua o ka hoʻouna ʻia ʻana aku mai poina e hoʻomaopopo aku i ka hale kūʻai lāʻau he aha nā pono kaʻalauna kūpono loa no ka loaʻa ʻana mai ʻoe iā lākou He hana maikaʻi no hoʻi ka hōʻia ʻana aku i kāu pono piiikino kaʻalauna i nā manawa a pau e kūʻai aku ai ʻoe i ka ʻoka iā ʻoe i kāinoa aku ai ma ka polokalamu hoʻouna wale ʻia ʻana o nā hoʻopihapiha kuhikuhi lāʻau hou a i ʻole inā paha e loli hou kāu ponopilikia kaʻalauna

Pauku 24 Pehea e hiki ai iā ʻoe ke loaʻa i kahi wā lōʻihi o nā lāʻau

Ke loaʻa iā ʻoe kahi lako o nā lā lōʻihi e haʻahaʻa paha kāu kaʻana kālā Hāʻawi ke kumumanaʻo i ʻelua ala e kiʻi ai i kahi lako wā lōʻihi (i kapa ʻia ʻo hoʻolako hoʻolako ʻia) o nā lāʻau lapaʻau mālama ma kā mākou papa inoa Lapaʻau


kuhikuhi Part D

(ʻO nā lāʻau lapaʻau mālama nā lāʻau āu e lawe ai i kahi maʻa mau no kahi maʻi olakino a lōʻihi paha) Hiki iā ʻoe ke kauoha i kēia lako ma o ke kaʻina leka uila (e ʻike i ka ʻĀpana 23) a i ʻole hiki iā ʻoe ke hele i kahi hale kūʻai lāʻau kūʻai

1 Kekahi mau hale kūʻai kūʻai liʻiliʻi i loko o kā mākou pūnaewele e ʻae iā ʻoe e loaʻa kahi lako lōʻihi o nā lāʻau mālama Kou Mea Hoʻolako amp Hoʻolālā Lapaʻau haʻi iā ʻoe i nā hale kūʻai i loko o kā mākou pūnaewele hiki ke hāʻawi iā ʻoe i kahi lako lōʻihi o nā lāʻau mālama Hiki iā ʻoe ke kāhea i nā lawelawe lālā no ka ʻike hou aku (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)

2 No kekahi o nā lāʻau ua hiki iā ʻoe ke hoʻohana aku i ke kōkua ʻoka lāʻau kuhikuhi i ʻoka ʻia maō ka hale leka Māka ʻia nā lāʻau i hiki ʻole ke hoʻohana ʻia ke ke kōkua lāʻau kuhikuhi i ʻoka ʻia maō ka hale leka a ka papahana ʻinikua ma nā huapalapala NM ma ka mākou papa inoa lāʻau ʻĀpono ʻia no hoʻi ʻoe i ka ʻoka ʻana aku i nā ʻoka lāʻau a hiki aku hoʻi i 90 lā o nā lako lāʻau nānā aku i ka māhele 23 no nā manaʻo ʻē aʻe e pili ana i ka hoʻohana ʻana i ka mākou kōkua ʻoka maō ka hale leka

Pauku 25 Āhea ʻoe e hoʻohana ai i kahi lāʻau lapaʻau ʻaʻole i loko o ka pūnaewele o ka hoʻolālā

E uhi ʻia kāu palapala kuhikuhi i kekahi mau hananaʻO ka maʻamau uhi mākou i nā lāʻau i hoʻopiha ʻia i kahi hale kūʻai lāʻau lapaʻau waho waho o ka pūnaewele wale nō ke hiki ʻole iā ʻoe ke hoʻohana i kahi kauka lāʻau lapaʻau E kōkua iā ʻoe loaʻa iā mākou nā hale kūʻai lāʻau lapaʻau pūnaewele ma waho o kā mākou wahi lawelawe kahi e hiki ai iā ʻoe ke hoʻopihapiha i kāu palapala kuhikuhi ma ke ʻano he lālā o kā mākou hoʻolālā Inā ʻaʻole hiki iā ʻoe ke hoʻohana i ka hale kūʻai lāʻau lapaʻau ʻoihana eia nā kūlana a mākou e uhi ai i nā kuhikuhi i hoʻopiha ʻia i kahi hale kūʻai waho waho o ka pūnaewele

bull Huakaʻi Ke kiʻi ʻana i ka uhi ke hele ʻoe a i ʻole ma kahi mamao aku mai kahi o ka lawelawe o ka hoʻolālā

Inā lawe ʻoe i ka lāʻau lāʻau i kēlā me kēia manawa a ke hele nei ʻoe i kahi huakaʻi e nānā pono i kāu lako o ka lāʻau ma mua o kou haʻalele Ke hiki e lawe pū i nā lāʻau āu e pono ai Hiki paha iā ʻoe ke hoʻonohonoho i kāu lāʻau hoʻomākaukau i mua o ka manawa ma o ka hale kūʻai lāʻau lapaʻau kauoha

Inā ʻoe e hele ana ma waena o ʻAmelika Hui Pū ʻIa a me nā panalāʻau a lilo i maʻi a i ʻole lilo a pau paha i kāu lāʻau i kuhikuhi ʻia e uhi mākou i nā ʻōkuhi i hoʻopiha ʻia i kahi hale kūʻai lāʻau kū waho I kēia kūlana pono ʻoe e uku i ke kumukūʻai holoʻokoʻa (ma mua o ka uku ʻana i kāu uku launa a i ʻole ka


kuhikuhi Part D

mālama kālā ʻana) ke hoʻopiha ʻoe i kāu kuhikuhi Hiki iā ʻoe ke noi iā mākou e uku aku iā ʻoe no kā mākou mahele o ke kumukūʻai ma ka waiho ʻana i kahi palapala uku Inā ʻoe e hele i kahi hale kūʻai lāʻau i waho o ka pūnaewele aia paha iā ʻoe ke kuleana no ka uku ʻana i ka ʻokoʻa ma waena o nā mea a mākou e uku ai no kahi kuhikuhi i hoʻopiha ʻia ma kahi hale kūʻai lāʻau i loko o ka pūnaewele a me nā mea i kūʻai ʻia e ka hale kūʻai mai waho o ka pūnaewele no kāu kauka No ke aʻo ʻana pehea e hoʻouna ai i kahi hoʻopiʻi uku e ʻoluʻolu e nānā i ka Mokuna 7 ʻĀpana 21 Pehea a me kahi e hoʻouna ai iā mākou i kāu noi no ka uku

Hiki iā ʻoe ke kāhea i nā lawelawe lālā e ʻike inā aia kahi hale kūʻai lāʻau lapaʻau i ka wahi āu e hele nei

ʻAʻole hiki iā mākou ke uku no nā kuhikuhi i hoʻopiha ʻia e nā hale kūʻai lāʻau lapaʻau ma waho o ʻAmelika Hui Pū ʻIa a me nā panalāʻau ʻoiai no kahi ulia pōpilikia

bull Pilikino Pilikino He aha inā makemake au i kahi kauka no kahi ulia pōpilikia a i ʻole no ka pono o ka mālama nui

E uhi mākou i nā ʻōkuhi i hoʻopihapiha ʻia i kahi hale kūʻai waho waho o ka pūnaewele inā pili ka ʻōlelo i ka mālama no ka ulia pōpilikia a i ʻole ka mālama nui I kēia kūlana pono ʻoe e uku i ke kumukūʻai holoʻokoʻa (ma mua o ka uku ʻana i kāu uku launa a i ʻole ka mālama kālā ʻana) ke hoʻopiha ʻoe i kāu kuhikuhi Hiki iā ʻoe ke noi iā mākou e uku aku iā ʻoe no kā mākou mahele o ke kumukūʻai ma ka waiho ʻana i kahi palapala uku Inā ʻoe e hele i kahi hale kūʻai lāʻau i waho o ka pūnaewele aia paha iā ʻoe ke kuleana no ka uku ʻana i ka ʻokoʻa ma waena o nā mea a mākou e uku ai no kahi kuhikuhi i hoʻopiha ʻia ma kahi hale kūʻai lāʻau i loko o ka pūnaewele a me nā mea i kūʻai ʻia e ka hale kūʻai mai waho o ka pūnaewele no kāu kauka No ke aʻo ʻana pehea e hoʻouna ai i kahi hoʻopiʻi uku e ʻoluʻolu e nānā i ka Mokuna 7 Pauku 21 Pehea a me kahi e hoʻouna ai iā mākou i kāu noi no ka uku

bull Nā Kūlana Hou Nā manawa ʻē aʻe hiki iā ʻoe ke uhi i kāu kuhikuhi inā hele ʻoe i kahi kauka lāʻau i waho o ka pūnaewele

E uhi mākou i kāu kuhikuhi ma kahi kauka lāʻau i waho o ka pūnaewele inā pili kekahi o kēia mau mea

bull Inā ʻaʻole hiki iā ʻoe ke kiʻi i kahi lāʻau i uhi ʻia i ka manawa kūpono i loko o kā mākou wahi lawelawe no ka mea ʻaʻohe hale kūʻai pūnaewele ma waena o kahi mamao kalaiwa kūpono hāʻawi ia i ka lawelawe 24-hola


kuhikuhi Part D

bull Inā ʻoe e hoʻāʻo nei e hoʻopihapiha i kahi lāʻau lapaʻau i hōʻike pinepine ʻole ʻia ma kahi hale kūʻai kūʻai maʻalahi a i ʻole ka leka uila kauoha (me nā kumukūʻai kiʻekiʻe a me nā lāʻau ʻokoʻa)

bull Inā loaʻa iā ʻoe kahi lāʻau lapaʻau e pono ai ka lāʻau akā ʻaʻole i uhi ʻia e Medicare Part B a me kekahi mau lāʻau i uhi ʻia e lawelawe ʻia i ke keʻena o kāu kauka

No nā ʻano a pau i hoʻopaʻa ʻia ma luna iho nei ua hiki no ke loaʻa ma kahi o 30 lā o nā lako lāʻau kuhikuhi ʻO na mea ʻē aʻe nau ana no e uku aku i ka uku aku i ke kāki a ka hale kūʻai lāʻau kūloko ʻole no ka lāʻau a e waiho pū hoʻi i kekahi palapala no ka loaʻa ʻana aku o nā uku pānaʻi Mai poina i ka hoʻokomo pū aku i nā wehewehe e pili ana i ke ʻano o nā kumu i hoʻohana aku ai ʻoe i kekahi o nā hale kūʻai ʻōnaehana kūloko ʻole E kōkua ana no hoʻi kēia i ka hoʻomākaukau ʻia ʻana o kāu noi uku pānaʻi

I kēia mau kūlana e ʻoluʻolu e nānā mua me nā lawelawe lālā e ʻike inā aia kahi hale kūʻai lāʻau lapaʻau kokoke (Paʻi ʻia nā helu kelepona no nā lawelawe lālā ma ka uhi hope o kēia puke) Koi ʻia paha ʻoe e uku i ka ʻokoʻa ma waena o nā mea āu e uku ai no ka lāʻau i ka hale kūʻai waho waho o ka pūnaewele a me ke kumukūʻai e uhi ai mākou ma kahi i - hale kūʻai lāʻau lapaʻau

Pehea ʻoe e noi ai i ka uku hou ʻana mai ka hoʻolālāInā pono ʻoe e hoʻohana i kahi hale kūʻai lāʻau i waho o ka pūnaewele pono ʻoe e uku i ke kumukūʻai holoʻokoʻa (ma mua o kāu mahele maʻamau o ke kumukūʻai) i ka manawa e hoʻopiha ai i kāu kauka Hiki iā ʻoe ke noi iā mākou e uku aku iā ʻoe no kā mākou mahele o ke kumukūʻai (Mokuna 7 Pauku 21 wehewehe pehea e noi ai i ka hoʻolālā e uku aku iā ʻoe)

PAUKU 3 Pono kāu mau lāʻau i ka papa inoa Papa Inoa Lapaʻau

Pauku 31 Hōʻike ka Papa Inoa Lapaʻau i ka ʻāpana ʻo D lāʻau i uhi ʻia

Aia ka papahana i kahi Papa Inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi) I kēia Hōʻike o ka ʻIliʻi kāhea mākou iā ia ka Lāʻau Lapaʻau no ka pōkole

Koho ʻia nā lāʻau i kēia papa inoa e ke hoʻolālā me ke kōkua o kahi hui o nā kauka a me nā kauka lāʻau Pono e hoʻokō ka papa inoa i nā koi i kau ʻia e Medicare Ua ʻae ʻo Medicare i ka papa inoa lāʻau lāʻau a ka hoʻolālā


kuhikuhi Part D

ʻO nā lāʻau i ka papa inoa lāʻau lāʻau wale nō nā mea i uhi ʻia ma lalo o Medicare Part D (ma mua o kēia mokuna Pauku 11 e wehewehe ai e pili ana i nā Part D lāʻau)

E uhi mākou i kahi lāʻau lapaʻau ma ka papa inoa Lapaʻau ʻo ke kumumanaʻo inā ʻoe e hāhai i nā lula ʻē aʻe i wehewehe ʻia i loko o kēia mokuna a ʻo ka hoʻohana ʻana o ka lāʻau he hōʻike i ʻae ʻia ʻO kahi hōʻailona hōʻailona ʻae ʻia he hoʻohana ia o ka lāʻau a i ʻole

bull a ʻāpono ʻia e ke Keʻena Mālama Palekana no nā meaʻai a me nā Lāʻau (ʻo ia hoʻi ua ʻāpono ʻia ka lāʻau e ke Keʻena Mālama Palekana no nā meaʻai a me nā lāʻau no nā maʻi i ʻike ʻia a i ʻole kekahi maʻi ʻē aʻe e lapaʻau ʻia aku nei me ia lāʻau la Keʻena Mālama Palekana no nā meaʻai a me nā lāʻau)

bull -- a i ʻole -- Kākoʻo ʻia e kekahi a like me ka hui Nā Kōkua Pilinā Lāʻau a ke Kōkua Papakuhikuhi Lāʻau Kuhikuhi a nā Haukapila ʻAmelika a me ka ʻŌnaehana Manaʻo Pilina Lāʻau a DRUGDEX

Loaʻa i ka papa inoa lāʻau lāʻau nā inoa inoa a me nā lāʻau laulahaʻO kahi lāʻau laulā kahi lāʻau lapaʻau i loaʻa nā kūmole like me ka lāʻau inoa inoa ʻO ka mea maʻamau hana like ia e like me ka lāʻau inoa inoa a ʻoi aku ka liʻiliʻi o nā kumukūʻai Loaʻa he mau mea pani lāʻau lapaʻau maʻamau no nā lāʻau inoa inoa inoa he nui

He aha ka ʻaʻole ma ka papa inoa lāʻauʻAʻole uhi ka hoʻolālā i nā lāʻau lapaʻau āpau

bull I kekahi manawa hōʻole ke kānāwai i ka hoʻohana ʻia ʻana o ka papahana ʻinikua mālama olakino e uhi aku i kekahi mau ʻano o nā lāʻau (no nā manaʻo ʻē aʻe e pili ana i kēia e nānā aku i ka Māhele 71 ma kēīa mokuna nei)

bull Ma kekahi ʻano ʻē aʻe ua hoʻoholo no hoʻi mākou i ka ʻae ʻole ʻana aku i kekahi o nā lāʻau ma ko mākou Papa Inoa o nā Lāʻau

Pauku 32 Aia ʻeono mau papahele kaʻanalike kumu kūʻai no nā lāʻau i ka Papa Inoa Lapaʻau

ʻO kēlā me kēia lāʻau i ka papa inoa lāʻau lāʻau o ka hoʻolālā aia i loko o ʻeono mau papahele kūʻai Ma ka laulā ʻo ke kiʻekiʻe o ka pae kaʻina kūʻai ʻoi aku ke kiʻekiʻe o kāu kumukūʻai no ka lāʻau

bull ʻO Tier 1 (Nā Laikini Generic Preferred) nā lāʻau laulā makemake a makemake ʻia e hoʻopili i kekahi mau lāʻau hōʻailona


kuhikuhi Part D

bull ʻO Tier 2 (Generic Drugs) i nā lāʻau laulaha generic a hiki i ke komo pū ʻana i kekahi mau lāʻau lapaʻau lama

bull ʻO Tier 3 (ʻO nā lāʻau lapaʻau Brand Preferred) e komo pū me nā lāʻau laikini i makemake ʻia a komo pū paha kekahi mau lāʻau generic

bull ʻO Tier 4 (Nā Laau Lapaʻau ʻole ʻia) e komo pū me nā lāʻau laikini makemake ʻole ʻia a me nā lāʻau launa ʻole

bull ʻO Tier 5 (Tier Speciality) kahi inoa o ke kumukūʻai kiʻekiʻe a me nā lāʻau laulā ʻAʻole kūpono nā lāʻau i kēia pae no nā hoʻokoe no ka uku ʻana ma ka pae haʻahaʻa ʻO kēia ka pae hoʻoili kumukūʻai kiʻekiʻe loa

bull ʻO Tier 6 (Select Care Drugs) i kekahi mau lāʻau laulaha a me nā lāʻau lapaʻau i hoʻohana pinepine ʻia e mālama i nā kūlana kūlohelohe a i ʻole e pale i nā maʻi (nā lāʻau āpau) ʻO kēia ka papa haʻahaʻa haʻahaʻa haʻahaʻa haʻahaʻa

E ʻike ai i ka papa hea e hoʻokaʻawale ai i kāu lāʻau e nānā ma ka papa inoa lāʻau lāʻau o ka hoʻolālā

ʻO ka nui āu e uku ai no nā lāʻau i kēlā me kēia lāliʻi kaʻanalike kālā e hōʻike ʻia ma ka Mokuna 6 (He aha kāu e uku ai no kāu ʻāpana lāʻau kuhikuhi D)

Pauku 33 Pehea e hiki ai iā ʻoe ke ʻike inā aia kahi lāʻau kikoʻī ma ka Kauka Lapaʻau

ʻEkolu ou ala e ʻike ai

1 E hōʻoia i ka papa inoa lāʻau hou loa i hāʻawi ʻia e mākou me ka uila2 E kipa i ka pūnaewele o ka hoʻolālā (wwwwellcarecomohana) ʻO ka Lāʻau

Lapaʻau ma ka pūnaewele ka mea maʻa mau loa3 Kāhea i nā lawelawe o nā lālā e ʻike inā aia kekahi lāʻau i loko o ka papa inoa

Kauka lāʻau a noi paha i kope o ka papa inoa (Paʻi ʻia nā helu kelepona no nā lawelawe lālā ma ka uhi hope o kēia puke)


kuhikuhi Part D

PAUKU 4 Aia nā kapu ma ka uhi ʻana no kekahi mau lāʻau

Pauku 41 No ke aha i kapu ai kekahi mau lāʻau

No kekahi mau lāʻau lapaʻau i kau ia kapu nā rula kūikawā pehea a i ka manawa hea e uhi ai ka hoʻolālā iā lākou Ua hoʻomohala kahi hui o nā kauka a me nā kauka lāʻau i kēia mau lula e kōkua i kā mākou lālā e hoʻohana i nā lāʻau i nā ʻano maikaʻi loa Kōkua pū kēia mau rula kūikawā i ke kaohi ʻana i nā kumukūʻai lāʻau āpau ka mea e mālama ai i ka uhi ʻana o kāu lāʻau i ke kumu kūʻai

Ma ka laulaha paipai kā mākou rula iā ʻoe e kiʻi i kahi lāʻau e hana no kāu kūlana olakino a palekana a maikaʻi I ka manawa e holo pono ai kahi lāʻau palekana uku haʻahaʻa e like me ka lāʻau lapaʻau kiʻekiʻe loa ua hoʻolālā ʻia nā lula o ka hoʻolālā e paipai iā ʻoe a me kāu mea hāʻawi e hoʻohana i kēlā koho haʻahaʻa Pono mākou e mālama i nā rula a Medicare a me nā lula no ka uhi ʻana o ka lāʻau a me ka hoʻokaʻawale ʻana i nā kumukūʻai

Inā he kaohi no kāu lāʻau ʻo ka manaʻo maʻamau ia ʻoe a i kāu mea lawelawe e hana i nā keu keu i mea e uhi ai mākou i ka lāʻau Inā makemake ʻoe e haʻalele mākou i ka palena no ʻoe pono ʻoe e hoʻohana i ke kaʻina hoʻoholo hoʻoholo a noi iā mākou e hana i kahi ʻokoʻa ʻAe a ʻae paha mākou e haʻalele i ka palena no ʻoe (E nānā i ka Mokuna 9 ʻĀpana 62 no ka ʻike e pili ana i ke noi ʻana i nā hoʻokoe)

Ma kekahi ʻano ʻē aʻe ua hoʻoholo no hoʻi mākou i ka ʻae ʻole ʻana aku i kekahi o nā lāʻau ma ko mākou Papa Inoa o nā Lāʻau ʻ O ke kumu hoʻi o kēia no ka ʻokoʻa o nā kaupalena ʻia ʻana o nā lāʻau a i ʻole no e hoʻokomo ʻia ana hoʻi nā kuleana kaʻana uku ʻinikua i kaukaʻi no hoʻi i ka ʻikaika ka nui a i ʻole ke ʻano o ka lāʻau i noi ʻia nā kuhikuhi lāʻau e kāu hui hoʻolako (e like hoʻi me 10mg a 100mg hoʻokahi huale o ka lā a ʻelua huale o ka lā huale a i ʻole ka lāʻau wai)

Pauku 42 He aha nā ʻano kapu

Hoʻohana kā mākou papahana i nā ʻano kapu e kōkua i kā mākou lālā e hoʻohana i nā lāʻau i nā ʻano maikaʻi loa ʻO nā ʻāpana ma lalo e haʻi hou aku iā ʻoe e pili ana i nā ʻano kapu a mākou e hoʻohana ai no kekahi mau lāʻau

Kaohi ʻana i nā lāʻau lapaʻau inoa inā loaʻa kahi mana genericʻO ka maʻamau hana ka lāʻau generic i ka lāʻau lapaʻau inoa a ʻoi aku ka liʻiliʻi o ke kumukūʻai I ka hapanui o nā hihia ke loaʻa kahi mana generic o kahi lāʻau inoa inoa e hāʻawi aku kā mākou hale kūʻai pūnaewele iā ʻoe i ka mana generic ʻAʻole mākou e uhi i ka inoa inoa inoa inoa ke loaʻa kahi mana


kuhikuhi Part D

generic Eia nō naʻe inā ua haʻi mai kāu mea lawelawe iā mākou i ke kumu olakino ʻaʻole e holo pono nā lāʻau lapaʻau a i ʻole nā lāʻau ʻē aʻe i mālama ʻia i ke ʻano like no mākou a laila e uhi mākou i ka lāʻau inoa inoa (ʻOi aku ka nui o kāu mahele o ke kumukūʻai no ka lāʻau inoa inoa ma mua o ka lāʻau generic)

Ke kiʻi ʻae ʻana i ka hoʻolālā ma muaNo kekahi mau lāʻau pono ʻoe a i ʻole kāu mea hāʻawi i ka ʻae mai ka hoʻolālā ma mua o ka ʻae ʻana e uhi i ka lāʻau iā ʻoe Kāhea ʻia kēia ʻo ʻae mua ma mua I kekahi manawa ke koi no ka ʻae ʻana i ka mua e kōkua i ke alakaʻi kūpono ʻana i kekahi lāʻau Inā ʻaʻole ʻoe e ʻae i kēia ʻae ʻaʻole paha e uhi ʻia kāu lāʻau e ka hoʻolālā

Ke hoʻāʻo nei i kahi lāʻau ʻokoʻa ma muaPaipai kēia koi iā ʻoe e hoʻāʻo i ke kumu kūʻai liʻiliʻi akā like me nā lāʻau lapaʻau maikaʻi ma mua o ka uhi ʻana o ka hoʻolālā i kahi lāʻau ʻē aʻe ʻO kahi laʻana inā ʻo ka lāʻau A a me ka lāʻau B e mālama i ke ʻano olakino like koi paha ka hoʻolālā iā ʻoe e hoʻāʻo mua i ka lāʻau A Inā ʻaʻole holo pono ka lāʻau A iā ʻoe e uhi ka hoʻolālā iā Drug B Kāhea ʻia kēia koi e hoʻāʻo i kahi lāʻau ʻokoʻa ʻē aʻe anuʻu hoaʻo mua

Nā palena palenaNo kekahi mau lāʻau kaupalena mākou i ka nui o nā lāʻau i hiki iā ʻoe ke loaʻa ma ka kaohi ʻana i ka nui o kahi lāʻau i hiki iā ʻoe ke loaʻa i kēlā me kēia manawa e hoʻopiha i kāu kuhikuhi ʻO kahi laʻana inā manaʻo ʻia he palekana ia e lawe i hoʻokahi pill wale nō i kēlā me kēia lā no kahi lāʻau hiki iā mākou ke kaupalena i ka uhi ʻana no kāu kauka i ʻoi aku ma mua o hoʻokahi pila i kēlā me kēia lā

Pauku 43 Pili paha kekahi o kēia mau kapu i kāu lāʻau

ʻO ka papa inoa lāʻau lāʻau o ka hoʻolālā e pili ana i ka ʻike e pili ana i nā kapu i hōʻike ʻia ma luna E ʻike ai inā pili kekahi o kēia mau kapu i ka lāʻau lapaʻau āu e lawe ai a makemake paha e lawe e nānā i ka Lāʻau Lāʻau No ka ʻike hou loa e kāhea aku i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke) a i ʻole nānā i kā mākou pūnaewele (wwwwellcarecomohana)

Inā he kaohi no kāu lāʻau ʻo ka manaʻo maʻamau ia ʻoe a i kāu mea lawelawe e hana i nā keu keu i mea e uhi ai mākou i ka lāʻau Inā loaʻa ka palena o ka lāʻau āu e makemake ai e lawe pono ʻoe e hoʻokaʻaʻike i nā lawelawe a nā lālā e aʻo ai i kāu mea a me kāu mea lawelawe e pono ai e hana no ka uhi ʻana no ka lāʻau Inā makemake ʻoe e haʻalele mākou i ka palena no ʻoe pono ʻoe e hoʻohana i ke kaʻina hoʻoholo hoʻoholo a noi iā mākou e hana i kahi ʻokoʻa ʻAe a ʻae paha mākou e haʻalele i ka palena no ʻoe (E nānā i ka Mokuna 9 ʻĀpana 62 no ka ʻike e pili ana i ke noi ʻana i nā hoʻokoe)


kuhikuhi Part D

PAUKU 5 He aha inā ʻaʻole uhi ʻia kekahi o kāu lāʻau i ke ala āu e makemake ai e uhi ʻia

Pauku 51 Aia kekahi mau mea hiki iā ʻoe ke hana inā ʻaʻole uhi ʻia kāu lāʻau i ke ala āu e makemake ai e uhi ʻia

Manaʻolana nei mākou e hana pono aku ana kāu kōkua uhi lāʻau nou Akā o kekahi o nā lāʻau kuhikuhi au e lawe nei a i ʻole hoʻokahi i kekahi o nā lāʻau i manaʻo ai ʻolua o kāu hui hoʻolako ka lāʻau kūpono no kou lawe ʻana aku i loaʻa ʻole hoʻi ma ka Papakuhikuhi Lāʻau Kuhikuhi a i ʻole ʻaia ma kekah o ka mākou papakuhikuhi me nā kaupalena ʻO kekahi lāʻana hoʻi

bull ʻAʻole paha e uhi ʻia ka lāʻau A i ʻole uhi ʻia kahi mana generic o ka lāʻau akā ʻaʻole uhi ʻia ka mana inoa mana āu e makemake ai e lawe

bull Uhi ʻia ka lāʻau akā aia kekahi mau rula keu a i ʻole nā kapu i ka uhi ʻana no ia lāʻau E like me ia i wehewehe ʻia ai ma ka ʻĀpana 4 ʻo kekahi o nā lāʻau i uhi ʻia e ka hoʻolālā he mau rula keu e kaohi i kā lākou hoʻohana ʻO kahi laʻana koi ʻia ʻoe e hoʻāʻo mua i kahi lāʻau ʻokoʻa e ʻike inā e holo pono ia ma mua o ka uhi ʻia ʻana o ka lāʻau āu e makemake ai e lawe A i ʻole he mau palena paha ma ka nui o ka lāʻau (ka nui o nā pila a pēlā aku) i uhi ʻia i loko o kekahi manawa I kekahi mau hihia makemake paha ʻoe iā mākou e haʻalele i ka palena no ʻoe

bull Uhi ʻia ka lāʻau akā aia ia i kahi papahele hoʻokaʻawale kumukūʻai e hoʻonui ai i kāu kaʻana kālā ma mua o kou manaʻo Hoʻokomo ke kumumanaʻo i kēlā me kēia lāʻau i uhi ʻia i loko o kekahi o ʻeono mau ʻāpana hoʻokaʻawale kumukūʻai Ehia mau uku āu e uku ai no kāu kuhikuhi ma muli o kahi ʻāpana e hoʻokaʻawale ai ke kumu kūʻai i kāu lāʻau

Aia kekahi mau mea hiki iā ʻoe ke hana inā ʻaʻole uhi ʻia kāu lāʻau i ke ala āu e makemake ai e uhi ʻia Pili kāu mau koho i ke ʻano o kāu pilikia

bull Inā ʻaʻole kāu lāʻau i ka papa inoa lāʻau a i ʻole kapu ʻia kāu lāʻau e hele i ka ʻĀpana 52 e aʻo i ka mea hiki iā ʻoe ke hana

bull Inā aia kāu lāʻau i loko o kahi papahele kaʻanalike e hoʻonui i kāu kumukūʻai ma mua o kou manaʻo he pono ia e hele i ka ʻĀpana 53 e aʻo i ka mea hiki iā ʻoe ke hana


kuhikuhi Part D

Pauku 52 He aha kāu e hana ai inā ʻaʻole kāu lāʻau i ka Lāʻau Lapaʻau a i ʻole ke kapu ʻia ka lāʻau i kekahi ala

Inā ʻaʻole kāu lāʻau i ka Lāʻau Lapaʻau a i ʻole kapu ʻia eia nā mea hiki iā ʻoe ke hana

bull Hiki paha iā ʻoe ke kiʻi i kahi lako manawa o ka lāʻau lapaʻau (hiki i nā lālā wale nō i kekahi mau hanana ke loaʻa kahi lako manawa) E hāʻawi kēia iā ʻoe a me kāu mea hāʻawi i ka manawa e hoʻololi ai i kahi lāʻau ʻē aʻe a i ʻole e faila i kahi noi e uhi ʻia ka lāʻau

bull Hiki iā ʻoe ke hoʻololi i kekahi lāʻau bull Hiki iā ʻoe ke noi i kahi ʻokoʻa a noi i ka hoʻolālā e uhi i ka lāʻau a wehe paha i nā kapu mai ka lāʻau

Hiki paha iā ʻoe ke kiʻi i kahi lako manawaMa lalo o kekahi mau kūlana pono i ka hoʻolālā e hāʻawi i kahi manawa pōkole o kahi lāʻau iā ʻoe ke ʻole kāu lāʻau i ka Kauka Lapaʻau a i ʻole ke kapu ʻia ia ma kekahi ʻano Hāʻawi kēia hana iā ʻoe i ka manawa e kamaʻilio me kāu mea hoʻolako e pili ana i ka loli o ka uhi ʻana a ʻike i ka mea e hana ai

I mea e kūpono ai no kahi lako manawa manawa pono ʻoe e hoʻokō i nā koi ʻelua ma lalo1 ʻO ka hoʻololi i kāu uhi lāʻau e pono ai kekahi o nā ʻano loli hou

bull Hiki ʻole hoʻi ke uhi ʻia aku o ia lāʻau a ua wehe ʻia mai ka Papa Inoa Lāʻau mai

bull a i ʻole -- ʻO ka lāʻau au e lawe nei ua hoʻokau ʻia kekahi kaupalena o kekahi ʻano (Māhele 4 haʻi ʻia hoʻi e pili ana i nā kaupalena ma kēia mokuna nei)

2 Pono ʻoe i kekahi o nā hanana i hōʻike ʻia ma lalo nei

bull No kēlā mau lālā hou a i ʻole i ka hoʻolālā i ka makahiki i halaE uhi mākou i kahi lako manawa manawa ʻole o kāu lāʻau lapaʻau i loko o nā lā 90 mua o kou noho lālā ʻana i ka hoʻolālā inā he mea hou ʻoe a i loko o nā lā 90 mua o ka makahiki kalena inā ʻoe i ka hoʻolālā i ka makahiki i hala ʻO kēia lako manawa pōkole no kahi palena ʻoi loa o ka lako o 30 lā ma kahi hale kūʻai kūʻai kūʻai a i ʻole kahi lako 31 lā ma kahi hale kūʻai mālama lōʻihi Inā kākau ʻia kāu kuhikuhi no kekahi mau lā liʻiliʻi e ʻae mākou i nā hoʻopihapiha piha e hāʻawi i kahi palena ʻoi loa o ka lako o 30 lā ma kahi hale kūʻai kūʻai kūʻai a i ʻole kahi lako 31 lā i kahi hale kūʻai


kuhikuhi Part D

mālama lōʻihi o ka lāʻau Pono e hoʻopiha i ke kuhikuhi ma kahi kauka lāʻau lapaʻau (E ʻoluʻolu e hāʻawi ka hale kūʻai mālama wā lōʻihi i ka lāʻau i nā mea liʻiliʻi i ka manawa e pale ai i ka ʻōpala)

bull No kēlā mau lālā i noho i ka hoʻolālā no nā lā he 90 a noho i kahi keʻena mālama lōʻihi (LTC) a pono i kahi lako i kēia manawaE uhi mākou i hoʻokahi lako 31 lā o kekahi lāʻau a i ʻole ka liʻiliʻi inā kākau ʻia kāu kuhikuhi no nā lā liʻiliʻi Hoʻopili kēia i ke kūlana hoʻolako manawa lōʻihi ma luna

bull No nā lālā o kēia manawa o ka hoʻolālā e neʻe nei mai kahi mālama wā lōʻihi (LTC) a i ʻole kahi hale maʻi e noho ana i ka home a pono i kahi lako manawa kokeE uhi mākou i hoʻokahi lako 30 lā a ʻoi aku paha inā ua kākau ʻia kāu palapala kuhikuhi no kekahi mau lā liʻiliʻi (i ia manawa e ʻae mākou i nā hoʻopihapiha e hoʻolako i kahi huina o kahi 30 lā o ka lāʻau lapaʻau)

bull No nā lālā o kēia manawa o ka hoʻolālā e neʻe nei mai ka home a i kahi hale hoʻomaha i kahi hale mālama lōʻihi (LTC) a pono i kahi lako manawa kokeE uhi mākou i kahi lako o 31 lā a i ʻole ka liʻiliʻi inā kākau ʻia kāu palapala kuhikuhi no nā lā liʻiliʻi (i ia manawa e ʻae mākou i nā hoʻopihapiha e hoʻolako i kahi huina o kahi 31 lā o ka lāʻau lapaʻau)

No ke noi ʻana i kahi lako manawa manawa ʻole e kāhea i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke)

I ka manawa ke loaʻa nei iā ʻoe kahi lako manawa o ka lāʻau pono ʻoe e kamaʻilio me kāu mea lawelawe e hoʻoholo i ka mea e hana ai ke pau kāu lako manawa Hiki iā ʻoe ke hoʻololi i kahi lāʻau ʻokoʻa i uhi ʻia e ka hoʻolālā a noi paha i ka hoʻolālā e hana i kahi ʻokoʻa no ʻoe a uhi i kāu lāʻau i kēia manawa ʻO nā ʻāpana ma lalo e haʻi hou aku e pili ana i kēia koho

Hiki iā ʻoe ke hoʻololi i kekahi lāʻauE hoʻomaka me ke kamaʻilio pū ʻana me kāu mea hāʻawi Maliʻa paha aia kekahi lāʻau ʻokoʻa e uhi ʻia e ka hoʻolālā e like paha me kāu Hiki iā ʻoe ke kāhea i nā lawelawe lālā e noi i kahi papa inoa o nā lāʻau i uhi ʻia e mālama ai i ke ʻano olakino like Hiki i kēia papa inoa ke kōkua i kāu mea hāʻawi e loaʻa i ka lāʻau i uhi ʻia e hana paha nāu (Paʻi ʻia nā helu kelepona no nā lawelawe lālā ma ka uhi hope o kēia puke)


kuhikuhi Part D

Hiki iā ʻoe ke noi no kahi ʻokoʻaHiki iā ʻoe a me kāu mea lawelawe ke noi i ka hoʻolālā e hana i kahi ʻokoʻa no ʻoe a uhi i ka lāʻau i ke ala āu e makemake ai e uhi ʻia Inā ʻōlelo kāu mea lawelawe he kumu olakino kāu e hōʻoia ai e noi iā mākou no kahi ʻokoʻa hiki i kāu mea hāʻawi ke kōkua iā ʻoe e noi i kahi ʻē aʻe i ka lula ʻO kahi laʻana hiki iā ʻoe ke noi i ka hoʻolālā e uhi i kahi lāʻau ʻoiai ʻaʻole ia ma ka papa inoa lāʻau lāʻau o ka hoʻolālā A i ʻole hiki iā ʻoe ke noi i ka hoʻolālā e hana i kahi ʻokoʻa a uhi i ka lāʻau me ka ʻole o ka palena

Inā he lālā ʻoe i kēia manawa a he lāʻau lapaʻau āu e lawe nei e lawe ʻia mai ka Papa kuhikuhi lāʻau kuhikuhi a i ʻole kapu ʻia i kekahi ala no ka makahiki e hiki mai ana e ʻae mākou iā ʻoe e noi i kahi Papa kuhikuhi lāʻau kuhikuhi i mua no ka makahiki e hiki mai ana E haʻi mākou iā ʻoe e pili ana i nā loli i ka uhi ʻana no kāu lāʻau no kēia makahiki aʻe Hiki iā ʻoe ke noi no kahi ʻokoʻa ma mua o ka makahiki aʻe a hāʻawi mākou iā ʻoe i kahi pane i loko o 72 mau hola ma hope o ka loaʻa ʻana o kāu noi (a i ʻole ka ʻōlelo kākoʻo a kou prescriber) Inā ʻae mākou i kāu noi e ʻae mākou i ka uhi ma mua o ka hopena o ka loli

Inā makemake ʻoe a me kāu mea hāʻawi e noi i kahi ʻokoʻa haʻi ka Mokuna 9 Pauku 64 i ka mea e hana ai Hōʻike ia i nā kaʻina hana a me nā lā palena pau i hoʻonoho ʻia e Medicare e hōʻoia i ka mālama koke ʻia ʻana o kāu noi

Pauku 53 He aha kāu e hana ai inā kāu lāʻau i loko o kahi pae hoʻokaʻawale kumukūʻai āu e manaʻo ai kiʻekiʻe loa paha

Inā aia kāu lāʻau i loko o kahi papahele kaʻanalike manaʻo nui ʻoe eia nā mea hiki iā ʻoe ke hana

Hiki iā ʻoe ke hoʻololi i kahi lāʻau ʻē aʻeInā aia kāu lāʻau i loko o kahi papahele kaʻana like i ke kumukūʻai āu e manaʻo ai kiʻekiʻe loa e hoʻomaka me ke kamaʻilio ʻana me kāu mea hāʻawi Maliʻa paha aia kekahi lāʻau ʻokoʻa i ka papa haʻahaʻa e kaʻana like i ke kumukūʻai e like paha me ʻoe Hiki iā ʻoe ke kāhea i nā lawelawe lālā e noi i kahi papa inoa o nā lāʻau i uhi ʻia e mālama ai i ke ʻano olakino like Hiki i kēia papa inoa ke kōkua i kāu mea hāʻawi e loaʻa i ka lāʻau i uhi ʻia e hana paha nāu (Paʻi ʻia nā helu kelepona no nā lawelawe lālā ma ka uhi hope o kēia puke)

Hiki iā ʻoe ke noi no kahi ʻokoʻaHiki iā ʻoe a me kāu mea lawelawe ke noi i ka hoʻolālā e hana i kahi ʻokoʻa i ka pae kaʻina kūʻaiNo ka lāʻau e uku ai ʻoe no ia mea Inā ʻōlelo kāu mea lawelawe he kumu olakino kāu e hōʻoia ai e noi iā mākou no kahi ʻokoʻa hiki i kāu mea hāʻawi ke kōkua iā ʻoe e noi i kahi ʻē aʻe i ka lula


kuhikuhi Part D


ʻAʻole kūpono nā lāʻau i kā mākou Tier 5 (Papa Kūikawā) no kēia ʻano ʻokoʻa ʻAʻole mākou e hoʻohaʻahaʻa i ke kumukūʻai kaʻana like no nā lāʻau i kēia pae

PAUKU 6 He aha inā e loli kāu uhi ʻana no kekahi o kāu lāʻau

Pauku 61 Hiki ke loli i ka papa inoa lāʻau i loko o ka makahiki

ʻO ka hapa nui o nā loli i ka uhi lāʻau e hana i ka hoʻomaka o kēlā me kēia makahiki (Ianuali 1) Eia nō naʻe i loko o ka makahiki e hoʻololi paha ke kumumanaʻo i ka Lāʻau Lāʻau ʻO kahi laʻana ke hoʻolālā paha

bull Hoʻohui a hoʻohemo paha i nā lāʻau mai ka Lāʻau Lapaʻau Loaʻa nā lāʻau hou e like me nā lāʻau laulaha hou Maliʻa paha ua ʻae ke aupuni i kahi hoʻohana hou no kahi lāʻau e kū nei I kekahi manawa hoʻomanaʻo ʻia kahi lāʻau a hoʻoholo mākou ʻaʻole e uhi iā ia A i ʻole wehe paha mākou i kahi lāʻau mai ka papa inoa no ka mea ua ʻike ʻia he maikaʻi ʻole

bull E hoʻoneʻe i kahi lāʻau i kahi kiʻekiʻe aʻoi aku ka haʻahaʻa o ke kaʻina kūʻai

bull Hoʻohui a wehe i kahi kapu ma ka uhi ʻana no kahi lāʻau (no ka ʻike hou aku e pili ana i nā kapu i ka uhi ʻana e ʻike i ka ʻĀpana 4 ma kēia mokuna)

bull Hoʻololi i kahi lāʻau inoa inoa me kahi lāʻau laulaha

Pono mākou e hāhai i nā koi Medicare ma mua o ka hoʻololi ʻana i ka papa inoa lāʻau lāʻau o ka hoʻolālā

Pauku 62 He aha ka mea e hana inā hoʻololi ka uhi no kahi lāʻau āu e lawe nei

ʻO ka ʻike e pili ana i nā loli i ka uhi lāʻau

Ke hoʻololi i nā papa inoa lāʻau i loko o ka makahiki hoʻolaha mākou i ka ʻikepili ma kā mākou pūnaewele e pili ana i kēlā mau loli E hoʻohou mākou i kā mākou Papa Inoa Lapaʻau pūnaewele ma kahi papahana i hoʻonohonoho pinepine ʻia e hoʻopili i nā hoʻololi i kū ʻia ma hope o ka hoʻohou hope loa Ma lalo mākou e kuhikuhi ai i nā manawa e ʻike pololei ai ʻoe inā e hoʻololi ʻia i kahi lāʻau āu e lawe nei Hiki iā ʻoe ke kāhea i nā lawelawe lālā no ka ʻike hou aku (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)


kuhikuhi Part D

Hoʻopilikia koke ʻoe i nā loli i kāu kaola lāʻauNā hoʻololi e hiki ke hoʻololi iā ʻoe i kēia makahiki Ma nā hihia ma lalo nei e hoʻololi ʻia ʻoe e nā hoʻololi o ka uhi i ka makahiki o kēia manawa

bull Hoʻololi kahi lāʻau lapaʻau generic hou i kahi lāʻau inoa inoa inoa ma ka Lāʻau Lapaʻau (a i ʻole hoʻololi mākou i ka ʻanalike mahele o ke kumukūʻai a hoʻohui i nā kapu hou i ka lāʻau inoa inoa a i ʻole ʻelua)

Hiki iā mākou ke hemo koke i kahi lāʻau inoa inoa inoa ma kā mākou papa inoa lāʻau inā mākou e pani nei iā ia me kahi mana generic hou o ka lāʻau like e hōʻike ʻia ma ka ʻaoʻao hoʻoili kumukūʻai a haʻahaʻa a me nā palena like a ʻemi paha Eia kekahi ke hoʻohui nei i ka lāʻau laulaha hou hiki iā mākou ke hoʻoholo e mālama i ka lāʻau inoa inoa ma kā mākou Papa Inoa Lapaʻau akā neʻe koke iā ia i kahi kiʻekiʻe c ost-sharin g pae a hoʻohui paha i nā kapu hou a i ʻole ʻelua paha

E hoʻomaopopo koke ʻole ana paha mākou iā ʻoe ma mua o ka hana i ia loli nānā ʻole ʻia hoʻi inā aia no ʻoe ke lawe aku nei i ka lāʻau me ka inoa i hoʻokila ʻia

Hiki iā ʻoe a i ʻole kāu mea kuhikuhi ke noi iā mākou e hana i kahi ʻokoʻa a hoʻomau i ka uhi ʻana i ka lāʻau inoa inoa nou No ka ʻike e pili ana pehea e noi ai no kahi ʻokoʻa e nānā i ka Mokuna 9 (He aha kāu e hana ai inā he pilikia a hoʻopiʻi paha kāu (nā hoʻoholo ʻana nā hoʻopiʻi ʻana nā hoʻopiʻi))

Inā ʻoe e lawe nei i ka inoa lāʻau hōʻailona i ka manawa a mākou e hoʻololi ai e hāʻawi mākou iā ʻoe i ka ʻike e pili ana i nā loli kikoʻī a mākou i hana ai E hoʻopili pū kēia i ka ʻike ma nā ʻanuʻu āu e lawe ai e noi i kahi ʻokoʻa e uhi i ka lāʻau lapaʻau inoa ʻAʻole paha ʻoe e ʻike i kēia hoʻolaha ma mua o ka hoʻololi ʻana

bull Nā lāʻau pono ʻole a me nā lāʻau ʻē aʻe ma ka papa inoa lāʻau i hoʻihoʻi ʻia mai ka mākeke

I kekahi manawa hemo koke paha kahi lāʻau no ka mea ua ʻike ʻia ʻaʻole palekana a lawe ʻia paha mai ka mākeke no kekahi kumu ʻē aʻe Inā kū kēia e lawe koke mākou i ka lāʻau mai ka Lāʻau Lapaʻau Inā ʻoe e lawe i kēlā lāʻau e hōʻike koke mākou iā ʻoe i kēia hoʻololi

E ʻike pū kāu mea kākau e pili ana i kēia loli a hiki ke hana pū me ʻoe e ʻike i kahi lāʻau ʻē aʻe no kāu maʻi

bull ʻO nā hoʻololi ʻē aʻe i nā lāʻau i ka papa inoa lāʻau Hiki iā mākou ke hana i nā hoʻololi hou ke hoʻomaka ka makahiki e pili i nā lāʻau āu e lawe nei ʻO kahi laʻana hiki iā mākou ke hoʻohui i kahi lāʻau laulā ʻaʻole ia he mea hou i ka mākeke e hoʻololi i kahi lāʻau inoa inoa inoa


kuhikuhi Part D

a i ʻole hoʻololi i ka ʻāpana hoʻokaʻawale kumukūʻai a hoʻohui i nā kapu hou i ka lāʻau inoa inoa a i ʻole ʻelua paha Hiki iā mākou ke hana i nā loli e pili ana i nā ʻōlelo aʻoaʻo pahu a FDA a i ʻole nā alakaʻi olakino hou i ʻike ʻia e Medicare Pono mākou e hāʻawi iā ʻoe ma mua o 30 mau lā i ka leka hoʻomaopopo o ka loli a hāʻawi iā ʻoe i kahi leka o ka loli a me ka hoʻopiha hou ʻana i kahi lā 30-lā o ka lāʻau āu e lawe nei i kahi hale kūʻai pūnaewele

Ma hope o kou loaʻa ʻana i ka leka o ka loli pono ʻoe e hana pū me kāu prescriber e hoʻololi i kahi lāʻau ʻē aʻe a mākou e uhi ai

A i ʻole hiki iā ʻoe a i ʻole kāu mea kuhikuhi e noi iā mākou e hana i kahi ʻokoʻa a hoʻomau i ka uhi ʻana i ka lāʻau no ʻoe No ka ʻike e pili ana i ka pehea e noi ai no kahi ʻokoʻa e nānā i ka Mokuna 9 (He aha kāu e hana ai inā he pilikia a hoʻopiʻi paha kāu (nā hoʻoholo ʻana nā hoʻopiʻi ʻana nā hoʻopiʻi))

Hoʻololi i ka ai ma ka Uluwehi O List mea e ole aloha ia kanaka a ianoiyuaa a lawe i ka lāʻau No ka loli i ka Uluwehi O List i mea ole hōʻike ma luna ina oe e a ianoiyuaa a lawe i ka lāʻau i ka i kēiaʻano o nā loli makemake ʻaʻole pili iā ʻoe a hiki i Ianuali 1 o ka makahiki e hiki mai ana inā ʻoe e noho i ka hoʻolālā

bull Inā mākou e hoʻoneʻe i kāu lāʻau i loko o kahi pae kiʻekiʻe o ke kaʻina kūʻai bull Inā kau mākou i kahi kapu hou i kāu hoʻohana ʻana i ka lāʻau bull Inā wehe ʻia hoʻi o kāu lāʻau mai ka Papa Inoa o nā Lāʻau mai

Inā kū kekahi o kēia mau loli no kahi lāʻau āu e lawe nei (akā ʻaʻole ma muli o ka haʻalele ʻana o kahi mākeke kahi lāʻau laulā e pani ana i kahi lāʻau inoa inoa a i ʻole nā hoʻololi ʻē aʻe i ʻike ʻia i nā ʻāpana i luna) a laila ʻaʻole e hoʻopili ka hoʻololi i kāu hoʻohana a i ʻole he aha kāu e uku ai i kāu mahele o ke kumukūʻai a hiki i Ianuali 1 o ka makahiki e hiki mai ana A hiki i kēlā lā ʻaʻole paha ʻoe e ʻike i ka hoʻonui ʻana o kāu uku a i ʻole nā kapu i hoʻohui ʻia i kāu hoʻohana ʻana i ka lāʻau ʻAʻole ʻoe e hoʻomaopopo pololei i kēia makahiki e pili ana i nā loli e pili ʻole iā ʻoe Eia nō naʻe ma Ianuali 1 o ka makahiki e hiki mai ana e hoʻopili nā loli iā ʻoe a he mea nui e nānā i ka Papa Inoa Lapaʻau i ka makahiki pōmaikaʻi hou no nā loli i nā lāʻau


kuhikuhi Part D

PAUKU 7 He aha nā ʻano lāʻau ʻʻaʻole i uhi ʻia e ka hoʻolālā

Pauku 71 Ke ʻano o nā lāʻau ʻaʻole mākou e uhi

Hōʻike kēia ʻāpana iā ʻoe i ke ʻano o nā lāʻau lapaʻau i kuhikuhi ʻia kāpae ʻia ʻO kēia ʻaʻole uku ʻo Medicare no kēia mau lāʻau

Inā loaʻa iā ʻoe nā lāʻau i kāpae ʻia pono ʻoe e uku no lākou iho ʻAʻole mākou e uku no nā lāʻau i helu ʻia i kēia ʻāpana (koe wale no kekahi mau lāʻau i kāpae ʻia i uhi ʻia ma lalo o kā mākou mea e hoʻomaikaʻi ai ka lāʻau ʻO ka mea koe wale nō Inā loaʻa ka lāʻau i noi ʻia ma ke noi ʻana e lilo i lāʻau lapaʻau i hoʻokaʻawale ʻole ʻia ma lalo o ka Part D a inā ua uku a uhi ʻia mākou ma muli o kāu kūlana kikoʻī (No ka ʻike e pili ana i ka hoʻopiʻi ʻana i kahi hoʻoholo a mākou i hana ai ʻaʻole e uhi i kahi lāʻau e hele i ka Mokuna 9 Pauku 65 i kēia puke)

Eia nā lula ʻekolu e pili ana i nā lāʻau i ʻaʻole e uhi ʻia nā hoʻolālā lāʻau Medicare ma lalo o ka Part D

bull ʻAʻole hiki i ka papahana Part D kā mākou hoʻolālā ke uhi i kahi lāʻau i uhi ʻia ma lalo o Medicare Part A a i ʻole Part B

bull ʻAʻole hiki i kā mākou hoʻolālā ke uhi i kahi lāʻau i kūʻai ʻia ma waho o ʻAmelika Hui Pū ʻIa a me nā panalāʻau

bull ʻAʻole hiki i kā mākou hoʻolālā ke uhi i ka hoʻohana ʻana i ka lepili ʻO ka hoʻohana ʻia ʻana o ka inoa waho loa i kahi lāʻau ʻē aʻe ma mua o nā mea i hōʻike ʻia ma ka lepili lāʻau e like me ka mea i ʻae ʻia e ka Food and Drug Administration

ʻO ka maʻamau ʻae ʻia ka uhi ʻana no ka hoʻohana inoa ʻole ke kākoʻo ʻia ka hoʻohana e kekahi mau kūmole e like me ka American Hospital Papa kuhikuhi lāʻau kuhikuhi Service Drug Information a me ka DRUGDEX Information System Inā ʻaʻole kākoʻo ʻia ka hoʻohana e kekahi o kēia mau kūmole a laila ʻaʻole hiki i kā mākou hoʻolālā ke uhi i kāna hoʻohana inoa ʻole

Eia kekahi ma ke kānāwai ʻaʻole uhi ʻia kēia mau ʻano lāʻau e nā hoʻolālā lāʻau Medicare

bull Nā lāʻau Kuhikuhi ʻole(kapa pū ʻia nā lāʻau i hiki ke kūʻai ʻia me ka loaʻa ʻole ʻana o kekahi kuhikuhi lāʻau)

bull Nā lāʻau hoʻohāpai


kuhikuhi Part D

bull Nā lāʻau i hoʻohana ʻia no ka hoʻopau ʻana i ke kunu a i ʻole nā maʻi anu bull Nā lāʻau i hoʻohana ʻia no ka hoʻonani helehelena a i ʻole no ka hoʻoulu lauoho ʻana

bull Nā vikamina kuhikuhi a me nā lako minelala koe naʻe nā vikamina no nā wāhine hāpai a me nā hoʻomākaukau fluoride

bull Nā lāʻau i hoʻohana no ka lapaʻau ʻana i nā pilikia moe ʻana a nā pilikia panau o ka ule

bull Nā lāʻau lapaʻau maʻi anorexia (Luaʻi meaʻai) hoʻemi kino a i ʻole hoʻonui paoina

bull Nā lāʻau mea maʻi noho haukapila ʻole i ʻimi ai hoi i nā hōʻike a i ʻole nā kōkua loiloi i pono hoʻi e kūʻai pū ʻia mai ka mea kukulu mai

Loaʻa pū no hoʻi iā mākou nā kōkua uhi i pakuʻi ʻia no kekahi mau lāʻau kuhikuhi maʻamau i uhi ʻole ʻia e ka papahana kōkua uhi lāʻau kuhikuhi a ka hui Medicare (kōkua uhi no nā lāʻau hoʻoikaika) E uhi nō hoʻi mākou i nā lāʻau i hoʻohana ʻia no ka lapaʻau ʻia ʻana o nā pilikia ma ka hoʻoipoipo ʻana a i ʻole no ka ule maʻule E loaʻa ana paha kekahi kaupalena no ka nui i hiki ai ke loaʻa ʻiā ʻoe ʻO ka huina nui au e uku aku ai i ka hoʻopiha ʻana aku i kāu laʻau kuhikuhi no kēīa mau ʻano o nā laʻau e helu ʻia no hoʻi i neʻe ʻana aku ʻoa i ka ʻanuʻu kōkua uhi pilikia kūhewa (Loaʻa no nā wehewehe no kēia ʻAnuʻu Kōkua uhi pilikia kūhewa ma ka Mōkuna 6 Māhlele 7 o kēia pepelu nei)

Eia hou inā ke loaʻa nei iā ʻoe ke Extra Help mai Medicare e uku ai i kāu palapala kuhikuhi ʻaʻole e uku ka papahana Kōkua keu no nā lāʻau i uhi ʻole ʻia ma ke ʻano maʻamau (E nānā i ka papa inoa lāʻau lāʻau a kāhea paha i nā lawelawe no nā ʻike hou aku Paʻi ʻia nā helu kelepona no nā lawelawe lālā ma ka uhi hope o kēia puke) Eia nō naʻe inā loaʻa iā ʻoe ka uhi lāʻau i loko o Medicaid hiki i kāu polokalamu Medicaid mokuʻāina ke uhi i kekahi mau lāʻau i kuhikuhi ʻole ʻia i uhi ʻole ʻia i loko o kahi hoʻolālā lāʻau Medicare E ʻoluʻolu e kāhea i kāu papahana Medicaid mokuʻāina e hoʻoholo ai i ka laʻa lāʻau e hiki ke loaʻa iā ʻoe (Hiki iā ʻoe ke ʻike i nā helu kelepona a me ka ʻike pili no Medicaid ma ka Mokuna 2 Pauku 6)


kuhikuhi Part D

PAUKU 8 Hōʻike i kāu kāleka lālā lālā ke hoʻopiha ʻoe i kahi kuhikuhi

Pauku 81 Hōʻike i kāu kāleka lālā

E hoʻopiha ai i kāu kuhikuhi e hōʻike i kāu kāleka lālā lālā ma ka hale kūʻai lāʻau lapaʻau āu e koho ai Ke hōʻike ʻoe i kāu kāleka lālā lālā e koho aunoa ka hale kūʻai lāʻau lapaʻau i ka hoʻolālā no kā mākou kaʻana o kāu kumukūʻai lāʻau lapaʻau i uhi ʻia Pono ʻoe e uku i ka hale kūʻai lāʻau lapaʻau kāu kaʻana o ke kumukūʻai ke e kiʻi ai i kāu kauka

Pauku 82 He aha inā ʻaʻohe ou kāleka lālā me ʻoe

Inā ʻaʻohe ou kāleka lālā hoʻolālā me ʻoe ke hoʻopihapiha i kāu kuhikuhi e noi i ka lāʻau lapaʻau e kāhea i ka hoʻolālā e kiʻi i ka ʻike e pono ai

Inā ʻaʻole hiki i ka hale kūʻai lāʻau ke loaʻa ka ʻike e pono ai hiki paha iā ʻoe ke uku i ke kumukūʻai holoʻokoʻa o ke kauka ke kiʻi ʻoe iā (Hiki iā ʻoe ke e noi iā mākou e uku aku iā ʻoe no kā mākou kuleana E ʻike i ka Mokuna 7 ʻĀpana 21 no ka ʻike e pili ana i ka pehea e noi ai i ka hoʻolālā no ka uku ʻana)

PAUKU 9 ʻO ka ʻāpana lāʻau lāʻau D ma nā hanana kūikawā

Pauku 91 He aha inā inā ma ka haukapila ʻoe a i ʻole kahi hanai hānai mākaukau no kahi noho i uhi ʻia e ka hoʻolālā

Inā ʻae ʻia ʻoe i kahi haukapila a i ʻole kahi hale hānai mākaukau no kahi noho i uhi ʻia e ka hoʻolālā e uhi mākou i ke kumukūʻai o kāu lāʻau lapaʻau i kou noho ʻana Ke haʻalele ʻoe i ka haukapila a i ʻole kahi kahu hānai mākau e uhi ka hoʻolālā i kāu lāʻau inā lōʻihi e hoʻokō nā lāʻau i kā mākou rula no ka uhi ʻana E ʻike i nā ʻāpana o kēia ʻāpana e haʻi e pili ana i nā lula no ke kiʻi ʻana i ka lāʻau Hāʻawi ka Mokuna 6 (He aha kāu e uku ai no kāu ʻāpana lāʻau kuhikuhi D) i ka ʻike hou aʻe e pili ana i ka uhi lāʻau a me nā mea āu e uku ai

E ʻoluʻolu Nota Ke komo ʻoe noho a i ʻole haʻalele i kahi wahi kahu hānai mākaukau kuleana ʻoe i kahi wā kākau inoa kūikawā I kēia manawa manawa hiki iā ʻoe ke hoʻololi i nā hoʻolālā a i ʻole hoʻololi i kāu uhi ʻana (Mokuna 10 Ka pau ʻana o kou lālā ma ka papahana haʻi ke hiki iā ʻoe ke haʻalele i kā mākou hoʻolālā a hui pū i kahi hoʻolālā Medicare ʻē aʻe)


kuhikuhi Part D

Pauku 92 He aha inā inā ʻoe he kamaʻāina i kahi wahi mālama lōʻihi (LTC)

ʻO ka mea maʻamau no kekahi kahua mālama noho wā lōʻihi (LTC) (e like me nā kahua mālama mea maʻi me nā kahumaʻi mākaukau loa) loaʻa no iā lākou i ka lākou hale kūʻai lāʻau ponoʻī a i ʻole kekahi hale kūʻai lāʻau paha e hoʻolako aku ai i nā mea maʻi a pau e noho nei ma laila me nā lāʻau Inā he mea maʻi i noho paha ma kekahi o nā kahua mālama mea maʻi noho lōʻihi hiki no ke loaʻa aku iā ʻoe nā lāʻau mai ko lākou hale kūʻai lāʻau mai o ka mea nui he hale kūʻai lāʻau i pili me ko mākou ʻōnaehana hale kūʻai lāʻau

E hōʻoia i kāu Papa Kuhikuhi amp Hoʻolālā Lapaʻau e ʻike inā ʻo kāu hale kūʻai hale mālama wā lōʻihi kahi o kā mākou pūnaewele Inā ʻaʻole a inā makemake ʻoe i ka ʻike hou aku e ʻoluʻolu hoʻokaʻaʻike i nā lawelawe lālā (ua paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)

He aha inā inā ʻoe he kamaʻāina i kahi wahi mālama lōʻihi (LTC) a lilo i lālā hou o ka hoʻolālāInā makemake ʻoe i ka lāʻau ʻaʻole ma kā mākou Papa Inoa Lapaʻau a i ʻole kapu ʻia i kekahi ʻano e uhi ka hoʻolālā i kahi lako manawa o kāu lāʻau i nā lā 90 mua o kou lālā ʻO ka nui o ka lako no kahi palena ʻoi loa o ka lako o 31 lā a ʻoi aku ka liʻiliʻi inā kākau ʻia kāu kuhikuhi no nā lā liʻiliʻi (E ʻoluʻolu e hāʻawi ka hale kūʻai mālama wā lōʻihi (LTC) i ka lāʻau i nā mea liʻiliʻi i ka manawa e pale ai i ka ʻōpala ko mākou Papa Inoa Lapaʻau a i ʻole ke kapu ʻana o ka hoʻolālā i ka uhi ʻana o ka lāʻau e uhi mākou i hoʻokahi lako 31 lā a i ʻole ka liʻiliʻi inā kākau ʻia kāu palapala kuhikuhi no nā lā liʻiliʻi

I ka manawa ke loaʻa nei iā ʻoe kahi lako manawa o ka lāʻau pono ʻoe e kamaʻilio me kāu mea lawelawe e hoʻoholo i ka mea e hana ai ke pau kāu lako manawa Maliʻa paha aia kekahi lāʻau ʻokoʻa e uhi ʻia e ka hoʻolālā e like paha me kāu A i ʻole hiki iā ʻoe a me kāu mea lawelawe ke noi i ka hoʻolālā e hana i kahi ʻokoʻa no ʻoe a uhi i ka lāʻau i ke ala āu e makemake ai e uhi ʻia Inā makemake ʻoe a me kāu mea hāʻawi e noi i kahi ʻokoʻa haʻi ka Mokuna 9 Pauku 64 i ka mea e hana ai

Pauku 93 He aha inā inā e kiʻi ʻoe i ka uhi lāʻau mai kahi haku a papa hana pūʻulu retiree paha

Loaʻa iā ʻoe i kēia manawa kahi lāʻau lāʻau lāʻau e kuhikuhi ai ma o kāu (a ʻo kāu wahine paha) ʻo ka paʻahana a i ʻole ka hui hoʻomaha Inā pēlā e ʻoluʻolu e kāhea iā luna o nā pōmaikaʻi o kēlā hui Hiki iā ia ke kōkua iā ʻoe e hoʻoholo pehea e holo ai kāu uhi lāʻau lapaʻau i kēia manawa me kā mākou hoʻolālā


kuhikuhi Part D

Ma ka laulā inā ʻoe e hana nei i kēia manawa ʻo ka uhi lāʻau hoʻomākaukau i loaʻa iā ʻoe mai iā mākou e kekona i kāu luna a i ʻole ka hui pūʻulu retiree ʻO ia ka uku o ka uhi ʻana o kāu hui

Palapala kūikawā e pili ana i ka hōʻaiʻē hōʻaiʻēI kēlā me kēia makahiki e hoʻouna kāu luna a i ʻole hui pūʻulu iā ʻoe i kahi leka e haʻi ai inā ʻo kāu hōʻaiʻē lāʻau lapaʻau no ka makahiki ʻē aʻe e hiki ke hōʻaiʻē ʻia a me nā koho āu e loaʻa ai no ka uhi lāʻau

Inā ʻo ka uhi ʻana mai ka papa pūʻulu ʻo creditable ʻo ia hoʻi he palapala lāʻau kā ka papahana e manaʻo ʻia e uku ma ka awelika ma ka liʻiliʻi o ka Medicare palapala hoʻomaʻemaʻe lāʻau lapaʻau

E mālama aku i kēia mau palapala hoʻomanaʻo e pili ana i nā kōkua uhi kōkua uku hōʻaiʻē no ka mea e makemake ana paha ʻoe e hoʻohana aku ma hope Inā e komo aku ʻoe i loko o ka Papahana ʻinikua mālama olakino i loaʻa pū ka Part D nā kōkua uhi lāʻau maikaʻi inā mālama aku ʻoe i kēīa mau leka hoʻomanaʻo nei i mea e hōʻike aku ai i kou mālama ʻana aku i nā uhi kōkua uku hōʻaiʻē Inā ʻaʻole i loaʻa iā ʻoe kēia mau leka hoʻomanaʻo e pili ana i nā uhi kōkua uku hōʻaiʻē mai kāu ʻoihana a i ʻole kekahi papahana ʻinikua hoʻomaha loa mai hiki no ke loaʻa aku i kekahi kope mai kāu wahi hana maia i ʻole mai ka papahana ʻinikua hoʻomaha loa mai a i ʻole mai ka wahi hana a i ʻole ka hui ʻuniona mai

Pauku 94 He aha inā inā ʻoe ma ka hale hoʻokipa hōʻoia Medicare

Uhi ʻole ʻia no hoʻi nā lāʻau e ka hui hospice a me ko mākou papahana ʻinikua i ka manawa hoʻokahi Inā ua komo aku ʻoe i loko o ka ʻinikua mālama olakino makule me nā kōkua hospice a e pono hoʻi kekahi lāʻau hoʻopau luaʻi ʻana kekahi lāʻau palahī nā lāʻau no ka ʻeha a i ʻole kekahi lāʻau piha ʻuluhia i uhi ʻole ʻia e ka hui hospice no ka mea pili ʻole hoʻi ia mau lāʻau i kou maʻi kuahopemaʻi make a me nā kūlana maʻi i loaʻa iā ʻoe no laila pono no hoʻi ka loaʻa ʻana mai o nā leka hoʻomaopopo e pili ana i nā limahana hoʻopaʻa kuhikuhi lāʻau a i ʻole kekahi limahana a kāu hui hoʻolako hospice e hoʻomaopopo ana iā mākou e pili ana i ka pili ʻole hoʻi ia mau lāʻau i kou maʻi kuahopemaʻi make a me nā kūlana maʻi i loaʻa iā ʻoe i hiki ai iā mākou ke hoʻolako aku i ke kōkua uhi no nā lāʻau i makemake ʻia i mea hoʻi e hoʻolalau ʻole aku ai i ka loaʻa ʻana mai o ia mau lāʻau i pili ʻole hoʻi ia mau lāʻau i kou maʻi kuahopemaʻi make a me nā kūlana maʻi i pono ai hoʻi e uhi ʻia e ko mākou papahana ʻinikua ua hiki nō iā ʻoe ke noi aku i kāu kōkua hoʻolako hospice a i ʻole kāu limahana kōkua hoʻopaʻa ʻoka kuhikuhi lāʻau pono no hoʻi ka loaʻa mua ʻana mai kekahi leka hoʻomaopopo e pili ana i nā lāʻau i pili ʻole hoʻi ia mau lāʻau i kou maʻi kuahopemaʻi make a me nā kūlana maʻi mā mua o kāu noi ʻana aku i kekahi hoʻopiha lāʻau hou i ka hale kūʻai lāʻau no kekahi o nā lāʻau kuhikuhi


kuhikuhi Part D

I ka hanana e hoʻopau paha ʻoe i kāu koho hale hoʻokipa a i ʻole ua hoʻokuʻu ʻia mai ka hale hoʻokipa pono mākou e uhi i kāu lāʻau āpau I mea e hoʻopaneʻe ai i kahi lohi i kahi hale kūʻai lāʻau ke pau kāu pono ʻoihana Medicare pono ʻoe e lawe i nā palapala i ka hale kūʻai lāʻau e hōʻoia i kāu hoʻopau hou ʻana a hoʻokuʻu ʻia paha E ʻike i nā ʻāpana o kēia ʻāpana e haʻi e pili ana i nā lula no ka loaʻa ʻana o ka lāʻau i lalo o ka Part D Mokuna 6 (He aha kāu e uku ai no kāu ʻāpana lāʻau kuhikuhi D) hāʻawi i ka ʻike hou aku e pili ana i ka uhi lāʻau a me nā mea āu e uku ai

PAUKU 10 Nā papahana e pili ana i ka palekana o ka lāʻau a me ka mālama ʻana i nā lāʻau

Pauku 101 Nā papahana e kōkua i nā lālā e hoʻohana pono i nā lāʻau

Hana mākou i nā loiloi hoʻohana lāʻau no ko mākou mau lālā e kōkua e hōʻoia i ka palekana a me ka mālama kūpono He mea nui kēia mau loiloi no nā lālā i ʻoi aku ma mua o hoʻokahi o ka mea lawelawe i kuhikuhi i kā lākou lāʻau

Hana mākou i kahi loiloi i kēlā me kēia manawa a hoʻopiha ʻoe i kahi kuhikuhi Loiloi pū mākou i kā mākou mau moʻolelo ma kahi maʻamau I kēia mau loiloi nānā mākou i nā pilikia e like me

bull Nā hemahema lāʻau e hiki ai bull Nā lāʻau i pono ʻole paha no ka mea ke lawe nei ʻoe i ka lāʻau ʻē aʻe e mālama i ke kūlana olakino like

bull ʻAʻole hiki ke palekana a kūpono ʻole paha nā lāʻau i hiki i kou mau makahiki a i ʻole ke kāne

bull ʻO kekahi mau hui pū ʻana o nā lāʻau i hiki ke hōʻeha iā ʻoe inā lawe ʻia i ka manawa like

bull Nā kuhikuhi i kākau ʻia no nā lāʻau i loaʻa nā mea hoʻohui āu i maʻi āpau bull Hiki i nā hemahema i ka nui (inika) o kahi lāʻau lapaʻau āu e lawe nei bull ʻO ka nui ʻole o nā lāʻau ʻeha opioid

Inā ʻike mākou i kahi pilikia i kou hoʻohana ʻana i nā lāʻau e hana pū mākou me kāu mea hoʻolako e hoʻoponopono i ka pilikia


kuhikuhi Part D

Pauku 102 Polokalamu Hoʻokele lāʻau (DMP) e kōkua i nā lālā e hoʻohana pono i kā lākou mau lāʻau opioid

Loaʻa iā mākou kahi papahana e hiki ke kōkua i ka hoʻohana pono ʻana o kā mākou lālā i nā lāʻau lapaʻau opioid a me nā lāʻau ʻē aʻe i hōʻino pinepine ʻia Kapa ʻia kēia papahana he Polokalamu Hoʻokele Laau (DMP) Inā ʻoe e hoʻohana i nā lāʻau opioid i loaʻa iā ʻoe mai nā kauka a i nā kauka paha a i ʻole he overdose opioid hou paha e kamaʻilio paha mākou i kāu kauka e hōʻoia i ka hoʻohana a me nā lāʻau lapaʻau opioid he kūpono a pono hoʻi i ka lāʻau Ke hana pū nei me kāu kauka inā hoʻoholo mākou i kāu hoʻohana ʻana i nā lāʻau lapaʻau opioid a i ʻole benzodiazepine lapaʻau ʻaʻole palekana hiki iā mākou ke kau palena pehea e hiki ai iā ʻoe ke loaʻa i kēlā mau lāʻau ʻO nā palena paha

bull Ke noi aku nei iā ʻoe e kiʻi i kāu kauā a pau no ka lāʻau opioid a i ʻole benzodiazepine mai kekahi hale kūʻai lāʻau(ies)

bull Ke noi aku nei iā ʻoe e kiʻi i kāu kuhikuhi a pau no ka lāʻau opioid a i ʻole benzodiazepine mai kekahi kauka

bull Ka palena ʻana i ka nui o nā lāʻau opioid a i ʻole benzodiazepine e uhi mākou iā ʻoe

Inā manaʻo mākou e pili iā ʻoe i hoʻokahi a ʻoi paha o kēia mau palena e hoʻouna mākou iā ʻoe i kahi leka ma mua E loaʻa i ka leka ka ʻike e wehewehe ana i nā palena a mākou i manaʻo ai e pili iā ʻoe E loaʻa iā ʻoe kahi manawa kūpono e haʻi iā mākou i nā kauka a i nā kauka paha āu e makemake ai e hoʻohana a e pili ana i nā ʻike ʻē aʻe āu e manaʻo ai he mea nui na mākou e ʻike Ma hope o kou manawa kūpono e pane ai inā mākou e hoʻoholo e kaupalena i kāu uhi ʻana no kēia mau lāʻau e hoʻouna mākou iā ʻoe i kahi leka hou e hōʻoia ana i ka palena Inā manaʻo ʻoe ua hana hewa mākou a i ʻole kūlike ʻole ʻoe i kā mākou hoʻoholo e makaʻu ʻoe no ka hoʻohana hewa ʻana i ka lāʻau lapaʻau a i ʻole me ka palena aia iā ʻoe a me kāu mea kākau ke noi iā mākou no kahi hoʻopiʻi Inā koho ʻoe e hoʻopiʻi e nānā mākou i kāu hihia a hāʻawi iā ʻoe i kahi hoʻoholo Inā hoʻomau mākou e hōʻole i kekahi ʻāpana o kāu noi e pili ana i nā palena e pili ana i kou kiʻi ʻana i nā lāʻau e hoʻouna aunoa mākou i kāu hihia i kahi loiloi kūʻokoʻa ma waho o kā mākou hoʻolālā E ʻike i ka Mokuna 9 no ka ʻike e pili ana i ka pehea e noi ai i kahi hoʻopiʻi

ʻAʻole pili paha ka DMP iā ʻoe inā loaʻa iā ʻoe kekahi ʻano olakino e like me ka maʻi ʻaʻai a i ʻole nā maʻi maʻi sickle ke loaʻa nei ʻoe i ka hale hoʻokipa palliative a i ʻole mālama mālama hopena a i ʻole e noho nei i kahi wahi mālama wā lōʻihi


kuhikuhi Part D

Pauku 103 ʻO ka papahana Medication Therapy Management (MTM) e kōkua i nā lālā e hoʻokele i kā lākou lāʻau

Loaʻa iā mākou kahi papahana e hiki ke kōkua i kā mākou mau lālā me nā pono olakino paʻakikī

He manawaleʻa a manuahi kēia polokalamu i nā lālā Ua hoʻokumu kahi kime o nā kauka lāʻau lapaʻau a me nā kauka i ka papahana na mākou Hiki i kēia polokalamu ke kōkua e hōʻoia i ka loaʻa ʻana o ka pōmaikaʻi nui i kā mākou lālā mai nā lāʻau a lākou e lawe ai Kāhea ʻia kā mākou papahana he papahana Medication Therapy Management (MTM)

Ua hiki no ke loaʻa nā kōkua maō ka polokalamu MTM no kekahi o nā lālā i lawe i na laʻau no ka lapaʻau ʻia ʻana o kekahi ʻano maʻi a ua pīpiʻi no hoʻi nā lāʻau a i ʻole aia paha ma nā kūlana DMP no ke kōkua ʻana aku i nā lālā me ka lase palekana ʻia ʻa o ka lākou lāʻau huihui ʻopiuma Hiki iā ʻoe ke kamaʻilio e pili ana i ka mea maikaʻi e lawe ai i kāu mau lāʻau kāu koina a me nā pilikia a i ʻole nā nīnau āu e pili ana i kāu kuhikuhi a me nā lāʻau lapaʻau E loaʻa iā ʻoe kahi hōʻuluʻulu kākau o kēia kūkā Aia ka hōʻuluʻulu manaʻo i kahi papa hana hana lāʻau e koi i nā mea hiki iā ʻoe ke hana e hoʻohana pono ai i kāu mau lāʻau me kahi e hiki ai iā ʻoe ke kākau a kākau paha i nā nīnau pane E loaʻa iā ʻoe i kahi papa inoa lāʻau pilikino e hoʻopili i nā lāʻau āpau āu e lawe nei a no ke aha ʻoe e lawe ai Hoʻohui ʻia e loaʻa i nā lālā o ka papahana MTM ka ʻike e pili ana i ka hoʻolilo palekana ʻana o nā lāʻau i kuhikuhi ʻia i mālama ʻia i nā lāʻau

He mea maikaʻi e nānā i kāu loiloi lāʻau ma mua o kāu kipa makahiki Wellness no laila hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kāu papa hana a me ka papa inoa lāʻau Lawe i kāu papa hana a me ka papa inoa lāʻau me ʻoe i kāu kipa a i kēlā me kēia manawa ke kamaʻilio pū ʻoe me kāu kauka kauka a me nā mea lawelawe olakino ʻē aʻe Eia kekahi mālama i kāu papa inoa lāʻau me ʻoe (e laʻa me kāu ID) inā ʻoe e hele i ka haukapila a i ʻole ke keʻena pilikia

Inā loaʻa iā mākou kahi papahana e kūpono i kāu mau pono e kau inoa inoa ʻia mākou iā ʻoe i loko o ka papahana a hoʻouna iā ʻoe i ka ʻike Inā hoʻoholo ʻoe ʻaʻole e komo e ʻoluʻolu e hoʻomaopopo iā mākou a e kāpae mākou iā ʻoe mai ka papahana Inā he mau nīnau kāu e pili ana i kēia mau papahana e ʻoluʻolu e kāhea i nā lawelawe a nā lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke)

MOKUNA 6He aha kāu e uku ai no kāu ʻāpana

lāʻau kuhikuhi D

2022 Hōʻike o ka uhi ʻana no Wellcare Ohana No Premium (HMO) 181Mokuna 6 He aha kāu e uku ai no kāu ʻāpana lāʻau kuhikuhi D

Mokuna 6 He aha kāu e uku ai no kāu ʻāpana lāʻau kuhikuhi D

PAUKU 1 Hoʻolauna 183Pauku 11 E hoʻohana pū i kēia mokuna me nā mea ʻē aʻe e wehewehe

i ka laulā lāʻau 183Pauku 12 Nā ʻano o ke kumu kūʻai mai loko mai o ka ʻeke āu e uku ai no

nā lāʻau i uhi ʻia 184PAUKU 2 ʻO ka mea āu e uku ai no ka lāʻau e pili ana i ka pae uku

lāʻau āu i loko ke loaʻa iā ʻoe ka lāʻau 184Pauku 21 He aha nā pae uku lāʻau no kā mākou lālā lālā 184

PAUKU 3 Hoʻouna mākou iā ʻoe i nā hōʻike e wehewehe ana i nā uku no kāu lāʻau a me kahi pae uku āu i loko 186

Pauku 31 Hoʻouna mākou iā ʻoe i kahi hōʻuluʻulu mahina i kapa ʻia ʻo Part D wehewehe o nā pono (ka Part D EOB) 186

Pauku 32 Kōkua iā mākou e mālama i kā mākou ʻike e pili ana i kāu uku lāʻau 187

PAUKU 4 I ka pae uku pilikino uku aku no ʻoe i ka huina nui holoʻokoa a kāu pae uku lāʻau 3 (nā lāʻau i kila ʻia ka inoa i koho ʻia) pae uku lāʻau 4 (nā lāʻau i koho ʻole ʻia) pae uku lāʻau 5 (nā lāʻau pae kūikawā) nā lāʻau 189

Pauku 41 E noho no hoʻi ʻoe ma kēia pae nei a uku aku ʻoe i ka huina nui o $100 no kāu pae uku lāʻau 3 (nā lāʻau i kila ʻia ka inoa i koho ʻia) pae uku lāʻau 4 (nā lāʻau i koho-ʻole ʻia) a me ka pae uku lāʻau 5 (nā lāʻau pae kūikawā) nā lāʻau 189

PAUKU 5 I ka wā o ka papa hana mua uku ka hoʻolālā i kāna ʻāpana o kāu kumukūʻai lāʻau a uku ʻoe i kāu ʻāpana 189

Pauku 51 ʻO ka mea āu e uku ai no ka lāʻau e pili ana i ka lāʻau a ma kahi e hoʻopiha ai i kāu kuhikuhi 189

Pauku 52 ʻO kahi pākaukau e hōʻike ana i kāu kumukūʻai no kahi hoʻokahi mahina lako o kahi lāʻau 191

Pauku 53 Inā kau kauka i lalo o kahi mahina o ka lako ʻaʻole paha ʻoe e uku i ke kumukūʻai o ka lako o ka malama holoʻokoʻa 197

Pauku 54 ʻO kahi pākaukau e hōʻike ana i kāu mau koina no kahi manawa lōʻihi (61-90-lā) hoʻolako ʻia o kahi lāʻau 198

Pauku 55 E noho no hoʻi ʻoe ma ka pae uku kōkua uhi a uku aku ʻoe ma kahi o $4430 no kāu mau lāʻau 202


PAUKU 6 I ka wā o ka Kahua ʻo Coap Gap loaʻa iā ʻoe kahi uku hoēmi ma nā lāʻau lapaʻau inoa a ʻaʻole e uku ma mua o 25 o nā koina no nā lāʻau laulā 203

Pauku 61 Noho ʻoe i ka Kahua ʻo Coap Gap a hiki i kāu koina o waho o ka ʻeke i $7050 203

Pauku 62 Pehea e helu ai ʻo Medicare i kāu kumukūʻai ma waho o ka ʻeke no nā lāʻau lapaʻau 203

PAUKU 7 I ka wā o ka Catastrophic Coverage Stage uku ka hoʻolālā i ka hapa nui o ke kumukūʻai no kāu lāʻau 205

Pauku 71 Ke hele nei ʻoe i ka Catastrophic Coverage Stage e noho ʻoe i kēia manawa no ke koena o ka makahiki 205

PAUKU 8 ʻO ka mea āu e uku ai no nā lāʻau āpau i uhi ʻia e ka Part D e pili ana i ka pehea a me kahi e loaʻa ai iā lākou 206

Pauku 81 Loaʻa i kā mākou papahana kahi ʻāpana ʻokoʻa no ka lāʻau lāʻau vaccine Part D ponoʻī a no ke kumukūʻai e hāʻawi iā ʻoe i ka lāʻau āpau 206

Pauku 82 E makemake paha ʻoe e kāhea iā mākou ma nā lawelawe lālā ma mua o ka loaʻa ʻana o kahi lāʻau 208





Inā oe i loko o ka polokalamu i kōkua uku no kou ai kekahi ike i loko o keia hoike oʻaoʻao pale e pili ana i na koina no ka Part D kuhikuhi ai paha i pili ia oe Ua hoʻouna aku mākou iā ʻoe i kahi hoʻokomo ʻokoʻa i kapa ʻia ʻo Evidence of Coverage Rider for People Who Get Extra Help Paying for Prescription Drugs (i kapa ʻia ʻo Low Income Subsidy Rider a i ʻole LIS Rider) e haʻi ana iā ʻoe e pili ana i kāu lāʻau kaupalena Inā ʻaʻohe āu mea hoʻokomo e ʻoluʻolu e kāhea i nā lawelawe a nā lālā a noi no ka LIS Rider (Paʻi ʻia nā helu kelepona no nā lawelawe lālā ma ka uhi hope o kēia puke)

PAUKU 1 Hoʻolauna

Pauku 11 E hoʻohana pū i kēia mokuna me nā mea ʻē aʻe e wehewehe i ka laulā lāʻau

Ke nānā nei kēia mokuna i ka mea āu e uku ai no kāu ʻāpana lāʻau kuhikuhi D E mālama i nā mea maʻalahi hoʻohana mākou i ka lāʻau i loko o kēia mokuna e pili ana i kahi lāʻau lāʻau kuhikuhi Part D E like me ka mea i wehewehe ʻia ma ka Mokuna 5 ʻaʻole nā lāʻau āpau he Part D ʻāpana - uhi ʻia kekahi mau lāʻau i lalo o Medicare Part A a i ʻole Part B a kāpae ʻia nā lāʻau ʻē aʻe mai ka uhi Medicare e ke kānāwai Hiki ke uhi ʻia kekahi o nā lāʻau i kāpae ʻia e kā mākou papahana inā ua kūʻai ʻoe i ka lāʻau lapaʻau kōkua kākoʻo

I mea e ʻike ai i ka ʻike uku a mākou e hāʻawi aku ai iā ʻoe i kēia mokuna pono ʻoe e ʻike i ke kumu o ka uhi ʻia ʻana o nā lāʻau kahi e hoʻopiha ai i kāu palapala kuhikuhi a he aha nā lula e ukali ai ke loaʻa iā ʻoe kāu lāʻau i uhi ʻia Eia nā mea e wehewehe i kēia mau kumu

bull ʻO ka papahana Ka papa inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi) E mālama maʻalahi ai i nā mea kapa mākou iā ia ʻo Ka Papa Lapaʻau

Hōʻike kēia papa lāʻau lāʻau i nā lāʻau i uhi ʻia nāu Hōʻike pū kekahi ia o nā ʻeono kaʻana like ʻana i nā kumukūʻai ka lāʻau i loko a inā paha he mau palena kāu e uhi ai no ka lāʻau


Inā makemake ʻoe i kope o ka Lāʻau Lāʻau kāhea i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke) Hiki iā ʻoe ke loaʻa i ka papa inoa lāʻau ma kā mākou pūnaewele ma wwwwellcarecomohana ʻO ka Lāʻau Lapaʻau ma ka pūnaewele ka mea maʻa mau loa

bull Mokuna 5 o kēia puke Hāʻawi ka mokuna 5 i nā kikoʻī e pili ana i kāu kauka lāʻau kuhikuhi me nā lula e pono ai ʻoe e hāhai ke loaʻa iā ʻoe kāu lāʻau i uhi ʻia Hōʻike ka mokuna 5 i nā ʻano o nā lāʻau i kuhikuhi ʻole ʻia e uhi ʻia e kā mākou hoʻolālā

bull ʻO ka hoʻolālā Mea Hoʻolaha amp Hoʻolaha Hoʻolālā I ka hapanui o nā hanana pono ʻoe e hoʻohana i kahi kauka lāʻau lapaʻau e kiʻi i kāu mau lāʻau i uhi ʻia (e nānā i ka Mokuna 5 no nā kikoʻī) The pūnaewele amp hale kūʻai lāʻau lapaʻau Papa Kuhikuhi mai i papa inoa o nā keʻena kūʻai lāʻau lapaʻau ma ka manao o ka mea ulana pukapuka Hōʻike ia iā ʻoe i nā hale kūʻai lāʻau i loko o kā mākou pūnaewele hiki ke hāʻawi iā ʻoe i kahi lako lōʻihi o kahi lāʻau (e like me ka hoʻopihapiha ʻana i kahi kuhikuhi no kahi lako o ʻekolu mau mahina)

Pauku 12 Nā ʻano o ke kumu kūʻai mai loko mai o ka ʻeke āu e uku ai no nā lāʻau i uhi ʻia

I mea hoʻi e hoʻomaopopo ai e pili ana i nā manaʻo kōkua uku i loaʻa ma kēia mokuna nei pono hoʻi e paʻa iā ʻoe nā ʻike kahua e pili ana no nā lāʻau i uhi ʻia i hea e hoʻopiha hou aku ai i kāu lāʻau kuhikuhi a me nā lula e hahai aku ai i ka loaʻa ʻana aku o kāu lāʻau i uhi ʻia Kapa ʻia no hoʻi huina nui au e uku nei no nā lāʻau he kuleana kaʻana uku a loaʻa no hoʻi ʻekolu ʻano kaila o ka uku ʻana aku i ka noi ʻana mai o ka papahana e uku aku

bull ʻO ka deductible ka nui āu e uku ai no nā lāʻau i mua o ka hoʻomaka ʻana o kā mākou hoʻolālā e uku i kāna ʻāpana

bull Copayment ke ʻano uku ʻoe i kahi huina paʻa i kēlā me kēia manawa a piha kāu palapala

bull Coinsurance ʻo ia hoʻi uku ʻoe i kahi pākēneka o ka nui o ke kumukūʻai o ka lāʻau i kēlā me kēia manawa a piha kāu palapala

PAUKU 2 ʻO ka mea āu e uku ai no ka lāʻau e pili ana i ka pae uku lāʻau āu i loko ke loaʻa iā ʻoe ka lāʻau

Pauku 21 He aha nā pae uku lāʻau no kā mākou lālā lālā

I hōʻiike ʻia hoʻi ma ka papa kuhikuhi mā lalo iho nei loaʻa no hoʻi nā pae uku lāʻau no kāu mau lāʻau kuhikuhi me nā kōkua uhi ma lalo o Wellcare Ohana No


Premium (HMO) ʻO ka nui hoʻi au e hoʻolilo aku ai i kāu kālā no kekahi lāʻau aia no hoʻi i nā pae uku lāʻau i loaʻa iā ʻoe i ka manawa e hele aku e kiʻi i i kāu lāʻau kuhikuhi a i ʻole i ka hoʻopiha hou ʻana aku i kāu lāʻau kuhikuhi

Kahua 1 Hoʻohālikelike ʻia kēlā makahiki kēia

makahiki ge

Kahua 2Kahua paʻa mua

Kahua 3ʻOihana Coap Gap

Kahua 4Kāpena Coverage

Kūpikipiki

Iā ʻoe ma kēia pae nei e uku aku nō ʻoe i ka huina nui holoʻokoa a kāu pae uku lāʻau 3 (nā lāʻau i kila ʻia ka inoa i koho ʻia) pae uku lāʻau 4 (nā lāʻau i koho-ʻole ʻia) pae uku lāʻau 5 (nā lāʻau pae kūikawā) nā lāʻau E noho no hoʻi ʻoe ma kēia pae nei a uku aku ʻoe i ka huina nui o $100 no kāu pae uku lāʻau 3 (nā lāʻau i kila ʻia ka inoa i koho ʻia) pae uku lāʻau 4 (nā lāʻau i koho-ʻole ʻia) a me ka pae uku lāʻau 5 (nā lāʻau pae kūikawā) nā lāʻau (ʻO $100 ʻo ia ka nui o ka uku pilikino no nā lāʻau Pae 3 (nā lāʻau i kila ʻia ka inoa i koho ʻia) Pae 4 (nā lāʻau i koho-ʻole ʻia) a me Pae 5 (nā lāʻau pae kūikawā))

(Aia nā mea kikoʻī i ka ʻāpana 4 o kēia mokuna)

I kēia pae ʻanuʻu e uku aʻe no ka papahana ʻinikua i ka lākou māhele no ka pae uku lāʻau 1 (lāʻau kūʻai emi i koho ʻia) pae 2 (lāʻau kūʻai emi) a me pae 6 (lāʻau no ka lapaʻau i wae ʻia) a e uku aʻe no ʻoe i kāu māhele I ka hōʻea ʻana aku ʻoe i kāu palena uku pilikino pae 3 (lāʻau i kila ʻia ka inoa i koho ʻia) pae uku lāʻau 4 (lāʻau i koho ʻole ʻia) a me ka pae uku lāʻau 5 (lāʻau pae kūikawā) uku pilikino e uku aʻe no ka papahana ʻinikua i ka lākou māhele no kāu pae uku lāʻau 3 (lāʻau i kila ʻia ka inoa i koho ʻia) pae uku lāʻau 4 (lāʻau i koho ʻole ʻia) a me ka pae uku lāʻau 5 (nā lāʻau pae kūikawā) nā lāʻau a e uku aʻe no ʻoe i kāu māhele

Mā kēia pae nei e uku no hoʻi ʻoe he 25 o ke kumu kūʻai no kekahi lāʻau i kila ʻia ka inoa (a me kekahi māhele no nā kāki hoʻomākaukau i nā kuhikuhi lʻau) a me 25 no nā lāʻau kūʻai emi E noho no hoʻi ʻoe ma kēīa pae nei a hōʻea aku hoʻi ʻoe ma kāu lā-uku-koena-mea-maʻi-makahiki huina Nui o nā lilo onā lāʻau a pauˮ i ka $7050 Nā ka hui Medicare no i hoʻonoho i kēia huina ʻuku lilo a me nā lula no ka helu ʻana aku i nā lilo a hōʻea aku i kēia huina nui holoʻokoʻa

(Aia nā mea kikoʻī i ka ʻĀpana 6 o kēia mokuna)

Ma kēia pae nei nā ka papahana ʻinikua e uku aku i ka hapa nui o ka huina nui no kāu mau lāʻau a pau aku kēia makahiki nei kuhikuhi (a komo aku i Kekemapa 31 2022)




makahiki ge




Kūpikipiki

E noho no hoʻi ʻoe ma kēīa pae nei a hōʻea aku hoʻi ʻoe ma kāu lā-uku-koena-mea-maʻi-makahiki huina nui o nā lilo onā lāʻau a pau (kāu hapa i uku aku ai a me nā ka hapa o ka Part D i uku aku ai) he $4430 ka huina holoʻokoʻa


PAUKU 3 Hoʻouna mākou iā ʻoe i nā hōʻike e wehewehe ana i nā uku no kāu lāʻau a me kahi pae uku āu i loko

Pauku 31 Hoʻouna mākou iā ʻoe i kahi hōʻuluʻulu mahina i kapa ʻia ʻo Part D wehewehe o nā pono (ka Part D EOB)

Mālama kā mākou papa i nā kumukūʻai o kāu lāʻau lapaʻau a me nā uku āu i hana ai ke loaʻa a hoʻopiha a hoʻopiha hou ʻia paha kāu palapala kuhikuhi ma ka hale kūʻai Ma kēia ala hiki iā mākou ke haʻi iā ʻoe ke neʻe ʻoe mai hoʻokahi pae uku lāʻau i kahi aʻe Eia kekahi aia ʻelua ʻano o ke kumukūʻai e mālama ai mākou i ka

bull Mālama mākou i ka nui o kāu uku Kāhea ʻia kēia kāu out-of-pocket kāki bull Mālama mākou i kāu ka nui o nā kumukūʻai lāʻau ʻO kēia ka nui āu e uku ai ma waho o ka ʻeke a i ʻole nā mea ʻē aʻe e uku ai ma kou inoa a me ka nui i uku ʻia e ka hoʻolālā

E hoʻomākaukau kā mākou hoʻolālā i kahi hōʻuluʻulu kākau i kapa ʻia ʻo Part D wehewehe o nā pono (i kekahi manawa ua kapa ʻia ʻo Part D EOB) ke loaʻa iā ʻoe hoʻokahi a ʻoi paha mau palapala kuhikuhi i hoʻopihapiha ʻia ma o ka


papahana i ka mahina i hala Hāʻawi ka Part D EOB i ka ʻike hou aku e pili ana i nā lāʻau āu e lawe ai e like me ka hoʻonui ʻana i ke kumukūʻai a me nā lāʻau ʻē aʻe me ka hoʻokaʻawale ʻana i nā kumukūʻai haʻahaʻa i loaʻa Pono ʻoe e kūkākūkā me kāu prescriber e pili ana i kēia mau koho haʻahaʻa Loaʻa ka Part D EOB

bull Nā hōʻike e pili ana no kēlā māhina Hōʻike no hoʻi kēia palapala nei e pili i nā manaʻo piha no nā uku ʻia ʻana o nā lāʻau kuhikuhi au i hoʻopiha hou aku ai i kēlā māhina aku nei E hōʻike ʻia nō hoʻi i ka Huina nui o nā kumu kūʻai o nā lāʻau ka hapa a ka papahana ʻinikua i uku aku ai a me nā hapa au a me nā poʻe ʻē aʻe i uku aku ma kou Pono iho

bull Huina nui no ka makahiki mai Ianuali 1 Kāhea ʻia kēia he ʻike he makahiki a hiki i kēia lā Hōʻike ia iā ʻoe i ka huina o nā kumukūʻai lāʻau a me ka uku o kāu mau lāʻau mai ka makahiki i hoʻomaka

bull ʻIkepili kumukūʻai lāʻau E hōʻike kēia ʻike i ke kumukūʻai lāʻau lapaʻau holoʻokoʻa a me nā hoʻololi pākēneka mai ka hoʻopiha mua ʻana no kēlā me kēia koi kauka o ka nui like

bull Loaʻa nā palapala koho koho haʻahaʻa haʻahaʻa E hoʻopili kēia i ka ʻike e pili ana i nā lāʻau ʻē aʻe me ka hoʻokaʻawale ʻana o ke kumukūʻai haʻahaʻa no kēlā me kēia koi kuhikuhi e loaʻa ana

Pauku 32 Kōkua iā mākou e mālama i kā mākou ʻike e pili ana i kāu uku lāʻau

E mālama i kāu kumukūʻai lāʻau a me nā uku āu e hana ai no nā lāʻau hoʻohana mākou i nā moʻolelo i loaʻa iā mākou mai nā hale kūʻai lāʻau Eia pehea e hiki ai iā ʻoe ke kōkua mai iā mākou e mālama i ka pololei o ka ʻike

bull Hōʻike i kāu kāleka lālā ke kiʻi ʻia kahi palapala kuhikuhi E ʻike pono e pili ana i nā kuhikuhi āu e hoʻopiha nei a me nā mea āu e uku nei e hōʻike i kāu kāleka lālā lālā i kēlā me kēia manawa ke hoʻopiha ʻoe i kahi palapala

bull E ʻike pono i ka ʻike e pono ai iā mākou Aia kekahi mau manawa hiki iā ʻoe ke uku no nā lāʻau lapaʻau i ka wā ʻaʻole mākou e kiʻi aunoa i ka ʻike e pono ai mākou e mālama i kāu kumukūʻai waho-ʻeke I mea e kōkua ai iā mākou e mālama i kāu kumukūʻai o waho o ka ʻeke hāʻawi ʻoe iā mākou i nā kope o nā loaʻa no nā lāʻau āu i kūʻai ai (Inā pili ʻoe no kahi lāʻau i uhi ʻia hiki iā ʻoe ke noi i kā mākou hoʻolālā e uku i kā mākou mahele o ke kumukūʻai No nā ʻōkuhi pehea e hana ai i kēia e hele i ka Mokuna 7 ʻĀpana 2 o kēia puke) Eia kekahi ʻano o nā kūlana ke makemake ʻoe e hāʻawi iā mākou i nā kope o kāu loaʻa kālā e hōʻoiaʻiʻo iā mākou he moʻolelo piha o kāu lilo no kāu mau lāʻau


Ke kūʻai nei ʻoe i kahi lāʻau i uhi ʻia ma kahi hale kūʻai lāʻau lapaʻau i ke kumu kūʻai kūikawā a i ʻole e hoʻohana ana i kahi kāleka hoʻēmi ʻaʻole ia he ʻāpana o kā kā mākou papa hana pono

Ke hana ʻoe i kahi copayment no nā lāʻau i hoʻolako ʻia ma lalo o kahi papahana kōkua hoʻomanawanui mea hana lāʻau

Kēlā me kēia manawa āu i kūʻai ai i nā lāʻau i uhi ʻia ma nā hale kūʻai mai waho o ka pūnaewele a i ʻole nā manawa ʻē aʻe ua uku ʻoe i ke kumukūʻai piha no kahi lāʻau i uhi ʻia ma lalo o nā kūlana kūikawā

bull E hoʻouna iā mākou i ka ʻike e pili ana i nā uku a nā poʻe ʻē aʻe i uku ai nāu Hookaa ana i ma kekahi ē aʻe kanaka a me ka hoʻolālā mua i helu i kou e Ut-o-pocke ole koina a me kōkua hoʻomākauaka oe no ka nalu pʻaoʻao pale ʻO kahi laʻana nā uku i hana ʻia e kahi polokalamu kōkua lāʻau kōkua AIDS (ADAP) ke Keʻena Ola Ola India a me ka hapa nui o nā manawaleʻa e helu ʻia i kāu koina waho o ka ʻeke Pono ʻoe e mālama i kahi moʻohelu o kēia mau uku a hoʻouna iā lākou iā mākou i hiki iā mākou ke nānā i kāu koina

bull E hōʻoia i ka hōʻike palapala i hoʻouna ʻia iā ʻoe Ke loaʻa iā ʻoe ka Part D Ka wehewehe ʻana o nā pono (a Part D EOB) i ka leka uila e ʻoluʻolu e nānā iā ia no ka ʻike he piha a pololei paha ka ʻike Inā manaʻo ʻoe ua nalowale kekahi mea mai ka hōʻike a he mau nīnau paha kāu e ʻoluʻolu e kelepona iā mākou ma Nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke) Ma kahi o ka loaʻa ʻana o kahi pepa Part D Ka wehewehe ʻana o nā pono (Part D EOB) ma o ka leka uila hiki iā ʻoe ke koho i kahi mana uila o kāu Part D EOB Hiki iā ʻoe ke noi i kēia ma ke kipa ʻana iā Caremarkcom Inā koho ʻoe e koho i loko e loaʻa iā ʻoe kahi leka uila ke mākaukau kāu Part D eEOB e nānā paʻi a hoʻoiho paha ʻO ka ʻāpana uila D EOB i kapa ʻia hoʻi me ka ʻāpana pepa ʻole D EOB ʻO nā ʻāpana pepa ʻole D EOB he mau kope kikoʻī (kiʻi) o nā Part D EOB i paʻi ʻia E mālama pono i kēia mau hōʻike He moʻolelo koʻikoʻi lākou no kāu lilo lilo lāʻau


PAUKU 4 I ka pae uku pilikino uku aku no ʻoe i ka huina nui holoʻokoa a kāu pae uku lāʻau 3 (nā lāʻau i kila ʻia ka inoa i koho ʻia) pae uku lāʻau 4 (nā lāʻau i koho ʻole ʻia) pae uku lāʻau 5 (nā lāʻau pae kūikawā) nā lāʻau

Pauku 41 E noho no hoʻi ʻoe ma kēia pae nei a uku aku ʻoe i ka huina nui o $100 no kāu pae uku lāʻau 3 (nā lāʻau i kila ʻia ka inoa i koho ʻia) pae uku lāʻau 4 (nā lāʻau i koho-ʻole ʻia) a me ka pae uku lāʻau 5 (nā lāʻau pae kūikawā) nā lāʻau

ʻO ka pae uku pilikino ka pae uku mua o kāu kōkua uhi lāʻau e uku ana ʻoe i ka uku pilikino kau makahiki o $480 ma ka pae lāʻau pae lāʻau 3 (nā lāʻau maʻamau i koho ʻia) pae ʻanuʻu 4 (nā lāʻau makemake ʻole ʻia) pae ʻanuʻu 4 a me ka (pae kūikawā) o nā lāʻau a ka Pae 5 a hiki aku ʻoe i ka uku pilikino i waiho ʻia no ke kau makahiki Pono ʻoe e uku aku i ka huina nui holoʻokoʻa o ka pae lāʻau 3 (nā lāʻau maʻamau i koho ʻia) pae ʻanuʻu 4 (nā lāʻau makemake ʻole ʻia) pae ʻanuʻu 4 a me ka (pae kūikawā) o nā lāʻau a ka pae 5 a hiki aku ʻoe i ka uku pilikino i waiho ʻia e ka papahana ʻinikua A no nā lāʻau ʻē aʻe a pau ʻaʻole pono e uku aku ʻoe i nā uku pilikino a e hoʻomaka koke ana ke kōkua uhi i ia manawa ʻānō

bull ʻO kāu kumu kūʻai piha ʻoi aku ka haʻahaʻa ma mua o ke kumu kūʻai piha piha o ka lāʻau ʻoiai ua kūkākūkā kā mākou papahana i nā kumukūʻai haʻahaʻa no ka nui o nā lāʻau

bull ʻO ka deductible ka nui āu e uku ai no kāu ʻāpana lāʻau kuhikuhi D ma mua o ka hoʻomaka ʻana o ka hoʻolālā e uku i kāna ʻāpana

I ka pau ʻana aku o kāu uku ʻana aʻe i $100 no kāu pae ʻanuʻu 3 (nā lāʻau maʻamau i koho ʻia) pae ʻanuʻu 4 (nā lāʻau makemake ʻole ʻia) pae ʻanuʻu 4 a me ka (pae kūikawā) o nā lāʻau a ka pae 5 a laila haʻalele aku ʻoe i ka pae uku pilikino a e neʻe aku i kekahi pae uku lāʻau ʻo ia hoʻi ka pae kōkua uhi

PAUKU 5 I ka wā o ka papa hana mua uku ka hoʻolālā i kāna ʻāpana o kāu kumukūʻai lāʻau a uku ʻoe i kāu ʻāpana

Pauku 51 ʻO ka mea āu e uku ai no ka lāʻau e pili ana i ka lāʻau a ma kahi e hoʻopiha ai i kāu kuhikuhi

I ka wā o ka pae mua ua uku ka hoʻolālā i kāna ʻāpana o ke kumukūʻai o kāu mau lāʻau lapaʻau i uhi ʻia a uku ʻoe i kāu ʻāpana (kāu helu kope a i ʻole ka huina kālā) E loli kāu ʻāpana o ke kumukūʻai ma muli o ka lāʻau a me kahi e hoʻopiha ai i kāu kuhikuhi


He ʻeono papahele kaʻanalike kumu kūʻaiʻO kēlā me kēia lāʻau i ka papa inoa lāʻau lāʻau o ka hoʻolālā aia i loko o ʻeono mau papahele kūʻai Ma ka laulā ʻo ke kiʻekiʻe o ka helu o ka helu o ke kumukūʻai ʻoi aku ke kiʻekiʻe o kāu kumukūʻai no ka lāʻau


bull Pākuʻi ʻia ʻo Tier 2 (Generic Drugs) i nā lāʻau laulaha generic a hiki i ke komo pū ʻana i kekahi mau lāʻau lapaʻau lama




bull Mālama ʻia ʻo Tier 6 (Select Care Drugs) i kekahi mau lāʻau laulaha a me nā lāʻau lapaʻau i hoʻohana pinepine ʻia e mālama i nā kūlana kūlohelohe a i ʻole e pale i nā maʻi (nā lāʻau āpau) ʻO kēia ka papa haʻahaʻa haʻahaʻa haʻahaʻa haʻahaʻa

E ʻike ai i ka papa hea e hoʻokaʻawale ai i kāu lāʻau lapaʻau e nānā ia ma ka papahana Lāʻau Lapaʻau

Koho i kāu koho lāʻauEhia mau uku āu e uku ai no ka lāʻau i ka loaʻa ʻana iā ʻoe ka lāʻau mai

bull ʻO kahi hale kūʻai lāʻau kūʻai i loko o kā mākou papahana o ka pūnaewele bull ʻO kahi hale kūʻai lāʻau ʻaʻole i loko o ka pūnaewele o ka hoʻolālā bull ʻO kahi hale kūʻai lāʻau ʻaʻole i loko o ka pūnaewele o ka hoʻolālā bull ʻO ka hale kūʻai lāʻau lapaʻau kauoha a ka hoʻolālā

No ka ʻike hou aku e pili ana i kēia mau koho hale kūʻai lāʻau a me ka hoʻopihapiha ʻana i kāu palapala kuhikuhi e ʻike i ka Mokuna 5 ma kēia puke liʻiliʻi a me ka papahana Mea Hoʻolaha amp Hoʻolaha Hoʻolālā

ʻO ka maʻamau e uhi mākou i kāu kau kuhikuhi wale nō inā piha lākou i kekahi o kā mākou hale kūʻai lāʻau kūʻai pūnaewele Hāʻawi kekahi o kā mākou hale kūʻai lāʻau pūnaewele i ka hoʻokaʻawale ʻana i nā kumukūʻai Hiki iā ʻoe ke hele i nā hale kūʻai pūnaewele paha e hāʻawi i ka mahele kumukūʻai a makemake ʻia i nā


hale kūʻai pūnaewele ʻē aʻe e hāʻawi i ka hoʻokaʻawale ʻana i nā kumukūʻai e loaʻa i kāu lāʻau i hoʻopaʻa ʻia i uhi ʻia E emi paha kāu mau kumukūʻai ma nā hale kūʻai lāʻau e hāʻawi nei i ka hoʻokaʻawale ʻana i nā kumukūʻai

Pauku 52 ʻO kahi pākaukau e hōʻike ana i kāu kumukūʻai no kahi hoʻokahi mahina lako o kahi lāʻau

I ka wā o ka papa hana mua ʻo kāu ʻāpana o ke kumukūʻai o kahi lāʻau i uhi ʻia e lilo i copayment a i ʻole coinsurance


bull Coinsurance ʻo ia hoʻi e uku ʻoe i kahi pākēneka o ka huina o nā kumukūʻai o ka lāʻau i kēlā me kēia manawa āu e hoʻopiha ai i kahi kuhikuhi

E like me ka mea i hōʻike ʻia ma ka papa ma lalo ʻo ka nui o ka copayment a i ʻole ke kālā ʻana e pili ana i ka pae o ka hoʻokaʻawale kālā i loaʻa i kāu lāʻau E ʻoluʻolu

bull Inā ʻoi aku ka uku o kāu lāʻau i uhi ʻia ma mua o ka nui o ka copayment i helu ʻia i ka pakuhi e uku ʻoe i kēlā kumukūʻai haʻahaʻa no ka lāʻau Uku aku ʻoe i kekahi i ke kumukūʻai piha o ka lāʻau a i ʻole i ka nui o ke kope ʻo wai ka mea haʻahaʻa

bull Uhi mākou i nā palapala kuhikuhi i hoʻopiha ʻia i nā hale kūʻai mai waho o ka pūnaewele i nā hanana palena wale nō E ʻoluʻolu e ʻike i ka Mokuna 5 ʻĀpana 25 no ka ʻike e pili ana i ka wā e uhi ai mākou i kahi kuhikuhi i hoʻopiha ʻia ma kahi hale kūʻai lāʻau lapaʻau


ʻO kāu ʻāpana o ke kumukūʻai ke loaʻa iā ʻoe kahi hoʻokahi mahina lako o kahi lāʻau lāʻau kuhikuhi Part D i uhi ʻia

Kālepa

Kaʻana uku maʻamau no nā lāʻau hale kūʻai kūʻai li ili i (ma ka ʻōnaehana-kūlolo)(nā lako no 30 mau lā)

Kaʻana Uku maʻamau i koho ia no nā lāʻau hale kūʻai kūʻai li ili i (ma ka ʻŌnaehana-kūlolo) (nā lako no 30 mau lā)

Kuleana kaʻana uku inikua a nā lālā no nā kūʻai ma ka hoʻouna ʻana (nā lako no 30 mau lā)

Kōkua kālewa leka kōkua kākoʻo kaʻana uku kāki koho a hiki i kahi lako o 30 lā)

Nā kaʻana uku o nā kahua mālama-wā lō ihi (LTC) (nā lako lāʻau no 31 mau lā)

Nā kaʻana uku ʻōnaehana-kū-loko-ʻole (E uhi ia ana paha kāu mau lāʻau kuhikuhi ma kekahi ano wale no ānā aku i ka Mokuna 3 no nā manaʻo piha)

Kaʻana Uku Pae 1 (he makemake ko nōhie ai) ka loaʻa o nā nōhie ai a me ke komo i loko o kekahi momoku ahi ai

$0 $0 $0 $0 $0 $0


Kālepa







Kaʻana Uku Pae 2 (Nā lāʻau kūʻai emi) ʻo ia hoʻi nā lāʻau kūʻai emi i koho ʻia a e loaʻa pū paha kekahi o nā lāʻau me ka inoa i hoʻokila ʻia

$15 $10 $15 $10 $15 $15


Kālepa







Kaʻana Uku Pae 3 (Nā lāʻau me ka ino i hoʻokila ʻia i koho ʻia) ʻo ia hoʻi nā lāʻau me ka ino i hoʻokila ʻia i koho ʻia a e loaʻa pū paha kekahi o nā lāʻau kūʻai emi

$45 $35 $45 $35 $45 $45


Kālepa







Kaʻana Uku Pae 4 (Nā lāʻau i makemake ʻole ʻia) ʻo ia hoʻi nā lāʻau kūʻai emi i koho ʻia a e loaʻa pū paha kekahi

$100 $90 $100 $90 $100 $100


Kālepa







Kaʻana Uku Pae 5 (Nā lāʻau pae ʻanuʻu kūikawā) ʻo ia hoʻi nā lāʻau me ka inoa i hoʻokila ʻia a pīpiʻi loa a me kekahi o nā lāʻau kūʻai emi

31 31 31 31 31 31


Kālepa







Kaʻana Uku Pae 6(Nā lāʻau no ka lapaʻau i wae ʻia) ʻo ia hoʻi nā lāʻau me ka inoa i hoʻokila ʻia a pīpiʻi loa a me kekahi o nā lāʻau kūʻai emi (nā lāʻau koʻokoʻo)

$0 $0 $0 $0 $0 $0

Pauku 53 Inā kau kauka i lalo o kahi mahina o ka lako ʻaʻole paha ʻoe e uku i ke kumukūʻai o ka lako o ka malama holoʻokoʻa

ʻO ka maʻamau ʻo ka nui āu e uku ai no ka lāʻau lapaʻau e uhi iā i ka lako o ka lāʻau i uhi ʻia i hoʻokahi mahina Eia nō naʻe hiki i kāu kauka ke kuhikuhi i ka hāʻawi ʻana o nā lāʻau i hoʻokahi mahina Aia paha he mau manawa ke


makemake ʻoe e nīnau i kāu kauka e pili ana i ke kau ʻana o ka lāʻau i lalo o hoʻokahi mahina (e laʻa ke hoʻāʻo nei ʻoe i kahi lāʻau no ka manawa mua ʻike ʻia nā hopena ʻino) Inā kau kauka i lalo o kahi mahina o ka lako ʻaʻole ʻoe e uku no ka lako o ka mahina no kekahi mau lāʻau

ʻO ka nui āu e uku ai ke loaʻa iā ʻoe ka mea liʻiliʻi ma mua o ka piha o ka malama e pili ana inā ʻoe ke kuleana no ka uku ʻana i ka coinsurance (kahi pākēneka o ka huina kālā) a i ʻole kahi uku paneʻe (kahi kālā kālā pālahalaha)

bull Inā ʻoe ke kuleana no ka hoʻolimalima kālā ʻana uku ʻoe i ka pakeneka o ka nui o ke kumukūʻai o ka lāʻau Uku ʻoe i ka pākēneka like me ka nānā ʻole inā no ka lako o kahi mahina piha a no nā lā liʻiliʻi Eia nō naʻe no ka mea e emi ana ke kumukūʻai holoʻokoʻa holoʻokoʻa inā ʻoe e emi ma lalo o kahi mahina o ka lako e emi ka liʻiliʻi nui āu e uku ai

bull Inā he kuleana ʻoe no kahi copayment no ka lāʻau e hoʻokumu ʻia kāu copay ma ka helu o nā lā o ka lāʻau i loaʻa iā ʻoe E helu mākou i ka nui āu e uku ai i kēlā me kēia lā no kāu lāʻau (ka helu o ke kumukūʻai ma kēlā me kēia lā) a hoʻonui iā ia i ka helu o nā lā o ka lāʻau i loaʻa iā ʻoe

Eia kahi laʻana E ʻōlelo mākou i ka copay no kāu lāʻau no ka lako o kahi mahina piha (nui lāʻau no 30 lā) $30 ʻO kēia ka helu āu e uku ai i kēlā me kēia lā no kāu lāʻau lapaʻau $1 Inā loaʻa iā ʻoe kahi 7 mau lā o ka lāʻau lapaʻau $1 no kēlā me kēia lā e hoʻonui ʻia e 7 mau lā no ka uku he $7

No ka helu pākeneka o ke kaʻana-uku o ka lā e kōkua no hoʻi kēia iā ʻoe no ka hoaʻo ʻana aku i nā lāʻau inā hana maikaʻi nou ma mua o kou uku ʻana aku no nā nui lāʻau i manaʻo ʻia no hoʻokahi māhina holoʻokoʻa Ua hiki pū no hoʻi iā ʻoe ke noi aku i kāu kauka e noi aku i kuhikuhi lāʻau a i kāu kauka hale kūʻai lāʻau e haʻawi mai i nui lāʻau no ma lalo mai o hoʻokahi māhina inā he kōkua kēīa iā ʻoe i no ka hele mau ʻana aku i ka hale kūʻai lāʻau i nā manawa a pau he kōkua no hoʻi ma kēlā hapa ʻO ka nui e pono ai ʻoe e uku kaukaʻi no hoʻi i ka nui o nā lāʻau i haʻawi ʻia no nā lā pākahi

Pauku 54 ʻO kahi pākaukau e hōʻike ana i kāu mau koina no kahi manawa lōʻihi (61-90-lā) hoʻolako ʻia o kahi lāʻau

No kekahi o nā lāʻau ua hiki no ke loaʻa nā lāau wā lōʻihi (kapa pū ʻia nā lako i hoʻolōʻihi ʻia) i kou hoʻopiha hou ʻana aku i nā lāʻau O nā lāau wā lōʻihi he 61-90 lā ka nui o nā lāʻau i ʻoka ʻia (No nā kikoʻī e pili ana i kahi a pehea e loaʻa ai kahi lako lōʻihi o kahi lāʻau e ʻike i ka Mokuna 5 ʻĀpana 24)


Hōʻike ka papa ma lalo i nā mea āu e uku ai ke loaʻa kahi lako lōʻihi (61-90-lā) o kahi lāʻau

bull ʻOluʻolu e hoʻomanaʻoi nā ʻemi hou aʻe ke kumu kūʻai o nā lāʻau ma mua o kāu uku kāki mea maʻi i hoʻopaʻa ʻia ma ka palapala kuhikuhi e emi hou aʻe ana ka huina uku no ka lāʻau au e kūʻai nei E uku piha aku ana paha ʻoe i ke kumu kūʻai a ka lāʻau a i ʻole i ka uku kāki mea maʻi aia no i ka huina nui liʻiliʻi loa

ʻO kāu ʻāpana o ke kumukūʻai ke loaʻa iā ʻoe kahi lako lōʻihi lōʻihi o kahi lāʻau lāʻau kuhikuhi Part D i uhi ʻia

Kālepa

Kaʻana uku maʻamau no nā lāʻau hale kūʻai kūʻai liʻiliʻi (ma ka ʻōnaehana-kūlolo)(nā lako no 61-90 mau lā)

Kaʻana uku maʻamau no nā lāʻau hale kūʻai kūʻai liʻiliʻi kāki koho (ma ka ʻōnaehana-kūlolo)(nā lako no 61-90 mau lā)

Kuleana kaʻana uku ʻinikua a nā lālā no nā kūʻai ma ka hoʻouna ʻana (nā lako no 61-90 mau lā)

Kuleana kaʻana uku ʻinikua a nā lālā no nā kūʻai ma ka hoʻouna ʻana Kāki koho (nā lako no 61-90 mau lā)

Kālā Hoʻolilo Kālā 1 (Nā Laau Laulaha Generic i makemake ʻia - e komo pū me nā lāʻau laulā generic a makemake ʻia e hoʻopili pū i kekahi mau lāʻau lapaʻau lama)

$0 $0 $0 $0


Kālepa





kāki-i kaʻana like pae 2 (nōhie ai - ka loaʻa o nōhie ai a me ke komo i loko o kekahi momoku ahi ai)

$45 $30 $45 $0

kāki-i kaʻana like pae 3 (he makemake ko Brand ai - Nā pahuhopu i ka momoku ahi ai a me ke komo i loko o kekahi nōhie ai)

$135 $105 $135 $70

Nānā Kūʻai Kālā 4 (Nā Lāʻau Kūpono ʻole - komo pū me nā inoa laikini ʻole i makemake ʻia a me nā lāʻau launa ʻole i makemake nui ʻia)

$300 $270 $300 $180


Kālepa





Nānā Kūʻai Kālā 5 (Kālā Kūʻai Kūʻai - pū momi waiwai nui a me na laau laula ʻAʻole kūpono nā lāʻau i kēia pae no nā hoʻokoe no ka uku ʻana ma kahi pae haʻahaʻa)

ʻAʻole loaʻa kahi lako lōʻihi no nā lāʻau i Tier 5

Kālā Hoʻolālā Kālā 6 (Koho i nā lāʻau lapaʻau - pili pū kekahi i nā lāʻau laulaha a me nā lāʻau lapaʻau i hoʻohana pinepine ʻia e mālama i nā kūlana kūlohelohe a i ʻole e pale i nā maʻi (nā lāʻau āpau))

$0 $0 $0 $0


Pauku 55 E noho no hoʻi ʻoe ma ka pae uku kōkua uhi a uku aku ʻoe ma kahi o $4430 no kāu mau lāʻau

E noho no hoʻi ʻoe ma ka pae uku kōkua uhi a e hoʻomau aku i nā uku lāʻau kuhikuhi a loaʻa aku i ka huina nui o $4430 i ka palena pau o ka uku ʻana aku ni ka pae uku o nā kōkua uhi

Hoʻokumu ʻia kāu kumukūʻai kumukūʻai lāʻau āpau ma ka hoʻohui pū ʻana i nā mea āu i uku ai a me nā mea a kēlā me kēia Part D i uku ai

bull He aha ʻo ʻoe i uku ʻia no nā lāʻau i uhi ʻia a pau i loaʻa iā ʻoe mai kou hoʻomaka ʻana me kāu kūʻai lāʻau mua loa o ka makahiki (E nānā i ka ʻĀpana 62 no ka ʻike hou aku e pili ana i ka helu ʻana o Medicare i kāu koina waho-ʻeke) Loaʻa kēia

Ka huina o $100 au i uku ai i ka wā i noho ai ʻoe ma ka pae uku pilikino ʻO ka huina āu i uku ai i kāu ʻāpana o ke kumukūʻai no kāu lāʻau i ka wā o ka pae mua

bull He aha ka hoʻolālā i uku ʻia ma ke ʻano o ka uku no kāu lāʻau i ka wā o ka pae mua (Inā ʻoe i kākau inoa ʻia i kahi hoʻolālā Part D ʻokoʻa i kēlā me kēia manawa i ka manawa 2022 ʻo ka nui o kēlā hoʻolālā i uku ʻia i ka wā o ka Initial Coverage Stage e helu pū ʻia i kāu huina lāʻau)

Haʻawi pū no hoʻi iā mākou i nā kōkua uhi keu ma kekahi o nā lāʻau kuhkuhi i uhi ʻole ʻia ma lalo o kekahi Papahana ʻInikua Lāʻau Kuhikuhi a MedicareHelu ʻole ʻia hoʻi nā lilo i uku ʻia no kēia mau lāʻau nei i kāu lilo mai-kou-paiki-kālā-mai a ka uku kōkua uhi E nānā aku ma ka papakuhikuhi lāʻau no ka nānā ʻana aku i nā lāʻau i uhi ʻia e ka papahana ʻinikua

ʻO ka Ka Wehewehe ʻana o nā Pono Kōkua a ka Part D (Ka Part D EOB) a mākou i hoʻouna aku ai iā ʻoe he kokua hoʻi ia no ka makaʻala ʻana aku ʻoe i nā kiʻina hana like ʻana ma waena o ka hui a me ʻoe a me nā hui ʻē aʻe i komo pū ma nā kiʻina hana i hana ʻia a me nā lilo i hoʻolilo ʻia ma kou Pono iho no ka makahiki ʻO ka hapanui o nā poʻe e hōʻea ʻole no hoʻi lākou i ka palenapau o ka huina nui o $4430 i loko o hoʻokahi makahiki

Nā mākou no e hoʻomaopopo aku iā ʻoe inā hōʻea aku ʻoe i ka huinan nui o $4430 Inā hōʻea ʻoe i kēia huina nui nei e haʻalele no hoʻi ʻoe i kēia pae nei o ka Pae Uku o no nā kōkua uhi a neʻe aku i ka Pae Uhi Kōwā


PAUKU 6 I ka wā o ka Kahua ʻo Coap Gap loaʻa iā ʻoe kahi uku hoēmi ma nā lāʻau lapaʻau inoa a ʻaʻole e uku ma mua o 25 o nā koina no nā lāʻau laulā

Pauku 61 Noho ʻoe i ka Kahua ʻo Coap Gap a hiki i kāu koina o waho o ka ʻeke i $7050

Ke komo nei ʻoe i ka Kahua ʻo Coap Gap hāʻawi ka Medicare Coverage Gap Discount Program i nā uku hana a nā mea hana i nā lāʻau inoa inoa Uku ʻoe i 25 o ke kumukūʻai i kūkākūkā ʻia a me kahi ʻāpana o ka uku hāʻawi no nā lāʻau lapaʻau inoa ʻO ka nui āu e uku ai a me ka nui i hōʻemi ʻia e ka mea hana e helu ai i kāu koina o waho o ka ʻeke me he mea lā ua uku ʻoe iā lākou a neʻe iā ʻoe ma waena o ke āpau uhi

Loaʻa iā ʻoe kekahi uhi no nā lāʻau laulaha ʻAʻole ʻoe e uku ma mua o 25 o ke kumukūʻai no nā lāʻau laulaha a uku ka hoʻolālā i ke koena No nā lāʻau laulaha ʻaʻole helu ʻia ka nui i uku ʻia e ka hoʻolālā (75) i kāu koina waho o ka ʻeke ʻO ka nui āu e uku ai a helu ʻoe iā ʻoe ma waena o ke āpau

Ke hoʻomau nei ʻoe i ka uku ʻana i ke kumukūʻai hōʻemi no nā lāʻau lapaʻau inoa a ʻaʻole ʻoi aku ma mua o 25 o nā kumukūʻai o nā lāʻau lapaʻau generic a hiki i ka wā o kāu uku makahiki i waho o ka ʻeke e hōʻea i ka nui i kau ʻia e Medicare I ka makahiki 2022 he $7050 kēlā kālā

Aia nā rula a Medicare e pili ana i nā mea e helu ana a me nā mea a ʻaʻole e helu ai ma ke ʻano he kumu kūʻai waho Ke hōʻea ʻoe i kahi palena o waho o ka ʻeke o $7050 haʻalele ʻoe i ka Kahua ʻo Coap Gap a neʻe i ka Catastrophic Coverage Stage

Pauku 62 Pehea e helu ai ʻo Medicare i kāu kumukūʻai ma waho o ka ʻeke no nā lāʻau lapaʻau

Eia nā rula a Medicare e pono ai mākou e ukali ke mālama mākou i kāu kumukūʻai o waho o ka ʻeke no kāu lāʻau

Mau uku e komo i loko o kou mai-o-eke koina

Ke hoʻohui ʻoe i kāu koina mai waho o ka ʻeke ʻo ʻoe hiki ke hoʻopili iā nā uku i helu ʻia ma lalo (ʻoiai lākou no ka Part D i uhi ʻia nā lāʻau a ua ukali ʻoe i nā lula no ka uhi lāʻau e wehewehe ʻia ma ka Mokuna 5 o kēia puke)

bull Ka nui āu e uku ai no nā lāʻau inā aia ʻoe i kekahi o nā kaʻina uku uku lāʻau aʻe


ʻO ke kahua e hiki ke hoʻoliʻiliʻi ʻO ke kahua uhi mua ʻO ke kahua ʻo Coap Gap

bull ʻO nā uku āu i hana ai i kēia makahiki kalena ma ke ʻano he lālā o kahi hoʻolālā lāʻau lāʻau lāʻau Medicare ʻē aʻe ma mua o kou komo ʻana i kā mākou papahana

He mea nui ka mea nāna e uku bull Inā ʻoe e uku i kēia mau uku iā ʻoe iho ua hoʻokomo ʻia ia mau mea i kāu koina waho o ka ʻeke

bull Hoʻokomo ʻia kēia mau uku i loko o inā hana ʻia ia mau mea iā ʻoe e kekahi mau kānaka ʻē aʻe a i ʻole nā hui Hoʻopili kēia i nā uku no kāu lāʻau i hana ʻia e kahi hoaaloha a i ʻole hoahānau e ka hapa nui o nā kōkua manawaleʻa e nā polokalamu kōkua lāʻau lāʻau AIDS a i ʻole ka lawelawe olakino India Uku ʻia nā uku i hana ʻia e ka Medicare Extra Help Program

bull Hoʻohui ʻia kekahi o nā uku i hana ʻia e ka Medicare Coverage Gap Discount Program Hoʻohui ʻia ka nui a ka mea hana e uku ai no kāu inoa inoa lāʻau Akā ʻaʻole i hoʻokomo ʻia ka nui o ke kumukūʻai no kāu mau lāʻau laulaha

Ke neʻe nei i ke kahua ʻo Coastrastric CoverageKe hoʻolilo ʻoe (a i ʻole nā mea e uku ana i kou inoa) i kahi huina $7050 i loko o ka uku o loko o ka pocket i loko o ka makahiki

Mau uku ka mea i komo i loko o kou mai-o-eke koina

Ke hoʻohui nei ʻoe i kāu koina mai waho o ka ʻeke ʻaʻole ʻae ʻia ʻoe e hoʻopili iā kekahi o kēia ʻano uku no nā lāʻau lapaʻau

bull Nā lāʻau āu e kūʻai ai ma waho o ʻAmelika Hui Pū ʻIa a me nā panalāʻau bull Nā lāʻau i uhi ʻole ʻia e kā mākou papahana bull Loaʻa nā lāʻau i kahi lāʻau lapaʻau i waho o ka pūnaewele i kū ʻole i nā koina o ka hoʻolālā no ka uhi o waho o ka pūnaewele

bull Nā lāʻau i kuhikuhi ʻia e uhi ʻia e ka Part A a i ʻole Part B bull Nā uku āu e hana ai i nā lāʻau i uhi ʻia ma lalo o kā mākou uhi hou akā ʻaʻole i uhi maʻamau ʻia i kahi Medicare Prescription Drug Plan

bull Nā uku āu e hana ai i nā lāʻau i kuhikuhi ʻole ʻia e uhi ʻole ʻia i kahi Kauka Medicare Hoʻolālā Lapaʻau


bull Nā uku i hana ʻia e ka hoʻolālā no kāu brand a i ʻole nā lāʻau lapaʻau generic ʻoiai ma ka Coverage Gap

bull Nā uku no kāu mau lāʻau i hana ʻia e nā hoʻolālā olakino pūʻulu e like me nā hoʻolālā olakino ʻoihana

bull Nā uku i uku ʻia no kāu lāʻau e kekahi o nā hui ʻinikua ʻē aʻe a me kekahi polokalamu mālama olakino i loaʻa nā kōkua waiwai mai ke aupuni mai e like me TRICARE a me ka hui Veterans Affairs

bull Nā uku no kāu lāʻau i hana ʻia e ka ʻaoʻao ʻekolu me ke kuleana kū kānāwai e uku no nā kumukūʻai kuhikuhi (e laʻa me ka uku o nā limahana)

Hoʻomanaʻo Inā kekahi ʻahahui ʻē aʻe e like me nā mea i helu ʻia ma luna nei e uku i kahi Part A i ʻole o kāu kumukūʻai o waho o ka ʻeke no nā lāʻau pono ʻoe e haʻi i kā mākou papahana Kāhea i nā lawelawe lālā e hōʻike iā mākou (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)

Pehea e hiki ai iā ʻoe ke mālama i kāu helu o waho o ka ʻeke

bull E kōkua mākou iā ʻoe ʻO ka Part D wehewehe o nā pono (Part D EOB) hōʻuluʻulu a mākou e hoʻouna aku ai iā ʻoe e pili ana i ka nui o kāu mau koina o ka ʻeke (Pauku 3 i kēia mokuna e haʻi e pili ana i kēia hōʻike) Ke hōʻea ʻoe i kahi $7050 āpau i nā koina waho o ka ʻeke no ka makahiki e haʻi kēia hōʻike iā ʻoe ua haʻalele ʻoe i ka kahua ʻo Coap Gap a neʻe aku i ka Catastrophic Coverage Stage

bull E ʻike pono i ka ʻike e pono ai ʻSectionlelo ka ʻĀpana 32 i ka mea hiki iā ʻoe ke hana e kōkua e hōʻoia i kā mākou mau moʻohelu o nā mea āu i lilo ai i piha a i kēia lā

PAUKU 7 I ka wā o ka Catastrophic Coverage Stage uku ka hoʻolālā i ka hapa nui o ke kumukūʻai no kāu lāʻau

Pauku 71 Ke hele nei ʻoe i ka Catastrophic Coverage Stage e noho ʻoe i kēia manawa no ke koena o ka makahiki

Kūpono ʻoe no ka Paʻi Pilikia Catastrophic ke hiki aku kāu koina ʻeke i ka $7050 palena no ka makahiki kalena Ke hele nei ʻoe i ka Papa Hoʻopiʻi Catastrophic Coverage e noho ʻoe i kēia manawa uku a hiki i ka hopena o ka makahiki kalena


I kēia wā e uku ka hoʻolālā i ka hapa nui o ke kumukūʻai no kāu lāʻau

bull ʻO kāu mahele o ke kumukūʻai no kahi lāʻau i uhi ʻia e lilo ia i mea mālama kālā a i ʻole kahi palapala hoʻoili ʻo wai ka ʻoi aku nui

- kekahi - coinsurance o 5 o ka lilo ana o ka lāʻau - a i ʻole - $395 no ka lāʻau laulā generic a i ʻole kahi lāʻau i mālama ʻia e like me ka generic a me $985 no nā lāʻau ʻē aʻe āpau

bull Hoʻonohonoho kā mākou papa i ke koena o ke kumukūʻai

PAUKU 8 ʻO ka mea āu e uku ai no nā lāʻau āpau i uhi ʻia e ka Part D e pili ana i ka pehea a me kahi e loaʻa ai iā lākou

Pauku 81 Loaʻa i kā mākou papahana kahi ʻāpana ʻokoʻa no ka lāʻau lāʻau vaccine Part D ponoʻī a no ke kumukūʻai e hāʻawi iā ʻoe i ka lāʻau āpau

Hāʻawi kā mākou hoʻolālā i ka uhi ʻana no kekahi o nā lāʻau vaccine Part D Uhi mākou i nā lāʻau lapaʻau i manaʻo ʻia he pono olakino Hiki iā ʻoe ke ʻike e pili ana i ka uhi ʻana o kēia mau lāʻau āpau ma ka hele ʻana i ka Pakuhi Pilikino Lapaʻau ma ka Mokuna 4 ʻĀpana 21

Aia ʻelua mau ʻāpana i kā mākou uhi ʻana o nā Part D ʻāpana

bull ʻO ka ʻāpana mua o ka uhi ʻana ke kumu kūʻai o ka lāʻau lapaʻau iā ia iho ʻO ka lāʻau lapaʻau he lāʻau hoʻomākaukau

bull ʻO ka ʻāpana ʻelua o ka uhi ʻana no ke kumu kūʻai o hāʻawi iā ʻoe i ka lāʻau lapaʻau (Kapa ʻia kēia i kekahi manawa ke hoʻokele o ka lāʻau āpau)

He aha kāu uku no ka Part D vaccinationʻO ka mea āu e uku ai no ka Part D ʻāpana pili ia i nā mea ʻekolu

1 Ke ʻano o ka lāʻau vaccine (he aha kāu e wī ʻia ai) Kuhi ʻia kekahi mau lāʻau hoʻomaikaʻi i nā pono olakino Hiki iā ʻoe ke ʻike e pili ana i kāu uhi ʻana i kēia mau lāʻau āpau ma ka hele ʻana i ka Mokuna 4 Pakuhi Pilikino Lapaʻau (he aha ka mea e uhi ʻia a he aha kāu e uku ai)

Manaʻo ʻia nā lāʻau āpau ʻē aʻe i nā Part D ʻāpana Hiki iā ʻoe ke ʻike i kēia mau lāʻau āpau i helu ʻia i loko o ka papahana Papa Inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi)


2 Kahi e loaʻa ai iā ʻoe ka lāʻau lapaʻau lāʻau lapaʻau3 Na wai e hāʻawi iā ʻoe i ka lāʻau āpauʻO ka mea āu e uku ai i ka manawa e loaʻa ai iā ʻoe ka vaccine Part D hiki ke loli ma muli o nā kūlana O kahi laʻana

bull I kekahi manawa ke loaʻa ʻoe i kāu lāʻau lapaʻau pono ʻoe e uku i ke kumukūʻai holoʻokoʻa no nā lāʻau āpau a no ka loaʻa ʻana o ka lāʻau Hiki iā ʻoe ke noi i kā mākou hoʻolālā e uku aku iā ʻoe no kā mākou ʻāpana o ke kumukūʻai

bull I nā manawa ʻē aʻe ke loaʻa iā ʻoe ka lāʻau lapaʻau a i ʻole ka lāʻau lapaʻau e uku wale ʻoe i kāu mahele o ke kumukūʻai

E hōʻike pehea e hana ai kēia eia nā ala maʻamau ʻekolu e loaʻa ai iā ʻoe kahi lāʻau vaccine Part D E hoʻomanaʻo he kuleana ʻoe no nā koina āpau e pili ana i nā lāʻau āpau (me kā lākou hoʻoponopono ʻana) i ka wā Deductible a me kahua ʻo Coap Gap o kāu pono

Kūlana 1 Kūʻai ʻoe i ka lāʻau vaccine Part D ma ka hale kūʻai lāʻau a loaʻa iā ʻoe kāu lāʻau lapaʻau ma ka hale kūʻai lāʻau lapaʻau ʻoihana (Inā ʻoe kēia koho e pili ana i kou wahi e noho ai ʻAʻole ʻae kekahi mau mokuʻāina e hana i kahi lāʻau lapaʻau)

bull Oe e i e uku i ka hale kūʻai lāʻau lapaʻau i ka nui o kou coinsurance A i ʻole copayment no ka laʻau koʻokoʻo a me ka waiwai e lilo aku ana o haawi hou ia oe i ka laʻau koʻokoʻo

bull E uku kā mākou hoʻolālā i ke koena o nā koinaKūlana 2 Loaʻa iā ʻoe ka wīkī Part D ma ke keʻena o kāu kauka

bull Ke loaʻa ʻoe i ka lāʻau lapaʻau e uku ʻoe no ke kumukūʻai holoʻokoʻa o ka lāʻau āpau a me kāna lawelawe ʻana

bull Hiki iā ʻoe ke noi i kā mākou hoʻolālā e uku i kā mākou mahele o ke kumukūʻai ma ka hoʻohana ʻana i nā kaʻina hana i wehewehe ʻia ma ka Mokuna 7 o kēia puke (Ke noi nei iā mākou e uku i kā mākou mahele o kahi pila i loaʻa iā ʻoe no nā lawelawe lapaʻau a i ʻole nā lāʻau lapaʻau)

bull E uku ʻia ʻoe i ka nui āu i uku ai ma lalo o kāu moni maʻamau A i ʻole copayment no ka lāʻau āpau (me ka hoʻokele ʻana) ʻoi aku ka ʻokoʻa ma waena o ka nui o ka uku a ke kauka a me kā mākou uku maʻamau (Inā loaʻa iā ʻoe ke Kōkua keu e uku mākou iā ʻoe no kēia ʻokoʻa)


Kahua 3 Kūʻai ʻoe i ka lāʻau vaccine Part D ma kāu hale kūʻai lāʻau a laila lawe iā ia i ke keʻena o kāu kauka kahi a lākou e hāʻawi aku ai iā ʻoe i ka lāʻau āpau

bull Oe e i e uku i ka hale kūʻai lāʻau lapaʻau i ka nui o kou coinsurance A i ʻole copayment no ka laʻau koʻokoʻo iho

bull Ke hāʻawi aku kāu kauka iā ʻoe i ka lāʻau lapaʻau e uku ʻoe i ke kumukūʻai holoʻokoʻa no kēia lawelawe Hiki iā ʻoe ke nīnau i kā mākou hoʻolālā e uku i kā mākou mahele o ke kumukūʻai ma ka hoʻohana ʻana i nā kaʻina hana i wehewehe ʻia ma ka Mokuna 7 o kēia puke

bull E uku ʻia ʻoe i ke kālā i kau ʻia e ke kauka no ka lawelawe ʻana i ka lāʻau āpau ma lalo o ka nui o nā uku a ke kauka a me nā mea a mākou e uku ai (Inā loaʻa iā ʻoe ke Kōkua keu e uku mākou iā ʻoe no kēia ʻokoʻa)

Pauku 82 E makemake paha ʻoe e kāhea iā mākou ma nā lawelawe lālā ma mua o ka loaʻa ʻana o kahi lāʻau

Kūpilikiʻi nā lula no ka uhi ʻana o nā lāʻau āpau Eia mākou e kōkua Paipai mākou iā ʻoe e kāhea iā mākou ma ka mua ma nā lawelawe lālā inā ke hoʻolālā nei ʻoe e loaʻa i kahi lāʻau lapaʻau (Paʻi ʻia nā helu kelepona no nā lawelawe lālā ma ka uhi hope o kēia puke)

bull Hiki iā mākou ke haʻi iā ʻoe e pili ana i ka uhi ʻana o kāu lāʻau lapaʻau e kā mākou hoʻolālā a wehewehe i kāu mahele o ke kumukūʻai

bull Hiki iā mākou ke haʻi iā ʻoe pehea e mālama ai i kāu kumukūʻai ponoʻī ma o ka hoʻohana ʻana i nā mea hoʻolako a me nā hale kūʻai lāʻau i kā mākou pūnaewele

bull Inā ʻaʻole hiki iā ʻoe ke hoʻohana i kahi mea hoʻolako pūnaewele a me ka hale kūʻai lāʻau hiki iā mākou ke haʻi iā ʻoe i ka mea e pono ai e hana e loaʻa ai ka uku mai iā mākou no kā mākou mahele o ke kumukūʻai

MOKUNA 7Ke noi nei iā mākou e uku i kā mākou

mahele o kahi bila i loaʻa iā ʻoe no nā lawelawe olakino uhi ʻia a

lāʻau lāʻau paha

2022 Hōʻike o ka uhi ʻana no Wellcare Ohana No Premium (HMO) 210Mokuna 7 Ke noi nei iā mākou e uku i kā mākou mahele o kahi pila i

loaʻa iā ʻoe no nā lawelawe olakino uhi ʻia a lāʻau lāʻau paha

Mokuna 7 Ke noi nei iā mākou e uku i kā mākou mahele o kahi pila i loaʻa iā ʻoe no nā lawelawe olakino uhi ʻia a lāʻau lāʻau paha

PAUKU 1 Nā wahi e noi ai iā mākou e uku i kā mākou mahele o ke kumukūʻai o kāu lawelawe i uhi ʻia a lāʻau lāʻau paha 211

Pauku 11 Inā uku ʻoe i kā mākou papahana o ke kumukūʻai o kāu lawelawe i uhi ʻia a lāʻau lāʻau paha a inā loaʻa iā ʻoe kahi bila hiki iā ʻoe ke noi iā mākou no ka uku 211

PAUKU 2 Pehea e noi ai iā mākou e uku aku iā ʻoe a i ʻole e uku i kahi bila i loaʻa iā ʻoe 214

Pauku 21 Pehea a ma hea e hoʻouna ai iā mākou i kāu noi no ka uku 214PAUKU 3 E noʻonoʻo mākou i kāu noi no ka uku ʻana a ʻōlelo ae

ʻaʻole ʻaʻole 215Pauku 31 Nānā mākou inā pono mākou e uhi i ka lawelawe a lāʻau paha

a me ka nui o kā mākou ʻaiʻē 215Pauku 32 Inā haʻi mākou iā ʻoe ʻaʻole mākou e uku no nā mea āpau a

ʻāpana paha o ka mālama olakino a lāʻau paha hiki iā ʻoe ke hoʻopiʻi 216

PAUKU 4 ʻO nā kūlana ʻē aʻe kahi e mālama ai i kāu mau loaʻa a hoʻouna i nā kope iā mākou 217

Pauku 41 I kekahi mau hihia pono ʻoe e hoʻouna i nā kope o kāu mau loaʻa iā mākou e kōkua iā mākou e nānā i kāu kumukūʻai lāʻau i waho o ka ʻeke 217



PAUKU 1 Nā wahi e noi ai iā mākou e uku i kā mākou mahele o ke kumukūʻai o kāu lawelawe i uhi ʻia a lāʻau lāʻau paha

Pauku 11 Inā uku ʻoe i kā mākou papahana o ke kumukūʻai o kāu lawelawe i uhi ʻia a lāʻau lāʻau paha a inā loaʻa iā ʻoe kahi bila hiki iā ʻoe ke noi iā mākou no ka uku

I kekahi manawa ke loaʻa ʻoe i ka lāʻau olakino a i ʻole ka lāʻau lāʻau pono ʻoe e uku koke i ke kumukūʻai holoʻokoʻa I nā manawa ʻē aʻe ʻike paha ʻoe ua uku aku ʻoe ma mua o kāu i manaʻo ai ma lalo o nā lula uhi o ka hoʻolālā I kēlā me kēia hihia hiki iā ʻoe ke noi i kā mākou hoʻolālā e uku aku iā ʻoe (ʻo ka uku ʻana iā ʻoe i kapa ʻia ʻo reimbursing iā ʻoe) ʻO kāu kuleana ia e hoʻihoʻi ʻia mai e kā mākou hoʻolālā i kēlā me kēia manawa āu i uku aku ai ma mua o kāu mahele o ke kumukūʻai no nā lawelawe olakino a i ʻole nā lāʻau i uhi ʻia e kā mākou hoʻolālā

Aia paha i kekahi manawa ke loaʻa iā ʻoe kahi pila mai kahi mea hoʻolako no ka uku piha o ka mālama olakino āu i loaʻa ai I nā manawa he nui pono ʻoe e hoʻouna i kēia pila iā mākou ma kahi o ka uku ʻana iā ia E nānā mākou i ka pila a hoʻoholo inā pono e uhi ʻia nā lawelawe Inā hoʻoholo mākou e uhi ʻia lākou e uku pololei mākou i ka mea lawelawe

Eia nā hiʻohiʻona o nā hanana e pono ai ʻoe e noi i kā mākou hoʻolālā e uku aku iā ʻoe a i ʻole e uku i kahi bila i loaʻa iā ʻoe

1 I ka loaʻa ʻana mai iā ʻoe kekahi kōkua pōulia pōpilikia a i ʻole i ka loaʻa aku ʻana mai o kekahi kōkua koʻikoʻi mai kekahi hui hoʻolako i pili ʻole me kō mākou ʻōnaehanaUa hiki no ke loaʻa aku iā ʻoe nā pono kōkua no kekahi pōulia pōpilikia mai nā ʻano hui hoʻolako likeʻole nānā ʻole ʻia hoʻi inā ʻaia ka hui hoʻolako ma kō mākou ʻōnaehana a ʻaʻole paha I ka loaʻa ʻana mai iā ʻoe kekahi kōkua pōulia pōpilikia a i ʻole i ka loaʻa aku ʻana mai o kekahi kōkua koʻikoʻi mai kekahi hui hoʻolako i pili ʻole me kō mākou ʻōnaehana maikaʻi inā noi aku ʻoe i ka hui hoʻolako e kāki mai i ka pila ʻaiʻē i ka papahana ʻinikua

bull Inā ʻoe e uku i ka nui āpau iā ʻoe iho i ka manawa e loaʻa ai iā ʻoe ka mālama pono ʻoe e noi iā mākou e hoʻihoʻi iā ʻoe no kā mākou ʻāpana o ke kumukūʻai E hoʻouna iā mākou i ka pila a me nā palapala o nā uku āu i hana ai



bull I nā manawa e loaʻa iā ʻoe kahi pila mai ka mea hāʻawi e noi ana no ka uku āu e manaʻo ai ʻaʻole ʻoe i ʻaiʻē E hoʻouna mai iā mākou i kēia pila me nā palapala o nā uku āu i hana ai

Inā ʻaiʻē ka mea hāʻawi e uku pololei mākou i ka mea hāʻawi Inā ua uku mua ʻoe i kāu mahele o ke kumukūʻai o ka lawelawe e hoʻoholo mākou i kāu ʻaiʻē a uku aku iā ʻoe no kā mākou ʻāpana o ke kumukūʻai

2 Ke hoʻouna aku kahi mea hoʻolako pūnaewele iā ʻoe i kahi bila āu e manaʻo ai ʻaʻole pono e ukuPono nā mea hoʻolako kikowaena e hoʻopaʻi pololei i ka hoʻolālā a noi iā ʻoe wale nō no kāu mahele o ke kumukūʻai Akā i kekahi manawa hana hewa lākou a noi iā ʻoe e uku hou aʻe ma mua o kāu ʻāpana

bull E uku aku no ʻoe i kāu huina nui o kāu māhele o ke kuleana-kaʻana uku i ka loaʻa mai o nā pono kōkua mai iā mākou mai ʻAʻole mākou e ʻae i nā hui hoʻolako e hoʻokomo i kekahi o nā kāki kaʻawale ʻē aʻe i kapa ʻia ka Palekana Kaulike Pila ʻAiʻē E kū mau no hoʻi o kēia palekana ʻia ʻana (pono ʻole e uku aku a ʻoi aʻe i ka huina nui o ke kuleana kaʻana uku) a he mea ʻole hoʻi inā uku aku mākou i ka hui hoʻolako i kekahi huina nui ma lalo mai o ka huina nui a lākou e kāki nei no kekahi kōkua a inā paha e loaʻa mai kekahi kūʻē a ʻaʻole hoʻi mākou e uku i o nā kāki hui hoʻolako No nā manaʻo ʻē aʻe e pili ana i ka Palekana Kaulike Pila ʻAiʻē e hele aku ma ka Mokuna 4 Māhele 13

bull Ke loaʻa iā ʻoe kahi bila mai ka mea lawelawe pūnaewele āu e manaʻo ai ʻoi aku ia ma mua o kāu uku e hoʻouna mai iā mākou i ka bila E kāhea pololei mākou i ka mea hoʻolako a hoʻonā i ka pilikia pili kālā

bull Inā ua uku mua ʻoe i kahi bila i kahi mea hoʻolako pūnaewele akā manaʻo ʻoe ua uku nui loa ʻoe e hoʻouna iā mākou i ka bila me nā palapala o nā uku āu i hana ai a noi iā mākou e hoʻihoʻi iā ʻoe i ka ʻokoʻa ma waena o ka nui āu i uku ai a me ka ka nui āu i ʻaiʻē ai ma lalo o ka hoʻolālā



3 Inā kākau inoa ʻia ʻoe i loko o kā mākou hoʻolālāI kekahi manawa he retroactive ka hoʻokomo ʻana o kahi kanaka i ka hoʻolālā (Retroactive ʻo ia hoʻi ua hala ka lā mua o kā lākou kākau inoa ʻana Ua hala paha ka lā kākau inoa i ka makahiki i hala)

Inā ua kau inoa ʻia ʻoe i loko o kā mākou hoʻolālā a uku aku ʻoe i waho o ka ʻeke no kekahi o kāu lawelawe uhi ʻia a lāʻau lāʻau paha ma hope o kou lā hoʻopaʻa inoa hiki iā ʻoe ke noi iā mākou e uku aku iā ʻoe no kā mākou mahele o nā koina Pono ʻoe e hoʻouna i nā pepa no mākou e lawelawe i ka uku

E ʻoluʻolu e kāhea i nā lawelawe lālā no ka ʻike hou aku e pili ana i ka pehea e noi ai iā mākou e uku aku iā ʻoe a me nā lā palena palena no ka noi ʻana (Paʻi ʻia nā helu kelepona no nā lawelawe lālā ma ka uhi hope o kēia puke)

4 Ke hoʻohana ʻoe i kahi hale kūʻai lāʻau i waho o ka pūnaewele e hoʻopiha i kahi kuhikuhiInā ʻoe e hele i kahi hale kūʻai lāʻau i waho o ka pūnaewele a hoʻāʻo e hoʻohana i kāu kāleka lālā e hoʻopihapiha i kahi palapala kuhikuhi ʻaʻole hiki i ka lāʻau lapaʻau ke waiho pololei i kā mākou kuleana iā mākou Ke kū kēlā pono ʻoe e uku i ke kumukūʻai holoʻokoʻa o kāu kuhikuhi (Uhi mākou i nā palapala kuhikuhi i hoʻopiha ʻia i nā hale kūʻai mai waho o ka pūnaewele ma kekahi mau hanana kūikawā wale nō E ʻoluʻolu e hele i ka Mokuna 5 ʻĀpana 25 e aʻo hou aʻe)

E mālama i kāu loaʻa a hoʻouna i kahi kope iā mākou ke noi ʻoe iā mākou e uku hou iā ʻoe no kā mākou ʻāpana o ke kumukūʻai

5 Ke uku nei ʻoe i ke kumukūʻai holoʻokoʻa no kahi kuhikuhi no ka mea ʻaʻohe ou kāleka lālā hoʻolālā me ʻoeInā ʻaʻohe ou kāleka lālā lālā me ʻoe hiki iā ʻoe ke noi i ka hale kūʻai lāʻau e kāhea i ka hoʻolālā a i ʻole e nānā i ka ʻike o kāu papa inoa Eia nō naʻe inā ʻaʻole hiki i ka lāʻau lapaʻau ke loaʻa i ka ʻikepili kākau inoa a lākou e pono ai i kēia manawa pono paha ʻoe e uku i ke kumukūʻai holoʻokoʻa o kāu kuhikuhi iā ʻoe iho




6 Ke uku nei ʻoe i ke kumukūʻai holoʻokoʻa no kahi kuhikuhi i nā hanana ʻē aʻeHiki iā ʻoe ke uku i ke kumu kūʻai holoʻokoʻa no ka mea ʻike ʻoe ʻaʻole i uhi ʻia ka lāʻau no kekahi kumu

bull ʻO kahi laʻana ʻaʻole paha ka lāʻau i ka papahana Papa Inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi) a i ʻole he koi paha a i ʻole kapu e ʻike ʻole ai e pili iā ʻoe Inā hoʻoholo ʻoe e loaʻa koke ka lāʻau pono paha ʻoe e uku i ke kumukūʻai holoʻokoʻa no ia

bull Mālama i kāu loaʻa a hoʻouna i kahi kope iā mākou ke noi ʻoe iā mākou e uku hou iā ʻoe I kekahi mau hanana pono paha mākou e kiʻi i ka ʻike hou aku mai kāu kauka i mea e uku aku ai iā ʻoe no kā mākou mahele o ke kumukūʻai

ʻO nā laʻana āpau i luna he ʻano o nā hoʻoholo hoʻoholo ʻO kēia ke hōʻole mākou i kāu noi no ka uku hiki iā ʻoe ke hoʻopiʻi i kā mākou hoʻoholo ʻO ka mokuna 9 o kēia puke (He aha kāu e hana ai inā he pilikia paha a i ʻole he hoʻopiʻi paha (nā hoʻoholo ʻana nā hoʻopiʻi ʻana nā hoʻopiʻi)) he ʻike e pili ana i ka hoʻopiʻi ʻana

PAUKU 2 Pehea e noi ai iā mākou e uku aku iā ʻoe a i ʻole e uku i kahi bila i loaʻa iā ʻoe

Pauku 21 Pehea a ma hea e hoʻouna ai iā mākou i kāu noi no ka uku

E hoʻouna mai iā mākou i kāu noi no ka uku ʻana me kāu pila a me nā palapala o nā uku āu i uku ai He manaʻo maikaʻi e hana i kope o kāu pila a me nā loaʻa no kāu mau moʻolelo

E hōʻoia e hāʻawi ana ʻoe iā mākou i ka ʻike āpau e pono ai mākou e hoʻoholo

bull ʻAʻole pono ʻoe e hoʻohana i ka palapala akā e kōkua ia iā mākou e hana wikiwiki i ka ʻike

bull E hoʻoiho paha i kahi kope o ka palapala mai kā mākou pūnaewele wwwwellcarecomohana a i ʻole e kelepona i nā lawelawe a nā lālā a noi no ka palapala (Paʻi ʻia nā helu kelepona no nā lawelawe lālā ma ka uhi hope o kēia puke)



No nā kōkua lapaʻau mālama olakino e hoʻouna aku i kāu noi a me nā uku i ka manawa hoʻokahi a me nā pīla ʻaiʻē ʻē aʻe a i ʻole nā likiti i uku mua ʻia aku ma kēia helu wahi nei

Uku Noi UkuWellcare Health PlansMedical Reimbursement DepartmentPO Box 31381 Tampa FL 33631

Na ka māhele lāʻau kuhikuhi a ka Part D e hoʻouna leka mai i kāu palapala noi no ka uku ʻana a me nā pila ʻaiʻē a i ʻole nā līkiki i uku mua ʻia iā mākou ma kēia helu wahi nei

No nā hoʻopiʻi koi pohō a ka Part D

Wahi D Noi Uku NoiWellcare Health PlansPharmacy - Prescription Reimbursement DepartmentPO Box 31577 Tampa FL 33631-3577

Pono ʻoe e waiho i kāu hoʻopiʻi iā mākou i loko o 365 mau lā (no nā koi olakino) a i loko o ʻekolu mau makahiki (no nā koi lāʻau) o ka lā i loaʻa iā ʻoe ka lawelawe mea a lāʻau paha

Kāhea aku i nā lawelawe lālā inā he nīnau kāu (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke) Inā ʻaʻole ʻoe e ʻike i ka mea āu e uku ai a i ʻole loaʻa iā ʻoe nā bila a ʻaʻole ʻoe ʻike i ka mea e hana ai e pili ana i kēlā mau bila hiki iā mākou ke kōkua Hiki iā ʻoe ke kāhea inā makemake ʻoe e hāʻawi iā mākou i ka ʻike hou aku e pili ana i kahi noi no ka uku āu i hoʻouna mai ai iā mākou

PAUKU 3 E noʻonoʻo mākou i kāu noi no ka uku ʻana a ʻōlelo ae ʻaʻole ʻaʻole

Pauku 31 Nānā mākou inā pono mākou e uhi i ka lawelawe a lāʻau paha a me ka nui o kā mākou ʻaiʻē

Ke loaʻa iā mākou kāu noi no ka uku e hōʻike mākou iā mākou inā makemake mākou i kahi ʻike hou mai iā ʻoe Inā ʻole e noʻonoʻo mākou i kāu noi a hana i kahi hoʻoholo hoʻopiʻi



bull Inā hoʻoholo mākou ua uhi ʻia ka lāʻau olakino a lāʻau paha a ua ukali ʻoe i nā lula āpau no ka mālama ʻana a i ʻole ka lāʻau e uku mākou no kā mākou mahele o ke kumukūʻai Inā ua uku mua ʻoe no ka lawelawe a lāʻau paha e leka uila mākou i kāu uku o kā mākou mahele o ke kumukūʻai iā ʻoe Inā ʻaʻole ʻoe i uku no ka lawelawe a lāʻau paha e leka uila pololei mākou i ka uku i ka mea hāʻawi (Hoʻomaopopo ka Mokuna 3 i nā lula e pono ai ʻoe e mālama no ka uhi ʻana i kāu lawelawe olakino Hoʻomaopopo ka Mokuna 5 i nā lula e pono ai ʻoe e hāhai no ka uhi ʻana i kāu lāʻau lāʻau kuhikuhi D)

bull Inā hoʻoholo mākou ʻaʻole mālama ʻia ka lāʻau olakino a lāʻau paha ʻaʻole a i ʻole ʻaʻole ʻoe i hana ma hope o nā kānāwai ʻAʻole mākou e uku no kā mākou mahele o ke kumukūʻai Ma kahi o mākou e hoʻouna mākou iā ʻoe i kahi leka e wehewehe ana i nā kumu a mākou e hoʻouna ʻole nei i ka uku āu i noi ai a me kāu mau kuleana e hoʻopiʻi i kēlā hoʻoholo

Pauku 32 Inā haʻi mākou iā ʻoe ʻaʻole mākou e uku no nā mea āpau a ʻāpana paha o ka mālama olakino a lāʻau paha hiki iā ʻoe ke hoʻopiʻi

Inā manaʻo ʻoe ua hana hewa mākou i ka hōʻole ʻana i kāu noi no ka uku ʻana a i ʻole ʻaelike ʻoe me ka nui a mākou e uku nei hiki iā ʻoe ke hoʻopiʻi Inā hoʻopiʻi ʻoe no laila ke noi nei ʻoe iā mākou e hoʻololi i kā mākou hoʻoholo a mākou i hōʻole ai i kāu noi no ka uku

No nā kikoʻī e pili ana i ka hoʻopiʻi ʻana e hele i ka Mokuna 9 o kēia puke (He aha kāu e hana ai inā he pilikia a hoʻopiʻi paha kāu (nā hoʻoholo ʻana nā hoʻopiʻi ʻana nā hoʻopiʻi)) ʻO ke kaʻina hoʻopiʻi kahi hana maʻamau me nā kaʻina kikoʻī a me nā lā palena nui Inā he mea hou iā ʻoe ka hoʻopiʻi ʻana e ʻike ʻoe he mea maikaʻi ke hoʻomaka ma ka heluhelu ʻana i ka ʻĀpana 4 o ka Mokuna 9 ʻO ka ʻĀpana 4 kahi ʻāpana hoʻolauna e wehewehe i ke kaʻina hana no ka uhi ʻana i nā hoʻoholo a me nā hoʻopiʻi ʻana a hāʻawi i nā wehewehe ʻana i nā huaʻōlelo e like me hoʻopiʻi A ma hope o kāu heluhelu ʻana i ka ʻĀpana 4 hiki iā ʻoe ke hele i ka ʻāpana ma ka Mokuna 9 e haʻi ana i ka mea e hana ai no kāu kūlana

bull Inā makemake ʻoe e hoʻopiʻi e pili ana i ka uku ʻia ʻana no kahi lawelawe lapaʻau e hele i ka ʻĀpana 53 ma Mokuna 9

bull Inā makemake ʻoe e hoʻopiʻi e pili ana i ka uku ʻia ʻana no kahi lāʻau hele i ka ʻĀpana 65 o ka Mokuna 9



PAUKU 4 ʻO nā kūlana ʻē aʻe kahi e mālama ai i kāu mau loaʻa a hoʻouna i nā kope iā mākou

Pauku 41 I kekahi mau hihia pono ʻoe e hoʻouna i nā kope o kāu mau loaʻa iā mākou e kōkua iā mākou e nānā i kāu kumukūʻai lāʻau i waho o ka ʻeke

Aia kekahi mau hanana ke hōʻike ʻoe iā mākou e pili ana i nā uku āu i hana ai no kāu lāʻau I kēia mau hihia ʻaʻole ʻoe e noi iā mākou no ka uku Akā ke haʻi nei ʻoe iā mākou e pili ana i kāu uku e hiki ai iā mākou ke helu pono i kāu kumukūʻai o waho o ka ʻeke Kōkua paha kēia iā ʻoe e kū i ke kahua ʻo Catastrophic Coverage Stage me ka wikiwiki

Eia nā hanana ʻelua inā ʻoe e hoʻouna iā mākou i nā kope o nā loaʻa e hōʻike iā mākou e pili ana i nā uku āu i hana ai no kāu lāʻau

1 Ke kūʻai aku ʻoe i ka lāʻau no ke kumu kūʻai i haʻahaʻa ma mua o kā mākou kumukūʻai

I kekahi manawa aia ʻoe i ka Deductible Stage a me Kahua ʻo Coap Gap hiki iā ʻoe ke kūʻai i kāu lāʻau ma kahi hale kūʻai lāʻau lapaʻau no kahi kumukūʻai i ʻoi aku ka haʻahaʻa ma mua o kā mākou kumukūʻai

bull ʻO kahi laʻana hāʻawi paha kahi lāʻau lapaʻau i kahi kumukūʻai kūikawā ma ka lāʻau A i ʻole he kāleka hōʻemi paha kāu ma waho o kā mākou pono e hāʻawi nei i kahi kumukūʻai haʻahaʻa

bull Inā ʻaʻole pili nā kūlana kūikawā pono ʻoe e hoʻohana i kahi hale kūʻai lāʻau lapaʻau i kēia mau hanana a pono kāu lāʻau i kā mākou papa inoa lāʻau

bull E mālama i kāu loaʻa a hoʻouna i kahi kope iā mākou i hiki ai iā mākou ke helu i nā lilo o waho o ka ʻeke i ke koho ʻana iā ʻoe no ka Catastrophic Coverage Stage

bull E ʻoluʻolu inā ʻoe i ka Deductible Stage and Kahua ʻo Coap Gap ʻaʻole hiki iā mākou ke uku no kekahi mahele o kēia mau kumukūʻai lāʻau Akā ke hoʻouna nei i kahi kope o ka loaʻa e ʻae iā mākou e helu pono i kāu kumukūʻai ma waho o ka ʻeke a kōkua paha iā ʻoe e kūpono no ka Catastrophic Coverage Stage ma ka wikiwiki



2 Ke loaʻa ʻoe i ka lāʻau i loko o kahi papahana kōkua hoʻomanawanui i hāʻawi ʻia e kahi mea hana lāʻau

Ua kākau inoa ʻia kekahi mau lālā i kahi papahana kōkua hoʻomanawanui i hāʻawi ʻia e kahi mea hana lāʻau i waho o ka pōmaikaʻi pōmaikaʻi Inā loaʻa iā ʻoe nā lāʻau i loko o kahi papahana i hāʻawi ʻia e kahi mea hana lāʻau hiki iā ʻoe ke uku i kahi uku i ka polokalamu kōkua maʻi


bullE ʻoluʻolu e hoʻomaopopo iā No ka mea ke kiʻi nei ʻoe i kāu lāʻau i loko o ka papahana kōkua maʻi a ʻaʻole ma o nā pono o ka hoʻolālā ʻaʻole mākou e uku no kekahi mahele o kēia mau kumukūʻai lāʻau Akā ke hoʻouna nei i kahi kope o ka loaʻa e ʻae iā mākou e helu pono i kāu kumukūʻai ma waho o ka ʻeke a kōkua paha iā ʻoe e kūpono no ka Catastrophic Coverage Stage ma ka wikiwiki

ʻOiai ʻaʻole ʻoe e noi ana i ka uku i nā hihia ʻelua i hōʻike ʻia ma luna ʻaʻole manaʻo ʻia kēia mau hanana i nā hoʻoholo i uhi ʻia No laila ʻaʻole hiki iā ʻoe ke hana i kahi hoʻopiʻi inā ʻaʻole ʻoe e kūlike i kā mākou manaʻo

MOKUNA 8Kou mau pono a me nā kuleana

2022 Hōʻike o ka uhi ʻana no Wellcare Ohana No Premium (HMO) 220Mokuna 8 Kou mau pono a me nā kuleana

Mokuna 8 Kou mau pono a me nā kuleana

PAUKU 1 Pono mākou papahana e hoʻohanohano i kāu mau kuleana ma ke ʻano he lālā o ka hoʻolālā 221

Pauku 11 Pono mākou e hāʻawi i ka ʻike i kahi ala e hana ai iā ʻoe (i nā ʻōlelo ʻē aʻe ma mua o ka ʻōlelo Pelekania i ka leo i ka braille i ka paʻi nui a i ʻole nā ano ʻē aʻe ʻē aʻe) 221

Pauku 12 Pono mākou e hōʻoia e kiʻi i ka manawa kūpono i kāu mau lawelawe i uhi ʻia a me nā lāʻau 223

Pauku 13 Pono mākou e pale i ka pilikino o kāu ʻike olakino pilikino 224Pauku 14 Pono mākou e hāʻawi iā ʻoe i ka ʻike e pili ana i ka hoʻolālā

kāna pūnaewele o nā mea hoʻolako a me kāu mau lawelawe i uhi ʻia 225

Pauku 15 Pono mākou e kākoʻo i kāu kuleana e hoʻoholo e pili ana i kāu mālama 227

Pauku 16 He kuleana kou e hoʻopiʻi aku a noi iā mākou e noʻonoʻo hou i nā hoʻoholo a mākou i hana ai 229

Pauku 17 He kuleana kou e hana i nā ʻōlelo aʻoaʻo e pili ana i kā mākou kuleana a me nā kulekele kuleana 230

Pauku 18 Ka loiloi ʻana i nā ʻenehana hou 230Pauku 19 He aha ka mea e hiki iā ʻoe ke hana inā manaʻoʻiʻo ʻoe e

mālama kūpono ʻole ʻia ʻoe a i ʻole ʻaʻole e mahalo ʻia kāu kuleana 230

Pauku 110 Pehea e loaʻa ai ka ʻike hou aku e pili ana i kāu kuleana 231PAUKU 2 He kuleana kou ma ke ʻano he lālā o ka hoʻolālā 232

Pauku 21 He aha kāu kuleana 232


PAUKU 1 Pono mākou papahana e hoʻohanohano i kāu mau kuleana ma ke ʻano he lālā o ka hoʻolālā

Pauku 11 Pono mākou e hāʻawi i ka ʻike i kahi ala e hana ai iā ʻoe (i nā ʻōlelo ʻē aʻe ma mua o ka ʻōlelo Pelekania i ka leo i ka braille i ka paʻi nui a i ʻole nā ano ʻē aʻe ʻē aʻe)

To get information from us in a way that works for you please call Member Services (phone numbers are printed on the back cover of this booklet)

Our plan has people and free interpreter services available to answer questions from disabled and non-English speaking members We also have materials available in languages other than English that are spoken in the planrsquos service area We can also give you information in audio in braille in large print or other alternate formats at no cost if you need it We are required to give you information about the plans benefits in a format that is accessible and appropriate for you To get information from us in a way that works for you please call Member Services (phone numbers are printed on the back cover of this booklet)

If you have any trouble getting information from our plan in a format that is accessible and appropriate for you please call to file a grievance with Member Services (phone numbers are printed on the back cover of this booklet) You may also file a complaint with Medicare by calling 1-800-MEDICARE (1-800-633-4227) or directly with the Office for Civil Rights Contact information is included in this Evidence of Coverage or with this mailing or you may contact Member Services for additional information

Para makakuha sa amin ng impormasyon sa paraang madali para sa inyo tumawag sa Mga Serbisyo para sa Miyembro (naka-print ang mga numero ng telepono sa likod na pabalat ng buklet na ito)

May mga tauhan at mga libreng serbisyo sa interpretasyon ang aming plano na handang sumagot sa mga tanong ng mga miyembrong may kapansanan at hindi massilia ng Ingles Mayroon din kaming mga materyal na magagamit sa mga wika bukod sa Ingles na sinasalita sa sineserbisyuhang lugar ng plano Makakapagbigay rin kami sa inyo ng impormasyon sa pamamagitan ng braille sa malaking print o sa iba pang alternatibong format na libre kung kailangan ninyo Inaatasan kaming bigyan kayo ng impormasyon tungkol sa mga benepisyo ng plano sa isang format na madaling gamitin at naaangkop para sa inyo Para makakuha sa amin ng impormasyon sa paraang madali para sa inyo tumawag sa Mga Serbisyo para sa Miyembro (naka-print ang mga numero ng telepono sa likod na pabalat ng buklet na ito)


Kung mayroon kayong anumang problema sa pagkuha ng impormasyon mula sa aming plano sa isang format na madaling gamitin at naaangkop sa inyo tumawag sa telepono ng Mga Serbisyo para sa Miyembro para sa paghahain ng karaingan (naka-print ang mga numero ng telepono sa likod na pabalat ng buklet na ito) Maaari din kayong maghain ng reklamo sa Medicare sa pamamagitan ng pagtawag sa 1-800-MEDICARE (1-800-633-4227) o nang direkta sa Tanggapan para sa mga Karapatang Sibil Kalakip ng Katibayan ng Pagsaklaw na ito o sa ipinadala sa pamamagitan ng koreo na ito ang impormasyon sa pakikipag-ugnayan o maaari kayong makipag-ugnayan sa Mga Serbisyo para sa Miyembro para sa karagdagang impormasyon

Tapno makaala iti impormasion manipud kadakami iti wagas a mabalin kenka maidawat a tawagam ti Dagiti Serbisio iti Miembro (dagiti numero ti telepono ket nakaprinta iti akin-likod ti kalub daytoy a bassit a libro)

Ti planomi ket addaan kadagiti tattao ken kadagiti libre a serbisio ti tagaipatarus a sidadaan a sumungbat kadagiti saludsod manipud kadagiti baldado ken miembro a saan nga Ingles ti pagsasaona Addaankami met kadagiti materiales a sidadaan a mausar kadagiti pagsasao a saan nga Ingles a maus-usar iti lugar a serserbisioan ti plano Mabalindaka met nga ipaayan iti impormasion iti braille iti dadakkel a letra wenno kadagiti dadduma nga alternatibo a pormat a libre nu masapulmo daytoy Makalikagumkami a mangipaay kenka iti impormasion a maipapan kadagiti benepisio ti plano iti pormat a maakses ken maitutop para kenka Tapno makaala iti impormasion manipud kadakami iti wagas a mabalin kenka maidawat a tawagam ti Dagiti Serbisio iti Miembro (dagiti numero ti telepono ket nakaprinta iti akin-likod ti kalub daytoy a bassit a libro)

Nu adda pakarikutam iti panangala iti impormasion manipud iti planomi iti pormat a maakses ken maitutop para kenka maidawat a tumawagka tapno makaidatagka iti reklamo iti Dagiti Serbisio iti Miembro (dagiti numero ti telepono ket nakaprinta iti akin-likod ti kalub daytoy a bassit a libro) Mabalinka met a mangidatag iti reklamo iti Medicare babaen iti panagtawag iti 1-800-MEDICARE (1-800-633-4227) wenno direkta iti Opisina para kadagiti Karbengan a Sibil Ti impormasion ti pagkontakan ket nainayon iti daytoy a Pammaneknek ti Pannakasaklaw wenno iti daytoy a surat wenno mabalinmo a kontaken ti Dagiti Serbisio iti Miembro para iti kanayonan nga impormasion

Ina ia maua atu faamatalaga mai ia matou i se auala e aogā ai mo oe faamolemole valarsquoau Auaunaga a Tagata Auai (Member Services) (ua lomia numera o telefoni i tua o le kava o lenei tusi)

O le matou fuafuaga e iai tagata ma auaunaga faaliliuupu e lē totogia e tali atu i fesili a i latou e iai manaoga tumau ma sui auai e lē tautatala i le Igilisi


O loo iai foi lomiga o loo maua i isi gagana e ese mai ai le Igilisi o loo tautalagia i totonu o le vaega o le fuafuaga o auaunaga E mafai foi ona matou tuuina atu ia oe faamatalaga i le gagana a le au tauaso lomiga i mataitusi lapoporsquoa poo isi ituaiga o lomiga e leai se totogi pe afai e te manaomia Ua tāpā i matou e avatu faamatalaga ia te oe e uiga i penefiti o le fuafuaga i se auala e faigofie ona e maua ma talafeagai ma oe Ina ia maua atu faamatalaga mai ia matou i se auala e aogā mo oe faamolemole valarsquoau Auaunaga a Tagata Auai (Member Services) (ua lomia numera o telefoni i tua o le kava o lenei tusi)

Afai e iai se faafitauli i lou mauaina o faamatalaga mai Ie matou fuafuaga i se auala e faigofie ona e maua ma talafeagai ma oe faamolemole valarsquoau ane ina ia tuuina atu se faaseā i le Auaunaga a Tagata Auai (ua lomia numera o telefoni i tua o le kava o lenei tusi) E mafai foi ona tuuina atu se faaseā i le Medicare e ala i le valarsquoau le 1-800-MEDICARE (1-800-633-4227) pe tuusarsquoo i le Ofisa o Aia Tatau (Office of Civil Rights) O loo aofia atu faamatalaga e fesootai ai i le Evidence of Coverage poo le meli lenei poo lou faafesootai Member Services mo nisi faamatalaga faaopoopo

I loaʻa ka ʻikepili maiā mākou i kūpono nou ke ʻoluʻolu e kelepona iā Member Services (ua paʻi ʻia nā helu kelepona ma ke kua o kēia pepelu)

Lako ka mākou papahana i nā kānaka a lawelawe unuhi manuahi i mākaukau i ka pane ʻana i nā nīnau a ka poʻe kīnānā a ʻike ʻole i ka ʻōlelo Pelekānia Loaʻa pū iā mākou he mau kumuwaiwai ma nā ʻōlelo ma ʻō aku o ka Pelekānia i walaʻau ʻia ma kahi o kēia papahana Lako pū ka ʻikepili no ke kanaka kuli makapō a pēlā wale aku a manuahi pū Koi ʻia mākou e kaʻakaʻahi i ka ʻikepili no ka waiwai o ka papahana ma ke kinona kūpono nou I loaʻa ka ʻikepili maiā mākou i kūpono nou ke ʻoluʻolu e kelepona iā Member Services (ua paʻi ʻia nā helu kelepona ma ke kua o kēia pepelu)

Inā pilikia ʻoe ma ka ʻimi i ka ʻikepili o ko mākou papahana ma ke ʻano e kūpono ai nou ke ʻoluʻolu e kelepona a namunamu kūhelu me Member Services (ua paʻi ʻia nā helu kelepona ma ke kua o kēia pepelu) Ua hiki pū iā ʻoe ke namunamu me Medicare ma ke kelepona ʻana iā 1-800-MEDICARE (1-800-633-4227) a i ʻole me ko ka Office for Civil Rights Aia ka ʻikepili kaʻaʻike ma kēia Evidence of Coverage a i ʻole ma kēia leka a ua hiki pū ke kaʻaʻike me Member Services no ka ʻikepili hou aku

Pauku 12 Pono mākou e hōʻoia e kiʻi i ka manawa kūpono i kāu mau lawelawe i uhi ʻia a me nā lāʻau

I lālā hoʻi a ka papahana ʻinikua he pono hoʻi kou no ke koho ʻana aku i kekahi hui hoʻolako mālama mea maʻi kuamua (PCP) mai kō mākou ʻōnaehana hui hoʻolako mai no ka Hoʻoponopono ʻana i kāu mau kōkua uhi ʻana (Wehewehe


ʻia no hoʻi nā manaʻo ʻē aʻe e pili ana i kēia ma loko o ka Mokuna 3) E keʻena kōkua lālā no ka loaʻa ʻana mai o nā manaʻo ʻē aʻe e pili ana i nā kauka e ʻāpono nei i ke komo ʻana mai o nā mea maʻi hou (paʻi ʻia nā helu kelepona ma ka ʻili hope o kēia pepelu nei) He kuleana pū hoʻi kou no ka ka ʻike ʻana aku i kekahi kauka kōkua ola pono kūikawā no nā wāhine (e like me kekahi kauka nānā kohe) me ka loaʻa ʻole ʻana o kekahi kuhikuhi ʻia

I lālā hoʻi a ka papahana ʻinikua he pono hoʻi kou no ka loaʻa ʻana mai o nā hoʻopaʻa manawa nānā kauka a me nā pono kōkua mai ka ʻōnaehana o nā hui hoʻolako a ka papahana ʻinikua i loko no hoʻi o kekahi wā kūpono Pēia pū me nā pono no ke kōkua ʻia ʻana mai i ka manawa kōkua mai kekahi kauka kūikawā inā makemake ʻia hoʻi o ia mālama ʻia ʻana Ua loaʻa pū hoʻi iā ʻoe nā pono no ke kiʻi ʻana aku i kāu lāʻau kuhikuhi a i ʻole no ka hoʻopiha hou ʻana i nā lāʻau ma kō mākou ʻōnaehala hale kūʻai me ke kali lōʻihi ʻole ʻana

Inā manaʻo ʻoe ʻaʻole ʻoe e mālama i kāu lāʻau olakino a i ʻole Part D lāʻau i loko o kahi manawa kūpono Wahi a ka ʻĀpana 10 o kēia puke i ka mea hiki iā ʻoe ke hana (Inā ua hōʻole mākou i ka uhi ʻana no kāu mālama olakino a lāʻau lapaʻau paha a ʻaʻole ʻoe e ʻae i kā mākou hoʻoholo Mokuna 9 ʻĀpana 4 e haʻi ana i kāu mea e hiki ai ke hana)

Pauku 13 Pono mākou e pale i ka pilikino o kāu ʻike olakino pilikino


bull ʻO kāu ʻike olakino pilikino pili i ka ʻike pilikino āu i hāʻawi mai ai iā mākou i kou wā i kākau inoa ai i kēia hoʻolālā a me kāu palapala olakino a me nā ʻike olakino a olakino ʻē aʻe

bull Hāʻawi nā kānāwai e pale ai i kāu pilikino iā ʻoe i nā kuleana e pili ana i ka loaʻa ʻana o ka ʻike a me ka kaohi ʻana pehea e hoʻohana ai i kāu ʻike olakino Hāʻawi mākou iā ʻoe i kahi leka i kākau ʻia i kapa ʻia ʻo Hoʻolaha Hoʻolaha Pilikino e haʻi e pili ana i kēia mau kuleana a wehewehe pehea mākou e pale ai i ka pilikino o kāu ʻike olakino

Pehea mākou e pale ai i ka pilikino o kāu ʻike olakino bull Hōʻoiaʻiʻo mākou ʻaʻole ʻike a hoʻololi paha ka poʻe i ʻae ʻia i kāu mau moʻolelo

bull I ka hapanui o nā kūlana inā hāʻawi mākou i kāu ʻike olakino i ka mea hāʻawi ʻole i kāu mālama a uku paha no kāu mālama koi ʻia mākou e ʻae palapala iā ʻoe ma mua Hāʻawi ʻia ka ʻae kākau e ʻoe a i ʻole e kekahi āu i hāʻawi ai i ka mana kū kānāwai e hoʻoholo ai iā ʻoe


bull Aia kekahi mau hoʻokoe e koi ʻole iā mākou e kiʻi mua i kāu ʻae palapala ʻAe ʻia kēia mau ʻae a koi ʻia e ke kānāwai

Eia kekahi la koi mākou e hoʻokuʻu i ka ʻike olakino i nā keʻena aupuni e nānā nei i ka maikaʻi o ka mālama

No ka mea he lālā ʻoe o kā mākou hoʻolālā ma o Medicare koi ʻia mākou e hāʻawi iā Medicare i kāu ʻike olakino e pili ana i ka ʻike e pili ana i kāu ʻaoʻao D lāʻau lāʻau Inā hoʻokuʻu ʻo Medicare i kāu ʻike no ka noiʻi a i ʻole nā hoʻohana ʻē aʻe e hana ʻia kēia e like me nā kānāwai Federal

Hiki iā ʻoe ke ʻike i ka ʻike i loko o kāu mau moʻolelo a ʻike pehea i kaʻana like ʻia ai me nā poʻe ʻē aʻe

He kuleana kou no ka loaʻa mai o kāu mau palapala hōʻike mālama olakino mai ka papahana mai a hiki pū ke loaʻa kekahi kope o nā palapala kekahi He kuleana no ko mākou no ke kāki ʻana aku iāʻoe i kekahi uku kāki no ka hana ʻana i kēia mau kope He pono no hoʻi kou e noi mai iā mākou no ke hoʻokomo hou ʻana aku a i ʻole no ka hoʻopololei hou ʻana i kāu mau palapala mālama olakino Inā paha e hana ʻoe pēnei e hana like ana mākou me kāu hui hoʻolako mālama olakino no ka hoʻoholo ʻana aku inā pono ka hoʻololi ʻia ʻana e like me kāu e noi nei

He kuleana kou e ʻike pehea i kaʻana like ʻia ai kāu ʻike olakino me nā poʻe ʻē aʻe no nā kumu maʻamau ʻole āpau

Inā he mau nīnau a hopohopo paha kāu e pili ana i ka pilikino o kāu ʻike olakino pilikino e ʻoluʻolu e kelepona i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke)

Pauku 14 Pono mākou e hāʻawi iā ʻoe i ka ʻike e pili ana i ka hoʻolālā kāna pūnaewele o nā mea hoʻolako a me kāu mau lawelawe i uhi ʻia

Ma ke ʻano he lālā o kā mākou hoʻolālā he kuleana kāu e loaʻa mai i kahi ʻano ʻikepili mai iā mākou (E like me ka wehewehe ma luna ma ka ʻĀpana 11 he kuleana kou e loaʻa i ka ʻikepili mai iā mākou ma ke ʻano e hana pono ai iā ʻoe Pākuʻi ʻia kēia i ka loaʻa ʻana o ka ʻike i nā ʻōlelo ʻē aʻe ma mua o ka ʻōlelo Pelekania a i ka paʻi nui a i ʻole nā ano ʻē aʻe ʻē aʻe)


Inā makemake ʻoe i kekahi o kēia ʻano ʻike e ʻoluʻolu e kelepona i nā lawelawe lālā (ua paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke)

bull ʻO ka ʻike e pili ana i kā mākou hoʻolālā Hoʻopili kēia e laʻa me ka ʻike e pili ana i ke kūlana kālā o ka hoʻolālā Aia pū me ka ʻikepili e pili ana i ka helu o nā hoʻopiʻi i hana ʻia e nā lālā a me ka Hōkū Hōkū o ka hoʻolālā e like me ka helu ʻia ʻana e nā lālā hoʻolālā a pehea e hoʻohālikelike ai i nā hoʻolālā olakino Medicare

bull ʻO ka ʻikepili e pili ana i kā mākou ʻoihana pūnaewele e pili ana i kā mākou hale kūʻai lāʻau pūnaewele

ʻO kahi laʻana he kuleana kou e kiʻi mai iā mākou e pili ana i nā pono o nā mea hoʻolako a me nā hale kūʻai lāʻau i loko o kā mākou pūnaewele a pehea mākou e uku ai i nā mea hoʻolako i kā mākou pūnaewele

No kahi papa inoa o nā mea hoʻolako a me nā hale kūʻai lāʻau i ka pūnaewele o ka hoʻolālā e ʻike i ka Mea Hoʻolaha amp Hoʻolaha Hoʻolaha

No ka ʻike piha kikoʻī e pili ana i kā mākou poʻe lawelawe a i ʻole nā hale kūʻai lāʻau hiki iā ʻoe ke kelepona i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke) a i ʻole e kipa i kā mākou pūnaewele ma wwwwellcarecomohana

bull ʻIkepili e pili ana i kāu uhi a me nā lula e pono ʻoe e hāhai i ka hoʻohana ʻana i kāu uhi

Ma nā Mokuna 3 a me 4 o kēia puke wehewehe mākou i nā lawelawe olakino i uhi ʻia nāu nā kapu i kou uhi ʻana a me nā lula e pono ai ʻoe e mālama e kiʻi i kāu lawelawe olakino uhi ʻia

Nānā ʻAʻole uku kā mākou papa i nā mea hana nā mea hoʻolako a i ʻole nā limahana e hana i nā loiloi hoʻohana me nā mea o nā ʻelele i hāʻawi ʻia Hoʻohana ʻia ka hoʻoholo ʻana o ka Utilization Management (UM) ma ke kūpono o ka mālama a me ka lawelawe a me ke ola ʻana o ka uhi Hoʻohui ʻia ʻaʻole uku ka papa hana i nā mea hana a i ʻole nā kānaka ʻē aʻe no ka hoʻopuka ʻana i nā hōʻole o ka uhi ʻana ʻAʻole nā paipai kālā no nā mea hoʻoholo UM e paipai i nā hoʻoholo i hopena i ka underutilization

E kiʻi i nā kikoʻī e pili ana i kāu ʻāpana lāʻau lāʻau lapaʻau kuhikuhi D e ʻike i nā Mokuna 5 a me 6 o kēia puke liʻiliʻi a me ka papahana Papa Inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi) ʻO kēia mau mokuna me ka Ka papa inoa o nā lāʻau i uhi ia (Papa kuhikuhi lāʻau kuhikuhi) e haʻi iā ʻoe i nā lāʻau i uhi ʻia a wehewehe i nā lula e pono ai ʻoe e mālama a me nā mea i kau ʻia no kāu uhi ʻana no kekahi mau lāʻau


Inā he mau nīnau kāu e pili ana i nā lula a i ʻole nā kapu e ʻoluʻolu e kelepona i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke)

bull ʻO ka ʻike e pili ana i ke kumu e uhi ʻole ʻia ai kahi mea a hiki iā ʻoe ke hana e pili ana iā ia

Inā ʻaʻole uhi ʻia kahi lawelawe olakino a i ʻole Part D lāʻau lāʻau naʻu a inā i kapu ʻia kāu uhi ʻana ma kekahi ʻano hiki iā ʻoe ke noi iā mākou no kahi wehewehe palapala He kuleana kou i kēia wehewehe inā ua loaʻa iā ʻoe ka lawelawe olakino a lāʻau lāʻau paha mai kahi mea lawelawe i waho o ka pūnaewele a i ʻole ka lāʻau lapaʻau

Inā ʻaʻole ʻoe hauʻoli a inā ʻaʻole ʻoe e kūlike me kahi hoʻoholo a mākou e hana ai e pili ana i ka mālama lapaʻau a i ʻole ka Part D lāʻau i uhi ʻia no ʻoe he kuleana kou e noi iā mākou e hoʻololi i ka hoʻoholo Hiki iā ʻoe ke noi iā mākou e hoʻololi i ka hoʻoholo ma ka hoʻopiʻi ʻana No nā kikoʻī e pili ana i ka mea e hana ai inā ʻaʻole uhi ʻia kekahi mea iā ʻoe i ke ala āu e manaʻo ai e uhi ʻia e ʻike i ka Mokuna 9 o kēia puke Hāʻawi iā ʻoe i nā kikoʻī e pili ana pehea e hoʻopiʻi ai inā makemake ʻoe e hoʻololi mākou i kā mākou hoʻoholo (ʻChapterlelo pū ka mokuna 9 e pili ana i ka hoʻopiʻi ʻana e pili ana i ka maikaʻi o ka mālama nā manawa kali a me nā hopohopo ʻē aʻe)

Inā makemake ʻoe e nīnau i kā mākou hoʻolālā e uku i kā mākou ʻāpana o kahi pila i loaʻa iā ʻoe no ka mālama olakino a i ʻole kahi lāʻau lāʻau kuhikuhi Part D e ʻike i ka Mokuna 7 o kēia puke

Pauku 15 Pono mākou e kākoʻo i kāu kuleana e hoʻoholo e pili ana i kāu mālama

He kuleana kou e ʻike i kāu koho maʻi a komo i nā hoʻoholo e pili ana i kāu mālama olakino

He kuleana kou e loaʻa i ka ʻike piha mai kāu kauka a me nā mea lawelawe olakino ʻē aʻe ke hele ʻoe no ka mālama olakino Pono kāu poʻe lawelawe e wehewehe i kāu ʻano olakino a me kāu koho koho i kahi ala e hiki ai iā ʻoe ke hoʻomaopopo

He kuleana pū kou e komo pono i nā hoʻoholo e pili ana i kāu mālama olakino I mea e kōkua ai iā ʻoe e hoʻoholo me kāu kauka e pili ana i ke kūpono maikaʻi loa iā ʻoe e hoʻopili pū kāu mau pono i kēia mau mea

bull E ʻike e pili ana i kāu mau koho āpau ʻO kēia ke kuleana iā ʻoe e haʻi ʻia e pili ana i nā koho lapaʻau āpau i koi ʻia no kou kūlana ʻaʻohe mea e uku ʻia


a i ʻole uhi ʻia e kā mākou hoʻolālā Hoʻopili pū ʻia ia e haʻi ʻia e pili ana i nā papahana a kā mākou papahana e hāʻawi nei e kōkua i nā lālā e hoʻokele i kā lākou lāʻau a hoʻohana pono i nā lāʻau

bull E ʻike e pili ana i nā pilikia He kuleana kou e haʻi ʻia aku e pili ana i nā pilikia e pili ana i kāu mālama ʻana Pono e haʻi ʻia iā ʻoe ma mua inā pili ka mālama olakino a i ʻole ka mālama ʻana i kahi ʻimi noiʻi He koho mau kāu e hōʻole i nā hōʻailona hoʻokolohua

bull Ke kuleana e ʻōlelo ʻaʻole He kuleana kou e hōʻole i nā lapaʻau i hōʻike ʻia Aia kēia i ke kuleana e haʻalele i kahi haukapila a i ʻole nā wahi olakino ʻē aʻe ʻoiai inā ʻōlelo aʻoaʻo kāu kauka iā ʻoe ʻaʻole e haʻalele He kuleana pū kou e hōʻoki i ka lawe ʻana i kāu lāʻau ʻOiaʻiʻo inā hōʻole ʻoe i ka lapaʻau ʻana a hōʻoki paha i ka lawe ʻana i ka lāʻau ʻae ʻoe i ke kuleana piha no ka mea e hopena i kou kino i kahi hopena

bull E loaʻa ai kahi wehewehe inā hōʻole ʻia ʻoe i ka uhi no ka mālama He kuleana kou e loaʻa i kahi wehewehe mai iā mākou inā ua hōʻole kahi mea lawelawe i kou manaʻo ʻaʻole pono ʻoe e loaʻa No ka loaʻa ʻana o kēia wehewehe pono ʻoe e nīnau iā mākou no kahi hoʻoholo hoʻopiʻi ʻTellslelo ka mokuna 9 o kēia puke pehea e noi ai i ka papahana no ka hoʻoholo hoʻoholo

He kuleana kou e hāʻawi i nā ʻōkuhi e pili ana i nā mea e hana ai inā ʻaʻole hiki iā ʻoe ke hoʻoholo i kāu olakinoI kekahi manawa ʻaʻole hiki i ka poʻe ke hoʻoholo i ka olakino no lākou iho ma muli o nā ulia a me nā maʻi koʻikoʻi He kuleana kou e haʻi aku i kāu mea e makemake ai inā ʻoe i kēia kūlana ʻO kēia ka manaʻo inā makemake ʻoe iā hiki iā ʻoe

bull Hoʻopiha mai i ka PALAPALA e haawi aku kekahi ka loio i mana e e inikua hoʻoholo no ka oe ina oe a mau loa aku e hiki i ka e hoʻoholo ai no oe ia oe iho

bull E hāʻawi i kāu mau kauka i nā ʻōkuhi i kākau ʻia e pili ana i kahi āu e makemake ai iā lākou e lawelawe i kāu olakino inā ʻaʻole hiki iā ʻoe ke hoʻoholo iā ʻoe iho

ʻO nā palapala kū kānāwai i hiki iā ʻoe ke hoʻohana e hāʻawi i kāu kuhikuhi ma mua i kēia mau hanana i kapa ʻia ʻo nā kuhikuhi mua He mau ʻano alakaʻi o mua a me nā inoa ʻokoʻa na lākou Kapa ʻia nā palapala i kapa ʻia e noho ana a me mana loio no ka mālama olakino he mau laʻana no ia o nā kuhikuhi mua

Inā makemake ʻoe e hoʻohana i kahi kuhikuhi mua e hāʻawi i kāu mau kuhikuhi eia ka mea e hana ai


bull E kiʻi i ka palapala Inā makemake ʻoe e loaʻa kahi kuhikuhi mua hiki iā ʻoe ke kiʻi i kahi palapala mai kāu loio mai kahi limahana kaiaulu a mai kekahi mau hale kūʻai lako hale Hiki iā ʻoe i kekahi manawa ke kiʻi i nā palapala kuhikuhi mua mai nā hui e hāʻawi i ka ʻike i ka poʻe e pili ana iā Medicare

bull Hoʻopiha ia a kau inoa Nānā ʻole i kahi e loaʻa ai kēia palapala iā ʻoe e hoʻomanaʻo he palapala kū kānāwai kēlā Pono ʻoe e noʻonoʻo e loaʻa i kahi loio e kōkua iā ʻoe e hoʻomākaukau

bull E hāʻawi i nā kope i ka poʻe kūpono Pono ʻoe e hāʻawi i kahi kope o ka palapala i kāu kauka a me ke kanaka āu e inoa ai ma ke ʻano he mea nāna e hoʻoholo inā ʻaʻole hiki iā ʻoe E makemake paha ʻoe e hāʻawi i nā kope i nā hoa pili a ʻohana paha E mālama pono i kahi kope ma ka home

Inā ʻoe e ʻike ma mua o ka manawa e hele ana ʻoe i ka haukapila a ua kau inoa ʻoe i kahi kuhikuhi mua e lawe i kahi kope me ʻoe i ka haukapila

bull Inā ʻae ʻia ʻoe i ka haukapila e nīnau lākou iā ʻoe inā ua kau inoa ʻoe i kahi palapala kuhikuhi mua a inā paha me ʻoe ia

bull Inā ʻaʻole ʻoe i kau inoa i kahi palapala kuhikuhi mua loaʻa nā palapala mai nā haukapila a e nīnau inā makemake ʻoe e kau inoa i hoʻokahi

E hoʻomanaʻo ʻo kāu koho inā makemake ʻoe e hoʻopihapiha i kahi kuhikuhi mua (me kahi āu e makemake ai e kau inoa inā aia ʻoe i ka haukapila) Wahi a ke kānāwai ʻaʻohe mea e hiki ke hōʻole iā ʻoe i ka mālama a hoʻokae ʻē paha iā ʻoe ma muli o ke kau inoa ʻana i kahi kuhikuhi mua

He aha inā ʻaʻole e mālama ʻia kāu ʻōlelo aʻoInā ua kau inoa ʻoe i kahi ʻōkuhi mua a manaʻo ʻoe ʻaʻohe kauka a haukapila paha i ukali i nā ʻōlelo aʻo i loko hiki iā ʻoe ke faila i kahi hoʻopiʻi me ka Office Executive of Hawaii no ka ʻelemakule

Pauku 16 He kuleana kou e hoʻopiʻi aku a noi iā mākou e noʻonoʻo hou i nā hoʻoholo a mākou i hana ai

Inā he mau pilikia a hopohopo paha kāu e pili ana i kāu mau lawelawe i uhi ʻia a mālama ʻia paha e haʻi ana ka Mokuna 9 o kēia puke i ka mea hiki iā ʻoe ke hana Hāʻawi ia i nā kikoʻī e pili ana i ka hana me nā ʻano pilikia a me nā hoʻopiʻi ʻO ka mea āu e pono ai e hana e hāhai i kahi pilikia a hopohopo paha e pili ana i ke kūlana E noi paha ʻoe i kā mākou hoʻolālā e hoʻoholo i kahi hoʻoholo e pili ana iā ʻoe e hoʻopiʻi iā mākou e hoʻololi i kahi hoʻoholo hoʻopiʻi a i ʻole e hoʻopiʻi ʻO nā mea āu e hana ai - e noi i kahi hoʻoholo e uhi ai e hoʻopiʻi a i ʻole e hoʻopiʻi - koi ʻia mākou e hana maikaʻi iā ʻoe


He kuleana kou e loaʻa i kahi hōʻuluʻulu o ka ʻike e pili ana i nā hoʻopiʻi a me nā hoʻopiʻi a nā lālā ʻē aʻe i hoʻopiʻi ai i kā mākou hoʻolālā i ka wā i hala E kiʻi i kēia ʻike e ʻoluʻolu e kāhea i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke)

Pauku 17 He kuleana kou e hana i nā ʻōlelo aʻoaʻo e pili ana i kā mākou kuleana a me nā kulekele kuleana

Inā he mau nīnau a hopohopo paha kāu e pili ana i nā kuleana a me nā kuleana a i ʻole inā he mau manaʻo kou e hoʻomaikaʻi ai i kā mākou kulekele kuleana o nā lālā e hoʻokaʻaʻike i kāu mau manaʻo iā mākou ma ke kāhea ʻana i nā lawelawe lālā ma ka helu ma ka ʻaoʻao hope o kēia puke

Pauku 18 Ka loiloi ʻana i nā ʻenehana hou

Hoʻopili nā ʻenehana hou i nā kaʻina hana nā lāʻau nā huahana biological a i ʻole nā hāmeʻa i hoʻomohala ʻia no ka mālama ʻana i nā maʻi kikoʻī a i ʻole nā kūlana a i ʻole nā noi hou o nā kaʻina e kū nei nā lāʻau nā huahana biological a me nā hāmeʻa E hāhai kā mākou papa hana iā Medicares National a me Local Ka Hopena Hoʻoholo ke pili

I ka loaʻa ʻole o kahi hoʻoholo Medicare e uhi ana ua loiloi kā mākou papahana i nā ʻenehana hou a i ʻole nā noi hou o nā ʻenehana e kū nei no ka hoʻopili ʻana i nā hoʻolālā pono kūpono e hōʻoia i ke komo ʻana o nā lālā i kahi mālama palekana a maikaʻi hoʻi e ka hana ʻana i kahi loiloi koʻikoʻi o nā puke olakino i paʻi ʻia mai nā hoa loiloi i nā paʻi paʻi e pili ana i nā loiloi ʻōnaehana nā hoʻokolohua hoʻokolohua kaulike ʻole ʻia nā noiʻi cohort nā noiʻi hoʻokolokolo hihia nā hōʻike hoʻokolohua diagnostics me nā hopena koʻikoʻi i hōʻike ʻia i ka palekana a me ka maikaʻi a me ka loiloi ʻana i nā alakaʻi alakaʻi i hoʻomohala ʻia e nā hui aupuni a me nā luna i ʻike ʻia Manaʻo pū kā mākou hoʻolālā i nā manaʻo nā ʻōlelo aʻoaʻo a me nā loiloi e ka hoʻomaʻamaʻa ʻana i nā kauka nā hui kauka i ʻike ʻia me ka lāhui e like me nā Kauka Lapaʻau kūikawā nā ʻaha kūkā a i ʻole nā hui ʻimi noiʻi ʻenehana a ʻenehana paha i ʻike ʻia e ka lāhui nā hōʻike a me nā paʻi ʻana o nā keʻena aupuni (e laʻa me ka meaʻai a me ka lāʻau ʻOihana (FDA) Nā kikowaena no ka mālama ʻana i nā maʻi (CDC) Nā Kula Nui o ke Aupuni (NIH))

Pauku 19 He aha ka mea e hiki iā ʻoe ke hana inā manaʻoʻiʻo ʻoe e mālama kūpono ʻole ʻia ʻoe a i ʻole ʻaʻole e mahalo ʻia kāu kuleana

Inā pili i ka hoʻokae e kāhea i ke Keʻena no nā Kuleana KivilaInā manaʻo ʻoe ua mālama kūpono ʻole ʻia ʻoe a i ʻole ʻaʻole mahalo ʻia kāu mau kuleana ma muli o kou lāhui kīnā ʻole haipule moekolohe olakino lāhui ʻohana (mau manaʻo) makahiki a me nā kumu o ka lāhui pono ʻoe e kāhea i ka ʻOihana


Ola a me Kanaka Nā lawelawe Ke keʻena no nā pono kīvila ma 1-800-368-1019 a i ʻole TTY 1-800-537-7697 a i ʻole kelepona i kāu Office no nā Kuleana Kivila He kuleana kou e mālama ʻia me ka mahalo a me ka hoʻomaopopo ʻana i kou hanohano

Pili paha i kahi mea ʻē aʻeInā manaʻo oe oe i ua hana unfairly a me kou mau mea e pono ai i ole ua mahaloia a ia ka i no hoʻokae ole e hiki ke loaa kōkua hana a me ka pilikia oe i ka

bull Hiki iā ʻoe ke kāhea i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)

bull Hiki iā ʻoe ke kāhea i ka Polokalamu kōkua ʻinikua Mokuāina No nā kikoʻī e pili ana i kēia ʻoihana a pehea e hoʻopili ai iā ia e hele i ka Mokuna 2 ʻĀpana 3

bull A i ʻole hiki iā ʻoe ke kelepona iā Medicare ma 1-800-MEDICARE (1-800-633-4227) 24 mau hola i ka lā 7 lā o ka pule Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048

Pauku 110 Pehea e loaʻa ai ka ʻike hou aku e pili ana i kāu kuleana

Nui nā wahi kahi e hiki ai iā ʻoe ke kiʻi hou aku i ka ʻike e pili ana i kāu kuleana


bull Hiki iā ʻoe ke kāhea i ka Polokalamu Kōkua ʻInikua Mīkini Mīkini No nā kikoʻī e pili ana i kēia ʻoihana a pehea e hoʻopili ai iā ia e hele i ka Mokuna 2 ʻĀpana 3

bull Hiki iā ʻoe ke kelepona iā Medicare Hiki iā ʻoe ke kipa i ka pūnaewele Medicare e heluhelu a hoʻoiho ai i ka paʻi puke Nā Pono Medicare amp Nā Pale (Loaʻa ka hoʻolaha ma wwwmedicaregovPubspdf11534-Medicare-Rights-and-Protectionspdf)

A i ʻole hiki iā ʻoe ke kāhea iā 1-800-MEDICARE (1-800-633-4227) 24 mau hola i ka lā 7 lā o ka pule Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048


PAUKU 2 He kuleana kou ma ke ʻano he lālā o ka hoʻolālā

Pauku 21 He aha kāu kuleana

ʻO nā mea e pono ai e hana ma ke ʻano he lālā o ka hoʻolālā e helu ʻia ma lalo Inā he mau nīnau kāu e ʻoluʻolu e kāhea i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke) Eia mākou e kōkua

bull E kamaʻāina me kāu mau lawelawe i uhi ʻia a me nā lula e pono ai ʻoe e hāhai e loaʻa i kēia mau lawelawe i uhi ʻia E hoʻohana i kēia puke hōʻike ʻo Coverage e aʻo ai i ka mea i uhi ʻia nāu a me nā lula e pono ai ʻoe e hāhai e loaʻa i kāu mau lawelawe i uhi ʻia

Hāʻawi nā mokuna 3 a me 4 i nā kikoʻī e pili ana i kāu lawelawe olakino e like me ka mea i uhi ʻia nā mea i uhi ʻole ʻia nā lula e ukali ai a me nā mea āu e uku ai

Hāʻawi nā mokuna 5 a me 6 i nā kikoʻī e pili ana i kāu uhi ʻana no nā lāʻau ʻoka lāʻau Part D

bull Inā loaʻa iā ʻoe kekahi ʻinikua ʻē aʻe a i ʻole ka uhi lāʻau lāʻau kuhikuhi i ka hoʻohui o kā mākou papahana koi ʻia ʻoe e haʻi iā mākou E ʻoluʻolu e kāhea i nā lawelawe lālā e hōʻike iā mākou (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke)

Koi ʻia mākou e hāhai i nā lula i hoʻonohonoho ʻia e Medicare e ʻike pono e hoʻohana nei ʻoe i kāu uhi āpau ke loaʻa iā ʻoe kāu mau lawelawe uhi ʻia mai kā mākou hoʻolālā Kāhea ʻia kēia hoʻohui like o nā pono no ka mea pili ia i ka hoʻohui ʻana i nā pono olakino a me nā lāʻau i loaʻa mai iā ʻoe mai kā mākou hoʻolālā me nā pono olakino a me nā lāʻau i loaʻa iā ʻoe E kōkua mākou iā ʻoe e hoʻohui i kāu mau pono (No ka ʻike hou aku e pili ana i ka hoʻohui ʻana o nā keu pono e hele i ka Mokuna 1 Pauku 10)

bull E haʻi i kāu kauka a me nā mea lawelawe olakino ʻē aʻe i kākau inoa ʻia i kāu hoʻolālā Hōʻike i kāu kāleka lālā lālā ke loaʻa ʻoe i kāu mālama olakino a i ʻole ʻāpana lāʻau lāʻau kuhikuhi Part D

bull Kōkua i kāu kauka a me nā mea lawelawe ʻē aʻe e kōkua iā ʻoe ma ka hāʻawi ʻana iā lākou i ka ʻike ke noi ʻana i nā nīnau a me ka ukali ʻana i kāu mālama

I mea e kōkua ai i kāu kauka a me nā mea lawelawe olakino ʻē aʻe e hāʻawi iā ʻoe i ka mālama maikaʻi loa e aʻo e like me ka hiki i kou pilikia olakino a hāʻawi iā lākou i ka ʻike e pono ai lākou e pili ana iā ʻoe a me kou olakino E hāhai i nā hoʻolālā a me nā ʻōlelo aʻo e ʻae like ai ʻoe me kāu kauka


E ʻike pono i kāu mau kauka i nā lāʻau āpau āu e lawe nei e like me nā lāʻau i loaʻa ʻole i ka counter nā wikamina a me nā mea hoʻopili

Inā he mau nīnau kāu e nīnau pono Pono kāu mau kauka a me nā mea lawelawe olakino ʻē aʻe e wehewehe i nā mea i kahi ala e hiki ai iā ʻoe ke hoʻomaopopo Inā ʻoe e nīnau i kahi nīnau a maopopo ʻole iā ʻoe ka pane i hāʻawi ʻia iā ʻoe e nīnau hou He kuleana ʻoe e hoʻomaopopo i kāu mau pilikia olakino a kōkua i ka hoʻonohonoho ʻana i nā pahuhopu i ka ʻaelike a ʻolua a me kāu kauka

bull E noʻonoʻo Manaʻo mākou e mahalo kā mākou lālā āpau i nā pono o nā mea maʻi ʻē aʻe Manaʻo pū mākou iā ʻoe e hana i kahi ala e kōkua ai i ka holo maikaʻi o ke keʻena o kāu kauka nā haukapila a me nā keʻena ʻē aʻe

bull E uku i kāu ʻaiʻē Ma ke ʻano he lālā hoʻolālā kuleana ʻoe no kēia uku I mea e kūpono ai i kā mākou hoʻolālā pono ʻoe e loaʻa i ka Medicare Part A a me ka Medicare Part B Pono kekahi mau lālā hoʻolālā e uku i kahi uku no Medicare Part A Pono ka hapa nui o nā lālā hoʻolālā e uku i kahi uku no Medicare Part B e noho lālā o ka hoʻolālā

No ka hapa nui o kāu lawelawe olakino a i ʻole nā lāʻau i uhi ʻia e ka hoʻolālā pono ʻoe e uku i kāu mahele o ke kumukūʻai ke loaʻa iā ʻoe ka lawelawe a lāʻau paha He copayment kēia (kahi nui i hoʻopaʻa ʻia) a i ʻole ka puʻukū kālā (kahi pākēneka o ka huina kālā) ʻTellslelo ka mokuna 4 i nā mea āu e uku ai no kāu lawelawe olakino ʻTellslelo ka mokuna 6 i nā mea āu e uku ai no kāu ʻaoʻao D lāʻau lapaʻau

Inā loaʻa iā ʻoe nā lawelawe lapaʻau a i ʻole nā lāʻau i uhi ʻole ʻia e kā mākou hoʻolālā a i ʻole ʻinikua ʻē aʻe i loaʻa iā ʻoe pono ʻoe e uku i ke kumukūʻai holoʻokoʻa Inā kūlike ʻole ʻoe i kā mākou hoʻoholo e hōʻole i ka uhi ʻana no kahi lawelawe a lāʻau paha hiki iā ʻoe ke hoʻopiʻi E ʻoluʻolu e ʻike i ka Mokuna 9 o kēia puke no ka ʻike e pili ana i ka hoʻopiʻi ʻana

Inā koi ʻia ʻoe e uku i ka nui keu no ka Part D ma muli o kāu loaʻa makahiki pono ʻoe e uku pololei i ke kālā i ke aupuni e noho lālā o ka hoʻolālā

bull E haʻi iā mākou inā neʻe ʻoe Inā ʻoe e neʻe he mea nui e haʻi koke iā mākou Kāhea i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)


Inā neʻe ʻoe ma waho o kā mākou wahi lawelawe hoʻolālā ʻaʻole hiki iā ʻoe ke noho lālā o kā mākou hoʻolālā (Hōʻike ka Mokuna 1 e pili ana i kā mākou wahi lawelawe) Hiki iā mākou ke kōkua iā ʻoe e ʻike inā ʻoe e neʻe nei i waho o kā mākou wahi lawelawe Inā ʻoe e haʻalele nei i kā mākou wahi lawelawe loaʻa iā ʻoe kahi wā kau inoa kūikawā ke hiki iā ʻoe ke hui pū me nā hoʻolālā Medicare i loaʻa i kāu wahi hou Hiki iā mākou ke haʻi iā ʻoe inā he hoʻolālā mākou i kāu wahi hou

Inā neʻe ʻoe ma loko kā mākou wahi lawelawe pono nō mākou e ʻike i hiki iā mākou ke mālama i kāu moʻohelu lālā a ʻike i ka pehea e launa aku ai iā ʻoe

Inā neʻe ʻoe he mea nui nō hoʻi e haʻi i ka Palekana Ola (a i ʻole ka Papa Hoʻomaha Alahao) Hiki iā ʻoe ke ʻike i nā helu kelepona a me ka ʻike pili no kēia mau ʻoihana ma ka Mokuna 2

bull Kāhea i nā lawelawe lālā no ke kōkua inā he nīnau a hopohopo paha kāu Welina pū mākou i nā ʻōlelo aʻoaʻo mai ʻoe no ka hoʻomaikaʻi ʻana i kā mākou hoʻolālā

Paʻi ʻia nā helu kelepona a me nā hola kāhea no nā lawelawe lālā ma ka uhi hope o kēia puke

No ka ʻike hou aku e pili ana pehea e hiki ai iā mākou me kā mākou leka uila e ʻoluʻolu e ʻike i ka Mokuna 2

MOKUNA 9He aha kāu e hana ai inā he pilikia a hoʻopiʻi paha kāu (hoʻoholo hoʻoholo

hoʻopiʻi hoʻopiʻi)

2022 Hōʻike o ka uhi ʻana no Wellcare Ohana No Premium (HMO) 236Mokuna 9 He aha kāu e hana ai inā he pilikia a hoʻopiʻi paha kāu (hoʻopiʻi

hoʻoholo hoʻopiʻi hoʻopiʻi)

Mokuna 9 He aha kāu e hana ai inā he pilikia a hoʻopiʻi paha kāu (hoʻoholo hoʻoholo hoʻopiʻi hoʻopiʻi)

PAUKU 1 Hoʻolauna 239Pauku 11 He aha e hana ai inā loaʻa iā ʻoe kahi pilikia a hopohopo

paha 239Pauku 12 Pehea e pili ana i nā ʻōlelo kū kānāwai 239

PAUKU 2 Hiki iā ʻoe ke loaʻa i ke kōkua mai nā hui aupuni ʻaʻole i pili iā mākou 240

Pauku 21 Kahi e kiʻi ai i ka ʻike hou aku a me nā kōkua pilikino 240PAUKU 3 E hana ai i kāu pilikia i ke kaʻina hana āu e

hoʻohana ai 241Pauku 31 Pono ʻoe e hoʻohana i ke kaʻina hana no ka hoʻopiʻi ʻana i nā

hoʻoholo a me nā hoʻopiʻi ʻana A i ʻole pono ʻoe e hoʻohana i ke kaʻina hana no ka hoʻopiʻi ʻana 241

HOʻOHOLO A HOʻOPIʻI 242PAUKU 4 Kuhi i ke kumu o ka hoʻoholo ʻana a me nā hoʻopiʻi ʻana 242

Pauku 41 Ke noi nei no nā hoʻoholo hoʻoholo a me ka hoʻopiʻi ʻana ke kiʻi nui 242

Pauku 42 Pehea e loaʻa ai ke kōkua ke noi nei ʻoe i kahi hoʻoholo hoʻopiʻi a i ʻole ke hoʻopiʻi ʻana 243

Pauku 43 ʻO ka ʻāpana hea o kēia mokuna e hāʻawi i nā kikoʻī no kou kūlana 245

PAUKU 5 kāu mālama olakino Pehea e noi ai no kahi hoʻoholo e pili ana i ka hopena a i ʻole ka hoʻopiʻi ʻana 245

Pauku 51 ʻTellslelo kēia ʻāpana i ka mea e hana ai inā loaʻa iā ʻoe nā pilikia i ka uhi ʻana no ka mālama olakino a i ʻole inā makemake ʻoe e uku mākou iā ʻoe no kā mākou mahele o ke kumukūʻai o kāu mālama 246

Pauku 52 ʻAnuʻu-ma-ka anu u Pehea e noi ai no kahi hoʻoholo hoʻoholo (pehea e noi ai i kā mākou hoʻolālā e ʻae a hāʻawi i ka uhi mālama ola āu e makemake ai) 248

Pauku 53 ʻAnuʻu-ma-ʻanuʻu Pehea e hana ai i kahi hoʻopiʻi Papa 1 (pehea e noi ai no ka loiloi o kahi hoʻoholo mālama mālama ola i hoʻoholo ʻia e kā mākou hoʻolālā) 252



Pauku 54 ʻAnuʻu-ma-ʻanuʻu Pehea e hana ai i kahi hoʻopiʻi Papa 2256Pauku 55 He aha inā ʻoe e noi ana iā mākou e uku iā ʻoe no kā mākou

ʻāpana o kahi pila i loaʻa iā ʻoe no ka mālama olakino 259PAUKU 6 ʻO kāu mau ʻaha lāʻau lāʻau Part D Pehea e noi ai no kahi

hoʻoholo hoʻopiʻi a i ʻole ka hoʻopiʻi ʻana 260Pauku 61 Hōʻike kēia ʻāpana iā ʻoe i ka mea e hana ai inā pilikia ʻoe i ka

loaʻa ʻana a ʻO ka lāʻau Part D a i ʻole makemake ʻoe e uku mākou iā ʻoe no kahi lāʻau Part D 260

Pauku 62 He aha ka ʻokoʻa 262Pauku 63 Nā mea nui e ʻike e pili ana i ke noi ʻana i nā hoʻokoe 265Pauku 64 ʻAnuʻu-ma-ka anu u Pehea e noi ai no kahi hoʻoholo hoʻopiʻi

me kahi ʻokoʻa 265Pauku 65 ʻAnuʻu-ma-ʻanuʻu Pehea e hana ai i kahi hoʻopiʻi Papa 1

(pehea e noi ai no kahi loiloi o kahi hoʻoholo i uhi ʻia e kā mākou hoʻolālā) 269

Pauku 66 Maʻanuʻu-ma-ʻanuʻu Pehea e hana ai i kahi hoʻopiʻi Papa 2 273PAUKU 7 Pehea e noi ai iā mākou e uhi i kahi noho haukapila

ʻoi aku ka lōʻihi inā manaʻo ʻoe ke hoʻokuʻu koke nei ke kauka iā ʻoe 275

Pauku 71 I kou noho ʻana i ka haukapila maʻi e loaʻa iā ʻoe kahi leka hoʻomaopopo mai Medicare e haʻi e pili ana i kāu mau pono 276

Pauku 72 ʻAnuʻu-ma-ka anu u Pehea e hana ai i kahi noi Papa 1 e hoʻololi i kāu lā hoʻokuʻu maʻi 278

Pauku 73 ʻAnuʻu-ma-ka anu u Pehea e hana ai i kahi hoʻopiʻi Papa 2 e hoʻololi ai i kou lā hoʻokuʻu maʻi 281

Pauku 74 He aha inā ʻoe e haʻalele i ka palena manawa no ka hoʻopiʻi ʻana i kāu papa 1 282

PAUKU 8 Pehea e noi ai iā mākou e uhi mau i kekahi mau lawelawe lapaʻau inā manaʻo ʻoe e pau koke ana kāu uhi 286

Pauku 81 Kēia ʻāpana e pili ana i nā lawelawe ʻekolu wale nō Ka mālama olakino home mālama pono ʻana i nā wahi kahu hānai a me nā lawelawe ʻoihana Rehabilitation Outpatient Comprehensive (CORF) 286

Pauku 82 E haʻi mua mākou iā ʻoe i ka manawa e pau ana kāu uhi ʻana 287



Pauku 83 ʻAnuʻu-ma-ka anu u Pehea e hana ai i kahi Apili Papa 1 e uhi ai kā mākou hoʻolālā i kāu mālama no kahi manawa lōʻihi 287

Pauku 84 ʻAnuʻu-ma-ka anu u Pehea e hana ai i kahi Apili Papa 2 e uhi ai kā mākou papa i kāu mālama no kahi manawa lōʻihi 290

Pauku 85 He aha inā e haʻalele ʻoe i ka palena manawa no ka hoʻopiʻi ʻana i kāu papa 1 292

PAUKU 9 Ke lawe nei i kāu hoʻopiʻi i ka papa 3 a ʻoi paha 295Pauku 91 Nānā Kūlana ʻAoʻao 3 4 a me 5 no nā Noi Hana Lapaʻau 295Pauku 92 Nā pae hoʻopiʻi 3 4 a me ka 5 no ka noi ʻana no ka uhi lāʻau

o ka Part D 297E HOʻOLOHE ANA 299PAUKU 10 E pili ana i ka hoʻopiʻi ʻana e pili ana i ka maikaʻi o ka

mālama nā manawa kali a me nā hopohopo ʻē aʻe Pehea e hana ai i 299

Pauku 101 He aha nā ʻano pilikia e lawelawe ʻia e ke kaʻina hoʻopiʻi 299Pauku 102 ʻO ka inoa kūikawā no ka hana ʻana i kahi hoʻopiʻi e faila nei

i kahi hoʻopiʻi 302Pauku 103 ʻAhi-ʻanuʻu Ke hoʻopiʻi ʻana 302Pauku 104 Hiki iā ʻoe ke hana i nā hoʻopiʻi e pili ana i ka maikaʻi o ka

mālama ʻana i ka ʻOihana Hoʻonohonoho Pono 304Pauku 105 Hiki iā ʻoe ke haʻi iā Medicare e pili ana i kāu hoʻopiʻi 305



PAUKU 1 Hoʻolauna

Pauku 11 He aha e hana ai inā loaʻa iā ʻoe kahi pilikia a hopohopo paha

Hōʻike kēia mokuna i ʻelua mau ʻano hana no ka mālama ʻana i nā pilikia a me nā hopohopo

bull No kekahi ʻano o nā pilikia pono ʻoe e hoʻohana i ke kaʻina no ka uhi ʻana i nā hoʻoholo a me nā hoʻopiʻi ʻana

bull No nā ʻano pilikia ʻē aʻe pono ʻoe e hoʻohana i ke kaʻina no ka hoʻopiʻi ʻana Ua ʻae ʻia kēia hana e Medicare I mea e hōʻoia ai i ka pololei a me ka lawelawe wikiwiki ʻana i kāu mau pilikia loaʻa i kēlā me kēia kaʻina he rula nā kaʻina hana a me nā palena manawa e pono ai e ukali iā mākou a nāu

ʻO ka mea hea ʻoe e hoʻohana ai Aia ia i ke ʻano o ka pilikia e loaʻa nei iā ʻoe ʻO ke alakaʻi ma ka ʻĀpana 3 e kōkua iā ʻoe e ʻike i ke kaʻina kūpono e hoʻohana ai

Pauku 12 Pehea e pili ana i nā ʻōlelo kū kānāwai

Aia nā ʻōlelo loea loea no kekahi o nā lula nā kaʻina hana a me nā ʻano o nā palena manawa i wehewehe ʻia i kēia mokuna ʻAʻole kamaʻāina ka hapa nui o kēia mau huaʻōlelo i ka hapa nui o ka poʻe a hiki ke paʻakikī e hoʻomaopopo

No ka hoʻomaʻalahi ʻana aku wehewehe ʻia no hoʻi nā lula i kū i ke kānāwai a me nā kaʻina hana me ka hoʻohana ʻana aku i nā ʻōlelo maʻalahi ma mua o kekahi ʻōlelo ʻaelike kūkānāwai i loaʻa ʻO kekahi laʻana hoʻi ʻōlelo ʻia no hoʻi ma kēia mokuna nei hana i kekahi hoʻohalahala mā mua o ka ʻōlelo ʻana aʻe waiho ʻi kūmakena nā hoʻoholo uhi ʻana mā mua o hoʻoholo manaʻo uhi ʻia ʻana a i ʻole hoʻoholo ʻane pau a me hui nānā hihia kūʻokoʻa ma mua ʻo hui nānā hihia kūʻokoʻa a liʻiliʻi nā pani hua palapala

Eia nō naʻe hiki ke kōkua - a i kekahi manawa nui ʻiʻo - no ʻoe e ʻike i nā ʻōlelo kū kānāwai kūpono no ke kūlana āu e noho nei ʻO ka ʻike ʻana i nā huaʻōlelo e hoʻohana ai e kōkua iā ʻoe e kamaʻilio hou aku me ka maopopo a pololei ke hana nei ʻoe me kāu pilikia a loaʻa ke kōkua kūpono a i ʻole ka ʻikepili no kāu kūlana I mea e kōkua ai iā ʻoe e ʻike i nā huaʻōlelo e hoʻohana ai hoʻokomo mākou i nā ʻōlelo kū kānāwai ke hāʻawi mākou i nā kikoʻī no ka mālama ʻana i nā ʻano kūlana



PAUKU 2 Hiki iā ʻoe ke loaʻa i ke kōkua mai nā hui aupuni ʻaʻole i pili iā mākou

Pauku 21 Kahi e kiʻi ai i ka ʻike hou aku a me nā kōkua pilikino

I kekahi manawa hiki ke huikau ke hoʻomaka a hāhai i ke kaʻina hana no ka hana ʻana i kahi pilikia He ʻoiaʻiʻo loa kēia inā ʻaʻole ʻoe e manaʻo maikaʻi a i ʻole ka palena o ka ikehu I nā manawa ʻē aʻe ʻaʻohe ou ʻike e pono ai e hana i ka hana hou

E kiʻi i ke kōkua mai kahi hui aupuni kūʻokoʻaLoaʻa mau mākou e kōkua iā ʻoe Akā i kekahi mau hanana makemake paha ʻoe i kōkua a alakaʻi paha mai kekahi mea pili ʻole iā mākou Hiki iā ʻoe ke hoʻokaʻaʻike mau aku i kāu Polokalamu kōkua ʻinikua olakino mokuāina (SHIP) Ua hoʻomaʻamaʻa kēia papahana aupuni i nā kākāʻōlelo i kēlā me kēia mokuʻāina ʻAʻole pili ka papahana iā mākou a i ʻole me nā ʻoihana ʻinikua a i ʻole hoʻolālā olakino Hiki i nā ʻōlelo aʻoaʻo ma kēia polokalamu ke kōkua iā ʻoe e hoʻomaopopo i ke kaʻina hana āu e hoʻohana ai e hoʻoponopono i kahi pilikia e loaʻa iā ʻoe Hiki iā lākou ke pane i kāu mau nīnau hāʻawi iā ʻoe i ka ʻike hou aku a hāʻawi i ke alakaʻi i ka mea e hana ai

Manuahi nā lawelawe a nā kākāʻōlelo SHIP E ʻike ʻoe i nā helu kelepona ma ka Mokuna 2 Pauku 3 o kēia puke

Hiki iā ʻoe ke kōkua a me ka ʻike mai Medicare

No ka ʻike hou aku a me ke kōkua i ka lawelawe ʻana i kahi pilikia hiki iā ʻoe ke hoʻokaʻaʻike iā Medicare Eia nā ala ʻelua e kiʻi pololei ai i ka ʻike mai Medicare

bull Hiki iā ʻoe ke kāhea iā 1-800-MEDICARE (1-800-633-4227) 24 mau hola i ka lā 7 lā o ka pule Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048

bull Hiki iā ʻoe ke kipa i ka pūnaewele Medicare (wwwmedicaregov)



PAUKU 3 E hana ai i kāu pilikia i ke kaʻina hana āu e hoʻohana ai

Pauku 31 Pono ʻoe e hoʻohana i ke kaʻina hana no ka hoʻopiʻi ʻana i nā hoʻoholo a me nā hoʻopiʻi ʻana A i ʻole pono ʻoe e hoʻohana i ke kaʻina hana no ka hoʻopiʻi ʻana

Inā he pilikia a hopohopo paha kāu pono wale ʻoe e heluhelu i nā ʻāpana o kēia mokuna e pili ana i kāu kūlana E kōkua ke alakaʻi e hiki mai ana

E ʻike ai i kahi ʻāpana o kēia mokuna e kōkua me kāu pilikia kikoʻī a hopohopo paha hoʻomaka ma aneʻi

ʻO kou pilikia a hopohopo paha e pili ana i kāu pono a i ʻole ka uhi ʻana(Pākuʻi ʻia kēia i nā pilikia e pili ana inā uhi ʻia kekahi olakino a i ʻole nā lāʻau lapaʻau kuhikuhi paha ke ala e uhi ai iā lākou a me nā pilikia e pili ana i ka uku no ka mālama olakino a i ʻole nā lāʻau lapaʻau)

Ae ʻO koʻu pilikia e pili ana i nā pono a i ʻole ka uhi ʻana

E hele i ka ʻaoʻao aʻe o kēia mokuna Pauku 4 Kahi alakaʻi i nā kumu o nā ʻōlelo hoʻoholo a me nā hoʻopiʻi ʻana

ʻAʻole ʻO koʻu pilikia ʻaʻole e pili ana i nā pono a i ʻole ka uhi ʻana

E lele i mua a Pauku 10 ma ka hopena o kēia mokuna Pehea e hana ai i kahi hoʻopiʻi e pili ana i ka maikaʻi ka mālama nā manawa kali ka lawelawe ʻana a me nā mea lawelawe ʻē aʻe paha



HOʻOHOLO A HOʻOPIʻI

PAUKU 4 Kuhi i ke kumu o ka hoʻoholo ʻana a me nā hoʻopiʻi ʻana

Pauku 41 Ke noi nei no nā hoʻoholo hoʻoholo a me ka hoʻopiʻi ʻana ke kiʻi nui

ʻO ke kaʻina hana no ka mālama ʻana i nā hoʻoholo a me nā hoʻopiʻi hoʻopiʻi e pili ana i nā pilikia e pili ana i kāu mau pono a me ka uhi ʻana no nā lawelawe olakino a me nā lāʻau lapaʻau me nā pilikia e pili ana i ka uku ʻO kēia ke kaʻina āu e hoʻohana ai no nā pilikia e like me ka uhi ʻia o kekahi mea a ʻole a me ke ala e uhi ai kekahi mea

Ke noi nei no nā hoʻoholo hoʻoholo

ʻO kahi hoʻoholo hoʻoholo e hoʻoholo ai mākou e pili ana i kāu mau pono a me ka uhi ʻana a e pili ana paha i ka nui a mākou e uku ai no kāu lawelawe olakino a i ʻole nā lāʻau ʻO kahi laʻana hoʻoholo kāu kauka pūnaewele hoʻolālā i kahi hoʻoholo ʻoluʻolu (maikaʻi) nāu i kēlā me kēia manawa e loaʻa ai iā ʻoe ka mālama lapaʻau mai iā ia a i ʻole inā e kuhikuhi aku kāu kauka pūnaewele iā ʻoe i kahi loea lapaʻau Hiki iā ʻoe a me kāu kauka ke kelepona iā mākou a noi no kahi hoʻoholo hoʻoholo inā ʻaʻole maopopo i kāu kauka inā e uhi mākou i kahi lawelawe olakino a i ʻole hōʻole e hāʻawi i ka mālama olakino āu e manaʻo ai I nā huaʻōlelo ʻē aʻe inā makemake ʻoe e ʻike inā e uhi mākou i kahi lawelawe olakino ma mua o ka loaʻa ʻana iā ʻoe hiki iā ʻoe ke noi iā mākou e hana i kahi hoʻoholo no ʻoe Ma nā kūlana palena ʻole e hoʻopau ʻia kahi noi no kahi hoʻoholo hoʻopiʻi ʻo ia hoʻi ʻaʻole mākou e loiloi i kēia noi ʻO nā laʻana o ka manawa e hoʻokuʻu ʻia ai kahi noi inā komo ʻole ka noi inā noi kekahi i kou inoa akā ʻaʻole ʻae ʻia e ke kānāwai e hana pēlā a inā ʻoe e noi i kāu noi e kāpae ʻia Inā mākou e kāpae i kahi noi no kahi hoʻoholo hoʻopiʻi e hoʻouna mākou i kahi leka hoʻomaopopo e wehewehe ana i ke kumu o ka hoʻokuʻu ʻia ʻana o ka noi a pehea e noi ai no ka loiloi o ka hoʻokuʻu

Ke hana nei mākou i kahi hoʻoholo hoʻopiʻi no ʻoe i kēlā me kēia manawa a mākou e hoʻoholo ai i ka mea i uhi ʻia nāu a me ka nui o kā mākou uku In some cases we might decide a service or drug is not covered or is no longer covered by Medicare for you Inā kūlike ʻole ʻoe i kēia hoʻoholo i ka uhi ʻana hiki iā ʻoe ke hoʻopiʻi



Ke hoʻopiʻi neiInā mākou e hana i kahi hoʻoholo hoʻopiʻi a ʻaʻole ʻoe ʻoluʻolu i kēia hoʻoholo hiki iā ʻoe ke hoʻopiʻi i ka hoʻoholo ʻO kahi hoʻopiʻi he ala kūpono e noi ai iā mākou e loiloi a hoʻololi i kahi hoʻoholo i uhi ʻia a mākou i hana ai

Ke hoʻopiʻi ʻoe i kahi hoʻoholo no ka manawa mua ua kapa ʻia kēia he Apela 1 Level i kēia hoʻopiʻi nānā mākou i ka hoʻoholo hoʻoholo i hana ai mākou e nānā inā ʻike pono mākou i nā lula āpau Mālama ʻia kāu hoʻopiʻi e nā loiloi ʻokoʻa ma mua o ka poʻe i hoʻoholo i ka hopena maikaʻi ʻole When we have completed the review we give you our decision Ma lalo o kekahi mau kūlana a mākou e kūkākūkā ai ma hope hiki iā ʻoe ke noi i kahi wikiwiki a i ʻole hoʻoholo wikiwiki a i ʻole ka hoʻopiʻi wikiwiki ʻana i kahi hoʻoholo hoʻopiʻi In limited circumstances an appeal request will be dismissed which means we wonrsquot review the request ʻO nā laʻana o ka manawa e hoʻokuʻu ʻia ai kahi noi inā komo ʻole ka noi inā noi kekahi i kou inoa akā ʻaʻole ʻae ʻia e ke kānāwai e hana pēlā a inā ʻoe e noi i kāu noi e kāpae ʻia If we dismiss an appeal request we will send a notice explaining why the request was dismissed and how to ask for a review of the dismissal

Inā mākou e ʻōlelo ʻaʻole i nā mea āpau a ʻāpana paha o kāu Apili Papa 1 hiki iā ʻoe ke hele i kahi Apili 2 Papa Mālama ʻia ka hoʻopiʻi Papa 2 e kahi Independent Review Organization i pili ʻole iā mākou (I kekahi mau hanana e hoʻouna wale ʻia kāu hihia i ka Independent Review Organisation for a Papa 2 Appeal I nā hanana ʻē aʻe pono ʻoe e noi no kahi Apili 2 Papa) Inā ʻaʻole ʻoe e māʻona i ka hoʻoholo ma Papa 2 Appeal hiki paha iā ʻoe ke hoʻomau ma o nā pae hoʻopiʻi hou aʻe

Pauku 42 Pehea e loaʻa ai ke kōkua ke noi nei ʻoe i kahi hoʻoholo hoʻopiʻi a i ʻole ke hoʻopiʻi ʻana

Makemake ʻoe i kōkua Eia nā kumuwaiwai āu e makemake ai e hoʻohana inā hoʻoholo ʻoe e noi no kekahi ʻano hoʻoholo hoʻoholo a hoʻopiʻi paha i kahi hoʻoholo

bull Hiki iā ʻoe ke kāhea iā mākou ma Member Services (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)

bull Hiki iā ʻoe ke loaʻa i ke kōkua manuahi mai kāu Polokalamu Kōkua ʻInikua Ola (ʻike i ka ʻĀpana 2 o kēia mokuna)



bull Hiki i kāu kauka ke noi iā ʻoe No ka mālama olakino a i ʻole ʻāpana lāʻau lāʻau kuhikuhi B hiki i kāu kauka ke noi i kahi hoʻoholo i uhi ʻia a i ʻole kahi Papa 1 Kiʻi no ʻoe Inā hōʻole ʻia kāu hoʻopiʻi ʻana ma Papa 1 e hoʻouna wale ʻia ia i papa 2 No ke noi ʻana i kekahi hoʻopiʻi hou ma hope o Papa 2 pono e koho ʻia kāu kauka i lunamakaʻāinana

No nā lāʻau lapaʻau kuhikuhi Part D hiki i kāu kauka a i ʻole nā mea kuhikuhi ʻē aʻe ke noi i kahi hoʻoholo i uhi ʻia a i Papa 1 a i ʻole Papa 2 Appeal ma kou inoa No ke noi ʻana i kekahi hoʻopiʻi hou ma hope o Papa 2 pono e koho ʻia i kāu kauka a i ʻole nā mea kuhikuhi ʻē aʻe i kou lunamakaʻāinana

bull Hiki iā ʻoe ke noi i kekahi e hana ma kou inoa Inā makemake ʻoe hiki iā ʻoe ke inoa i kahi kanaka ʻē aʻe e hana iā ʻoe ma ke ʻano he lunamakaʻāinana e noi i kahi hoʻoholo hoʻopiʻi a i ʻole e hoʻopiʻi

Aia paha kekahi i ʻae ʻia i ke kānāwai e hana ma ke ʻano he lunamakaʻāinana ma lalo o ke kānāwai Mokuʻāina

Inā makemake ʻoe i kahi hoa aloha hoahānau kāu kauka a i ʻole nā mea lawelawe ʻē aʻe a i ʻole nā mea ʻē aʻe e lilo i lunamakaʻāinana e kāhea i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke) a noi aku i ka palapala Wae Hoʻoholo Lunamakaʻāinana (Loaʻa ka palapala ma ka pūnaewele o Medicare ma wwwcmsgovMedicareCMS-FormsCMS-Formsdownloadscms1696pdf a i ʻole ma kā mākou pūnaewele ma wwwwellcarecomohana) Hāʻawi ka palapala i kēlā kanaka i ka ʻae e hana ma kou inoa Pono e kau inoa ʻia e ʻoe a me ka mea āu e makemake ai e hana ma kou ʻaoʻao Pono ʻoe e hāʻawi iā mākou i kahi kope o ka palapala i kau inoa ʻia

bull He kuleana nō hoʻi kāu e hoʻolimalima i kahi loio e hana no ʻoe Hiki iā ʻoe ke hoʻokaʻaʻike i kāu loio ponoʻī a i ʻole kiʻi i ka inoa o kahi loio mai kāu hui kūloko kūloko a i ʻole kahi lawelawe ʻimi ʻē aʻe Aia kekahi mau pūʻulu e hāʻawi iā ʻoe i nā lawelawe loio manuahi inā kūpono ʻoe Eia nō naʻe ʻaʻole koi ʻia ʻoe e hoʻolimalima i kahi loio e noi ai i kekahi ʻano hoʻoholo i ka uhi ʻana a i ʻole hoʻopiʻi i kahi hoʻoholo



Pauku 43 ʻO ka ʻāpana hea o kēia mokuna e hāʻawi i nā kikoʻī no kou kūlana

ʻEhā mau ʻano ʻokoʻa e pili ana i nā hoʻoholo a me nā hoʻopiʻi ʻana Ma muli o kēlā me kēia kūlana he mau lula a me nā palena manawa ʻokoʻa hāʻawi mākou i nā kikoʻī no kēlā me kēia i kahi ʻāpana ʻokoʻa

bull Pauku 5 o kēia mokuna ʻO kāu mālama olakino Pehea e noi ai i kahi hoʻoholo hoʻopiʻi a i ʻole hoʻopiʻi hoʻopiʻi

bull Pauku 6 o kēia mokuna Kou lāʻau D kuhikuhi i nā lāʻau pehea e noi ai no kahi hopena hoʻopiʻi a i ʻole hoʻopiʻi hoʻopiʻi

bull Pauku 7 o kēia mokuna Pehea e noi ai iā mākou e uhi i kahi noho haukapila ʻoi aku ka lōʻihi inā manaʻo ʻoe e hoʻokuʻu koke ana ke kauka iā ʻoe

bull Pauku 8 o kēia mokuna Pehea e noi ai iā mākou e hoʻomau i ka uhi ʻana i kekahi mau lawelawe lapaʻau inā manaʻo ʻoe e pau koke ana kāu uhi (Pili i kēia mau lawelawe wale nō home health mālama mālama mākau mālama pono a me ka Comprehensive Outpatient Rehabilitation Facility (CORF) lawelawe)

Inā ʻaʻole māopo iā ʻoe ma ka māhele hea e pono ai ʻoe e hoʻohana aku ai ʻoluʻolu e kelepona i ke keʻena kōkua lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia pepelu nei) Ua hiki pū no ke loaʻa iā ʻoe ke kōkua a i ʻole manaʻo paha mai kekahi ʻahahui aupuni mai e like me kāu SHIP (Mokuna 2 māhele 3 aia hoʻi nā helu kelepona no kēia polokalamu ma ia māhele)

PAUKU 5 kāu mālama olakino Pehea e noi ai no kahi hoʻoholo e pili ana i ka hopena a i ʻole ka hoʻopiʻi ʻana

Ua heluhelu anei ʻoe i ka ʻĀpana 4 o kēia mokuna (Ke alakaʻi i nā kumu nui o nā hoʻoholo ʻana a me nā hoʻopiʻi ʻana) Inā ʻaʻole makemake paha ʻoe e heluhelu ia ma mua o kou hoʻomaka ʻana i kēia ʻāpana



Pauku 51 ʻTellslelo kēia ʻāpana i ka mea e hana ai inā loaʻa iā ʻoe nā pilikia i ka uhi ʻana no ka mālama olakino a i ʻole inā makemake ʻoe e uku mākou iā ʻoe no kā mākou mahele o ke kumukūʻai o kāu mālama

ʻO kēia ʻāpana e pili ana i kāu mau pono no ka mālama olakino a me nā lawelawe Hōʻike ʻia kēia mau pōmaikaʻi i ka Mokuna 4 o kēia puke Papa Kuhikuhi Pilikino (he aha ka mea e uhi ʻia a he aha kāu e uku ai) I mea e maʻalahi ai nā mea kuhikuhi pinepine mākou i ka mālama mālama olakino a i ʻole mālama olakino i ke koena o kēia ʻāpana ma kahi o ka hana hou ʻana i mālama olakino a i ʻole nā lawelawe ʻana a i ʻole nā lawelawe i kēlā me kēia manawa ʻO ka huaʻōlelo mālama ola kino e komo pū ana nā huahana olakino a me nā lawelawe a me nā lāʻau lāʻau lāʻau Medicare Part B I kekahi mau hihia pili nā lula ʻokoʻa i kahi noi no kahi lāʻau lāʻau kuhikuhi Part B I kēlā mau hihia e wehewehe mākou pehea ka ʻokoʻa o nā lula no ka ʻāpana lāʻau Part B mai nā lula no nā mea olakino a me nā lawelawe

Hōʻike kēia ʻāpana i ka mea hiki iā ʻoe ke hana inā ʻoe i loko o kekahi o nā hanana ʻelima e hiki mai ana

1 ʻ Aʻole ʻoe e loaʻa i kahi mālama olakino āu e makemake ai a manaʻoʻiʻo ʻoe uhi ʻia kēia mālama e kā mākou papahana

2 ʻ Aʻole ʻae kā mākou papahana i ka mālama olakino a kāu kauka a i ʻole kahi mea lawelawe ʻē aʻe e makemake ai e hāʻawi iā ʻoe a manaʻo ʻoe ua uhi ʻia kēia mālama e ka hoʻolālā

3 Ua loaʻa iā ʻoe ka mālama olakino āu i manaʻo ai e uhi ʻia e ka hoʻolālā akā ua ʻōlelo mākou ʻaʻole mākou e uku no kēia mālama

4 Ua loaʻa a uku aku ʻoe no ka mālama olakino āu i manaʻo ai e uhi ʻia e ka hoʻolālā a makemake ʻoe e noi i kā mākou hoʻolālā e uku hou iā ʻoe no kēia mālama

5 Ke haʻi ʻia aku nei iā ʻoe no ka mālama ʻana i kekahi olakino āu e kiʻi nei a mākou i ʻae ai ma mua e hoʻēmi ʻia a e hōʻoki ʻia paha a manaʻo ʻoe ʻo ka hōʻemi ʻana a i ʻole ke kū ʻana i kēia mālama e hiki ai ke hōʻeha i kou olakino

MEA KAHAKAHA Inā ʻo ka uhi e hoʻopau ʻia no ka mālama hale maʻi mālama ola kino mālama hale hānai mākau a i ʻole nā lawelawe ʻoihana Rehabilitation Outpatient (CORF) Comprehensive pono ʻoe e heluhelu i kahi ʻāpana ʻokoʻa o kēia mokuna no ka mea pili nā lula kūikawā i kēia ʻano mālama Eia ka mea e heluhelu ai i kēlā mau hanana



Mokuna 9 māhele 7 Pehea e noi ai iā mākou e uhi i kahi noho haukapila ʻoi aku ka lōʻihi inā manaʻo ʻoe e hoʻokuʻu koke ana ke kauka iā ʻoe

Mokuna 9 māhele 8 Pehea e noi ai iā mākou i ka hoʻomau ʻana aku i ka uhi ʻana aku i kekahi pono kōkua inā manaʻo paha ʻoe e pau ana ka mana uhi a kāu uhi kōkua Pili no hoʻi kēia māhele nei no kēia mau pono kōkua ʻekolu neinā mālama ʻia ʻana ma ka hale malama ʻia e kekahi kahua kahu maʻi makaukau a me nā pono kōkua CORF

No nā kūlana ʻē aʻe āpau e pili ana i ka haʻi ʻia ʻana e hōʻoki ʻia ka mālama olakino āu e loaʻa nei e hoʻohana i kēia ʻāpana (ʻĀpana 5) i alakaʻi no ka mea e hana ai

ʻO nā ʻano hea ʻoe i loko

Inā ʻoe i kēia kūlana ʻO kēia ka mea hiki iā ʻoe ke hana

E ʻike ai inā mākou e uhi i ka lāʻau olakino āu e makemake ai

Hiki iā ʻoe ke noi iā mākou e hoʻoholo i kāu kohoE hele i ka ʻaoʻao aʻe o kēia mokuna Pauku 52

Inā ua haʻi mua mākou iā ʻoe ʻaʻole mākou e uhi a uku paha no kahi lawelawe lapaʻau e like me kou makemake e uhi ʻia a uku ʻia paha

Hiki iā oe ke hana i kekahi hoʻopiʻi (ʻO kēia ke noi nei ʻoe iā mākou e noʻonoʻo hou)E lele i mua a Pauku 53 o kēia mokuna

Inā makemake ʻoe e noi iā mākou e uku hou iā ʻoe no ka mālama olakino āu i loaʻa ai a uku ʻia

Hiki iā ʻoe ke hoʻouna iā mākou i ka bilaE lele i mua a Pauku 55 o kēia mokuna



Pauku 52 ʻAnuʻu-ma-ka anu u Pehea e noi ai no kahi hoʻoholo hoʻoholo (pehea e noi ai i kā mākou hoʻolālā e ʻae a hāʻawi i ka uhi mālama ola āu e makemake ai)

Nā ʻLegallelo Kū kānāwai

Ke pili ka hoʻoholo hoʻoholo e pili ana i kāu mālama olakino kapa ʻia ia he hoʻoholo ʻana o ka hui

ʻAnuʻu 1 Ke noi aku nei ʻoe i kā mākou hoʻolālā e hoʻoholo i ka hoʻopiʻi e pili ana i ka mālama olakino āu e noi nei Inā koi kāu olakino i kahi pane wikiwiki pono ʻoe e noi iā mākou e hana i kahi he hoʻoholo hoʻopiʻi wikiwiki


Kāhea ʻia kahi hoʻoholo hoʻoholo wikiwiki Hoʻoholo wikiwiki

Pehea e noi ai i ka uhi no ka mālama olakino āu e makemake ai bull E hoʻomaka ma ke kāhea ʻana ke kākau ʻana a i ʻole fax i kā mākou hoʻolālā e hana i kāu noi no mākou e ʻae a hāʻawi i ka uhi no ka mālama olakino āu e makemake ai Hiki iā ʻoe kāu kauka a i ʻole kou ʻelele ke hana i kēia

bull No nā kikoʻī e pili ana i ka launa ʻana me mākou e hele i ka Mokuna 2 ʻĀpana 1 a nānā i ka ʻāpana i kapa ʻia Pehea e hoʻopili ai iā mākou ke noi nei ʻoe i kahi hoʻoholo e pili ana i kāu mālama lapaʻau

Hoʻohana maʻamau mākou i nā palena palena manawa maʻamau no ka hāʻawi ʻana iā ʻoe i kā mākou hoʻoholo

Ke hāʻawi mākou iā ʻoe i kā mākou hoʻoholo e hoʻohana mākou i nā palena palena manawa maʻamau ke ʻole mākou e ʻaelike e hoʻohana i nā palena palena wikiwiki ʻO kahi hoʻoholo hoʻoholo maʻamau e hāʻawi mākou iā ʻoe i kahi pane i loko o 14 mau lā ʻelima ma hope o ka loaʻa ʻana o kāu noi no kahi mea olakino a lawelawe paha Inā kāu noi no kahi lāʻau lapaʻau lāʻau lapaʻau Medicare Part B e hāʻawi mākou iā ʻoe i kahi pane i loko o 72 mau hola ma hope o ka loaʻa ʻana o kāu noi



bull Eia nō naʻe no kahi noi no kahi mea olakino a lawelawe paha hiki iā mākou ke lawe i 14 mau lā ʻē aʻe inā ʻoe e noi no ka manawa hou aku a inā makemake mākou i ka ʻike (e like me ka lāʻau lapaʻau nā moʻolelo mai nā mea hoʻolako i waho o ka pūnaewele) e pōmaikaʻi iā ʻoe Inā hoʻoholo mākou e lawe i nā lā keu e hoʻoholo ai e haʻi mākou iā ʻoe ma ke kākau ʻana ʻAʻole hiki iā mākou ke lawe i kahi manawa keu e hoʻoholo ai inā kāu noi no kahi lāʻau lāʻau lāʻau Medicare Part B

bull Inā manaʻo ʻoe ʻaʻole ʻaʻole lawe i nā lā keu hiki iā ʻoe ke faila i kahi hoʻopiʻi wikiwiki e pili ana i kā mākou hoʻoholo e lawe i nā lā keu Ke waiho ʻoe i kahi hoʻopiʻi wikiwiki e hāʻawi mākou iā ʻoe i kahi pane i kāu hoʻopiʻi i loko o 24 mau hola (ʻO ke kaʻina hana no ka hoʻopiʻi ʻana he ʻokoʻa ia mai ke kaʻina hana no ka uhi ʻana i nā hoʻoholo a me nā hoʻopiʻi ʻana No ka ʻike hou aku e pili ana i ke kaʻina hana no ka hoʻopiʻi ʻana me nā hoʻopiʻi wikiwiki e ʻike i ka ʻĀpana 10 o kēia mokuna)

Inā koi ʻia kou olakino e noi iā mākou e hāʻawi iā ʻoe hoʻoholo hoʻopiʻi wikiwiki

bull ʻO ka hoʻoholo wikiwiki e pane mākou ma waena o 72 mau hola inā kāu noi no kahi mea olakino a lawelawe paha Inā kāu noi no kahi lāʻau lāʻau lāʻau Medicare Part B e pane mākou i loko o 24 mau hola

Eia nō naʻe no kahi noi no kahi mea olakino a lawelawe paha hiki iā mākou ke lawe i 14 mau lā ʻē aʻe inā ʻike mākou i kahi ʻike e pono ai iā ʻoe e nalo ana (e like me ka lāʻau lapaʻau nā moʻolelo mai nā mea hoʻolako i waho o ka pūnaewele) a i ʻole inā makemake ʻoe i ka manawa e loaʻa ai ka ʻike iā mākou no ka loiloi Inā hoʻoholo mākou e lawe i nā lā keu e haʻi mākou iā ʻoe ma ke kākau ʻana ʻAʻole hiki iā mākou ke lawe i kahi manawa keu e hoʻoholo ai inā kāu noi no kahi lāʻau lāʻau lāʻau Medicare Part B

Inā manaʻo ʻoe ʻʻaʻole lawe i nā lā keu hiki iā ʻoe ke faila i kahi hoʻopiʻi wikiwiki e pili ana i kā mākou hoʻoholo e lawe i nā lā keu (No ka ʻike hou aku e pili ana i ke kaʻina hana no ka hoʻopiʻi ʻana me nā hoʻopiʻi wikiwiki e ʻike i ka ʻĀpana 10 okēia mokuna) E kāhea aku mākou iā ʻoe ke hoʻoholo mākou

bull No ka loaʻa ʻana o kahi hoʻoholo wikiwiki loa pono ʻoe e hoʻokō i nā koi ʻelua

Hiki iā ʻoe ke kiʻi i ka hoʻoholo wikiwiki loa wale nō inā ʻoe e noi ana i ka uhi ʻana no ka mālama olakino ʻaʻole i loaʻa iā ʻoe (ʻAʻole hiki iā ʻoe ke noi no kahi hoʻoholo hoʻoholo wikiwiki inā pili kāu noi e pili ana i ka uku no ka mālama olakino āu i loaʻa ai)



Hiki iā ʻoe ke kiʻi i ka hoʻoholo wikiwiki loa wale nō inā hiki i ka hoʻohana ʻana i nā palena palena manawa maʻamau ke hōʻeha nui i kou olakino a hōʻeha paha i kou hiki ke hana

bull Inā haʻi mai kāu kauka iā ʻoe e koi ana kou olakino i kahi hoʻoholo hoʻoholo wikiwiki e ʻae mākou e hāʻawi iā ʻoe i kahi hoʻoholo wikiwiki

bull Inā ʻoe e noi i kahi hoʻoholo wikiwiki e pili ana iā ʻoe iho me ka ʻole o ke kākoʻo o kāu kauka e hoʻoholo mākou inā koi kāu olakino e hāʻawi mākou iā ʻoe i kahi hoʻoholo wikiwiki

Inā hoʻoholo mākou ʻaʻole hoʻokō kāu kūlana olakino i nā koi no ka hoʻoholo wikiwiki ʻana e hoʻouna mākou iā ʻoe i kahi leka e ʻōlelo pēlā (a e hoʻohana mākou i nā palena manawa maʻamau)

E haʻi aku kēia leka iā ʻoe inā e noi kāu kauka no ka hoʻoholo wikiwiki wikiwiki e hāʻawi ʻā mākou i kahi hoʻoholo wikiwiki

E haʻi pū ka leka pehea e hiki ai iā ʻoe ke faila i kahi hoʻopiʻi hoʻopiʻi e pili ana i kā mākou hoʻoholo e hāʻawi iā ʻoe (No ka ʻike hou aku e pili ana i ke kaʻina hana no ka hoʻopiʻi ʻana me nā hoʻopiʻi wikiwiki e ʻike i ka ʻĀpana 10 o kēia mokuna)

ʻAnuʻu 2 Manaʻo mākou i kāu noi no ka mālama mālama olakino a hāʻawi iā mākou i kā mākou pane

Nā lā palenapau no ka hoʻoholo koho uhi ʻeleu bull ʻO ka maʻamau no kahi hoʻoholo wikiwiki e pili ana i kahi noi no kahi lāʻau lapaʻau a lawelawe paha e hāʻawi mākou iā ʻoe i kā mākou pane ma waena o 72 mau hola Inā kāu noi no kahi lāʻau lāʻau lāʻau Medicare Part B e pane mākou i loko o 24 mau hola

E like me ka wehewehe ma luna hiki iā mākou ke lawe i 14 mau lā ʻē aʻe ma lalo o kekahi mau ʻano Inā hoʻoholo mākou e lawe i nā lā keu e hoʻoholo i ka hopena e haʻi mākou iā ʻoe ma ke kākau ʻana ʻAʻole hiki iā mākou ke lawe i kahi manawa keu e hoʻoholo ai inā kāu noi no kahi lāʻau lāʻau lāʻau Medicare Part B

Inā manaʻo ʻoe ʻaʻole mākou e hana i nā lā keu hiki iā ʻoe ke faila i kahi hoʻopiʻi wikiwiki e pili ana i kā mākou hoʻoholo e lawe i nā lā keu Ke waiho ʻoe i kahi hoʻopiʻi wikiwiki e hāʻawi mākou iā ʻoe i kahi pane i kāu hoʻopiʻi i loko o 24 mau hola (No ka ʻike hou aku e pili ana i ke kaʻina hana no ka hoʻopiʻi ʻana me nā hoʻopiʻi wikiwiki e ʻike i ka ʻĀpana 10 o kēia mokuna)



Inā ʻaʻole mākou e hāʻawi i kā mākou pane iā ʻoe i loko o 72 mau hola (a i ʻole he manawa lōʻihi ma ka hopena o ia manawa) a i ʻole 24 mau hola inā he lāʻau kuhikuhi Part B kāu noi aia iā ʻoe ke kuleana e hoʻopiʻi Hōʻike ka mahele 53 ma lalo pehea e hoʻopiʻi ai

bull Inā ʻaʻole kā mākou pane i ka i ʻole nā mea āpau āu i noi ai e hoʻouna mākou iā ʻoe i kahi wehewehe kikoʻī no ke kumu a mākou i ʻōlelo ai ʻaʻole

Nā lā palenapau no ka hoʻoholo koho uhi maʻamau bull ʻO ka mea maʻamau no kahi hoʻoholo hoʻopiʻi maʻamau ma kahi noi no kahi mea lapaʻau a lawelawe paha e hāʻawi mākou i kā mākou pane iā ʻoe i loko o 14 mau lā kalena ma hope o ka loaʻa ʻana o kāu noi Inā ʻo kāu noi no ka lāʻau lapaʻau Medicare Part B e hāʻawi mākou i pane iā ʻoe i loko o 72 mau hola ma hope o ka loaʻa ʻana o kāu noi

No kahi noi no kahi mea olakino a lawelawe paha hiki iā mākou ke lawe i 14 mau lā ʻē aʻe (kahi manawa lōʻihi) ma lalo o kekahi mau kūlana Inā hoʻoholo mākou e lawe i nā lā keu e hana i i ka hoʻoholo hoʻopiʻi e haʻi mākou iā ʻoe ma ke kākau ʻana ʻAʻole hiki iā mākou ke lawe i kahi manawa keu e hoʻoholo ai inā kāu noi no kahi lāʻau lāʻau lāʻau Medicare Part B

Inā manaʻo ʻoe ʻaʻole e hana e lawe i nā lā keu hiki iā ʻoe ke faila i kahi hoʻopiʻi wikiwiki e pili ana i kā mākou hoʻoholo e lawe i nā lā keu Ke waiho ʻoe i kahi hoʻopiʻi wikiwiki e hāʻawi mākou iā ʻoe i kahi pane i kāu hoʻopiʻi i loko o 24 mau hola (No ka ʻike hou aku e pili ana i ke kaʻina hana no ka hoʻopiʻi ʻana me ka hoʻopiʻi wikiwiki e nānā i ka mahele 10 o kēia mokuna)

Inā ʻaʻole mākou e hāʻawi iā ʻoe i kā mākou pane ma loko o 14 mau lā alemanaka (a inā he lōʻihi ka lōʻihi o ka manawa ma ka hopena o kēlā manawa) a i ʻole 72 mau hola inā kāu noi no kahi lāʻau lāʻau lāʻau Part B he kuleana kou e hoʻopiʻi ʻTellslelo ka ʻaoʻao 53 ma lalo nei pehea e hoʻopiʻi ai

bull Inā ʻaʻohe o kā mākou pane i ka i ʻole nā m ea āpau āu i noi ai e hoʻouna mākou iā ʻoe i kahi ʻōlelo i kākau ʻia e wehewehe ana i ke kumu i ʻōlelo ai mākou ʻaʻole

ʻAnuʻu 3 Inā ʻōlelo mākou ʻaʻole i kāu noi no ka uhi ʻana no ka mālama olakino hoʻoholo ʻoe inā makemake ʻoe e hoʻopiʻi

bull Inā mākou e ʻōlelo ʻaʻole hiki iā ʻoe ke noi iā mākou e noʻonoʻo hou - a hoʻololi paha - i kēia hoʻoholo ma ka hoʻopiʻi ʻana Ke hana nei i kahi hoʻopiʻi no ka hoʻāʻo ʻana e hana i kahi mālama mālama ola āu e makemake ai



bull Inā hoʻoholo ʻoe e hoʻopiʻi ʻo ia hoʻi ke hele nei ʻoe i Papa 1 o ke kaʻina hoʻopiʻi (e nānā i ka ʻĀpana 53 ma lalo)

Pauku 53 ʻAnuʻu-ma-ʻanuʻu Pehea e hana ai i kahi hoʻopiʻi Papa 1 (pehea e noi ai no ka loiloi o kahi hoʻoholo mālama mālama ola i hoʻoholo ʻia e kā mākou hoʻolālā)


Ua kāhea ʻia kahi hoʻopiʻi no ka hoʻolālā e pili ana i ka hoʻoholo olakino lapaʻau i kapa ʻia he papahana reconsideration

ʻAnuʻu 1 Kāhea ʻoe iā mākou Inā koi kāu olakino i kahi pane wikiwiki pono ʻoe e noi no kahi hoʻopiʻi wikiwiki

He aha e hana ai bull No ka hoʻomaka ʻana aku i kāu hoʻopiʻi pono ʻoe (a i ʻole kāu ʻelele a i ʻole kāu kauka a i ʻole kāu hui hoʻolako ʻē aʻe) e hoʻomaopopo mai iā mākou No nā manaʻo kikoʻī pehea e loaʻa ai mākou e hele aku i ka Mokuna 2 Māhele 1 a e nānā aku no ka māhele e kapa ʻia Pehea e kaʻalauna ai me mākou iā ʻoe e hana nei i kekahi hoʻopiʻi e pili ana i kāu kōkua mālama olakino

bull Inā ʻoe e noi nei i kahi hoʻopiʻi hoʻopiʻi maʻamau hana i kāu hoʻopiʻi maʻamau i ke kākau ʻana ma ka waiho ʻana i kahi noi E noi paha ʻoe no kahi hoʻopiʻi e ke kelepona ʻana iā mākou ma ka helu kelepona i hōʻike ʻia ma ka Mokuna 2 ʻĀpana 1 (Pehea e hoʻopili ai iā mākou ke hoʻopiʻi nei ʻoe e pili ana i kāu mālama olakino)

Inā koho ʻoe i kekahi poʻe ʻē aʻe e hana i kekahi hoʻopiʻi iā mākou ma kou pono iho o kekahi paha ma waho aʻe o kāu kauka pono e loaʻa kekahi palapala ʻĀpono Noi no ka Noho ʻElele ʻana e haʻawi ana i ka ʻāpono i kēia kanaka i e noho i ʻēlele ma kou pono iho Loaʻa pū kēia palapala nei ma Medicarersquos website at wwwcmsgovMedicareCMS-FormsCMS-Formsdownloadscms1696pdf a i ʻole ma kō mākou kaha pūnaewele wwwwellcarecomohana ʻOiai ua hiki iā mākou ke ʻāpono aku i kekahi hoʻopiʻi me ka loaʻa ʻole o ka palapala ʻaʻole hiki iā mākou ke hoʻomaka aku a i ʻole e hoʻopau aku i kā mākou loiloi hou ʻana a loaʻa mai iā mākou o ia palapala lā Inā loaʻa ʻole mai ia



palapala i loko o 44 lā ma hope mai o ka loaʻa ʻana mai o kāu hoʻopiʻi (kā mākou lā palenapau no ka hana ʻana i kāu hoʻopiʻi) e kāpae ʻia ana kāu noi hoʻopiʻi Inā paha e hana ʻia kēīa e hoʻouna ana mākou iā ʻoe kekahi leka hoʻomaopopo i kākau ʻia no ka hoʻomaopopo ʻana iā ʻoe e pili ana i kou pono no ka noi ʻana i ka hui loiloi hihia kūʻokoʻa no ka nānā hou ʻana mai i kā mākou i hoʻoholo ai e kāpae aku i kāu hoʻopiʻi

bull Inā e noi ana ʻoe i ka hoʻopiʻi wikiwiki e hana i kāu hoʻopiʻi ma ke kākau ʻana a i ʻole e kelepona mai iā mākou ma ka helu kelepona i hōʻike ʻia ma ka Mokuna 2 Pauku 1 (Pehea e hoʻokaʻaʻike mai iā mākou ke hana ʻoe i kahi hoʻopiʻi e pili ana i kāu mālama olakino)

bull Pono ʻoe e noi i kāu noi hoʻopiʻi i loko o 60 mau lā ʻelima mai ka lā o ka leka hoʻomaopopo a mākou i hoʻouna aku ai e haʻi iā ʻoe i kā mākou pane i kāu noi no ka hoʻoholo hoʻoholo Inā haʻalele ʻoe i kēia palena manawa a he kumu kūpono kāu e nalo ai e wehewehe i ke kumu o ka lohi o kāu hoʻopiʻi ke hoʻopiʻi ʻoe E hāʻawi paha mākou iā ʻoe i manawa hou e hoʻopiʻi ai ʻO nā laʻana o ke kumu maikaʻi no ka nalo ʻana i ka palena palena manawa e hoʻopili inā loaʻa ʻoe i kahi maʻi koʻikoʻi i pale iā ʻoe mai ka hoʻopili ʻana iā mākou

bull Hiki iā ʻoe ke noi i kope o ka ʻike e pili ana i kāu hoʻoholo olakino a hoʻohui i ka ʻike hou aku e kākoʻo i kāu hoʻopiʻi

He kuleana kou e noi iā mākou no kahi kope o ka ʻike e pili ana i kāu hoʻopiʻi

Inā makemake ʻoe hāʻawi ʻoe a me kāu kauka iā mākou i ka ʻike hou aku e kākoʻo i kāu hoʻopiʻi

Inā koi ʻia kou olakino e noi no kahi hoʻopiʻi wikiwiki (hiki iā ʻoe ke noi i ke kāhea ʻana iā mākou)


Kāhea ʻia kahi hoʻopiʻi wikiwiki i kahi nānā hou i ka wikiwiki

bull Inā ʻoe e hoʻopiʻi i kahi hoʻoholo a mākou i hana ai e pili ana i ka uhi no ka mālama āu i loaʻa ʻole ai pono ʻoe a me a i ʻole kauka e hoʻoholo inā pono ʻoe i kahi hoʻopiʻi wikiwiki



bull ʻO nā koi a me nā kaʻina hana no ka loaʻa ʻana o kahi hoʻopiʻi wikiwiki e like me nā mea no ka loaʻa ʻana o kahi hoʻoholo wikiwiki No ke noi ʻana i kahi hoʻopiʻi wikiwiki e hāhai i nā ʻōkuhi no ka noi ʻana i kahi hoʻoholo hoʻopiʻi wikiwiki (Hāʻawi ʻia kēia mau ʻōlelo aʻo ma mua i kēia ʻāpana)

bull Inā haʻi mai kāu kauka iā ʻoe e koi ana kou olakino i kahi hoʻopiʻi wikiwiki e hāʻawi mākou iā ʻoe i ka hoʻopiʻi wikiwiki

ʻAnuʻu 2 Manaʻo mākou i kāu hoʻopiʻi a hāʻawi mākou iā ʻoe i kā mākou pane

bull Ke nānā nei kā mākou papa i kāu hoʻopiʻi e nānā pono hou mākou i nā ʻike āpau e pili ana i kāu noi no ka uhi ʻana o ka mālama olakino Nānā mākou inā mākou e ukali nei i nā lula āpau i ka wā i ʻōlelo ai mākou ʻaʻole i kāu noi

bull E hōʻiliʻili mākou i ka ʻike hou aʻe inā makemake mākou ia Kāhea paha mākou iā ʻoe a i kāu kauka paha e kiʻi i ka ʻike hou aku

ʻO nā lā palenapau no ka hoʻopiʻi ʻeleu bull Ke hoʻohana nei mākou i nā palena palena wikiwiki pono mākou e hāʻawi iā ʻoe i kā mākou pane i loko o 72 mau hola ma hope o ka loaʻa ʻana o kāu hoʻopiʻi E hāʻawi koke mākou iā ʻoe i kā mākou pane inā koi kou olakino iā mākou e hana pēlā

Eia nō naʻe inā ʻoe e noi no ka manawa hou aku a i ʻole inā pono mākou e hōʻiliʻili i nā ʻike hou aʻe e pōmaikaʻi ai iā ʻoe hiki iā mākou ke lawe i 14 mau lā ʻē aʻe inā kāu noi no kahi mea olakino a lawelawe paha Inā hoʻoholo mākou e lawe i nā lā keu e hoʻoholo ai e haʻi mākou iā ʻoe ma ke kākau ʻana iaʻu e hoʻoholo inā kāu noi no ka lāʻau lāʻau lāʻau Medicare Part B ʻAʻole hiki iā mākou ke lawe keu

Inā ʻaʻole mākou e hāʻawi iā ʻoe i kahi pane i loko o 72 mau hola (a i ʻole ka hopena o ka manawa lōʻihi inā mākou i lawe i nā lā keu) koi ʻia mākou e hoʻouna aunoa i kāu noi i Papa 2 o ke kaʻina hoʻopiʻi Ma hope ma kēia ʻāpana haʻi mākou iā ʻoe e pili ana i kēia hui a wehewehe i ka mea e hana ai ma Papa 2 o ke kaʻina hoʻopiʻi

bull Inā ʻae kā mākou pane i kekahi hapa a i ʻole nā mea a pau āu i noi ai pono mākou e ʻae a hāʻawi i ka uhi a mākou i ʻae ai e hāʻawi i loko o 72 mau hola ma hope o ka loaʻa ʻana o kāu hoʻopiʻi

bull Inā ʻaʻole kā mākou pane i ka i ʻole nā mea āpau āu i noi ai e hoʻouna aunoa mākou i kāu hoʻopiʻi i ka Independent Review Organization for a Papa 2 Appeal



ʻO nā lā palenapau no nā hoʻopiʻi maʻamau bull Inā mākou e hoʻohana nei i nā palena palena manawa maʻamau pono mākou e hāʻawi iā ʻoe i kā mākou pane ma ke noi no kahi mea olakino a lawelawe paha i loko o 30 mau lā ʻelima ma hope o ka loaʻa ʻana o kāu hoʻopiʻi inā pili kāu hoʻopiʻi e pili ana i ka uhi ʻana no nā lawelawe āu i ʻike ʻole ai ua loaʻa naʻe Inā kāu noi no kahi lāʻau lāʻau Medicare Part B i loaʻa ʻole iā ʻoe e hāʻawi mākou iā ʻoe i kā mākou pane i loko o 7 mau lā ʻelima ma hope o ka loaʻa ʻana o kāu hoʻopiʻi E hāʻawi mākou iā ʻoe i kā mākou hoʻoholo ma mua koke inā kou olakino e koi ai mākou iā mākou e

Eia nō naʻe inā ʻoe e noi no ka manawa hou a i ʻole inā pono mākou e hōʻiliʻili i nā ʻike hou aʻe e pōmaikaʻi ai iā ʻoe hiki iā mākou ke lawe i 14 mau lā ʻē aʻe hou inā kāu noi no kahi mea olakino a lawelawe paha Inā hoʻoholo mākou e lawe i nā lā keu e hoʻoholo ai e haʻi mākou iā ʻoe ma ke kākau ʻana ʻAʻole hiki iā mākou ke lawe i kahi manawa keu e hoʻoholo ai inā kāu noi no kahi lāʻau lāʻau lāʻau Medicare Part B

Inā manaʻo ʻoe ʻaʻole mākou ʻaʻole e lawe i nā lā keu hiki iā ʻoe ke faila i kahi hoʻopiʻi wikiwiki e pili ana i kā mākou hoʻoholo e lawe i nā lā keu Ke waiho ʻoe i kahi hoʻopiʻi wikiwiki e hāʻawi mākou iā ʻoe i kahi pane i kāu hoʻopiʻi i loko o 24 mau hola (No ka ʻike hou aku e pili ana i ke kaʻina hana no ka hoʻopiʻi ʻana me nā hoʻopiʻi wikiwiki e ʻike i ka ʻĀpana 10 o kēia mokuna)

Inā ʻaʻole mākou e hāʻawi iā ʻoe i kahi pane e ka palena manawa kūpono ma luna (a i ʻole ka hopena o ka manawa lōʻihi inā mākou i lawe i nā lā keu i kāu noi no kahi lāʻau lapaʻau a lawelawe paha) koi ʻia mākou e hoʻouna i kāu noi i Papa 2 o ke kaʻina hoʻopiʻi kahi e nānā ʻia ai e kahi Independent Review Organization Ma hope ma kēia ʻāpana kamaʻilio mākou e pili ana i kēia hui loiloi a wehewehe i ka mea e hana ai ma Papa 2 o ke kaʻina hoʻopiʻi

bull Inā ʻae kā mākou pane i kekahi hapa a i ʻole nā mea a pau āu i noi ai pono mākou e ʻae a hāʻawi i ka uhi a mākou i ʻae ai e hāʻawi i loko o 30 mau lā alemanaka inā he mea lapaʻau kāu noi a lawelawe paha a i ʻole i loko o 7 mau lā alemanaka inā he noi kāu noi no ka lāʻau kuhikuhi Medicare Part B

bull Inā ʻaʻohe o kā mākou pane i ka i ʻole nā mea āpau āu i noi ai e hoʻouna aunoa mākou i kāu hoʻopiʻi i ka Independent Review Organisation for a Papa 2 Appeal



KaʻAnuʻu Hana 3 Inā ʻaʻole kā mākou hoʻolālā i ka i ʻole kāu hoʻopiʻi āpau e hoʻouna ʻia kāu hihia i ka pae aʻe o ke kaʻina hana hoʻopiʻi

bull I mea e hāhai ai mākou i nā lula āpau i kā mākou ʻōlelo ʻana ʻaʻole i kāu hoʻopiʻi koi ʻia mākou e hoʻouna i kāu hoʻopiʻi i ka Independent Review Organization Ke hana mākou i kēia ʻo ia hoʻi ke hele nei kāu hoʻopiʻi i kahi pae aʻe o ke kaʻina hoʻopiʻi ʻana ʻo ia Papa 2

Pauku 54 ʻAnuʻu-ma-ʻanuʻu Pehea e hana ai i kahi hoʻopiʻi Papa 2

Inā ʻaʻole mākou e ʻōlelo i kāu hoʻopiʻi apili 1 e hoʻouna aunoa ʻia kāu hihia i ka pae aʻe o ke kaʻina hoʻopiʻi I ka wā o ka hoʻopiʻi Papa 2 ka Hui ʻImi Kūʻokoʻa Kūʻokoʻa loiloi i kā mākou hoʻoholo no kāu hoʻopiʻi mua Hoʻoholo kēia hui inā e loli ka hoʻoholo a mākou i hoʻoholo ai


ʻO ka inoa kūlana no ka Independent Review Organization ʻo ia ka Independent Review Entity Kāhea ʻia i kekahi manawa ka IRE

ʻAnuʻu 1 Loiloi ka Independent Review Organization i kāu hoʻopiʻi

bull ʻO ka Independent Review Organization kahi hui kūʻokoʻa i hoʻolimalima ʻia e Medicare ʻAʻole pili kēia hui me mākou a ʻaʻole ia he keʻena aupuni ʻO kēia hui kahi hui i koho ʻia e Medicare e lawelawe i ka hana ʻo ia ka Independent Review Organization Mālama ʻo Medicare i kāna hana

bull E hoʻouna mākou i ka ʻike e pili ana i kāu hoʻopiʻi i kēia hui Kapa ʻia kēia ʻikepili he faila hihia He kuleana kāu e noi iā mākou no kahi kope o kāu faila hihia

bull He kuleana kou e hāʻawi i ka ʻImi Manaʻo Kūʻokoʻa i nā ʻike hou e kākoʻo i kāu hoʻopiʻi

bull E nānā pono nā mea loiloi i ka Independent Review Organization i nā ʻike āpau e pili ana i kāu hoʻopiʻi



Inā ua loaʻa mua iā ʻoe kekahi hoʻopiʻi ʻeleu ma ka pae 1 e loaʻa pū ana iā ʻoe kekahi hoʻopiʻi ʻeleu pae 2

bull Inā ua hoʻopiʻi wikiwiki ʻoe i kā mākou hoʻolālā ma Papa 1 e loaʻa koke iā ʻoe kahi hoʻopiʻi wikiwiki i Papa 2 Pono ka hui loiloi e hāʻawi iā ʻoe i kahi pane i kāu Apili 2 Papa ma waena o 72 mau hola o ka wā e loaʻa ai kāu hoʻopiʻi

bull Eia nō naʻe inā kāu noi no kahi mea olakino a lawelawe paha a pono i ka Independent Review Organisation e ʻohiʻohi i ka ʻike hou aʻe e pono ai iā ʻoe hiki iā ia ke hala i 14 mau lā ʻē aʻe ʻAʻole hiki i ka Independent Review Organization ke hoʻolōʻihi i kahi manawa e hoʻoholo ai inā kāu noi no kahi lāʻau lāʻau lāʻau Medicare Part B

inā ua loaʻa mua iā ʻoe kekahi hoʻopiʻi maʻamau ma ka pae 1 e loaʻa pū ana iā ʻoe kekahi hoʻopiʻi maʻamau ma ka pae 2

bull Inā he hoʻopiʻi maʻamau kāu i kā mākou papahana ma Papa 1 e loaʻa aunoa iā ʻoe kahi hoʻopiʻi maʻamau ma Papa 2 Inā kāu noi no kahi mea olakino a lawelawe paha pono i ka hui loiloi e hāʻawi iā ʻoe i kahi pane i kāu Apili 2 Papa i loko o 30 mau lā ʻelima o ka wā e loaʻa ai kāu hoʻopiʻi Inā kāu noi no kahi lāʻau lāʻau lāʻau Medicare Part B pono i ka hui loiloi e hāʻawi iā ʻoe i kahi pane i kāu Nūhou 2 i loko o 7 mau lā ʻelima o ka wā e loaʻa ai kāu hoʻopiʻi

bull Eia nō naʻe inā kāu noi no kahi mea olakino a lawelawe paha a pono i ka Independent Review Organization e ʻohiʻohi i ka ʻike hou aʻe e pono ai iā ʻoe hiki iā ia ke hala i 14 mau lā ʻē aʻe ʻAʻole hiki i ka Independent Review Organisation ke hoʻolōʻihi i kahi manawa e hoʻoholo ai inā kāu noi no kahi lāʻau lāʻau lāʻau Medicare Part B

ʻAnuʻu 2 Hāʻawi ka Organization Review Independent iā lākou i kā lākou pane

Na ka Independent Review Organization e haʻi iā ʻoe i kāna hoʻoholo i ke kākau ʻana a wehewehe i nā kumu o ia mea

bull Inā ʻae ka hui loiloi i ka i ʻole ke noi āpau no kahi mea lapaʻau a lawelawe paha pono mākou e ʻae i ka uhi mālama olakino i loko o 72 mau hola a i ʻole e hāʻawi i ka lawelawe i loko o 14 mau lā kalena ma hope o ka loaʻa ʻana o ka hoʻoholo mai ka hui loiloi no nā noi maʻamau a i ʻole i loko o 72 mau hola mai ka lā i loaʻa iā mākou ka hoʻoholo mai ka hui loiloi no nā noi wikiwiki



bull Inā ʻae ka hui loiloi i ka i ʻole o ka noi āpau no ka lāʻau lapaʻau Medicare Part B pono mākou e ʻae a hāʻawi i ka lāʻau lapaʻau Part B ma lalo o ka hoʻopaʻapaʻa i loko o 72 mau hola ma hope o ka loaʻa ʻana o ka hoʻoholo mai ka hui loiloi no nā noi maʻamau a i ʻole 24 mau hola mai ka lā i loaʻa iā mākou ka hoʻoholo mai ka hui loiloi no nā noi wikiwiki

bull Inā ʻōlelo kēia hui ʻaʻole e hoʻokaʻawale a i ʻole nā hoʻopiʻi āpau iā ʻoe ʻo ia hoʻi ua ʻae lākou me mākou ʻaʻole e ʻae ʻia kāu noi (a ʻāpana paha o kāu noi) no ka uhi ʻana no ka mālama olakino (Kapa ʻia kēia kākoʻo i ka hoʻoholo Kāhea ʻia ia hōʻole i kāu hoʻopiʻi)

Inā mālama ka Independent Review Organization i kāu ʻōlelo hoʻoholo he kuleana kou i ka ʻApili 3 Papa Eia nō naʻe e hoʻopiʻi hou i ka papa 3 ʻo ke kumukūʻai kālā o ke ʻano mālama lapaʻau āu e noi nei e pono e hoʻokō i kahi palena iki Inā haʻahaʻa loa ke kumukūʻai o ke kālā āu e noi nei ʻaʻole hiki iā ʻoe ke hana i kahi hoʻopiʻi hou ʻo ia hoʻi he hopena ka hoʻoholo ma Papa 2 ʻO ka leka hoʻomaopopo i loaʻa iā ʻoe mai ka Independent Review Organization e haʻi iā ʻoe pehea e ʻike ai i ke kālā e hoʻomau i ke kaʻina hoʻopiʻi

ʻAnuʻu 3 Inā hoʻokō kāu hihia i nā koi koho ʻoe inā makemake ʻoe e lawe i kāu hoʻopiʻi hou

bull ʻEkolu mau pae hou i ke kaʻina hoʻopiʻi ma hope o Papa 2 (no ka pae o ʻelima pae o ka hoʻopiʻi ʻana)

bull Inā hōʻole ʻia kāu hoʻopiʻi apana 2 a hoʻokō ʻoe i nā koina e hoʻomau me nā kaʻina hoʻopiʻi ʻana pono ʻoe e hoʻoholo inā makemake ʻoe e hele i ka papa 3 a hoʻopiʻi i ke kolu o ka hoʻopiʻi Aia nā kikoʻī e pili ana pehea e hana ai i kēia i ka leka hoʻomaopopo i loaʻa iā ʻoe ma hope o kāu Papa 2 Appeal

bull Mālama ʻia ka Apili 3 Kūlana e kahi Luna Kānāwai Kānāwai a i ʻole hoʻokolokolo hoʻokolokolo Hōʻike ka ʻāpana 9 i kēia mokuna e pili ana i nā papa 3 4 a me 5 o ke kaʻina hoʻopiʻi



Pauku 55 He aha inā ʻoe e noi ana iā mākou e uku iā ʻoe no kā mākou ʻāpana o kahi pila i loaʻa iā ʻoe no ka mālama olakino

Inā makemake ʻoe e nīnau iā mākou no ka uku no ka mālama olakino e hoʻomaka me ka heluhelu ʻana i ka Mokuna 7 o kēia puke Ke noi nei iā mākou e uku i kā mākou mahele o kahi pila i loaʻa iā ʻoe no nā lawelawe lapaʻau a i ʻole nā lāʻau lapaʻau Hōʻike ka Mokuna 7 i nā kūlana e pono ai ʻoe e noi no ka uku hou ʻana a i ʻole e uku i kahi bila i loaʻa iā ʻoe mai kahi mea hāʻawi Hōʻike pū kekahi pehea e hoʻouna ai iā mākou i nā pepa e noi iā mākou no ka uku

Ke noi nei i kahi uku e noi nei i kahi hoʻoholo hoʻopiʻi mai iā mākouInā ʻoe e hoʻouna iā mākou i nā palapala e noi ana no ka uku hou ʻana ke noi nei ʻoe iā mākou e hoʻoholo i ka hopena (no ka ʻike hou aku e pili ana i nā hoʻoholo uhi e ʻike i ka ʻĀpana 41 o kēia mokuna) I mea e hoʻoholo ai i kēia hoʻopiʻi ʻana e nānā mākou inā he lawelawe uhi ʻia ka mālama olakino āu i uku ai (e nānā i ka Mokuna 4 Kālā Pilikino Lapaʻau (he aha ka mea e uhi ʻia a he aha kāu e uku ai)) E nānā pū mākou inā ua ukali ʻoe i nā lula āpau no ka hoʻohana ʻana i kāu uhi ʻana no ka mālama olakino (hāʻawi ʻia kēia mau lula ma ka Mokuna 3 o kēia puke Ke hoʻohana nei i ka uhi o ka hoʻolālā no kāu lawelawe olakino)

E ʻōlelo mākou ʻaʻole a ʻaʻole i kāu noi bull Inā uhi ʻia ka mālama olakino āu i uku ai a ukali ʻoe i nā lula āpau e hoʻouna mākou iā ʻoe i ka uku no kā mākou mahele o ke kumukūʻai o kāu mālama olakino ma waena o 60 mau lā ʻelima ma hope o ka loaʻa ʻana o kāu noi A i ʻole inā ʻaʻole ʻoe i uku no nā lawelawe e hoʻouna pololei mākou i ka uku i ka mea hāʻawi Ke hoʻouna nei mākou i ka uku ua like ia me ka ʻōlelo ʻana ʻae i kāu noi no kahi uhi hoʻoholo)

bull Inā ʻaʻole mālama ʻia ʻaʻole i uhi ʻia a i ʻole ʻaʻole ʻoe hāhai i nā lula āpau ʻaʻole mākou e hoʻouna i ka uku Ma kahi o e hoʻouna mākou iā ʻoe i kahi leka e ʻōlelo ana ʻaʻole mākou e uku no nā lawelawe a me nā kumu no ke kikoʻī (Ke hōʻole mākou i kāu noi no ka uku ua like ia me ka ʻōlelo ʻana ʻaʻole i kāu noi no ka hopena hoʻoholo)

He aha inā e noi ʻoe no ka uku a ʻōlelo mākou ʻaʻole mākou e ukuInā ʻaʻole ʻoe e ʻae i kā mākou hoʻoholo e hoʻohuli iā ʻoe i lalo hiki iā ʻoe ke hana i kahi hoʻopiʻi Inā hoʻopiʻi ʻoe no laila ke noi nei ʻoe iā mākou e hoʻololi i kā mākou hoʻoholo i hoʻoholo ʻia i ka wā i hōʻole ai mākou i kāu noi no ka uku



E hana i kēia hoʻopiʻi e hāhai i ke kaʻina hana no nā hoʻopiʻi i wehewehe ai mākou ma ka ʻĀpana 53 E hele i kēia ʻāpana no nā ʻōkuhi a me kēlā me kēia ʻaoʻao Ke hahai nei ʻoe i kēia mau ʻōlelo aʻo e ʻoluʻolu

bull Inā hoʻopiʻi ʻoe no ka uku hou ʻana pono mākou e hāʻawi iā ʻoe i kā mākou pane ma waena o 60 mau lā ʻelima ma hope o ka loaʻa ʻana o kāu hoʻopiʻi (Inā ʻoe e noi ana iā mākou e uku hou iā ʻoe no ka mālama olakino āu i loaʻa ai a uku no ʻoe iho ʻaʻole ʻae ʻia ʻoe e noi no ka hoʻopiʻi wikiwiki)

bull Inā hoʻohuli ka Organisation Review Independent i kā mākou hoʻoholo e hōʻole i ka uku pono mākou e hoʻouna i ka uku āu i noi ai iā ʻoe a i ka mea hāʻawi i loko o 30 mau lā ʻalena Inā ʻae ka pane i kāu hoʻopiʻi ʻana i kēlā me kēia manawa o ke kaʻina hoʻopiʻi ma hope o Papa 2 pono mākou e hoʻouna i ka uku āu i noi ai iā ʻoe a i ʻole ka mea hāʻawi i loko o 60 mau lā ʻalena

PAUKU 6 ʻO kāu mau ʻaha lāʻau lāʻau Part D Pehea e noi ai no kahi hoʻoholo hoʻopiʻi a i ʻole ka hoʻopiʻi ʻana

Ua heluhelu anei ʻoe i ka ʻāpana 4 o kēia mokuna (He alakaʻi i nā kumu o ka uhi nā hoʻoholo a me nā hoʻopiʻi) Inā ʻaʻole makemake paha ʻoe e heluhelu ma mua o kou hoʻomaka ʻana i kēia Pauku

Pauku 61 Hōʻike kēia ʻāpana iā ʻoe i ka mea e hana ai inā pilikia ʻoe i ka loaʻa ʻana a ʻO ka lāʻau Part D a i ʻole makemake ʻoe e uku mākou iā ʻoe no kahi lāʻau Part D

ʻO kāu mau pōmaikaʻi ma ke ʻano he lālā o kā mākou papahana e hoʻopili me ka uhi ʻana no nā lāʻau lapaʻau he nui E ʻoluʻolu e nānā i kā mākou papa hana Ka papa inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi) E uhi ʻia pono e hoʻohana i ka lāʻau no kahi hōʻailona lapaʻau i ʻae ʻia (ʻO kahi hōʻailona i ʻae ʻia he hoʻohana i ka lāʻau i ʻae ʻia e ka Food and Drug Administration a i kākoʻo ʻia e kekahi mau puke kūmole E ʻike i ka Mokuna 5 ʻĀpana 3 no ka ʻike hou aku e pili ana i kahi hōʻike lapaʻau i ʻae ʻia)

bull Kēia ʻaoʻao e pili ana i kāu lāʻau Part D wale nō E mālama i nā mea maʻalahi ʻōlelo pinepine mākou i ka lāʻau i ke koena o kēia ʻāpana ma kahi o ka hana hou ʻana i ka lāʻau lapaʻau i uhi ʻia i waho a i ʻole lāʻau D ʻāpana i kēlā me kēia manawa



bull No nā kikoʻī e pili ana i ka mea a mākou e manaʻo ai e ka lāʻau D ʻāpana ka Ka papa inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi) nā lula a me nā mea i kapu ʻia no ka uhi ʻana a me ka ʻike pili kālā e ʻike i ka Mokuna 5 (Ke hoʻohana nei i ka uhi o ka papahana no kāu Nā lāʻau lapaʻau kuhikuhi Part D) a me ka Mokuna 6 (He aha kāu e uku ai no kāu ʻāpana lāʻau kuhikuhi D)

Hoʻoholo a hoʻopiʻi ka ʻaoʻao D ʻāpanaE like me ka mea i kūkākūkā ʻia ma ka ʻĀpana 4 o kēia mokuna ʻo ka hoʻoholo hoʻoholo e hoʻoholo mākou e pili ana i kāu mau pono a me ka uhi ʻana a i ʻole e pili ana i ka nui a mākou e uku ai no kāu lāʻau


Ua kapa ʻia kahi hoʻoholo hoʻoholo mua e pili ana i kāu Part D lāʻau he hoʻoholo hoʻoholo

Eia eia mau laʻana o poʻomanaʻo mau hoʻoholo ʻoe e nīnau iā iā mākou iā hana e pili ana iā kāu Part D nā lāʻau

bull Noi ʻoe iā mākou e hana i kahi ʻokoʻa me Ke noi nei iā mākou e uhi i kahi lāʻau D ʻāpana ʻaʻole ia ma ka papahana Ka papa inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi)

Ke noi nei iā mākou e haʻalele i kahi palena no ka uhi ʻana o ka hoʻolālā no kahi lāʻau (e like me nā palena o ka nui o ka lāʻau hiki iā ʻoe ke loaʻa)

Ke noi nei e uku i kahi kumukūʻai hoʻokaʻawale haʻahaʻa no kahi lāʻau i uhi ʻia ma kahi kiʻekiʻe pae hoʻoili kālā

bull Nīnau ʻoe iā mākou inā uhi ʻia kahi lāʻau no ʻoe a inā ʻoe māʻona i nā rula pili pili (Eia kekahi laʻana ke kau kāu lāʻau i ka papahana Papa Inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi) akā koi mākou iā ʻoe e ʻae mai iā mākou ma mua o ka uhi ʻana iā ia nāu)

E noke Inā haʻi aku kāu kauka lāʻau iā ʻoe ʻaʻole hiki ke hoʻopihapiha ʻia kāu kuhikuhi e like me ka mea i kākau ʻia e hāʻawi ka lāʻau iā ʻoe i kahi leka hoʻomaopopo e wehewehe ana pehea e kāhea ai iā mākou e noi i kahi hoʻoholo hoʻopiʻi

bull Nīnau ʻoe iā mākou e uku no kahi lāʻau lāʻau i kūʻai mua ʻia He noi kēia no kahi hoʻoholo hoʻoholo e pili ana i ka uku



Inā kūlike ʻole ʻoe i ka hoʻoholo hoʻoholo i hana ai hiki iā ʻoe ke hoʻopiʻi i kā mākou hoʻoholo

ʻTellslelo kēia ʻāpana iā ʻolua pehea e noi ai no nā hoʻoholo kapuni a pehea e noi ai i kahi hoʻopiʻi E hoʻohana i ka pakuhi ma lalo e kōkua iā ʻoe e hoʻoholo i ka ʻāpana i ka ʻikepili no kāu kūlana


Inā ʻoe i kēia kūlana ʻO kēia ka mea hiki iā ʻoe ke hanaInā ʻoe e pono i kahi lāʻau i pili ʻole i kā mākou Papa Inoa Lapaʻau a i ʻole pono iā mākou e haʻalele i kahi lula a i ʻole kapu i kahi lāʻau a mākou e uhi ai

Hiki iā ʻoe ke noi iā mākou e hana i kahi ʻokoʻa (He ʻano hoʻoholo hoʻoholo kēia)E hoʻomaka me ka Pauku 62 o kēia mokuna

Inā makemake ʻoe e uhi mākou i kahi lāʻau i kā mākou papa inoa lāʻau a manaʻo ʻoe ua hoʻokō ʻoe i nā lula a i ʻole nā kapu (e like me ka ʻae ʻana i ka wā ma mua) no ka lāʻau āu e makemake ai

Hiki iā ʻoe ke nīnau iā mākou no ka hoʻoholo hoʻoholoE lele i mua a Pauku 64 o kēia mokuna

Inā makemake ʻoe e noi iā mākou e uku hou iā ʻoe no ka lāʻau i loaʻa mua iā ʻoe a uku ʻia

Hiki iā ʻoe ke noi iā mākou e uku aku iā ʻoe (He ʻano hoʻoholo hoʻoholo kēia)E lele i mua a Pauku 64 o kēia mokuna

Inā ua haʻi mua mākou iā ʻoe ʻaʻole mākou e uhi a uku no kahi lāʻau i ke ala āu e makemake ai e uhi a uku ʻia paha

Hiki iā ʻoe ke hoʻopiʻi (ʻO kēia ke noi nei ʻoe iā mākou e noʻonoʻo hou)E lele i mua a Pauku 65 o kēia mokuna

Pauku 62 He aha ka ʻokoʻa

Inā ʻaʻole uhi ʻia kahi lāʻau i ke ala āu e makemake ai e uhi ʻia hiki iā ʻoe ke noi iā mākou e hana i kahi koe ʻO kahi ʻokoʻa kahi ʻano o ka hoʻoholo hoʻoholo E like me nā ʻano hoʻoholo ʻē aʻe inā hōʻole mākou i kāu noi no kahi ʻokoʻa hiki iā ʻoe ke hoʻopiʻi i kā mākou hoʻoholo



Ke noi ʻoe no kahi ʻokoʻa pono i kāu kauka a i ʻole kahi prescriber ʻē aʻe e wehewehe i nā kumu olakino no ke aha ʻoe e ʻae ai i ka hoʻokoe E noʻonoʻo mākou i kāu noi Eia nā laʻana ʻekolu o nā hoʻokoe i hiki iā ʻoe a me kāu kauka a i ʻole kahi prescriber ʻē aʻe ke noi iā mākou e hana

1 Ka uhi ʻana i kahi lāʻau D ʻāpana no ʻoe ʻaʻole ma kā mākou Ka papa inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi) (Kāhea mākou iā ia ka Papa Inoa Lapaʻau no ka pōkole)


Ke noi nei no ka uhi ʻana o kahi lāʻau i pili ʻole i ka Lāʻau Lapaʻau i kekahi manawa e kāhea ʻia ana no koe Papa kuhikuhi lāʻau kuhikuhi

bull Inā ʻae mākou e hana i kahi ʻokoʻa a uhi i kahi lāʻau i loaʻa ʻole ma ka Papa Inoa Lapaʻau pono ʻoe e uku i ka nui o ke kaʻina kūʻai e pili ana i nā lāʻau i Tier 4 (Non-P nā lāʻau i kuhikuhi ʻia) ʻAʻole hiki iā ʻoe ke noi no kahi ʻokoʻa i ka nui o ka copayment a i ʻole ka coinsurance nui a mākou e koi ai iā ʻoe e uku no ka lāʻau

2 Ke wehe nei i kahi kapu ma luna o kā mākou uhi no kahi lāʻau i uhi ʻia Aia kekahi mau lula a i ʻole kapu e pili ana i kekahi mau lāʻau i kā mākou Papa Inoa o nā lāʻau i uhi ʻia (Papa kuhikuhi lāʻau kuhikuhi) (no ka ʻike hou aku e hele i ka Mokuna 5 a e nānā no ka ʻĀpana 4)


Ke noi nei no ka hemo ʻana o kahi kapu ma ka uhi ʻana no kahi lāʻau i kapa ʻia i kekahi manawa e noi ana no koe Papa kuhikuhi lāʻau kuhikuhi

bull ʻO nā rula keu a me nā mea i kapu ʻia no ka uhi ʻana no kekahi mau lāʻau e pili pū ana

Koi ʻia e hoʻohana i ka mana mana o kahi lāʻau i kahi o ka lāʻau inoa inoa E kiʻi i ka ʻae ʻana i ka hoʻolālā ma mua ma mua o kā mākou ʻae ʻana e uhi i ka lāʻau iā ʻoe (Kāhea ʻia kēia i kekahi manawa he ʻae ʻia ma mua)



Koi ʻia mākou e hoʻāʻo i kahi lāʻau ʻē aʻe ma mua ma mua o kā mākou ʻae ʻana e uhi i ka lāʻau āu e noi nei (Kapa ʻia kēia i kekahi manawa ʻo step therapy)

Nā palena palena No kekahi mau lāʻau aia nā kapu i ka nui o nā lāʻau hiki iā ʻoe ke loaʻa

bull Inā ʻae mākou e hana i kahi ʻokoʻa a haʻalele i kahi kapu no ʻoe hiki iā ʻoe ke noi no kahi ʻokoʻa i ka nui a me ka huina kālā a mākou e koi ai iā ʻoe e uku no ka lāʻau

3 Ke hoʻololi nei i ka uhi ʻana o kahi lāʻau i ka papa mahele haʻahaʻa o ke kumukūʻai ʻO kēlā me kēia lāʻau i kā mākou Papa Inoa Lapaʻau i loko o kekahi o ʻeono mau kaʻina kūʻai Ma ka laulā ʻo ka haʻahaʻa o ka helu tiar kaʻana o ka uku ʻo ka liʻiliʻi e uku ʻoe i kāu mahele o ke kumukūʻai o ka lāʻau


Ke noi nei e uku i kahi kumukūʻai haʻahaʻa no kahi lāʻau i makemake ʻole ʻia i uhi ʻia e kapa ʻia i kekahi manawa e noi ana no ʻē aʻe

bull Inā loaʻa i kā mākou papa inoa lāʻau lāʻau nā lāʻau ʻē aʻe no ka mālama ʻana i kāu kūlana olakino i kahi pae haʻahaʻa haʻahaʻa haʻahaʻa ma mua o kāu lāʻau hiki iā ʻoe ke noi iā mākou e uhi i kāu lāʻau i ke kaʻina kūʻai kālā e pili ana i nā lāʻau ʻē aʻe E hoʻohaʻahaʻa kēia i kāu ʻāpana o ke kumukūʻai no ka lāʻau

Inā he lāʻau lapaʻau inoa ka lāʻau āu e lawe nei hiki iā ʻoe ke noi iā mākou e uhi i kāu lāʻau i ke kaʻina kūʻai kālā e pili ana i ka papa haʻahaʻa i loaʻa nā inoa inoa inoa inoa inoa no ka mālama ʻana i kāu kūlana

Inā ʻo ka lāʻau lapaʻau āu e lawe nei he lāʻau lapaʻau generic hiki iā ʻoe ke noi iā mākou e uhi i kāu lāʻau i ke kaʻina kūʻai kālā e pili ana i ka pae haʻahaʻa i loaʻa nā i ʻole nā koho ʻē aʻe no ka mālama ʻana i kāu kūlana

bull ʻAʻole hiki iā ʻoe ke noi iā mākou e hoʻololi i ka pae kaʻina kūʻai no kēlā me kēia lāʻau i Tier 5 (Tier Special)

bull Inā mākou e ʻae i kāu noi no kahi ʻokoʻa pae a aia he ʻoi aku ma mua o hoʻokahi kaʻana o ka hoʻokaʻawale kumukūʻai me nā lāʻau ʻē aʻe ʻaʻole hiki iā ʻoe ke lawe e uku maʻamau ʻoe i ka mea haʻahaʻa



Pauku 63 Nā mea nui e ʻike e pili ana i ke noi ʻana i nā hoʻokoe

Pono kāu kauka e haʻi iā mākou i nā kumu olakinoPono kāu kauka a i ʻole kahi mea kuhikuhi ʻē aʻe e hāʻawi iā mākou i kahi ʻōlelo e wehewehe ai i nā kumu olakino no ke noi ʻana i kahi ʻokoʻa No kahi hoʻoholo wikiwiki hoʻokomo i kēia ʻike olakino mai kāu kauka a i ʻole prescriber ʻē aʻe ke noi ʻoe no ka mea ʻokoʻa

ʻO ka maʻamau ʻo kā mākou Papa Inoa Lapaʻau i hoʻopili ʻia ma mua o hoʻokahi lāʻau no ka mālama ʻana i kekahi ʻano Kapa ʻia kēia mau mea ʻokoʻa i nā lāʻau lapaʻau alternate Inā like ka hopena o kahi lāʻau ʻokoʻa e like me ka lāʻau āu e noi nei a ʻaʻole e hoʻonui i nā hopena a i ʻole nā pilikia olakino ʻē aʻe ʻaʻole mākou e ʻae i kāu noi no kahi ʻokoʻa Inā ʻoe e noi iā mākou no kahi ʻokoʻa tiering e ʻae mākou ʻaʻole ʻae i kāu noi no kahi ʻē aʻe ke ʻole e holo pono nā lāʻau ʻokoʻa ʻē aʻe i nā pae haʻahaʻa haʻahaʻa haʻahaʻa no ʻoe a i ʻole mea paha e hoʻoulu ai i kahi hopena maikaʻi ʻole a i ʻole nā mea ʻino ʻē aʻe

Hiki iā mākou ke ʻōlelo ʻae ʻaʻole paha i kāu noi bull Inā mākou e ʻae i kāu noi no kahi ʻokoʻa pono mau kā mākou ʻae a hiki i ka hopena o ka makahiki hoʻolālā He ʻoiaʻiʻo kēia inā hoʻomau kāu kauka e kuhikuhi i ka lāʻau iā ʻoe a hoʻomau ka palekana a me ka maikaʻi o kēlā lāʻau no ka mālama ʻana i kāu ʻano

bull Inā mākou e ʻōlelo ʻaʻole i kāu noi no kahi ʻokoʻa hiki iā ʻoe ke noi no ka loiloi i kā mākou hoʻoholo ma o ka hoʻopiʻi ʻana ʻtellslelo ka ʻĀpana 65 pehea e hoʻopiʻi ai inā ʻōlelo mākou ʻaʻole

ʻTellslelo ka ʻe iā ʻoe pehea e noi ai i kahi hoʻoholo hoʻopiʻi me kahi ʻokoʻa

Pauku 64 ʻAnuʻu-ma-ka anu u Pehea e noi ai no kahi hoʻoholo hoʻopiʻi me kahi ʻokoʻa

ʻAnuʻu 1 noi ʻoe iā mākou e hana i kahi hoʻoholo e pili ana i ka (lāʻau) a i ʻole ka uku āu e pono ai Inā koi kāu olakino i kahi pane wikiwiki pono ʻoe e noi iā mākou e hana i kahi hoʻoholo hoʻoholo wikiwiki ʻAʻole hiki iā ʻoe ke noi no kahi hoʻoholo hoʻoholo wikiwiki inā ʻoe e noi mai iā mākou e uku aku iā ʻoe no kahi lāʻau āu i kūʻai ai



He aha e hana ai bull Noi i ke ʻano o ka hoʻoholo hoʻoholo e makemake ai E hoʻomaka ma ke kāhea ʻana ke kākau ʻana a i ʻole ke kelepaʻi ʻana iā mākou e noi i kāu noi Hiki iā ʻoe kou lunamakaʻāinana a i ʻole kāu kauka (a i ʻole kahi prescriber ʻē aʻe) ke hana i kēia Hiki iā ʻoe ke komo i ke kaʻina hana hoʻoholo ma o kā mākou pūnaewele No nā mea kikoʻī e hele i ka Mokuna 2 ʻĀpana 1 a nānā i ka ʻāpana i kapa ʻia Pehea e hoʻopili ai iā mākou ke noi nei ʻoe i kahi hoʻoholo e pili ana i kāu lāʻau lāʻau kuhikuhi Part D A i ʻole inā ʻoe e noi ana iā mākou e uku iā ʻoe no ka lāʻau hele i ka ʻāpana i kapa ʻia Ma hea e hoʻouna ai i kahi noi e noi iā mākou e uku no kā mākou mahele o ke kumukūʻai no ka mālama olakino a i ʻole kahi lāʻau i loaʻa iā ʻoe

bull Hiki iā ʻoe a i ʻole kāu kauka a i ʻole kekahi mea e hana nei ma kāu ʻaoʻao ke noi i kahi hoʻoholo hoʻopiʻi ʻTellslelo ka ʻĀpana 4 o kēia mokuna pehea ʻoe e hāʻawi ai i ka ʻae palapala i kekahi mea ʻē aʻe e hana ma ke ʻano he lunamakaʻāinana Hiki iā ʻoe ke loaʻa i kahi loio e hana ma kou inoa

bull Inā makemake ʻoe e noi iā mākou e uku iā ʻoe no ka lāʻau e hoʻomaka me ka heluhelu ʻana i ka Mokuna 7 o kēia puke lāʻau lāʻau Hōʻike ka Mokuna 7 i nā kūlana e pono ai ʻoe e noi no ka uku Hōʻike pū ia pehea e hoʻouna ai iā mākou i nā pepa e noi iā mākou e uku aku iā ʻoe no kā mākou ʻāpana o ke kumukūʻai o ka lāʻau āu i uku ai

bull Inā ʻoe e noi ana i kahi ʻokoʻa hāʻawi i ka ʻōlelo kākoʻo Pono kāu kauka a mea ʻē aʻe e hāʻawi iā mākou i nā kumu olakino no ka lāʻau ʻokoʻa āu e noi nei (Kāhea mākou i kēia ka ʻōlelo kākoʻo) Hiki i kāu kauka a i ʻole kahi prescriber ʻē aʻe ke leka uila a leka uila paha i ka ʻōlelo iā mākou A i ʻole hiki i kāu kauka a i ʻole kahi prescriber ʻē aʻe ke haʻi iā mākou ma ke kelepona a ukali e ka leka uila a i ʻole ka leka ʻana i kahi ʻōlelo i kākau ʻia inā pono E ʻike i nā ʻāpana 62 a me 63 no ka ʻike hou aku e pili ana i nā noi ʻokoʻa

bull Pono mākou e ʻae i nā noi palapala me kahi noi i waiho ʻia ma ka palapala noi noi no ka hoʻoholo ʻana i ka Model Model Model CMS i loaʻa ma kā mākou pūnaewele


Kāhea ʻia kahi hoʻoholo hoʻoholo wikiwiki kahi hoʻoholo hoʻoholo wikiwiki




bull Ke hāʻawi aku mākou iā ʻoe i kā mākou hoʻoholo e hoʻohana mākou i nā palena palena manawa maʻamau ke ʻole mākou i ʻae e hoʻohana i nā lā palena wikiwiki ʻO ka hoʻoholo hoʻoholo maʻamau e hāʻawi mākou iā ʻoe i kahi pane i loko o 72 mau hola ma hope o ka loaʻa ʻana o kā kā mākou kauka ʻōlelo ʻO ka hoʻoholo hoʻoholo wikiwiki e pane mākou i loko o 24 mau hola ma hope o ka loaʻa ʻana o kā ka kauka ʻōlelo


Hiki iā ʻoe ke kiʻi i ka hoʻoholo wikiwiki loa wale nō inā ʻoe e noi nei i kahi lāʻau i loaʻa ʻole iā ʻoe (ʻAʻole hiki iā ʻoe ke noi no kahi hoʻoholo hoʻoholo wikiwiki inā ʻoe e noi mai iā mākou e uku hou iā ʻoe no kahi lāʻau āu i kūʻai ai)


bull Inā haʻi mai kāu kauka a i ʻole kahi mea kuhikuhi ʻē aʻe iā ʻoe e koi ana kou olakino i kahi hoʻoholo hoʻoholo wikiwiki e ʻae mākou e hāʻawi iā ʻoe i kahi hoʻoholo wikiwiki

bull Inā ʻoe e noi i kahi hoʻoholo wikiwiki e pili ana iā ʻoe iho (me ka ʻole o kāu kauka a kākoʻo ʻē aʻe) e hoʻoholo mākou inā koi kāu olakino e hāʻawi mākou iā ʻoe i kahi hoʻoholo wikiwiki


E haʻi aku kēia leka iā ʻoe inā e noi mai kāu kauka a i ʻole kahi mea kuhikuhi ʻē aʻe no ka hoʻoholo wikiwiki wikiwiki e hāʻawi wikiwiki mākou i kahi hoʻoholo wikiwiki

E hōʻike pu ana no hoʻi ia leka pehea e hiki ai iā ʻoe ke waiho aku i kekahi hoʻohalahala e pili ana i kō mākou koho ʻana aku i ka haʻawi ʻana iā ʻoe ke kōkua hoʻoholo uhi koho uhi maʻamau ma mua o ke hoʻoholo koho uhi ʻeleu E hōʻike pū ʻia no hoʻi pehea e waiho aku ai i kekahi hoʻohalahala me ka ʻʻeleu ʻo ia hoʻi ka loaʻa ʻana o nā hāʻina mai iā mākou mai i loko o 24 hola ma hope o ka loaʻa ʻana mai o ka palapala hoʻohalahala (ʻOkoʻa na hana e hana ai i nā hoʻohalahala mai nā kiʻina hana e hana ai no nā hoʻoholo koho uhi ʻana ʻia i hoʻoholo ʻia a i ʻole no kekahi hoʻopiʻi No nā manaʻo ʻē aʻe e pili ana i nā kiʻina hana e hana ai no kekahi hoʻohalahala e nānā aku i ka māhele 10 o kēīa mokuna nei)



ʻAnuʻu 2 Manaʻo mākou i kāu noi a hāʻawi mākou iā ʻoe i kā mākou pane

Nā lā palenapau no ka hoʻoholo koho uhi ʻeleu bull Inā mākou e hoʻohana nei i nā lā palena wikiwiki pono mākou e hāʻawi iā ʻoe i kā mākou pane i loko o 24 mau hola

ʻO ka maʻamau ʻo ia hoʻi ma loko o 24 mau hola ma hope o ka loaʻa ʻana o kāu noi Inā ʻoe e noi nei i kahi ʻokoʻa e hāʻawi mākou iā ʻoe i kā mākou pane ma loko o 24 mau hola ma hope o ka loaʻa ʻana o kā kā mākou kauka ʻōlelo e kākoʻo ana i kāu noi E hāʻawi koke mākou iā ʻoe i kā mākou pane inā koi kou olakino iā mākou

Inā ʻaʻole mākou e hoʻokō i kēia palena palena koi ʻia mākou e hoʻouna i kāu noi i Papa 2 o ke kaʻina hoʻopiʻi kahi e nānā ʻia ai e kahi Independent Review Organization Ma hope ma kēia ʻāpana kamaʻilio mākou e pili ana i kēia hui loiloi a wehewehe i ka mea e hana ʻia ma ka Apili Apili 2

bull Inā ʻae kā mākou pane i ka i ʻole nā mea āpau āu i noi ai pono mākou e hāʻawi i ka uhi i loaʻa iā mākou ʻae ʻia e hāʻawi i loko o 24 mau hola ma hope o ka loaʻa ʻana o kāu noi a i ʻole ka ʻōlelo a ke kauka e kākoʻo ana kou noi

bull Inā ʻaʻole kā mākou pane i ka i ʻole nā mea āpau āu i noi ai e hoʻouna mākou iā ʻoe i kahi ʻōlelo i kākau ʻia ʻo ia ke kumu i ʻōlelo ai mākou ʻaʻole E haʻi pū mākou iā ʻoe pehea e hiki ai iā ʻoe ke hoʻopiʻi

ʻO nā lā palenapau no nā hoʻoholo koho uhi maʻamau e pili ana no kāu lāʻau i loaʻa ʻole mai iā ʻoe bull Inā mākou e hoʻohana nei i nā palena palena manawa maʻamau pono mākou e hāʻawi iā ʻoe i kā mākou pane i loko o 72 mau hola

ʻO ka maʻamau aia kēia ma loko o 72 mau hola ma hope o ka loaʻa ʻana o kāu noi Inā ʻoe e noi nei i kahi ʻokoʻa e hāʻawi mākou iā ʻoe i kā mākou pane ma waena o 72 mau hola ma hope o ka loaʻa ʻana o kā kā mākou kauka ʻōlelo e kākoʻo ana i kāu noi E hāʻawi koke mākou iā ʻoe i kā mākou pane inā koi kou olakino iā mākou

Inā ʻaʻole mākou e hoʻokō i kēia palena manawa koi ʻia mākou e hoʻouna i kāu noi i Papa 2 o ke kaʻina hoʻopiʻi ʻana kahi e nānā ʻia ai e kahi Independent Review Organization Ma hope ma kēia ʻāpana kamaʻilio mākou e pili ana i kēia hui loiloi a wehewehe i ka mea e hana ʻia ma ka Apili Apili 2

bull Inā ʻae kā mākou pane i kahi i ʻole nā mea āpau āu i noi ai Inā ʻae mākou i kāu noi no ka uhi ʻana pono mākou hāʻawi i ka uhi ua ʻae mākou e hoʻolako i loko o 72 mau hola ma hope o ka loaʻa ʻana o kāu noi a i ʻole ka ʻōlelo a ke kauka e kākoʻo ana i kāu noi



bull Inā ʻaʻole kā mākou pane e hoʻokaʻawale a i ʻole nā mea āpau āu i noi ai e hoʻouna mākou iā ʻoe i kahi ʻōlelo i kākau ʻia e wehewehe ana i ke kumu i ʻōlelo ai mākou ʻaʻole E haʻi aku mākou iā ʻoe pehea ʻoe e hoʻopiʻi ai

ʻO nā lā palenapau no nā hoʻoholo koho uhi e pili ana ka uku ʻana no kekahi lāʻau au i kūʻai aku nei bull Pono mākou e hāʻawi iā ʻoe i kā mākou pane i loko o 14 mau lā alemanaka ma hope o ka loaʻa ʻana o kāu noi


bull Inā ʻae kā mākou pane i ka i ʻole nā mea āpau āu i noi ai pono mākou e uku iā ʻoe i loko o 14 mau lā alemanaka ma hope o ka loaʻa ʻana o kāu noi

bull Inā ʻaʻole ka pane a mākou e pane ai i nā mea āpau āu i noi ai e hoʻouna mākou iā ʻoe i kahi ʻōlelo i kākau ʻia e wehewehe ana i ke kumu i ʻōlelo ai mākou ʻaʻole E haʻi aku mākou iā ʻoe pehea ʻoe e hoʻopiʻi ai

ʻAnuʻu 3 Inā ʻaʻole mākou e ʻōlelo i kāu noi no ka uhi ʻana hoʻoholo ʻoe inā makemake ʻoe e hoʻopiʻi

bull Inā mākou e ʻōlelo ʻaʻole hiki iā ʻoe ke noi i kahi hoʻopiʻi Ke noi nei i kahi hoʻopiʻi no ka noi ʻana iā mākou e noʻonoʻo hou - a hoʻololi paha - ka hoʻoholo a mākou i hoʻoholo ai

Pauku 65 ʻAnuʻu-ma-ʻanuʻu Pehea e hana ai i kahi hoʻopiʻi Papa 1 (pehea e noi ai no kahi loiloi o kahi hoʻoholo i uhi ʻia e kā mākou hoʻolālā)


Ua kāhea ʻia kahi hoʻopiʻi e pili ana i kahi hoʻoholo D ʻāpana lāʻau lapaʻau i kapa ʻia he papahana redetermination

ʻAnuʻu 1 Hoʻokaʻaʻike mai iā mākou a hana i kāu noi i Papa 1 Inā koi kāu olakino i kahi pane wikiwiki pono ʻoe e noi no kahi hoʻopiʻi wikiwiki



He aha e hana ai bull I mea e hoʻomaka ai i kāu hoʻopiʻi ʻana pono ʻoe (a i ʻole kou lunamakaʻāinana a i ʻole kau kauka a i ʻole kahi prescriber ʻē aʻe) e launa me mākou

No nā kikoʻī pehea e hiki ai iā mākou ma ke kelepona kelepaʻi a i ʻole leka uila a i ʻole ma kā mākou pūnaewele no nā kumu e pili ana i kāu hoʻopiʻi e hele i ka Mokuna 2 ʻĀpana 1 a e nānā i ka ʻāpana i kapa ʻia Pehea e hoʻopili ai iā mākou ke hana nei ʻoe i kahi hoʻopiʻi e pili ana i kāu ʻāpana lāʻau kuhikuhi D ʻĀpana

bull Inā ʻoe e noi nei i kahi hoʻopiʻi hoʻopiʻi maʻamau e hoʻopiʻi i kāu noi ma ka waiho ʻana i kahi noi palapala Hiki paha iā ʻoe ke noi no ka hoʻopiʻi ma ke kelepona ʻana iā mākou ma ka helu kelepona i hōʻike ʻia ma ka Mokuna 2 Pauku 1 (Pehea e hoʻokaʻaʻike mai iā mākou i ka wā e hoʻopiʻi ai ʻoe e pili ana i kāu mau lāʻau lapaʻau Part D)

bull Inā ʻoe e noi nei i kahi hoʻopiʻi wikiwiki hiki iā ʻoe ke hana i kāu hoʻopiʻi ma ke kākau ʻana a i ʻole e kelepona mai iā mākou ma ka helu kelepona i hōʻike ʻia ma ka Mokuna 2 Pauku 1 (Pehea e hoʻokaʻaʻike mai iā mākou ke hana ʻoe i kahi hoʻopiʻi e pili ana i kāu mau lāʻau lapaʻau Part D)

bull Pono mākou e ʻae i kekahi noi i kākau ʻia me kahi noi i waiho ʻia ma ka CMS Model Coverage ʻO ka palapala noi hoʻoholo i loaʻa ma kā mākou pūnaewele

bull Me kahi noi i waiho ʻia ma ka palapala noi noi no ka manaʻo ʻana i ka Model E hele i wwwwellcarecomohana

bull Pono no hoʻi ʻoe e hana aku i kāu noi hoʻopiʻi i loko o 60 lā mai ka lā i hoʻopaʻa ʻia ma luna o ka palapala hoʻomanaʻo i kākau ʻia a mākou i hoʻouna aku ai iā ʻoe e hōʻike aku ana i kō mākou hāʻina e pili ana no kāū noi no kekahi hoʻoholo koho uhi ʻana Inā hala ʻoe i ka lā palenapau a e loaʻa kekahi kumu maikai no ka hala o ia lā palenapau e haʻawi nō paha mākou iā ʻoe kekahi manawa no ka hana ʻana i kāu hoʻopiʻi ʻO kekahi o nā lāʻana o kekahi kumu maikaʻi i hala ai ka lā palenapau inā ua loaʻa ʻoe i kekahi maʻi kūoʻo i paʻa aku ai hoʻi iā ʻoe mai ka hoʻomaopopo ʻana mai iā mākou a i ʻole ua haʻawi paha mākou iā ʻoe me nā manaʻo pololei ʻole a i ʻole ʻaʻole paha i loaʻa piha nā manaʻo e pili ana i ka lā palenapau no ka noi ʻana aku no kekahi hoʻopiʻi

bull Ua hiki nō iā ʻoe ke noi aku no kekahi kope o nā manaʻo ma loko o kāu hoʻopiʻi a e hoʻokomo hou aku i ia mau manaʻo

He kuleana a he pono hoʻi kou no ka noi ʻana mai iā mākou no kekahi kope o nā manaʻo e pili ana i kāu hoʻopiʻi



Inā makemake ua hiki nō iā ʻoe a me kāu kauka a me kekahi hui hoʻolako ke hoʻolako mai me nā manaʻo i loaʻa no ke kākoʻo ʻana mai i kāu hoʻopiʻi


Kāhea ʻia kahi hoʻopiʻi wikiwiki he hōʻano hou i ka wikiwiki

Inā koi ʻia kou olakino e noi no kahi hoʻopiʻi wikiwiki bull Inā ʻoe e hoʻopiʻi ana i kahi hoʻoholo a mākou i hana ai e pili ana i ka lāʻau i loaʻa mua ʻole iā ʻoe pono ʻoe a me kāu kauka a mea ʻē aʻe paha e hoʻoholo inā pono ʻoe i hoʻopiʻi wikiwiki

bull ʻO nā koi no ka loaʻa ʻana o kahi hoʻopiʻi wikiwiki e like me nā mea no ka loaʻa ʻana o kahi hoʻoholo wikiwiki ma ka mahele 64 o kēia mokuna


bull Ke nānā nei mākou i kāu hoʻopiʻi e nānā pono hou mākou i nā ʻike āpau e pili ana i kāu noi hoʻopiʻi Nānā mākou inā mākou e ukali nei i nā lula āpau i ka wā i ʻōlelo ai mākou ʻaʻole i kāu noi E kāhea paha mākou iā ʻoe a i kāu kauka paha a i ʻole kahi prescriber ʻē aʻe e kiʻi i ka ʻike hou aku

Nā lā palenapau no ka hoʻopiʻi ʻeleu bull Inā mākou e hoʻohana nei i nā lā palena wikiwiki pono mākou e hāʻawi iā ʻoe i kā mākou pane i loko o 72 mau hola ma hope o ka loaʻa ʻana o kāu hoʻopiʻi E hāʻawi koke mākou iā ʻoe i kā mākou pane inā koi ʻia kou olakino

Inā ʻaʻole mākou e hāʻawi iā ʻoe i kahi pane i loko o 72 mau hola koi ʻia mākou e hoʻouna i kāu noi i Papa 2 o ke kaʻina hoʻopiʻi kahi e nānā ʻia ai e kahi Independent Review Organization Ma hope ma kēia ʻāpana kamaʻilio mākou e pili ana i kēia hui loiloi a wehewehe i ka mea e hana ai ma Papa 2 o ke kaʻina hoʻopiʻi

bull Inā ʻae kā mākou pane i kahi i ʻole nā mea āpau āu i noi ai pono mākou e hoʻolako i ka uhi a mākou i ʻae ai e hāʻawi i loko o 72 mau hola ma hope o ka loaʻa ʻana o kāu hoʻopiʻi

bull Inā ʻaʻole a mākou pane e hoʻokaʻawale a i ʻole nā mea āpau āu i noi ai e hoʻouna mākou iā ʻoe i kahi palapala i wehewehe ʻia no ke aha mākou i ʻōlelo ai ʻaʻole a pehea e hiki ai iā ʻoe ke hoʻopiʻi i kā mākou hoʻoholo



ʻO nā lā palenapau no nā hoʻopiʻi maʻamau bull ʻO nā lā palenapau no nā hoʻopiʻi maʻamau Inā ke hoʻohana nei mākou i ka lā palenapau maʻamau pono mākou e pane aku i loko o 7 lā ma hope o ka loaʻa ʻana mai iā mākou kāu palapala hoʻopiʻi e pili ana i nā lāʻau i loaʻa ʻole iā ʻoe E haʻawi koke aku nō hoʻi mākou i kekahi pane inā ʻaʻole i loaʻa iā ʻoe nā lāʻau a inā pono kou ola ʻana e kōkua koke ʻia aku Inā manaʻo ʻoe e kaukaʻi no ka pono kou ola ʻana aʻe pono ʻoe e noi mai e hana i kekahi hoʻopiʻi ʻeleu

Inā ʻaʻole mākou e hāʻawi iā ʻoe i kahi hoʻoholo i loko o 7 mau lā ʻlena koi ʻia mākou e hoʻouna i kāu noi i Papa 2 o ke kaʻina hoʻopiʻi kahi e nānā ʻia ai e kahi Independent Review Organization Ma hope ma kēia ʻāpana kamaʻilio mākou e pili ana i kēia hui loiloi a wehewehe i ka mea e hana ai ma Papa 2 o ke kaʻina hoʻopiʻi

bull Inā ʻae kā mākou pane i kahi i ʻole nā mea āpau āu i noi ai Inā ʻae mākou i kahi noi no ka uhi ʻana pono mākou e hoʻolako i ka uhi ua ʻae mākou e hāʻawi i ka wikiwiki e like me ke koi o kou olakino akā ʻaʻole i hala ma mua o 7 mau lā ʻelima ma hope o ka loaʻa ʻana o kāu hoopii

Inā ʻae mākou i kahi noi e uku aku iā ʻoe no kahi lāʻau āu i kūʻai mai ai koi ʻia mākou e e hoʻouna i ka uku iā ʻoe i loko o 30 mau lā ʻelima ma hope o ka loaʻa ʻana o kāu noi hoʻopiʻi

bull Inā ʻaʻole a mākou pane e hoʻokaʻawale a i ʻole nā mea āpau āu i noi ai e hoʻouna mākou iā ʻoe i kahi palapala i kākau ʻia e wehewehe ana no ke aha mākou i ʻōlelo ai ʻaʻole a pehea e hiki ai iā ʻoe ke hoʻopiʻi i kā mākou hoʻoholo

bull Inā ʻoe e noi ana e uku mākou iā ʻoe no kahi lāʻau āu i kūʻai mua ai pono mākou e hāʻawi iā ʻoe kā mākou pane i loko o 14 mau lā kalena ma hope o ka loaʻa ʻana o kāu noi

Inā ʻaʻole mākou e hāʻawi aku iā ʻoe i kahi hoʻoholo i loko o 14 mau lā ʻlena koi ʻia mākou e hoʻouna i kāu noi i Papa 2 o ke kaʻina hoʻopiʻi kahi e loiloi ai ia e kahi Independent Review Organization Ma hope ma kēia ʻāpana kamaʻilio mākou e pili ana i kēia hui loiloi a wehewehe i ka mea e hana ʻia ma ka Apili Apili 2




bull Inā ʻaʻohe o kā mākou pane i ka i ʻole nā mea āpau āu i noi ai e hoʻouna mākou iā ʻoe i kahi ʻōlelo i kākau ʻia e wehewehe ana i ke kumu i ʻōlelo ai mākou ʻaʻole E haʻi aku mākou iā ʻoe pehea ʻoe e hoʻopiʻi ai i kā mākou hoʻoholo

ʻAnuʻu 3 Inā ʻaʻole mākou e ʻōlelo i kāu hoʻopiʻi hoʻoholo ʻoe inā makemake ʻoe e hoʻomau i ke kaʻina hoʻopiʻi a hana iā ʻē aʻe hoʻopiʻi

bull Inā mākou e ʻōlelo ʻaʻole i kāu hoʻopiʻi hoʻopiʻi a laila koho ʻoe inā e ʻae i kēia hoʻoholo a hoʻomau paha ma ke noi ʻana i kahi hoʻopiʻi ʻē aʻe

bull Inā hoʻoholo ʻoe e hoʻopiʻi hou ʻo ia hoʻi ke hele nei kāu hoʻopiʻi i Papa 2 o nā hoʻopiʻi hana (e ʻike ma lalo)

Pauku 66 Maʻanuʻu-ma-ʻanuʻu Pehea e hana ai i kahi hoʻopiʻi Papa 2

Inā mākou e ʻōlelo ʻaʻole i kāu hoʻopiʻi hoʻopiʻi a laila koho ʻoe inā e ʻae i kēia hoʻoholo a hoʻomau paha ma ke noi ʻana i kahi hoʻopiʻi ʻē aʻe Inā hoʻoholo ʻoe e hele i kahi hoʻopiʻi Papa 2 ka Manaʻo Kūʻokoʻa Kūʻokoʻa loiloi i ka hoʻoholo a mākou i ʻōlelo ai ʻaʻole i kāu hoʻopiʻi mua Hoʻoholo kēia hui inā e loli ka hoʻoholo a mākou i hoʻoholo ai



ʻAnuʻu 1 No ka hoʻopiʻi ʻana i Papa 2 pono ʻoe (a i ʻole kou lunamakaʻāinana a i ʻole kāu kauka a i ʻole kahi mea kuhikuhi ʻē aʻe) e hoʻokaʻaʻike i ka Independent Review Organization a noi no ka loiloi i kāu hihia

bull Inā ʻaʻole mākou e ʻōlelo i kāu piʻina Papa 1 e hoʻopili ka leka hoʻomaopopo a mākou i hoʻouna ai iā ʻoe i nā ʻōlelo aʻo e pili ana i ka hoʻopiʻi ʻana i Papa 2 me ka Independent Review Organization E haʻi kēia mau ʻōkuhi i ka mea hiki ke hana i kēia Manaʻo Papa 2 he aha nā lā palena palena āu e pono ai e hāhai a pehea e kiʻi ai i ka ʻoihana loiloi

bull Ke hoʻopiʻi ʻoe i ka Independent Review Organization e hoʻouna mākou i ka ʻike e pili ana i kāu hoʻopiʻi i kēia hui Kapa ʻia kēia ʻikepili he faila hihia He kuleana kāu e nīnau iā mākou no kahi kope o kāu faila hihia




ʻAnuʻu 2 hana ka Independent Review Organization i kahi loiloi i kāu hoʻopiʻi ʻana a hāʻawi iā ʻoe i kahi pane

bull ʻO ka Independent Review Organization kahi hui kūʻokoʻa i hoʻolimalima ʻia e Medicare ʻAʻole pili kēia hui me mākou a ʻaʻole ia he keʻena aupuni He hui kēia i koho ʻia e Medicare e nānā i kā mākou mau hoʻoholo e pili ana i kāu pono D ʻāpana me mākou

bull E nānā pono nā mea loiloi i ka Independent Review Organization i nā ʻike āpau e pili ana i kāu hoʻopiʻi E haʻi ka hui iā ʻoe i kāna hoʻoholo ma ke kākau ʻana a wehewehe i nā kumu o ia mea

Nā lā palenapau no nā hoʻopiʻi ʻeleu ma ka pae 2 bull Inā koi ʻia kou olakino e noi i ka Independent Review Organization no kahi hoʻopiʻi wikiwiki

bull Inā ʻae ka hui loiloi e hāʻawi iā ʻoe i kahi hoʻopiʻi wikiwiki pono e hāʻawi ka hui loiloi iā ʻoe i kahi pane i kāu Apili 2 Papa i loko o 72 mau hola ma hope o ka loaʻa ʻana o kāu noi hoʻopiʻi

bull Inā ʻae ka Independent Review Organization i ka i ʻole nā mea āpau āu i noi ai pono mākou hāʻawi i ka uhi lāʻau i ʻae ʻia e ka hui loiloi i loko o 24 mau hola ma hope o ka loaʻa ʻana o ka hoʻoholo mai ka hui loiloi

Nā lā palenapau no ka hoʻopiʻi maʻamau pae 2 bull Inā loaʻa iā ʻoe kahi hoʻopiʻi maʻamau ma Papa 2 pono i ka hui loiloi e hāʻawi iā ʻoe i kahi pane i kāu Apili 2 Papa i loko o 7 mau lā ʻelima ma hope o ka loaʻa ʻana o kāu hoʻopiʻi inā inā no kahi lāʻau āu i loaʻa ʻole ai Inā ʻoe e noi ana e uku mākou iā ʻoe no kahi lāʻau āu i kūʻai ai pono e hāʻawi ka hui loiloi iā ʻoe i kahi pane i kāu hoʻopiʻi 2 i loko o 14 mau lā ʻelima ma hope o ka loaʻa ʻana o kāu noi

bull Inā ʻōlelo ka Independent Review Organization ʻae i kahi i ʻole nā mea āpau āu i noi ai

Inā ʻae ka Independent Review Organisation i kahi noi no ka uhi ʻana pono mākou e hoʻolako i ka uhi lāʻau i ʻae ʻia e ka hui loiloi ma loko o 72 mau hola

Inā ʻae ka Independent Review Organisation i kahi noi e uku aku iā ʻoe no kahi lāʻau āu i kūʻai ai ua koi ʻia mākou e e hoʻouna i ka uku iā ʻoe i loko o 30 mau lā ʻelima ma hope o ka loaʻa ʻana o ka hoʻoholo mai ka hui loiloi



He aha inā inā ʻaʻole ʻo ka hui loiloi e hōʻole i kāu hoʻopiʻiInā ʻōlelo kēia hui ʻaʻole i kāu hoʻopiʻi hoʻopiʻi ʻo ia hoʻi ua ʻae ka hui i kā mākou hoʻoholo e ʻae ʻole i kāu noi (Kapa ʻia kēia kākoʻo i ka hoʻoholo Kāhea ʻia ia hōʻole i kāu hoʻopiʻi)

Inā mālama ka Independent Review Organization i kāu ʻōlelo hoʻoholo he kuleana kou i ka ʻApili 3 Papa Eia nō naʻe e hana i kahi hoʻopiʻi hou aʻe ma ka Papa 3 ʻo ke kumukūʻai kālā o ka uhi lāʻau āu e noi nei e pono e hoʻokō i kahi palena iki Inā haʻahaʻa loa ke kumukūʻai kālā o ka uhi lāʻau āu e noi nei ʻaʻole hiki iā ʻoe ke hana i kahi hoʻopiʻi hou a hoʻoholo hope loa ma Papa 2 ʻO ka leka hoʻomaopopo i loaʻa iā ʻoe mai ka Independent Review Organization e haʻi iā ʻoe i ke kumukūʻai kālā e pono e hoʻopaʻapaʻa ai e hoʻomau me ke kaʻina hoʻopiʻi

ʻAnuʻu 3 Inā loaʻa ke koi i ke kālā o ka uhi āu e noi nei koho ʻoe inā makemake ʻoe e lawe i kāu hoʻopiʻi hou


bull Inā hōʻole ʻia kāu hoʻopiʻi apana 2 a hoʻokō ʻoe i nā koina e hoʻomau me nā kaʻina hoʻopiʻi ʻana pono ʻoe e hoʻoholo inā makemake ʻoe e hele i ka papa 3 a hoʻopiʻi i ke kolu o ka hoʻopiʻi Inā hoʻoholo ʻoe e hana i kahi hoʻopiʻi kolu ʻo nā kikoʻī e pili ana pehea e hana ai i kēia i ka leka hoʻomaopopo i loaʻa iā ʻoe ma hope o kāu hoʻopiʻi ʻelua

bull lawelawe ʻia ka hoʻopiʻi 3 pae e kahi luna kānāwai kānāwai hoʻomalu a loio paha i hoʻokolokolo Hōʻike ka ʻāpana 9 i kēia mokuna e pili ana i nā papa 3 4 a me 5 o ke kaʻina hoʻopiʻi

PAUKU 7 Pehea e noi ai iā mākou e uhi i kahi noho haukapila ʻoi aku ka lōʻihi inā manaʻo ʻoe ke hoʻokuʻu koke nei ke kauka iā ʻoe

Ke ʻae ʻia ʻoe i kahi haukapila he kuleana kou e loaʻa i kāu lawelawe i ka haukapila i uhi ʻia e pono ai e kuhikuhi a mālama i kāu maʻi a ʻeha paha No ka ʻike hou aku e pili ana i kā mākou uhi ʻana no kāu mālama haukapila me nā palena o kēia uhi ʻana e ʻike i ka Mokuna 4 o kēia puke Palapala Pilikino Pilikino (he aha ka mea e uhi ʻia a he aha kāu e uku ai)

I kou noho ʻana i ka haukapila uhi ʻia e hana pū ana kāu kauka a me nā limahana o ka haukapila me ʻoe e hoʻomākaukau no ka lā e haʻalele ai ʻoe i ka haukapila E kōkua pū lākou i ka mālama ʻana i kahi mālama āu e pono ai ma hope o kou haʻalele ʻana



bull ʻO ka lā āu e haʻalele ai i ka haukapila ua kapa ʻia kāu lā hoʻokuʻu bull Ke hoʻoholo ʻia kou lā hoʻokuʻu e hōʻike kāu kauka a i ʻole nā limahana o ka haukapila iā ʻoe

bull Inā manaʻo ʻoe e noi ʻia ʻoe e haʻalele koke i ka haukapila hiki iā ʻoe ke noi no kahi noho lōʻihi loa a e noʻonoʻo ʻia kāu noi Hōʻike kēia ʻāpana iā ʻoe pehea e noi ai

Pauku 71 I kou noho ʻana i ka haukapila maʻi e loaʻa iā ʻoe kahi leka hoʻomaopopo mai Medicare e haʻi e pili ana i kāu mau pono

Ma kou noho ʻana i ka haukapila uhi ʻia e hāʻawi ʻia iā ʻoe kahi leka hoʻomaopopo i kapa ʻia He leka koʻikoʻi mai Medicare e pili ana i kāu mau kuleana Loaʻa i nā kānaka āpau me Medicare kahi kope o kēia leka hoʻomaopopo ke lawe ʻia lākou i ka haukapila ʻO kekahi ma ka haukapila (ʻo kahi laʻana kahi mea lawelawe a kahu hānai paha) pono e hāʻawi iā ia iā ʻoe i loko o ʻelua mau lā ma hope o kou ʻae ʻia ʻana Inā ʻaʻole ʻoe e loaʻa ka leka hoʻomaopopo e noi i kekahi limahana o ka haukapila nona Inā makemake ʻoe i kōkua e ʻoluʻolu e kelepona i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke) Hiki iā ʻoe ke kāhea iā 1-800-MEDICARE (1-800-633-4227) 24 mau hola i ka lā 7 lā o ka pule Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048

1 E heluhelu pono i kēia hoʻolaha a nīnau i nā nīnau inā ʻaʻole maopopo iā ʻoe Hōʻike ia iā ʻoe e pili ana i kāu mau pono ma ke ʻano he mea maʻi ma ka haukapila e like me

bull Kou kuleana e loaʻa nā lawelawe i uhi ʻia e Medicare i ka wā a ma hope o kou noho ʻana i ka haukapila e like me ke kauoha a kāu kauka Aia kēia i ka kuleana e ʻike i kēia mau lawelawe nā wai e uku no lākou a ma hea ʻoe e kiʻi ai iā lākou

bull Kou kuleana e komo i nā mea i hoʻoholo ʻia e pili ana i kou noho ʻana i ka haukapila a me kou kuleana ʻike i ka mea nāna e uku no ia

bull Ma hea e hōʻike ai i kāu hopohopo e pili ana i ka maikaʻi o kāu mālama ʻana i ka haukapila

bull Kou kuleana e hoʻopiʻi i kāu hoʻoholo hoʻoholo inā manaʻo ʻoe ua hoʻokuʻu ʻia ʻoe mai ka haukapila koke




Hōʻike ka leka hoʻomaopopo mai Medicare iā ʻoe pehea e hiki ai iā ʻoe ke noi i kahi loiloi koke Ke noi nei i kahi loiloi koke he ala kūpono kū kānāwai e noi ai no ka hoʻopaneʻe ʻana i kāu lā hoʻokuʻu e uhi mākou i kāu mālama haukapila no kahi manawa lōʻihi (ʻSectionlelo ka ʻāpana 72 ma lalo iā ʻoe pehea e hiki ai iā ʻoe ke noi i kahi loiloi koke)

2 E noi ʻia ʻoe e kau inoa i ka leka hoʻomaopopo e hōʻike ai ua loaʻa iā ʻoe a hoʻomaopopo i kāu kuleana

bull E noi ʻia ʻoe a i ʻole kekahi e hana nei ma kou inoa e kau inoa i ka leka hoʻomaopopo (ʻSectionlelo ka ʻĀpana 4 o kēia mokuna pehea ʻoe e hāʻawi ai i ka ʻae palapala i kekahi mea ʻē aʻe e hana ma ke ʻano he lunamakaʻāinana)

bull Hōʻike ka hōʻailona ʻana i ka hoʻolaha wale nō ua loaʻa iā ʻoe ka ʻike e pili ana i kāu kuleana ʻAʻole hāʻawi ka hoʻolaha i kāu lā hoʻokuʻu (e haʻi aku kāu kauka a i ʻole limahana o ka haukapila i kou lā hoʻokuʻu) ʻO ke kau inoa ʻana i ka leka hoʻomaopopo ʻaʻole ʻaʻole ʻo ia hoʻi ke ʻae nei ʻoe i ka lā hoʻokuʻu

3 E mālama i kāu kope o ka leka hoʻomaopopo i loaʻa iā ʻoe ka ʻike e pili ana i ka hoʻopiʻi ʻana (a i ʻole ka hōʻike ʻana i kahi hopohopo e pili ana i ka maikaʻi o ka mālama ʻana) inā ʻoe e pono

bull Inā kau inoa i ka leka hoʻomaopopo ma mua o ʻelua mau lā ma mua o ka lā āu e haʻalele ai i ka haukapila e loaʻa iā ʻoe kahi kope hou ma mua o ka hoʻonohonoho ʻia ʻana e hoʻokuʻu

bull E nānā i kahi kope o kēia leka hoʻomaopopo ma mua hiki iā ʻoe ke kāhea i nā lawelawe lālā (ph hoʻokahi num i paʻi ʻia ma ka uhi hope o kēia puke) a i ʻole 1-800 MEDICARE (1-800-633- 4227) 24 hola o ka lā 7 lā o ka pule Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048 Hiki iā ʻoe ke ʻike i ka hoʻolaha ma ka pūnaewele ma wwwcmsgovMedicareMedicare-General-InformationBNIHospitalDischargeAppealNotices



Pauku 72 ʻAnuʻu-ma-ka anu u Pehea e hana ai i kahi noi Papa 1 e hoʻololi i kāu lā hoʻokuʻu maʻi

Inā makemake ʻoe e noi i kāu lawelawe ʻana i ka haukapila maʻi e uhi ʻia e mākou no kahi manawa lōʻihi aku pono ʻoe e hoʻohana i ke kaʻina hoʻopiʻi e hana i kēia noi Ma mua o kou hoʻomaka ʻana e hoʻomaopopo i kāu mea e pono ai a me nā lā palena

bull E hāhai i ke kaʻina hana Ua wehewehe ʻia ma kēlā me kēia ʻanuʻu o nā pae ʻelua o ke kaʻina hoʻopiʻi

bull E hālāwai me nā lā palena palena He mea nui nā palena manawa E ʻike pono a maopopo a hāhai i nā palena manawa e pili ana i nā mea pono e hana

bull E noi mai no ke kōkua inā makemake Inā he mau nīnau kāu ʻoluʻolu e kelepona i ke keʻena Kōkua Lālā (paʻi ʻia nā helu kelepona ma ka ʻili hope o kēia pepelu nei) A i ʻole e kāhea aku i ke keʻena Polokalamu Kōkua ʻInikua Mālama Olakino a ke Aupuni he ʻahahui aupuni i hoʻolako i nā kōkua kūpono (nānā aku i ka māhele 2 o kēia mokuna nei)

I ka wā o ka Apili Papa 1 loiloi ka ʻoihana Hoʻohui Mea Maikaʻi i kāu hoʻopiʻi Nānā ia e ʻike inā kūpono kāu lā hoʻokuʻu i hoʻolālā ʻia nāu

ʻAnuʻu 1 Kāhea aku i ka hoʻonohonoho hoʻomaikaʻi e like me ka maikaʻi no kou mokuʻāina a noi no ka loiloi wikiwiki o kāu hoʻokuʻu ʻana i kāu haukapila Pono ʻoe e hana wikiwiki

He aha ka hoʻonohonoho hoʻomaikaʻi e like ai bull ʻO kēia hui kahi hui o nā kauka a me nā ʻoihana mālama ola ʻē aʻe i uku ʻia e ke aupuni Pekelala ʻAʻole kēia mau loea i ʻāpana o kā mākou hoʻolālā Uku ʻia kēia hui e Medicare e nānā a kōkua i ka hoʻomaikaʻi ʻana i ka maikaʻi o ka mālama no nā poʻe me Medicare Hoʻopili kēia i ka nānā ʻana i nā lā hoʻokuʻu o ka haukapila no ka poʻe me Medicare

Pehea e hiki ai iā ʻoe ke hoʻopili aku i kēia hui bull Kēlā leka hoʻomaopopo i loaʻa aku nei iā ʻoe (Nā manaʻo ʻano nui ma nā manaʻo mai ka hui Medicare mai Pili i Nā Pono i Loaʻa Iā ʻoe) e hōʻike no hoʻi iā ʻoe pehea e hiki ai iā ʻoe ke kaʻalauna aku me kēia ʻahahui nei (A i ʻole e huli aku a loaʻa ka inoa helu wahi a me ka helu kelepona a ka Hui Hoʻomaikaʻi Waiwai ʻAno ma a kāu mokuʻāina ma loko o ka Mokuna 2 māhele 4 o kēia pepelu nei



Hana wikiwiki bull No ka hoʻopiʻi ʻana iā ʻoe pono ʻoe e kāhea aku i ka Hoʻohālikelike Hoʻonohonoho Pono ma mua o kou haʻalele ʻana i ka haukapila a ma mua o ke aumoe o ka lā o kou hoʻokuʻu ʻia ʻana (ʻO kāu lā hoʻokuʻu i hoʻolālā ʻia ka lā i hoʻonohonoho ʻia no ʻoe e haʻalele i ka haukapila)

Inā kū ʻoe i kēia lā palena pau ʻae ʻia ʻoe e noho i ka haukapila ma hope o kou lā hoʻokuʻu me ka uku ʻole ʻana iā ia ʻoiai ʻoe e kali nei e loaʻa ka hoʻoholo i kāu hoʻopiʻi mai ka hoʻomaikaʻi maikaʻi Hoʻonohonoho

Inā ʻaʻole e pili iā i kēia lā palena pau a hoʻoholo ʻoe e noho i ka haukapila ma hope o kou lā i hoʻokuʻu ʻia ai pono paha ʻoe e uku i nā koina āpau ma hope o kāu lā hoʻokuʻu i hoʻolālā ʻia

bull Inā haʻalele ʻoe i ka palena manawa no ke kāhea ʻana aku i ka Hoʻolālā Hoʻonohonoho Pono a makemake ʻoe e hoʻopiʻi pono ʻoe e hoʻopiʻi pololei i kā mākou papahana ma kahi No nā kikoʻī e pili ana i kēia ala ʻē aʻe e hoʻopiʻi ai e ʻike i ka ʻĀpana 74

Noi i kahi loiloi wikiwiki bull Pono ʻoe e nīnau i ka ʻOihana Hoʻolālā Kūlana no kahi loiloi wikiwiki o kāu hoʻokuʻu Ke noi nei i kahi loiloi wikiwiki ʻo ia hoʻi ke noi nei ʻoe i ka ʻoihana e hoʻohana i nā lā palena wikiwiki no ka hoʻopiʻi ʻana ma kahi o ka hoʻohana ʻana i nā palena manawa maʻamau


Kāhea ʻia kahi loiloi wikiwiki i loiloi koke a i ʻole loiloi wikiwiki

ʻAnuʻu 2 Mālama ka ʻoihana Hoʻohui Mea Kūpono i kahi loiloi kūʻokoʻa o kāu hihia

He aha ka hana ma kēia loiloi bull E nīnau nā loea olakino ma ka Hoʻonui Hoʻonohonoho Pono (e kapa mākou iā lākou nā loiloi no ka pōkole) iā ʻoe (a i ʻole kou lunamakaʻāinana) no ke aha ʻoe e manaʻo ai e hoʻomau ka uhi ʻana no nā lawelawe ʻAʻole pono ʻoe e hoʻomākaukau i kekahi mea i ke kākau ʻana akā e hana paha ʻoe inā makemake ʻoe

bull E nānā pū nā mea loiloi i kāu ʻike olakino kamaʻilio me kāu kauka a nānā i ka ʻike i hāʻawi ʻia e ka haukapila iā mākou



bull Ma ke awakea o ka lā ma hope o ka hōʻike ʻana o nā loiloi i kā mākou papa hoʻopiʻi no kāu hoʻopiʻi ʻana e loaʻa iā ʻoe kahi leka hoʻomaopopo e hāʻawi ai i kāu lā hoʻokuʻu i hoʻolālā ʻia a wehewehe kikoʻī i nā kumu o kāu kauka ka haukapila a manaʻo mākou he kūpono (kūpono i ka lāʻau) no ʻoe e hoʻokuʻu ʻia i kēlā lā


Ua kapa ʻia kēia wehewehe wehewehe ʻia ka Hoʻolaha Kūpono o ka hoʻokuʻu ʻana Hiki iā ʻoe ke kiʻi i kahi laʻana o kēia hoʻolaha ma ke kāhea ʻana i nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka ʻaoʻao hope o kēia puke) a i ʻole 1-800-MEDICARE (1-800-633-4227) 24 hola i ka lā 7 lā o ka pule Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048 A i ʻole hiki iā ʻoe ke ʻike i kahi leka hoʻomaopopo ma ka pūnaewele ma wwwcmsgovMedicareMedicare-General-InformationBNIHospitalDischargeAppealNotices

ʻAnuʻu 3 Ma loko o hoʻokahi lā piha ma hope o ka loaʻa ʻana o ka ʻike e pono ai e hāʻawi ka Organization hoʻomaikaʻi e pane i kāu hoʻopiʻi

He aha ka hana inā ʻae ka pane bull Inā ʻōlelo ka ʻoihana loiloi ʻae i kāu hoʻopiʻi hoʻopiʻi pono mākou e hoʻomau i ka hāʻawi ʻana i kāu lawelawe i ka haukapila maʻi i uhi ʻia no ka mea e pono ai kēia mau lawelawe

bull Pono ʻoe e hoʻomau i ka uku ʻana i kāu mahele o nā kumukūʻai (e like me nā deductibles a i ʻole nā copayment inā pili kēia) Hoʻohui ʻia aia paha he mau palena i kāu lawelawe ʻana i ka haukapila i uhi ʻia (E nānā i ka Mokuna 4 o kēia puke)

He aha ka hana inā ʻaʻole ka pane bull Inā ʻōlelo ka hui loiloi ʻaʻole i kāu hoʻopiʻi ke ʻōlelo nei lākou ʻo kāu lā hoʻokuʻu i hoʻolālā ʻia kūpono i ka lāʻau lapaʻau Inā loaʻa kēia ʻo kā mākou uhi no kāu mau lawelawe haukapila maʻi pau i ke awakea ma ka lā ma hope o ka hāʻawi ʻana o ka Quality Improvement Organization i kāna pane i kāu hoʻopiʻi

bull Inā ʻōlelo ka ʻaha loiloi ʻaʻole i kāu hoʻopiʻi a hoʻoholo ʻoe e noho i ka haukapila a laila pono paha ʻoe e uku i ke kumukūʻai holoʻokoʻa o ka mālama maʻi i loaʻa iā ʻoe i ke awakea o ka lā ma hope o ka hāʻawi ʻana o ka Hoʻohui Hoʻohui Manaʻo i kāu pane i kāu hoʻopiʻi



ʻAnuʻu 4 Inā ʻaʻole ka pane i kāu Papa 1 hoopii hoʻoholo ʻoe inā makemake ʻoe e hoʻopiʻi hou

bull Inā hōʻole ka Hui Loiloi Hihia Kūʻokoʻa i kāu noʻi ʻana aku a e a me noho ʻoe ma ka haukapila ma hope mai o ka lā i hoʻopaʻa ʻia e ka papahana he lā hoʻokuʻu a laila hiki iā ʻoe ke hana hou i kekahi hoʻopiʻi hou Inā hana ʻoe i kekahi hoʻopiʻi hou e neʻe aku no ʻoe i ka Pae 2 o ka kaʻina hana hoʻopiʻi

Pauku 73 ʻAnuʻu-ma-ka anu u Pehea e hana ai i kahi hoʻopiʻi Papa 2 e hoʻololi ai i kou lā hoʻokuʻu maʻi

Inā ua hōʻole ka ʻoihana Hoʻolālā Hoʻohui i kāu hoʻopiʻi a me noho ʻoe i ka haukapila ma hope o kāu lā hoʻokuʻu i hoʻolālā ʻia a laila hiki iā ʻoe ke hana i kahi hoʻopiʻi pae 2 I ka wā o ka hoʻopiʻi pae 2 noi ʻoe i ka ʻOihana Hoʻolālā Pono e nānā hou i ka hoʻoholo a lākou i hoʻoholo ai i kāu hoʻopiʻi mua Inā hōʻole ka Hui Loiloi Hihia Kūʻokoʻa i kāu noʻi ʻana aku e pono ana ʻoe e uku piha aku i ka huina nui i kāki ʻia mai iā ʻoe no ia noho haukapila ʻana

Eia nā ʻanuʻu no Papa 2 o ke kaʻina hoʻopiʻi

ʻAnuʻu 1 Hoʻokaʻaʻike hou aku ʻoe i ka hoʻonohonoho hoʻomaikaʻi hoʻomaikaʻi a noi aku no kahi loiloi hou aʻe

bull Pono ʻoe e nīnau no kēia loiloi ma loko o 60 mau lā ʻelima ma hope o ka lā i ʻōlelo ʻia ai e ka ʻoihana Hoʻonui Hoʻohui ʻaʻohe i kāu Papa Kūlana Papa 1 Hiki iā ʻoe ke noi no kēia loiloi inā ʻoe e noho i ka haukapila ma hope o ka lā i pau ai kāu uhi no ka mālama

ʻAnuʻu 2 Hana ka ʻOihana Hoʻolālā Hoʻohui i kahi loiloi ʻelua o kāu kūlana

bull E nānā pono ka poʻe loiloi ma ka Hoʻolālā Hoʻolaha Pono i nā ʻike āpau e pili ana i kāu hoʻopiʻi

KaʻAnuʻu Hana 3 Ma loko o 14 mau lā alemanaka o ka loaʻa ʻana o kāu noi no ka loiloi ʻelua e hoʻoholo nā loiloi ʻoihana Hoʻolālā Kūleʻa i kāu hoʻopiʻi a haʻi iā ʻoe i kā lākou hoʻoholo

Inā ʻōlelo ka ʻoihana loiloi ʻae bull Pono mākou e uku aku iā ʻoe no kā mākou mahele o nā kumukūʻai o ka mālama maʻi i loaʻa iā ʻoe mai ke awakea ma ka lā ma hope o ka lā i hōʻole ʻia ai kāu hoʻopiʻi mua e ka ʻOihana Hoʻolālā Kūlana Pono mākou e hoʻomau i ka hāʻawi ʻana i ka pale no kāu mālama maʻi haukapila no ka mea pono ia i ka lāʻau



bull Pono ʻoe e hoʻomau i ka uku ʻana i kāu ʻāpana o nā koina a me nā palena palena e pili ana

Inā ʻōlelo ka ʻoihana loiloi ʻaʻole bull Inā hōʻole ka hui i kāu hoʻopiʻi o ka manaʻo hoʻi o kēia ua ʻāpono no hoʻi ka hui i kāu pae 1 i koho aku ai a e hōʻololi ʻia no hoʻi Kapa ʻia hoʻi kēia ke kākoʻo ʻana i ka mea i koho mua ʻia

bull E haʻi ka leka hoʻomaopopo iā ʻoe ma ke kākau ʻana i kāu mea hiki ke hana inā makemake ʻoe e hoʻomau me ke kaʻina loiloi E hāʻawi iā ʻoe i nā kikoʻī e pili ana i ke ala e hele ai i ka pae ʻo ka hoʻopiʻi hou aʻe e lawelawe ʻia e ka luna kānāwai Kānāwai a luna kānāwai paha

ʻAnuʻu 4 Inā ʻaʻole ka pane pono ʻoe e hoʻoholo inā makemake ʻoe e lawe i kāu hoʻopiʻi hou e ka hele ʻana i papa 3

bull ʻEkolu mau pae hou i ke kaʻina hoʻopiʻi ma hope o Papa 2 (no ka pae o ʻelima pae o ka hoʻopiʻi ʻana) Inā hōʻole ka hui loiloi i kāu Apili 2 Papa hiki iā ʻoe ke koho inā e ʻae i kēlā hoʻoholo a i ʻole e hele i ka papa 3 a e hoʻopiʻi hou Ma ka Papa 3 loiloi ʻia kāu hoʻopiʻi e ka luna kānāwai kānāwai a luna loio paha

bull Hōʻike ka ʻāpana 9 i kēia mokuna e pili ana i nā papa 3 4 a me 5 o ke kaʻina hoʻopiʻi

Pauku 74 He aha inā ʻoe e haʻalele i ka palena manawa no ka hoʻopiʻi ʻana i kāu papa 1

Hiki iā ʻoe ke hoʻopiʻi iā mākou ma kahiE like me ka mea i hoākāka ʻia ma luna ma ka ʻĀpana 72 pono ʻoe e hana wikiwiki e hoʻopili aku i ka Organization Quality Development e hoʻomaka i ka hoʻopiʻi mua o kāu hoʻokuʻu ʻana i kāu haukapila (Wikiwiki ʻo ia hoʻi ma mua o kou haʻalele ʻana i ka haukapila a ma hope o kāu lā hoʻokuʻu i hoʻolālā ʻia ʻo kēlā me kēia mea e hele mua) Inā ʻaʻole ʻoe e hala i ka palena manawa no ke kāhea ʻana i kēia hui aia kekahi ala e hoʻopiʻi ai i kāu hoʻopiʻi

Inā ʻoe e hoʻohana i kēia ʻano ʻē aʻe i ka hoʻopiʻi ʻana ʻokoʻa nā pae mua ʻelua o ka hoʻopiʻi ʻana



ʻAnuʻu-ma-ʻanuʻu Pehea e hana ai i kahi papa 1 ʻē aʻe hoʻopiʻi

Inā ʻoe e nalo i ka palena manawa no ke kāhea ʻana i ka Hoʻohālikelike Hoʻonohonoho Pono hiki iā ʻoe ke hoʻopiʻi iā mākou e noi ana i kahi loiloi wikiwiki ʻO kahi loiloi wikiwiki kahi hoʻopiʻi e hoʻohana i nā lā palena wikiwiki ma kahi o nā lā palena palena


Kāhea ʻia kahi loiloi wikiwiki (a i ʻole hoʻopiʻi wikiwiki) i kahi hoʻopiʻi wikiwiki

ʻAnuʻu 1 Kāhea iā mā andou a noi no ka loiloi wikiwiki

bull No nā kikoʻī e pili ana i ka launa ʻana me mākou e hele i ka Mokuna 2 ʻĀpana 1 a nānā i ka ʻāpana i kapa ʻia Pehea e kāhea iā mākou ke hoʻopiʻi nei ʻoe e pili ana i kāu mālama lapaʻau

bull E nīnau pono no ka loiloi wikiwiki ʻO kēia ke noi nei ʻoe iā mākou e hāʻawi iā ʻoe i kahi pane me ka hoʻohana ʻana i nā palena palena wikiwiki ma mua o nā palena palena maʻamau

ʻAnuʻu 2 Ke loiloi ʻia nei kāu nānā hōʻelu o kāu lā hoʻokuʻu i hoʻoholo ʻiai ke nānā nei inā he hana kūpono i kū i ke ʻano o ka lapaʻau

bull I loko o kēia loiloi nānā mākou i nā ʻike āpau e pili ana i kou noho ʻana i ka haukapila Nānā mākou e ʻike inā kūpono kūpono kāu lā hoʻokuʻu i hoʻolālā ʻia E nānā mākou inā he kūpono ka hoʻoholo e pili ana i ka wā e haʻalele ai ʻoe i ka haukapila a hāhai i nā kānāwai āpau

bull I kēia kūlana e hoʻohana mākou i nā lā palena wikiwiki ma mua o nā palena palena manawa maʻamau no ka hāʻawi ʻana iā ʻoe i ka pane i kēia loiloi

ʻAnuʻu 3 Hāʻawi mākou iā ʻoe i kā mākou hoʻoholo i loko o 72 mau hola ma hope o kāu noi ʻana no kahi loiloi wikiwiki (hoʻopiʻi wikiwiki)

bull Inā ʻae mākou i kāu hoʻopiʻi wikiwiki ʻo ia hoʻi ua ʻaelike mākou me ʻoe e pono ana ʻoe e noho i ka haukapila ma hope o ka lā hoʻokuʻu a e mālama mau i kāu lawelawe i nā haukapila maʻi i uhi ʻia no ka mea pono lapaʻau ʻO ia hoʻi ua ʻae mākou e uku aku iā ʻoe no kā mākou ʻāpana o nā koina mālama i loaʻa iā ʻoe mai ka lā a mākou i ʻōlelo ai e pau ana kāu uhi ʻana (Pono ʻoe e uku i kāu ʻāpana o nā koina a aia paha he mau palena palena e pili ana)



bull Inā ʻaʻole mākou e ʻōlelo i kāu hoʻopiʻi wikiwiki ke ʻōlelo nei mākou ua kūpono kāu lā hoʻokuʻu i hoʻolālā ʻia Pau kā mākou uhi ʻana no kāu lawelawe i ka haukapila maʻi e like me ka lā a mākou i ʻōlelo ai e pau ana ka uhi ʻana

Inā ʻoe i noho i ka haukapila ma hope o kou lā hoʻoluhi i hoʻolālā ʻia a laila pono paha ʻoe e uku i ke kumukūʻai holoʻokoʻa o ka mālama ʻana i ka haukapila i loaʻa iā ʻoe ma hope o ka lā i hoʻokuʻu ʻia ai

ʻAnuʻu 4 Inā ʻōlelo mākou ʻaʻole i kāu hoʻopiʻi wikiwiki e hoʻouna ʻia kāu hihia i ka pae aʻe o ke kaʻina hoʻopiʻi

bull I mea e hāhai ai mākou i nā lula āpau i ka wā a mākou i ʻōlelo ai ʻaʻole i kāu hoʻopiʻi wikiwiki koi ʻia mākou e hoʻouna i kāu hoʻopiʻi i ka Independent Review Organization Ke hana mākou i kēia ʻo ia hoʻi koho ʻoe ke hele nei i Papa 2 o ke kaʻina hoʻopiʻi

ʻAnuʻu-ʻanuʻu Papa 2 ʻē aʻe hoʻopiʻi hanaI ka wā o ka hoʻopiʻi Papa 2 he Hui ʻImi Kūʻokoʻa Kūʻokoʻa loiloi i ka hoʻoholo a mākou i ʻōlelo ai ʻaʻole i kāu hoʻopiʻi wikiwiki Hoʻoholo kēia hui inā e loli ka hoʻoholo a mākou i hoʻoholo ai


ʻO ka inoa kūlana no ka Independent Review Organization ʻo ia ka Mana Mana Manaʻo Kūʻokoʻa Kāhea ʻia ia i kekahi manawa ʻo IRE

ʻAnuʻu 1 E hoʻouna wale aku mākou i kāu hihia i ka Independent Review Organization

bull Koi ʻia mākou e hoʻouna i ka ʻike no kāu noi no Papa 2 i ka Independent Review Organisation i loko o 24 mau hola o ka wā a mākou e haʻi aku nei iā ʻoe ke ʻōlelo nei mākou ʻaʻole no kāu hoʻopiʻi mua (Inā manaʻo ʻoe ʻaʻole mākou e hui i kēia lā palena pau a i ʻole nā palena palena ʻē aʻe hiki iā ʻoe ke hana i kahi hoʻopiʻi He ʻokoʻa ke kaʻina hoʻopiʻi mai ke kaʻina hoʻopiʻi Hōʻike ka ʻĀpana 10 o kēia mokuna pehea e hoʻopiʻi ai)



ʻAnuʻu 2 Hana ka Independent Review Organization i kahi loiloi wikiwiki o kāu hoʻopiʻi Hāʻawi nā loiloi iā ʻoe i kahi pane i loko o 72 mau hola

bull ʻO ka Independent Review Organization kahi hui kūʻokoʻa i hoʻolimalima ʻia e Medicare ʻAʻole pili kēia hui i kā mākou papahana a ʻaʻole ia he keʻena aupuni ʻO kēia hui kahi hui i koho ʻia e Medicare e lawelawe i ka hana ʻo ia ka Independent Review Organization Mālama ʻo Medicare i kāna hana

bull E nānā pono nā mea loiloi i ka Independent Review Organization i nā ʻike āpau e pili ana i ka hoʻopiʻi no ka hoʻokuʻu ʻia o kāu haukapila

bull Inā ʻōlelo kēia hui ʻae i kāu hoʻopiʻi hoʻopiʻi a laila pono mākou e uku aku iā ʻoe (uku aku iā ʻoe) no kā mākou mahele o nā koina o ka mālama maʻi ʻana iā ʻoe ua loaʻa mai ka lā o kou hoʻokuʻu ʻia i hoʻolālā ʻia Pono mākou e hoʻomau i ka uhi o ka hoʻolālā o kāu lawelawe haukapila maʻi no ka mea e pono ai ka lāʻau Y pono ʻoe e hoʻomau i ka uku ʻana i kāu ʻāpana o nā osts c Inā loaʻa nā palena palena hiki i kēia mau mea ke palena i ka nui o kā mākou uku ʻana a i ka lōʻihi o ka hoʻomau ʻana e uhi i kāu lawelawe

bull Inā ʻōlelo kēia hui ʻaʻohe i kāu hoʻopiʻi hoʻopiʻi ʻo ia hoʻi ua ʻae lākou me mākou ua kūpono ka lapaʻau ʻana i kāu lā hoʻokuʻu maʻi

ʻO ka leka hoʻomaopopo i loaʻa iā ʻoe mai ka Independent Review Organization e haʻi iā ʻoe i ke kākau ʻana i kāu mea e hiki ai ke hana inā makemake ʻoe e hoʻomau me ke kaʻina loiloi E hāʻawi iā ʻoe i nā kikoʻī e pili ana i ke ala e hele ai i kahi Papa 3 Appeal i lawelawe ʻia e ka luna kānāwai Kānāwai a i ʻole ka loio hoʻokolokolo

ʻAnuʻu 3 Inā huli i lalo ka Manaʻo Manaʻo Manaʻo Kūʻokoʻa koho ʻoe inā makemake ʻoe e lawe i kāu hoʻopiʻi hou

bull ʻEkolu mau pae hou i ke kaʻina hoʻopiʻi ma hope o Papa 2 (no ka pae o ʻelima pae o ka hoʻopiʻi ʻana) Inā ʻōlelo ʻole nā loiloi i kāu Apili 2 Papa hoʻoholo ʻoe inā e ʻae i kā lākou hoʻoholo a hele i ka papa 3 a e hoʻopiʻi ʻekolu




PAUKU 8 Pehea e noi ai iā mākou e uhi mau i kekahi mau lawelawe lapaʻau inā manaʻo ʻoe e pau koke ana kāu uhi

Pauku 81 Kēia ʻāpana e pili ana i nā lawelawe ʻekolu wale nō Ka mālama olakino home mālama pono ʻana i nā wahi kahu hānai a me nā lawelawe ʻoihana Rehabilitation Outpatient Comprehensive (CORF)

ʻO kēia ʻāpana e pili ana i nā ʻano mālama aʻe wale nō

bull Nā lawelawe mālama ola home ke kiʻi nei ʻoe bull Mālama mālama hānai ke hele nei ʻoe ma ke ʻano he mea maʻi ma kahi kahu hānai mākaukau (E aʻo e pili ana i nā koi no ka manaʻo ʻia he mākaukau kahu maʻi e ʻike i ka Mokuna 12 Nā wehewehe ʻana o nā huaʻōlelo nui)

bull Mālama mālama ke hele nei ʻoe ma ke ʻano he mea maʻi i ka Medicare-i hōʻoia ʻia ka Comprehensive Outpatient Rehabilitation Facility (CORF) ʻO ka maʻamau ʻo ia hoʻi ke kiʻi nei ʻoe i kahi lāʻau no kahi maʻi a ulia paha a i ʻole ke ola nei ʻoe mai kahi hana nui (No ka ʻike hou aku e pili ana i kēia ʻano pono hana e nānā i ka Mokuna 12 Nā wehewehe ʻana o nā huaʻōlelo nui)

Ke kiʻi nei ʻoe i kekahi ʻano o kēia ʻano mālama he kuleana kou e hoʻomau i ka loaʻa ʻana o kāu mau lawelawe i uhi ʻia no kēlā ʻano mālama inā pono ka mālama e hōʻike a mālama i kāu maʻi a ʻeha paha No ka ʻike hou aku e pili ana i kāu mau lawelawe i uhi ʻia me kāu mahele o ke kumukūʻai a me nā palena i ka uhi ʻana e pili ana e ʻike i ka Mokuna 4 o kēia puke Papa Kuhikuhi Pilikino (he aha ka mea e uhi ʻia a he aha kāu e uku ai)

Ke hoʻoholo mākou ua hiki i ka manawa e haʻalele ai i ka uhi ʻana i kekahi o nā ʻano ʻekolu o ka mālama ʻana iā ʻoe koi mākou e haʻi iā ʻoe ma mua Ke pau kou uhi ʻana no kēlā mālama e pau mākou i ka uku ʻana i kā mākou mahele o ke kumukūʻai no kāu mālama

Inā manaʻo ʻoe ke hoʻopau koke nei mākou i ka uhi ʻana o kāu mālama hiki iā ʻoe ke hoʻopiʻi i kā mākou hoʻoholo Hōʻike kēia ʻāpana iā ʻoe pehea e noi ai i kahi hoʻopiʻi



Pauku 82 E haʻi mua mākou iā ʻoe i ka manawa e pau ana kāu uhi ʻana

1 Loaʻa iā ʻoe kahi leka hoʻomaopopo ma ke kākau ʻana Ma ka liʻiliʻi ʻelua mau lā ma mua o ka hōʻoki ʻana o kā mākou hoʻolālā i ka uhi ʻana i kāu mālama e loaʻa iā ʻoe kahi leka

bull Hōʻike ka leka hoʻomaopopo iā ʻoe i ka lā a mākou e hoʻōki ai i ka uhi ʻana iā ʻoe no ka mālama ʻana iā ʻoe

bull Hōʻike ka leka hoʻomaopopo i ka mea hiki iā ʻoe ke hana inā makemake ʻoe e noi i kā mākou hoʻolālā e hoʻololi i kēia hoʻoholo e pili ana i ka manawa e hoʻopau ai i kāu mālama a hoʻomau i ka uhi ʻana iā ia no kahi wā lōʻihi


I ka haʻi ʻana iā ʻoe i ka mea hiki iā ʻoe ke hana ke haʻi nei ka leka hoʻomaopopo pehea ʻoe e noi ai i kahi hoʻopiʻi wikiwiki Ke noi nei i kahi hoʻopiʻi wikiwiki he ala maʻamau ia e noi ai i kahi hoʻololi i kā mākou hoʻoholo hoʻoholo e pili ana i ka manawa e hōʻoki ai i kāu mālama (Ma ka ʻaoʻao 83 ma lalo e haʻi nei pehea e hiki ai iā ʻoe ke noi i kahi hoʻopiʻi wikiwiki)

Kāhea ʻia ka leka hoʻomaopopo ka Hoʻolaha o Medicare N ma-Coverag e

2 E noi ʻia ʻoe e kau inoa i ka leka hoʻomaopopo e hōʻike ai ua loaʻa iā ʻoe bull E noi ʻia ʻoe a i ʻole kekahi e hana nei ma kou inoa e kau inoa i ka leka hoʻomaopopo (ʻSectionlelo ka ʻĀpana 4 pehea e hiki ai iā ʻoe ke hāʻawi i ka ʻae palapala i kekahi mea ʻē aʻe e hana ma ke ʻano he lunamakaʻāinana)

bull ʻO ke kau inoa ʻana i ka leka hoʻomaopopo e hōʻike wale nō ua loaʻa iā ʻoe ka ʻike e pili ana i ka wā e pau ai kāu uhi ʻana ʻO ke kau inoa ʻana o ia ʻaʻole ʻo ia hoʻi ua ʻae ʻoe me ka hoʻolālā ua hiki i ka manawa e haʻalele ai i ka mālama ʻana

Pauku 83 ʻAnuʻu-ma-ka anu u Pehea e hana ai i kahi Apili Papa 1 e uhi ai kā mākou hoʻolālā i kāu mālama no kahi manawa lōʻihi

Inā makemake ʻoe e noi iā mākou e uhi i kāu mālama no kahi wā lōʻihi aku pono ʻoe e hoʻohana i ke kaʻina hoʻopiʻi e hana i kēia noi Ma mua o kou hoʻomaka ʻana e hoʻomaopopo i kāu mea e pono ai a me nā lā palena




bull E hālāwai me nā lā palena palena He mea nui nā palena manawa E ʻike pono a maopopo a hāhai i nā palena manawa e pili ana i nā mea pono e hana Aia kekahi mau lā palena pau e pono ai kā mākou papahana e ukali (Inā manaʻo ʻoe ʻaʻole mākou e hālāwai me kā mākou palena palena manawa hiki iā ʻoe ke faila i kahi hoʻopiʻi ʻSectionlelo ka ʻĀpana 10 o kēia mokuna iā ʻoe pehea e faila ai i kahi hoʻopiʻi)

bull E noi i ke kōkua inā pono ʻoe Inā he nīnau kāu a he kōkua paha i kēlā me kēia manawa e ʻoluʻolu e kelepona i nā lawelawe lālā (ua paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke) A i ʻole kāhea aku i kāu Polokalamu Kōkua ʻInikua Ola kahi hui aupuni e hāʻawi i ke kōkua pilikino (e ʻike i ka ʻĀpana 2 o kēia mokuna)

Inā mai ʻoe no kahi hoʻopiʻi pae 1 i ka manawa kūpono e hoʻoholo ana ka Hui Loiloi Hihia Kūʻokoʻa i kāu hoʻopiʻi a e holoholo inā pono e hoʻolilo i kā mākou i hoʻoholo ai

ʻAnuʻu 1 E hoʻopiʻi i kāu papa 1 e hoʻokaʻaʻike i ka hoʻonohonoho hoʻomaikaʻi e like me ka maikaʻi no kou mokuʻāina a noi i kahi loiloi Pono ʻoe e hana wikiwiki

He aha ka hoʻonohonoho hoʻomaikaʻi e like ai bull ʻO kēia hui kahi hui o nā kauka a me nā loea mālama olakino ʻē aʻe i uku ʻia e ke aupuni Pekelala ʻAʻole kēia mau loea i ʻāpana o kā mākou hoʻolālā Nānā lākou i ke ʻano o ka mālama i loaʻa i nā poʻe me Medicare a loiloi i nā hoʻoholo hoʻolālā e pili ana i ka manawa e hoʻopau ai i ka uhi ʻana i kekahi ʻano mālama olakino

Pehea e hiki ai iā ʻoe ke hoʻopili aku i kēia hui bull ʻO ka leka hoʻomaopopo i loaʻa iā ʻoe e haʻi iā ʻoe pehea e hiki ai i kēia ʻoihana (A i ʻole ʻike i ka inoa ka helu wahi a me ka helu kelepona o ka hoʻonohonoho hoʻomaikaʻi hoʻomaikaʻi ʻana no kāu mokuʻāina ma ka Mokuna 2 ʻĀpana 4 o kēia puke)

He aha kāu e noi ai bull E noi i kēia hui no kahi hoʻopiʻi wikiwiki (e hana i kahi loiloi kūʻokoʻa) inā he kūpono kūpono no mākou e hoʻopau i ka uhi ʻana no kāu lawelawe olakino



ʻO kāu lā palena pau no ka hoʻopili ʻana i kēia hui bull Pono ʻoe e kāhea aku i ka Hoʻohui Hoʻohui Mea e hoʻomaka i kāu hoʻopiʻi ʻana ma ke awakea o ka lā ma mua o ka lā kūpono ma ka Hoʻolaha o Medicare Non-Coverage

bull Inā haʻalele ʻoe i ka lā palena palena no ke kāhea ʻana i ka Hoʻolālā Hoʻonohonoho Pono a makemake ʻoe e faila i kahi hoʻopiʻi pono ʻoe e hoʻopiʻi pololei iā mākou No nā kikoʻī e pili ana i kēia ala ʻē aʻe e hoʻopiʻi ai e ʻike i ka mahele 85

ʻAnuʻu 2 Mālama ka Hui Hoʻohui Mea Kūlana i kahi loiloi kūʻokoʻa o kāu hihia


bull E nānā pū ka hui loiloi i kāu ʻike olakino kamaʻilio me kāu kauka a nānā i ka ʻike i hāʻawi ʻia e kā mākou hoʻolālā iā lākou

bull I ka pau ʻana o ka lā e hoʻomapopo mai no hoʻi ka hui iā mākou e pili ana i kāu hoʻopiʻi e loaʻa pū ana iā ʻoe kekahi lake hoʻomaopopo i kākau ʻia mai iā mākou mai e wehewehe ana i ke kumu i hoʻopau ʻia kō mākou kōkua uhi ʻana no nā kōkua au i makemake ai


Kāhea ʻia kēia wehewehe hoʻolaha ka Hōʻike kikoʻī o ka uhi ʻole

ʻAnuʻu 3 Ma loko o hoʻokahi lā piha ma hope o kā lākou loaʻa ʻana o ka ʻike āpau e pono ai nā mea loiloi e haʻi iā ʻoe i kā lākou hoʻoholo

He aha ka hana inā e ʻōlelo nā loiloi i kāu hoʻopiʻi bull Inā ʻōlelo nā loiloi ʻae i kāu hoʻopiʻi hoʻopiʻi a laila pono mākou e hoʻomau i ka hāʻawi ʻana i kāu mau lawelawe i uhi ʻia no ka mea e pono ana i ka lāʻau

bull Pono ʻoe e hoʻomau i ka uku ʻana i kāu mahele o nā kumukūʻai (e like me nā deductibles a i ʻole nā copayment inā pili kēia) Eia hou aia paha he mau palena i kāu mau lawelawe i uhi ʻia (e nānā i ka Mokuna 4 o kēia puke)



He aha ka hana inā hōʻole nā loiloi i kāu hoʻopiʻi bull Inā ʻōlelo nā loiloi ʻaʻole i kāu hoʻopiʻi hoʻopiʻi a laila e pau kāu uhi ʻana ma ka lā a mākou i haʻi aku ai iā ʻoe E kāpae mākou i ka uku ʻana i kā mākou ʻāpana o nā koina o kēia mālama ma ka lā i helu ʻia ma ka leka hoʻomaopopo

bull Inā hoʻoholo ʻoe e mālama i ka mālama olakino home a i ʻole mālama mālama hale hānai a i ʻole nā lawelawe Rehabilitation Facility Outpatient (CORF) ma hope o i kēia lā ke pau kāu uhi ʻana a laila pono ʻoe e uku ke kumu kūʻai holoʻokoʻa o kēia mālama iā ʻoe iho

ʻAnuʻu 4 Inā ʻaʻohe ka pane i kāu Apili 1 Papa hoʻoholo ʻoe inā makemake ʻoe e hoʻopiʻi hou

bull ʻO kēia hoʻopiʻi mua āu e hana ai he Papa 1 o ke kaʻina hoʻopiʻi Inā ʻōlelo nā loiloi ʻaʻole i kāu ʻAi Papa 1 - a me koho ʻoe e hoʻomau i ka mālama ʻana ma hope o ka pau ʻana o kāu uhi ʻana no ka mālama - a laila hiki iā ʻoe ke hoʻopiʻi hou

bull Ke hana nei i kahi hoʻopiʻi ʻē aʻe ke hele nei ʻoe i ka Papa 2 o ke kaʻina hoʻopiʻi

Pauku 84 ʻAnuʻu-ma-ka anu u Pehea e hana ai i kahi Apili Papa 2 e uhi ai kā mākou papa i kāu mālama no kahi manawa lōʻihi

Inā ua hōʻole ka ʻoihana Hoʻolālā Hoʻohui i kāu hoʻopiʻi a me koho ʻoe e hoʻomau i ka mālama ʻana ma hope o ka pau ʻana o kāu uhi ʻana no ka mālama ʻana a laila hiki iā ʻoe ke hana i kahi hoʻopiʻi 2 Papa I ka wā o ka Apili Papa 2 noi ʻoe i ka ʻOihana Hoʻolālā Pono e nānā hou i ka hoʻoholo a lākou i hoʻoholo ai i kāu hoʻopiʻi mua Inā hoʻowahāwahā ka ʻoihana Hoʻohui Manaʻo i kāu hoʻopiʻi Apili 2 loaʻa paha iā ʻoe ke uku i ke kumukūʻai holoʻokoʻa no kāu mālama olakino home a i ʻole kahi lawelawe kahu hānai akamai a i ʻole nā lawelawe ʻoihana Rehabilitation Outpatient Facility (CORF) ma hope o ka lā i ka manawa a mākou i ʻōlelo ai e pau ana kāu uhi ʻana


ʻAnuʻu 1 Hoʻokaʻaʻike hou aku ʻoe i ka hoʻonohonoho hoʻomaikaʻi e like me ke kūlana a noi no kahi loiloi hou

bull Pono ʻoe e nīnau no kēia loiloi ma loko o 60 mau lā ma hope o ka lā a ka ʻOihana Hoʻohālikelike Hoʻohui i ʻōlelo ai ʻaʻole i kāu Papa 1 Appeal Hiki iā ʻoe ke noi no kēia loiloi inā ʻoe e hoʻomau i ka mālama ʻana ma hope o ka lā i pau ai kāu uhi ʻana no ka mālama



ʻAnuʻu 2 Ke nānā hou nei ka hoʻonohonoho hoʻomaikaʻi e like me kāu kūlana


ʻAnuʻu 3 Ma loko o 14 mau lā o ka loaʻa ʻana o kāu noi hoʻopiʻi e hoʻoholo nā loiloi i kāu hoʻopiʻi a haʻi iā ʻoe i kā lākou hoʻoholo

He aha ka hana inā ʻae ka hui loiloi i kāu hoʻopiʻi bull Pono mākou e uku aku iā ʻoe no kā mākou mahele o nā koina mālama i loaʻa iā ʻoe mai ka lā a mākou i ʻōlelo ai e pau ana kāu uhi ʻana Pono mākou e hoʻomau i ka hāʻawi ʻana i ka uhi no ka mālama ʻana inā pono ia i ka lāʻau

bull Pono ʻoe e hoʻomau e uku i kāu ʻāpana o nā koina a aia paha he mau palena palena e pili ana

He aha ka hana inā ʻōlelo ka hui loiloi ʻaʻole bull ʻAe ʻae lākou i ka hoʻoholo a mākou i hana ai i kāu Papa 1 Appeal a ʻaʻole e loli


ʻAnuʻu 4 Inā ʻaʻole ka pane pono ʻoe e hoʻoholo inā makemake ʻoe e lawe i kāu hoʻopiʻi hou

bull ʻEkolu mau pae hou o ka hoʻopiʻi ma hope o Papa 2 no ka pae o ʻelima pae hoʻopiʻi Inā hōʻole nā loiloi i kāu Apili 2 Papa hiki iā ʻoe ke koho inā ʻae i kēlā hoʻoholo a i ʻole hele i ka papa 3 a hoʻopiʻi hou Ma ka Papa 3 loiloi ʻia kāu hoʻopiʻi e ka luna kānāwai kānāwai a luna loio paha




Pauku 85 He aha inā e haʻalele ʻoe i ka palena manawa no ka hoʻopiʻi ʻana i kāu papa 1

Hiki iā ʻoe ke hoʻopiʻi iā mākou ma kahi

E like me ka mea i hoākāka ʻia ma luna ma ka ʻĀpana 83 pono ʻoe e hana wikiwiki e hoʻopili aku i ka Organization Quality Development e hoʻomaka i kāu hoʻopiʻi mua (i loko o hoʻokahi lā a ʻelua paha i ka nui loa) Inā haʻalele ʻoe i ka palena manawa no ke kāhea ʻana i kēia ʻoihana aia kekahi ala ʻē aʻe e hoʻopiʻi ai i kāu hoʻopiʻi Inā ʻoe e hoʻohana i kēia ʻano ʻē aʻe i ka hoʻopiʻi ʻana ʻokoʻa nā pae mua ʻelua i ka manawa he nui

ʻAnuʻu-ʻanuʻu Pehea e hana ai i kahi papa 1 ʻē aʻe HoʻopiʻiInā haʻalele ʻoe i ka lā palena palena no ke kāhea ʻana aku i ka Hoʻohālikelike Hoʻonohonoho Pono hiki iā ʻoe ke hoʻopiʻi iā mākou e noi nei i kahi loiloi wikiwiki ʻO kahi loiloi wikiwiki kahi hoʻopiʻi e hoʻohana i nā lā palena wikiwiki ma kahi o nā lā palena palena

Eia nā ʻanuʻu no ka hoʻopiʻi 1 koho ʻē aʻe


Kāhea ʻia kahi loiloi wikiwiki (a i ʻole hoʻopiʻi wikiwiki) he hoʻopiʻi wikiwiki


bull No nā kikoʻī e pili ana i ka launa ʻana me mākou e hele i ka Mokuna 2 ʻĀpana 1 a nānā i ka ʻāpana i kapa ʻia Pehea e hoʻopili ai iā mākou ke noi nei ʻoe e pili ana i kāu mālama lapaʻau

bull E nīnau pono no ka loiloi wikiwiki ʻO kēia ke noi nei ʻoe iā mākou e hāʻawi iā ʻoe i kahi pane e hoʻohana ana i nā lā palena wikiwiki ma mua o nā palena palena maʻamau

ʻAnuʻu 2 E hana i kekahi nānā hōʻeleu ʻana o nā koho a mākou i koho ai e pili ana i ka hoʻopau ʻia ʻana o kāu kōkua uhi no nā pono kōkua

bull I loko o kēia loiloi nānā hou mākou i nā ʻike āpau e pili ana i kāu hihia Nānā mākou inā mākou e ukali nei i nā lula āpau ke hoʻonohonoho mākou i ka lā no ka hoʻopau ʻana i ka uhi o ka hoʻolālā no nā lawelawe āu e loaʻa nei



bull E hoʻohana mākou i nā palena palena wikiwiki ma mua o ka maʻamauʻAnuʻu 3 Hāʻawi mākou iā mākou i kā mākou hoʻoholo i loko o 72 mau hola ma hope o kāu noi ʻana no kahi loiloi wikiwiki (hoʻopiʻi wikiwiki)

bull Inā ʻae mākou i kāu hoʻopiʻi wikiwiki ʻo ia hoʻi ua ʻae mākou me ʻoe e pono hou aku ana nā lawelawe a e hoʻomau i ka hāʻawi ʻana i kāu mau lawelawe i uhi ʻia no ka mea e pono ai ka lāʻau ʻO ia hoʻi ua ʻae mākou e uku aku iā ʻoe no kā mākou ʻāpana o nā koina mālama i loaʻa iā ʻoe mai ka lā a mākou i ʻōlelo ai e pau ana kāu uhi ʻana (Pono ʻoe e uku i kāu ʻāpana o nā koina a aia paha he mau palena palena e pili ana)

bull Inā ʻōlelo mākou ʻaʻole i kāu hoʻopiʻi wikiwiki a laila e pau kāu uhi ʻana ma ka lā a mākou i haʻi aku ai iā mākou a ʻaʻole mākou e uku i kekahi mahele o nā koina ma hope o kēia lā

bull Inā hoʻomau ʻoe i ka mālama olakino home a i ʻole ka mālama pono ʻana i kahi hana hānai a i ʻole nā lawelawe ʻoihana Rehabilitation Outpatient Comprehensive (CORF) ma hope o ka lā a mākou i ʻōlelo ai e pau ana kāu uhi ʻana a laila pono ʻoe e uku i ke kumukūʻai holoʻokoʻa o kēia mālama iā ʻoe iho

ʻAnuʻu 4 Inā ʻōlelo mākou ʻaʻole i kāu hoʻopiʻi wikiwiki e hele aunoa kāu hihia i ka pae aʻe o ke kaʻina hana hoʻopiʻi

bull E hōʻoia i ka hahai ʻana i nā lula āpau i ka wā a mākou i ʻōlelo ai ʻaʻole i kāu hoʻopiʻi wikiwiki koi ʻia mākou e hoʻouna i kāu hoʻopiʻi i ka Independent Review Organisation Ke hana mākou i kēia ʻo ia hoʻi koho ʻoe ke hele nei i Papa 2 o ke kaʻina hoʻopiʻi

ʻAnuʻu-e-ʻanuʻu papa 2 ʻē aʻe hoʻopiʻi hana

I ka wā o ka hoʻopiʻi Papa 2 ka Hui ʻImi Kūʻokoʻa Kūʻokoʻa loiloi i ka hoʻoholo a mākou i ʻōlelo ai ʻaʻole i kāu hoʻopiʻi wikiwiki Hoʻoholo kēia hui inā e loli ka hoʻoholo a mākou i hoʻoholo ai


ʻO ka inoa kūlana no ka Independent Review Organization ʻo ia ka Entity Review Independent Kāhea ʻia i kekahi manawa ka IRE




bull Koi ʻia mākou e hoʻouna i ka ʻike no kāu noi no Papa 2 i ka Independent Review Organisation i loko o 24 mau hola o ka wā a mākou e haʻi aku nei iā ʻoe ke ʻōlelo nei mākou ʻaʻole i kāu hoʻopiʻi mua (Inā manaʻo ʻoe ʻaʻole mākou e hui i kēia lā palena pau a i ʻole nā palena palena ʻē aʻe hiki iā ʻoe ke hana i kahi hoʻopiʻi He ʻokoʻa ke kaʻina hoʻopiʻi mai ke kaʻina hoʻopiʻi Hōʻike ka ʻĀpana 10 o kēia mokuna pehea e hoʻopiʻi ai)



bull E nānā pono nā mea loiloi i ka Independent Review Organization i nā mea āpau

bull Inā ʻōlelo kēia hui ʻae i kāu hoʻopiʻi hoʻopiʻi a laila pono mākou e uku aku iā ʻoe (uku aku iā ʻoe) no kā mākou mahele o nā koina mālama āu loaʻa mai ka lā a mākou i ʻōlelo ai e pau ana kāu uhi ʻana Pono mākou e hoʻomau i ka uhi ʻana i ka mālama no ka mea pono ia i ka lāʻau Pono ʻoe e hoʻomau i ka uku ʻana i kāu mahele o nā koina Inā loaʻa nā palena palena hiki i kēia mau mea ke palena i ka nui o kā mākou uku ʻana a i ka lōʻihi o ka hoʻomau ʻana e uhi i kāu lawelawe

bull Inā ʻōlelo kēia hui ʻaʻole i kāu hoʻopiʻi hoʻopiʻi ʻo ia hoʻi ua ʻae lākou i ka hoʻoholo a kā mākou papahana i hana ai i kāu hoʻopiʻi mua a ʻaʻole lākou e hoʻololi

ʻO ka leka hoʻomaopopo i loaʻa iā ʻoe mai ka Independent Review Organization e haʻi iā ʻoe i ke kākau ʻana i nā mea hiki iā ʻoe ke hana inā makemake ʻoe e hoʻomau me ke kaʻina loiloi E hāʻawi iā ʻoe i nā kikoʻī e pili ana pehea e hele ai i kahi Papa 3 Appeal

ʻAnuʻu 3 Inā hōʻole ka Independent Review Organization i kāu hoʻopiʻi koho ʻoe inā makemake ʻoe e lawe hou i kāu hoʻopiʻi

bull ʻEkolu mau pae hou o ka hoʻopiʻi ma hope o Papa 2 no ka pae o ʻelima pae hoʻopiʻi Inā ʻōlelo nā loiloi ʻaʻole i kāu Papa 2 Appeal hiki iā ʻoe ke koho inā ʻoe e ʻae i kēlā hoʻoholo a i ʻole e hele i ka papa 3 a e hoʻopiʻi hou Ma ka Papa 3 loiloi ʻia kāu hoʻopiʻi e ka luna kānāwai kānāwai a luna loio paha




PAUKU 9 Ke lawe nei i kāu hoʻopiʻi i ka papa 3 a ʻoi paha

Pauku 91 Nānā Kūlana ʻAoʻao 3 4 a me 5 no nā Noi Hana Lapaʻau

Kūpono paha kēia ʻāpana iā ʻoe inā ua hana ʻoe i ka Apili 1 a me ka Apili 2 a ua hōʻole ʻia kāu mau hoʻopiʻi ʻelua

Inā kū ka waiwai kālā o ka huahana a i ʻole ka lawelawe olakino āu i hoʻopiʻi ai i kekahi mau pae liʻiliʻi hiki paha iā ʻoe ke hele i nā pae hoʻopiʻi hou aʻe Inā ʻoi aku ka liʻiliʻi o ke kālā ma mua o ka pae palena iki ʻaʻole hiki iā ʻoe Inā lawa ke kumukūʻai kālā ʻo ka pane i kākau ʻia e loaʻa iā ʻoe i kāu ʻApili Papa 2 e wehewehe i ka mea e hoʻopili aku ai a me ka mea e hana ai e noi ai no ka hoʻopiʻi 3 Papa

No ka hapanui o nā kūlana e pili ana i nā hoʻopiʻi hoʻopiʻi hana nā pae hope ʻekolu o ka hoʻopiʻi ʻana ma ke ʻano like Eia ka mea nāna i mālama i ka loiloi o kāu hoʻopiʻi ma kēlā me kēia pae

Papa 3 Piʻi He luna kānāwai (i kapa ʻia he Lunakanawai Kānāwai Hoʻokele) a i ʻole he loio i luna kānāwai nāna e hana no ke aupuni pekelala e loiloi i kāu hoʻopiʻi a hāʻawi iā ʻoe i kahi pane

bull Inā ʻae ka Lunakanawai Kānāwai a i ʻole ka loio loio i kāu hoʻopiʻi nā hoʻopiʻi ua pau a i ʻole ke kaʻina hana - E hoʻoholo mākou inā e hoʻopiʻi i kēia hoʻoholo i ka Papa 4 Aole like me ka hooholo ma Papa 2 (Independent Review Organization) he kuleana ko mākou e hoopii a ʻO ka hoʻoholo papa 3 maikaʻi iā ʻoe

Inā hoʻoholo mākou ʻaʻole e hoʻopiʻi i ka hoʻoholo pono mākou e ʻae a hāʻawi iā ʻoe i ka lawelawe i loko o 60 mau lā alemanaka ma hope o ka loaʻa ʻana o ka ʻōlelo hoʻoholo a ka Lunakanawai Hoʻoponopono a i ʻole ka loio

Inā hoʻoholo mākou e hoʻopiʻi i ka hoʻoholo e hoʻouna mākou iā ʻoe i kope o ka noi 4 no ka hoʻopiʻi 4 me nā palapala e pili pū ana Hiki iā mākou ke kali no ka hoʻoholo no ka pae 4 ma mua o ka ʻae ʻana a hāʻawi ʻana paha i ka lawelawe i ka hakakā



bull Inā ʻōlelo ka Lunakanawai Kānāwai Kānāwai a i ʻole ka loio hoʻoponopono ʻē aʻe ʻaʻole i kāu hoʻopiʻi hoʻopiʻi ʻana ʻaʻole hiki ke hoʻopau i ke kaʻina hoʻopiʻi a i ʻole a i ʻole

Inā hoʻoholo ʻoe e ʻae i kēia hoʻoholo e hoʻohuli i kāu hoʻopiʻi ua hala ka hana hoʻopiʻi

Inā ʻaʻole ʻoe makemake e ʻae i ka hoʻoholo hiki iā ʻoe ke hoʻomau i ka pae aʻe o ke kaʻina loiloi Inā ʻōlelo ka Lunakanawai Kānāwai Kānāwai a i ʻole loio hoʻoponopono ʻē aʻe ʻaʻole i kāu hoʻopiʻi hoʻopiʻi e haʻi ka iā ʻoe i ka mea e hana aʻe inā koho ʻoe e hoʻomau me kāu hoʻopiʻi

Papa 4 kāhea Ka Medicare ʻAha ʻAha (ʻAha Kūkā) e nānā i kāu hoʻopiʻi a hāʻawi iā ʻoe i kahi ʻO ka ʻaha kūkā kahi ʻāpana o ke aupuni Pekelala

bull Inā ʻae ka pane a i ʻole hōʻole ka ʻaha i kā mākou noi e nānā hou i kahi hoʻoholo hoʻopiʻi Apelila 3 maikaʻi ke kaʻina hoʻopiʻi ʻana paha a i ʻole ʻaʻole paha pau - E hoʻoholo mākou e hoʻopiʻi i kēia hoʻoholo i ka papa 5 ʻAʻole like me ka hoʻoholo ma Papa 2 (Independent Review Organization) he kuleana ko mākou e hoʻopiʻi i kahi hoʻoholo 4 kiʻekiʻe e ʻoluʻolu iā ʻoe inā kū ka waiwai o ka mea a lawelawe lawelawe lapaʻau paha i ka waiwai kālā i makemake ʻia

Inā hoʻoholo mākou ʻaʻole e hoʻopiʻi i ka hoʻoholo pono mākou e ʻae a hāʻawi iā ʻoe i ka lawelawe ma waena o 60 mau lā ʻelima ma hope o ka loaʻa ʻana o kā ka ʻAhaʻōlelo hoʻoholo

Inā hoʻoholo mākou e hoʻopiʻi i ka hopena e hōʻike mākou iā ʻoe ma ke kākau ʻana

bull Inā ʻaʻole ka pane a i ʻole hōʻole paha ka ʻAha Kūkā i ka noi loiloi ʻaʻole paha e pau ke kaʻina hoʻopiʻi a i ʻole a i ʻole

Inā hoʻoholo ʻoe e ʻae i kēia hoʻoholo e hoʻohuli i kāu hoʻopiʻi aia ke kaʻina hoʻopiʻi

Inā ʻaʻole ʻoe makemake e ʻae i ka hoʻoholo hiki paha iā ʻoe ke hoʻomau i ka pae aʻe o ke kaʻina loiloi Ka wā kamaʻilio ka ʻaha kūkā heluhelu i ka ʻōlelo noi e haʻi ka leka hāʻawi iā ʻoe inā ʻae nā lula iā ʻoe e hele i kahi Apelika papa 5 Inā ʻae nā rula iā ʻoe e hele e haʻi pū ka leka hoʻomaopopo iā ʻoe i ka mea e hoʻopili ai a me ka mea e hana hou ai inā koho ʻoe e hoʻomau me kāu hoʻopiʻi



Nūhou papa 5 kahi luna kānāwai ma ʻAha Hoʻokolokolo Pekelala e loiloi i kāu hoʻopiʻi

bull ʻO kēia ke kaʻina hope loa o ke kaʻina hoʻopiʻi

Pauku 92 Nā pae hoʻopiʻi 3 4 a me ka 5 no ka noi ʻana no ka uhi lāʻau o ka Part D

Kūpono paha kēīa māhele nei nou inā ua hana ʻoe e hoʻopiʻi pae 1 a me kekahi hoʻopiʻi pae 2 a ua hoʻokāhuli ʻia no hoʻo kāu mau hoʻopiʻi ʻelua

Inā hōʻea aku ka waiwai o ka lāʻau au hoʻopiʻi aku nei i ka huina kālā o ke kōkua uhi lāʻau i noi ʻia ua hiki nō paha iā ʻoe ke neʻe aku i nā pae ʻē aʻe o nā pae hoʻopiʻi Inā haʻule ka huina kālā ma lalo mai ʻaʻole hiki iā ʻoe ke hoʻomau aku i ka hoʻopiʻi ʻana aku Wehewehe ʻia no hoʻi ma ka palapala i kākau lima i loaʻa iā ʻoe mai ka hoʻopiʻi pae 2 mai o wai ka mea e hiki ai ke kaʻa launa aku ai a he aha ka mea e hana ai no ka noi ʻana aku no kekahi hoʻopiʻi pae 3

No ka hapa nui o nā hihia i hoʻohana nui ʻia ai nā hoʻopiʻi ua like no hoʻi ka hana ʻana o lākou a pau Eia ka poʻe nā lākou e mālama aku i ka nānā ʻia ʻana o kāu hoʻopiʻi ma kēīa mau pae nei

Papa ʻĀpana 3 Mālama ʻia e kekahi lunakānāwai (alakaʻi kānāwai a i ʻole kekahi loio hoʻoponopono) a i ʻole kekahi loio hoʻoponopono i hana no ke aupuni pekelala e loiloi aku i kāu noi hoʻopiʻi a e haʻawi aku iā ʻoe ka hāʻina

bull Inā paha ʻua ʻae lākou ua pau ka hana ʻia ke kaʻina hana no ka hoʻopiʻi Ua ʻāpono ʻia kāu noi i ka hoʻopiʻi Pono mākou e ʻāpono aku a I ʻole e hoʻolako aku I ke kōkua uhi lāʻauI ʻāpono ʻia e ka Lunakānāwai Alakaʻi Kānāwai a i ʻole kekahi loio hoʻoponopono` i loko o 72 hola (24 hola no nā hoʻopiʻi hoʻohikiwawe) a i ʻole e uku aku hoʻi ma mua o ka pau ʻana aku o 30 lā i ka loaʻa ʻana mai iā mākou ke koho i koho ʻia

bull Inā ʻaʻole ka pane ʻaʻole ke kaʻina hana hoʻopiʻi a i ʻole Inā hoʻoholo ʻoe e ʻae i kēia hoʻoholo e hoʻohuli i kāu hoʻopiʻi ua hala ka hana hoʻopiʻi



Inā ʻaʻole ʻoe makemake e ʻae i ka hoʻoholo hiki iā ʻoe ke hoʻomau i ka pae aʻe o ke kaʻina loiloi Inā ʻōlelo ka Lunakanawai Kānāwai Kānāwai a i ʻole loio hoʻoponopono ʻē aʻe ʻaʻole i kāu hoʻopiʻi hoʻopiʻi e haʻi ka leka hoʻomaopopo iā ʻoe i ka mea e hana aʻe inā koho ʻoe e hoʻomau me kāu hoʻopiʻi

Papa 4 Piʻi Nā ka ʻAha Kūkā Hoʻopiʻi a ka hui ʻinikua mālama olakino Medicare (ʻAha Kūkā Hoʻopiʻi) e nānā hou ana i kāu hoʻopiʻi a e haʻawi aku iā ʻoe kekahi pane Pili hoʻi ka ʻAha Kūkā i ke aupuni pekelala

bull Inā ʻae ka pane ua pau ka hana hoʻopiʻi ʻO ka mea āu i noi ai i ka hoʻopiʻi ua ʻae ʻia Pono mākou ʻae a hāʻawi i ka uhi lāʻau lāʻau i ʻae ʻia e ka ʻaha kūkā ma loko o 72 mau hola (24 mau hola no ka hoʻopiʻi wikiwiki ʻana) a i ʻole e uku i ka uku ma mua o 30 mau lā ʻelima ma hope o ka loaʻa ka olelo hooholo

bull Inā ʻaʻole ka pane ʻo ke kaʻina hana hoʻopiʻi ʻae ʻole a i ʻole ʻaʻole paha pau


Inā ʻaʻole ʻoe e makemake e ʻae aku i ka mea i koho ʻia ua hiki nō iā ʻoe ke hoʻomau aku i kekahi pae aʻe o nā kiʻina hana nānā hou Inā hōʻole mai ka ʻAha Kūkā i kāu hoʻopiʻi a i ʻole aku i kāu noi no ka nānā hou ʻana mai i kāu hoʻopiʻi na ka palapala hoʻomanaʻo e loaʻa mai iā ʻoe e hoʻomaopopo mai iā ʻoe i nā ʻae nā lula iā ʻoe i ka neʻe ʻana aku a kau aku i ka hoʻopiʻi pae 5 Inā ʻae ka lula iā ʻoe e hoʻomau aku e hōʻike pū ana no hoʻi ka ka palapala hoʻomanaʻo iā ʻoe o wai ka mea e hiki ai ke kaʻa launa aku ai a he aha ka mea e hana ai no ka noi ʻana aku no kekahi hoʻopiʻi inā koho ʻoe i ka hoʻomau ʻana aku i kāu hoʻopiʻi ʻana

Papa 5 Piʻi Nā kekahi lunakānāwai ma ka ʻAha Hoʻokolokolo Pekelala e nānā hou ana i kāu hoʻopiʻi




E HOʻOLOHE ANA

PAUKU 10 E pili ana i ka hoʻopiʻi ʻana e pili ana i ka maikaʻi o ka mālama nā manawa kali a me nā hopohopo ʻē aʻe Pehea e hana ai i

Inā pili kāu pilikia e pili ana i nā hoʻoholo e pili ana i nā pono ka uhi ʻana a i ʻole ka uku ʻana a laila ʻaʻole kēia ʻāpana Ma kahi o pono ʻoe e hoʻohana i ke kaʻina hana no ka uhi ʻana i nā hoʻoholo a me nā hoʻopiʻi ʻana E hele i ka ʻĀpana 4 o kēia mokuna

Pauku 101 He aha nā ʻano pilikia e lawelawe ʻia e ke kaʻina hoʻopiʻi

Hoʻomaopopo kēia ʻāpana pehea e hoʻohana ai i ke kaʻina hana no ka hoʻopiʻi ʻana Hoʻohana ʻia ke kaʻina hoʻopiʻi no kekahi ʻano o nā pilikia wale nō Hoʻopili kēia i nā pilikia e pili ana i ka maikaʻi o ka mālama nā manawa kali a me ka lawelawe mea lawelawe āu e loaʻa ai Eia nā laʻana o nā ʻano pilikia e lawelawe ʻia e ke kaʻina hoʻopiʻi

Inā loaʻa iā ʻoe kekahi o kēia ʻano pilikia hiki iā ʻoe ke hana i kahi hoʻopiʻi

Hoʻopiʻi LaʻanaKa maikaʻi o kāu mālama olakino

bull ʻAʻole hauʻoli ʻoe i ke ʻano o ka mālama i loaʻa iā ʻoe (me ka mālama ʻana i ka haukapila)

E pili ana i kāu pilikino bull Manaʻoʻiʻo ʻoe ʻaʻole mahalo kekahi i kāu kuleana pilikino a i ʻole kaʻana like i ka ʻikepili e pili ana iā ʻoe āu e manaʻo ai he pilikino

ʻO ka hōʻino ʻole lawelawe lawelawe mea lawelawe maikaʻi ʻole a i ʻole nā kiʻina hana maikaʻi ʻole ʻē aʻe

bull Ua kolohe a hōʻino ʻole paha kekahi iā ʻoe bull ʻAʻole hauʻoli ʻoe i ka hana a kā mākou Lawelawe lawelawe iā ʻoe

bull Manaʻo ʻoe e paipai ʻia ʻoe e haʻalele i ka hoʻolālā



Hoʻopiʻi LaʻanaKali manawa bull Ke pilikia nei paha ʻoe i ka loaʻa ʻana o kahi

manawa a ke kali lōʻihi nei paha e loaʻa bull Ua kali lōʻihi paha ʻoe iā ʻoe e nā kauka nā kauka lāʻau a i ʻole nā ʻoihana olakino ʻē aʻe A i ʻole nā lālā o kā mākou lālā a i ʻole nā limahana ʻē aʻe i ka hoʻolālā

ʻO nā laʻana e like me ke kali lōʻihi ma ke kelepona ma ke keʻena kali i ka wā e kiʻi ai i ka lāʻau lapaʻau a i ʻole ma ka lumi hoʻokolokolo

Ka maʻemaʻe bull ʻAʻole hauʻoli paha ʻoe i ka maʻemaʻe a me ke kūlana o kahi keʻena maʻi haukapila a i ʻole ke keʻena o ke kauka

ʻIke ʻoe e loaʻa ai iā mākou bull Manaʻoʻiʻo ʻoe ʻaʻole mākou i hāʻawi aku iā ʻoe i kahi leka e koi ʻia ai mākou e hāʻawi

bull Manaʻo ʻoe he paʻakikī e hoʻomaopopo i ka ʻike i kākau ʻia a mākou i hāʻawi aku ai iā ʻoe



Hoʻopiʻi LaʻanaManawa(Pili kēia ʻano hoʻopiʻi i ka manawa manawa o kā mākou hana e pili ana i nā hoʻoholo a me nā hoʻopiʻi ʻana

ʻO ke kaʻina o ka noi ʻana i kahi hoʻoholo hoʻopiʻi a me ka hoʻopiʻi ʻana e wehewehe ʻia i nā ʻāpana 4-9 o kēia mokuna Inā ʻoe e noi ana i kahi hoʻoholo hoʻopiʻi a i ʻole e hoʻopiʻi ʻana hoʻohana ʻoe i kēlā kaʻina hana ʻaʻole i ke kaʻina hoʻopiʻiEia nō naʻe inā ua noi mua ʻoe iā mākou no kahi hoʻoholo hoʻopiʻi a i hoʻopiʻi paha a manaʻo ʻoe ʻaʻole mākou e pane koke hiki nō iā ʻoe ke hoʻopiʻi i kā mākou lohi Eia nā laʻana

bull Inā ua noi ʻoe iā mākou e hāʻawi iā ʻoe i kahi hoʻoholo hoʻoholo wikiwiki a i ʻole hoʻopiʻi wikiwiki a ua ʻōlelo mākou ʻaʻole mākou e hiki hiki iā ʻoe ke hana i kahi hoʻopiʻi

bull Inā manaʻo ʻoe ʻaʻole mākou e hoʻokō i nā lā palena palena no ka hāʻawi ʻana iā ʻoe i kahi hoʻoholo hoʻopiʻi a i ʻole kahi pane i kahi hoʻopiʻi i hoʻopiʻi ʻia e ʻoe hiki iā ʻoe ke hoʻopiʻi

bull Ke nānā ʻia kahi hoʻoholo hoʻoholo a mākou i ʻōlelo ai a haʻi ʻia mākou e uhi a uku paha mākou iā ʻoe no kekahi lawelawe olakino a lāʻau paha aia nā lā palena pau e pili Inā manaʻo ʻoe ʻaʻole mākou e hui i kēia mau lā palena pau hiki iā ʻoe ke hoʻopiʻi

bull Ke hāʻawi ʻole mākou iā ʻoe i kahi hoʻoholo i ka manawa kūpono koi ʻia mākou e hoʻouna i kāu hihia i ka Independent Review Organization Inā ʻaʻole mākou e hana i kēlā ma loko o ka palena manawa koi hiki iā ʻoe ke hana i kahi hoʻopiʻi



Pauku 102 ʻO ka inoa kūikawā no ka hana ʻana i kahi hoʻopiʻi e faila nei i kahi hoʻopiʻi


bull O ka mea a kēia ʻāpana i kapa ai he hoʻopiʻi ua kapa ʻia hoʻi he ʻeha bull ʻO kekahi huaʻōlelo ʻē aʻe no hana i kahi hoʻopiʻi ʻo waiho i kahi hoʻopiʻi

bull ʻO kekahi ala ʻē aʻe e ʻōlelo ai e hoʻohana ana i ke kaʻina hana no nā hoʻopiʻi ʻo e hoʻohana ana i ke kaʻina hana no ka faila ʻana i kahi ʻeha

Pauku 103 ʻAhi-ʻanuʻu Ke hoʻopiʻi ʻana

ʻAnuʻu 1 Kāhea koke iā mākou - ma ke kelepona a i ʻole ke kākau ʻana

bull I ka hana maʻamau ʻo ke kāhea ʻana aku i ke keʻena Kōkua Lālā ʻo ia ke kaʻina hana mua Inā loaʻa kekahi mea ʻē aʻe āu e pono ai ua hiki nō ke loaʻa iā mākou ma ke kāhea ʻana i ka helu 1-877-457-7621 TTY 711 Ma waena o ka lā 1 o ʻOkakopa a me Malaki 31 loaʻa no hoʻi nā limahana mai ka Poʻakahi ndash Lāpule 8 am a 8 pm a ma waena o ka lā 1 o ʻApelila a Kepakema lā 30 loaʻa no hoʻi nā limahana mai ka Poʻakahi ndash Poʻalima 8 am a 8 pm

bull Inā ʻaʻole ʻoe makemake e kāhea (a i kelepona paha ʻoe a ʻoluʻolu ʻole) hiki iā ʻoe ke waiho i kāu hoʻopiʻi i ke kākau ʻana a hoʻouna iā mākou Inā ʻoe e kau i kāu hoʻopiʻi ma ke kākau ʻana e pane mākou i kāu hoʻopiʻi ma ke kākau ʻana

bull Inā ʻoe e noi i kahi pane palapala e pane mākou ma ke kākau ʻana inā ʻoe e faila i kahi hoʻopiʻi i kākau ʻia (hoʻopiʻi) a i ʻole inā pili kāu hoʻopiʻi i ka maikaʻi o ka mālama e pane mākou iā ʻoe ma ke kākau ʻana Inā ʻaʻole hiki iā mākou ke hoʻonā i kāu hoʻopiʻi ma ke kelepona loaʻa iā mākou kahi hana maʻamau e nānā i kāu hoʻopiʻi Kāhea mākou i kēia ʻo ke Kaʻina Hoʻopiʻi No ka hoʻopiʻi ʻana a inā he mau nīnau kāu e pili ana i kēia kaʻina hana e ʻoluʻolu e kelepona i nā lawelawe lālā ma ke kelepona ma luna A i ʻole hiki iā ʻoe ke leka uila iā mākou i kahi noi i kākau ʻia i ka helu wahi i helu ʻia ma lalo o Nā Hoʻopiʻi no ka Lawelawe Lapaʻau a i ʻole Nā Kumu Hoʻopiʻi no ka Lawelawe Lapaʻau a me Nā Hoʻopiʻi no nā Lāʻau Kuhikuhi Part D a i ʻole Nā Kumu Hoʻopiʻi no nā Lāʻau Kuhikuhi Part D in Mokuna 2 o keia puke



Pono ʻoe e faila i kāu hoʻopiʻi i loko o 60 mau lā ʻelima ma hope o ka hanana Hiki iā ʻoe ke waiho i kāu hoʻopiʻi ma ke ʻano maʻamau ma ke kākau ʻana ma ka helu wahi i helu ʻia ma lalo o Nā Hoʻopiʻi no ka Lawelawe Lapaʻau a i ʻole Nā Kumu Hoʻopiʻi no ka Lawelawe Lapaʻau a me Nā Hoʻopiʻi no nā Lāʻau Kuhikuhi Part D a i ʻole Nā Kumu Hoʻopiʻi no nā Lāʻau Kuhikuhi Part D in Mokuna 2 o keia puke

Pono mākou e hoʻomaopopo iā ʻoe i kā mākou hoʻoholo e pili ana i kāu hoʻopiʻi e like me ka wikiwiki o kāu hihia e pili ana i kāu kūlana olakino akā ma hope o 30 mau lā ʻalena ma hope o ka loaʻa ʻana o kāu hoʻopiʻi Hiki iā mākou ke hoʻolōʻihi i ke kaʻina manawa a hiki i ka 14 mau lā ʻalena inā ʻoe e noi no ka hoʻolōʻihi a inā mākou e hōʻoia i ka pono no ka ʻike hou aku a no kou pono ka lohi

I kekahi mau hihia he kuleana kou e noi i ka loiloi wikiwiki ʻana i kāu hoʻopiʻi Kapa ʻia kēia ʻo Expedited Grievance Procedure Loaʻa iā ʻoe ka loiloi wikiwiki o kāu hoʻopiʻi inā ʻaʻole ʻoe e kūlike me kā mākou hoʻoholo i nā ʻano aʻe

Hōʻole mākou i kāu noi no ka loiloi wikiwiki o kahi noi no ka mālama olakino a i ʻole Part D lāʻau Hōʻole mākou i kāu noi no ka loiloi wikiwiki o kahi hoʻopiʻi no nā lawelawe i hōʻole ʻia a i ʻole nā Part D ʻāpana Hoʻoholo mākou i kahi manawa hou e nānā ai i kāu noi no ka mālama olakino Hoʻoholo mākou i kahi manawa hou e nānā ai i kāu hoʻopiʻi no ka mālama olakino i hōʻole ʻia

Ua hiki nō iā ʻoe ke waiho mai i kēia ʻano hoʻohalahala nei ma ke kāhea kelepona ʻana mai i ke keʻena Kōkua Lālā me ka helu ma ʻili hope loa o kēia pepelu nei Ua hiki pū ke waiho mai i kekahi hoʻohalahala ma ke kākau ʻana mai i ka helu wahi i hoʻopaʻa ʻia ma lalo o Nā hoʻopiʻi no nā kōkua uhi lāʻau kuhikuhi a ka Part D a i ʻole Nā hoʻohalahala e pili ana i nā lāʻau kuhikuhi no ka Part D i loko o ka Mokuna 2 o kēia pepelu nei I ka loaʻa ʻana mai o ka hoʻopiʻi lawehala hoʻohikiwawe ʻia (hoʻohalahala) e nānā hou ʻia ana no hoʻi kāu hihia no ka ʻimi ʻana aku i ke kumu i hōʻole ʻia ai o kāu noi no ka nānā hōʻeleu ʻana a i ʻole inā kūpono ka hoʻolōʻihi ʻana ʻia o kāu hihia



bull Inā ʻoe e kāhea a kākau paha e hoʻokaʻaʻike koke aku iā ʻoe i nā lawelawe lālā Pono e hana i ka hoʻopiʻi ma loko o 60 mau lā ʻelima ma hope o kou loaʻa ʻana o ka pilikia āu e makemake ai e hoʻopiʻi

bull Inā e hana nei ʻoe i kekahi hoʻohalahala no ka hōʻole ʻana ʻia kāu noi e mākou no kekahi hoʻoholo koho wikiwiki a i ʻole kekahi hoʻopiʻi wikiwiki e haʻawi wale aku ana mākou iā ʻoe ka hoʻohalahala wikiwiki Inā loaʻa iā ʻoe kekahi hoʻohalahala wikiwiki o ka manaʻo o kēlā e haʻawi ana mākou iā ʻoe kekahi hāʻina i loko o 24 hola


ʻO ka mea a kēia ʻāpana i kapa ai he hoʻopiʻi hoʻopiʻi kapa ʻia hoʻi he hoʻopiʻi wikiwiki

ʻAnuʻu 2 Nānā mākou i kāu hoʻopiʻi a hāʻawi iā ʻoe i kā mākou pane

bull Inā hiki e pane koke mākou iā ʻoe Inā ʻoe e kāhea iā mākou me kahi hoʻopiʻi hiki iā mākou ke hāʻawi iā ʻoe i kahi pane ma ke kelepona like Inā koi kou olakino iā mākou e pane wikiwiki e hana mākou i kēlā

bull ʻO ka hapa nui o nā hoʻopiʻi e pane ʻia ana ma loko o 30 mau lā ʻelena Inā makemake mākou i ka ʻike hou aʻe a ʻo ka lohi i kāu makemake maikaʻi a i ʻole inā ʻoe e noi no ka manawa hou hiki iā mākou ke lawe i 14 mau lā ʻē aʻe (44 mau lā alemanaka) e pane i kāu hoʻopiʻi Inā hoʻoholo mākou e lawe i nā lā keu e haʻi mākou iā ʻoe ma ke kākau ʻana

bull Inā ʻaʻole mākou e ʻaelike me kekahi a i ʻole o kāu hoʻopiʻi āpau a i ʻole lawe i ke kuleana no ka pilikia āu e hoʻopiʻi nei e hōʻike mākou iā ʻoe E hoʻopili kā mākou pane i nā kumu o kēia pane Pono mākou e pane inā ʻaelike mākou me ka hoʻopiʻi a ʻaʻole paha

Pauku 104 Hiki iā ʻoe ke hana i nā hoʻopiʻi e pili ana i ka maikaʻi o ka mālama ʻana i ka ʻOihana Hoʻonohonoho Pono

Hiki iā ʻoe ke hana i kāu hoʻopiʻi e pili ana i ka maikaʻi o ka mālama i loaʻa iā ʻoe ma ka hoʻohana ʻana i ke kaʻina hana i hōʻike ʻia ma luna

Ke pili ana kāu hoʻopiʻi iā ka maikaʻi o ka mālama ʻelua mau koho keu ʻē aʻe āu

bull Hiki iā ʻoe ke hana i kāu hoʻopiʻi i ka ʻOihana Hoʻonā Hou Inā makemake ʻoe hiki iā ʻoe ke hana i kāu hoʻopiʻi e pili ana i ka maikaʻi o ka mālama i loaʻa pololei iā ʻoe i kēia ʻoihana (me ka ʻole ʻo e hoʻopiʻi nei iā mākou)



He hui ka hoʻomaikaʻi hoʻomaikaʻi kahi hui o nā kauka hana a me nā loea mālama ola ʻē aʻe i uku ʻia e ke aupuni Pekelala e nānā a hoʻomaikaʻi i ka mālama i hāʻawi ʻia iā Medicare nā mea maʻi

E ʻike ai i ka inoa ka helu wahi a me ka helu kelepona o ka hoʻonohonoho hoʻomaikaʻi hoʻomaikaʻi ʻana no kāu mokuʻāina e nānā ma ka Mokuna 2 ʻĀpana 4 o kēia puke Inā hoʻopiʻi ʻoe i kēia hui e hana pū mākou me lākou e hoʻoponopono i kāu hoʻopiʻi

bull A i ʻole hiki iā ʻoe ke hoʻopiʻi i kāu ʻelua i ka manawa like Inā makemake ʻoe hiki iā ʻoe ke hana i kāu hoʻopiʻi e pili ana i ka maikaʻi o ka mālama ʻana iā mākou a me ka Quality Improvement Organization

Pauku 105 Hiki iā ʻoe ke haʻi iā Medicare e pili ana i kāu hoʻopiʻi

Hiki no iā ʻoe ke waiho pololei aku i kekahi hoʻohalahala i ka Hui ʻInikua Mālama Olakino e pili ana i ka Wellcare ʻOhana No Premium (HMO) No ka waiho ʻana i kekahi hoʻohalahala i ka hui Medicare e hele aku ma wwwmedicaregovMedicareComplaintFormhomeaspx Lawe nui ʻo Medicare i kāu hoʻopiʻi ʻana a hoʻohana i kēia ʻike e kōkua i ka hoʻomaikaʻi ʻana i ka maikaʻi o ka papahana Medicare

Inā he manaʻo ʻē aʻe a hopohopo paha kāu a i ʻole inā manaʻo ʻoe ʻaʻole e kamaʻilio ana ka hoʻolālā i kāu pilikia e ʻoluʻolu e kāhea iā 1-800-MEDICARE (1-800-633-4227) TTYTDD users can call 1-877-486-2048

MOKUNA 10Ke hoʻopau nei i kāu lālā i ka hoʻolālā

2022 Hōʻike o ka uhi ʻana no Wellcare Ohana No Premium (HMO) 307Mokuna 10 Ke hoʻopau nei i kāu lālā i ka hoʻolālā

Mokuna 10 Ke hoʻopau nei i kāu lālā i ka hoʻolālā

PAUKU 1 Hoʻomaka 308Pauku 11 Kuhi kēia ʻāpana i ka hoʻopau ʻana i kāu lālā i kā mākou

hoʻolālā 308PAUKU 2 Āhea hiki iā ʻoe ke hoʻopau i kou lālā i kā mākou

hoʻolālā 308Pauku 21 Hiki iā ʻoe ke hoʻopau i kou lālā i ka wā kau inoa makahiki 308Pauku 22 Hiki iā ʻoe ke hoʻopau i kou noho lālā ʻana ma ka wā kau inoa

Medicare Advantage Open Enrolment 309Pauku 23 I kekahi mau hanana hiki iā ʻoe ke hoʻopau i kou lālā i ka wā

kau inoa kūikawā 310Pauku 24 Ma hea ʻoe e kiʻi ai i ka ʻike hou aku e pili ana i ka wā e hiki

ai iā ʻoe ke hoʻopau i kou lālā 311PAUKU 3 Pehea ʻoe e hoʻopau ai i kou lālā ʻana i kā mākou

papahana 312Pauku 31 Maʻamau hoʻopau ʻoe i kou lālā ma ke kākau inoa ʻana i kahi

hoʻolālā ʻē aʻe 312PAUKU 4 A pau kou lālā pono ʻoe e hoʻomau i ka lawelawe

ʻana i kāu lawelawe olakino a me nā lāʻau i loko o kā mākou papahana 314

Pauku 41 A hiki i ka pau ʻana o kou lālā he lālā nō ʻoe no kā mākou hoʻolālā 314

PAUKU 5 Pono mākou e hoʻopau i kou noho lālā ʻana i ka papahana i kekahi mau hanana 314

Pauku 51 Āhea mākou e hoʻopau ai i kou lālā i ka hoʻolālā 314Pauku 52 ʻAʻole hiki iā mākou ke hana noi iā ʻoe e haʻalele i kā mākou

hoʻolālā no nā kumu pili i kou olakino 315Pauku 53 He kuleana nō kāu e hoʻopiʻi inā e hoʻopau mākou i kou lālā

ʻana i kā mākou papahana 315


PAUKU 1 Hoʻomaka

Pauku 11 Kuhi kēia ʻāpana i ka hoʻopau ʻana i kāu lālā i kā mākou hoʻolālā

Ka hoʻopau ʻana aku i kou noho lālā ʻana me Wellcare ʻOhana No Premium (HMO) ʻaia no paha iā ʻoe ke koho (kou kuleana koho ponoʻī) a i ʻole me ka ʻae ʻole ʻia (ʻaʻohe kuleana koho)

bull E haʻalele paha ʻoe i kā mākou hoʻolālā no ka mea ua hoʻoholo ʻoe makemake e haʻalele

Aia wale kekahi mau manawa i ka makahiki a i ʻole kekahi mau hanana ke hoʻopau manawaleʻa nei ʻoe i kou lālā i ka hoʻolālā ʻTellslelo ka ʻāpana 2 iā ʻoe ke manawa hiki iā ʻoe ke hoʻopau i kou lālā ʻana i ka hoʻolālā

ʻO ke kaʻina hana no ka hoʻopau manawaleʻa ʻana i kou lālā ma muli o ke ʻano o ka uhi hou āu e koho ai ʻSectionlelo ka ʻĀpana 3 iā ʻoe pehea e hoʻopau ai i kou lālā ʻana i kēlā me kēia kūlana

bull Aia kekahi mau kūlana palena ʻole kahi āu e koho ai e haʻalele akā koi ʻia mākou e hoʻopau i kāu lālā ʻLelo ka ʻĀpana 5 iā ʻoe e pili ana i nā hanana ke hoʻopau mākou i kou lālā

Inā paha ke haʻalele nei ʻoe i ka mākou papahana ʻinikua pono ʻoe e hoʻomau aku i ka loaʻa ʻana aku o ke kōkua mālama ʻia ʻana ma lalo o mākou a i ka pau ʻana aku o kāu noho lala ʻana me mākou

PAUKU 2 Āhea hiki iā ʻoe ke hoʻopau i kou lālā i kā mākou hoʻolālā

Hiki paha iā ʻoe ke hoʻopau i kou lālā ʻana i kā mākou papa hana i nā manawa wale nō o ka makahiki i ʻike ʻia ʻo nā wā kau inoa Loaʻa i nā lālā āpau ka manawa kūpono e haʻalele i ke kumumanaʻo i loko o ka wā kākau inoa makahiki a i ka wā Medicare Advantage Open Enrollment Period I kekahi mau hanana hiki paha iā ʻoe ke haʻalele i ka hoʻolālā i nā manawa ʻē aʻe o ka makahiki

Pauku 21 Hiki iā ʻoe ke hoʻopau i kou lālā i ka wā kau inoa makahiki

Hiki iā ʻoe ke hoʻopau i kou lālā ma ka wā Wā Hoʻokomo makahiki (ʻo ia hoʻi ka Manawa Hoʻomaka Hakahaka) ʻO kēia ka manawa e pono ai ʻoe e loiloi i kou uhi olakino a me ka hoʻoholo ʻana e pili ana i kāu uhi no ka makahiki e hiki mai ana


bull I ka makahiki hea ke kākau inoa Hana ʻia kēia mai ʻOkakopa 15 a i Kekemapa 7

bull He aha ke ʻano o ka hoʻolālā hiki iā ʻoe ke hoʻololi i ka wā o ka hoʻopaʻa inoa makahiki Hiki iā ʻoe ke koho e mālama i kāu uhi o kēia manawa a i ʻole hoʻololi i kāu uhi no ka makahiki e hiki mai ana Inā hoʻoholo ʻoe e hoʻololi i kahi hoʻolālā hou hiki iā ʻoe ke koho i kekahi o nā ʻano o nā hoʻolālā

ʻO kekahi papahana olakino Medicare (Hiki iā ʻoe ke koho i kahi hoʻolālā e uhi i nā lāʻau i kuhikuhi ʻia a i ʻole i uhi ʻole i nā lāʻau i kuhikuhi ʻia)

ʻO Medicare kumu me kahi hoʻolālā lāʻau lāʻau Medicare ʻokoʻa - a i ʻole - Medicare kumu me ka ʻole kahi papa lāʻau lāʻau ʻoka lāʻau Medicare ʻokoʻa

Inā loaʻa iā ʻoe nā Kōkua keu mai Medicare e uku ai i kāu lāʻau lapaʻau Inā ʻoe e hoʻololi i Original Medicare a ʻaʻole ʻoe e kākau inoa i kahi hoʻolālā lāʻau lāʻau lapaʻau Medicare hiki iā Medicare ke hoʻokomo iā ʻoe i loko kahi hoʻolālā lāʻau inā ʻaʻole ʻoe i haʻalele i ke kākau inoa ʻana

Kahakaha Inā haʻalele ʻoe i ke kuhi lāʻau lapaʻau Medicare a hele me ka uhi ole ana o ka lāʻau lapaʻau no ka 63 a oi mau lā ma ka lālani pono pahaʻoe e uku i ka uku D ma hope o ka hoʻopaʻi inoa inoa inā komo oukou i ka lāʻau Medicare hoʻolālā ma hope (Ka hōʻaiʻē Creditable ke kumu o ka uku e manaʻo ʻia e uku ma ka awelika ma ka liʻiliʻi e like me ke ʻano o ka lāʻau lapaʻau lāʻau lapaʻau maʻamau a Medicare) E ʻike i ka Mokuna 1 ʻĀpana 5 no ka ʻike hou aku e pili ana i ka hoʻopaʻi no ke kākau inoa ʻana

bull Āhea e pau ai kou lālā E pau kou lālā ʻana ke hoʻomaka ka uhi ʻana o kāu hoʻolālā ma Ianuali 1

Pauku 22 Hiki iā ʻoe ke hoʻopau i kou noho lālā ʻana ma ka wā kau inoa Medicare Advantage Open Enrolment

Loaʻa iā ʻoe ka manawa kūpono e hana ai i hoʻokahi hoʻololi i kāu uhi olakino i ka wā Medicare Advantage Open Enrolment Period

bull Āhea ka makahiki Medicare Advantage Open Enrollment Period Hana kēia i kēlā me kēia makahiki mai Ianuali 1 a Malaki 31

bull He aha ke ʻano o ka hoʻolālā hiki iā ʻoe ke hoʻololi i loko o ka wā Medicare Advantage Open Enrollment Period I kēia manawa hiki iā ʻoe ke


E kuapo i kahi hoʻolālā Medicare Advantage Plan ʻē aʻe (Hiki iā ʻoe ke koho i kahi hoʻolālā e uhi i nā lāʻau i kuhikuhi ʻia a i ʻole i uhi ʻole i nā lāʻau i kuhikuhi ʻia)

E haʻalele i kā mākou papa hana a loaʻa ka uhi ma o Original Medicare Inā koho ʻoe e hoʻololi i Original Medicare i kēia wā hiki iā ʻoe ke komo pū i kahi hoʻolālā lāʻau lapaʻau Medicare i hoʻokaʻawale ʻia i kēlā manawa

bull Āhea e pau ai kou lālā E pau kou lālā ʻana i ka lā mua o ka mahina ma hope o kou kākau inoa ʻana i kahi hoʻolālā Medicare Advantage ʻokoʻa a i ʻole ke noi iā mākou e hoʻololi iā Original Medicare Inā koho ʻoe e kākau inoa i loko o kahi hoʻolālā lāʻau lāʻau lāʻau Medicare e hoʻomaka ana kou lālā ʻana i ka hoʻolālā lāʻau i ka lā mua o ka mahina ma hope o ka loaʻa ʻana o ka palapala noi lāʻau i kāu noi komo

Pauku 23 I kekahi mau hanana hiki iā ʻoe ke hoʻopau i kou lālā i ka wā kau inoa kūikawā

I kekahi manawa hiki paha i nā lālā ma lalo o Wellcare ʻOhana No Premium (HMO) i kūpono nā ʻano kūlana no ka hoʻopau ʻana i kō lākou noho lālā ʻana i nā manawa ʻē aʻe o ka Makahiki Maopopo ʻia hoʻi kēia Ka Wā Kāinoa Komo Kūikawā

bull ʻO wai ka mea i kūpono no kahi wā kau inoa kūikawā Inā pili kekahi o kēia mau kūlana iā ʻoe hiki paha iā ʻoe ke hoʻopau i kou lālā ʻana i ka wā kau inoa kūikawā He mau laʻana wale nō kēia no ka papa inoa piha hiki iā ʻoe ke kāhea i ka hoʻolālā kāhea iā Medicare a i ʻole kipa i ka pūnaewele Medicare (wwwmedicaregov)

ʻO ka maʻamau ke neʻe ʻoe Inā he Medicaid kāu Inā kūpono ʻoe i Kōkua keu me ka uku ʻana no kāu kau lāʻau Medicare Inā hōʻole mākou i kā mākou ʻaelike me ʻoe Inā ʻoe e mālama nei i kahi ʻoihana e like me ka home kahu hānai a i ʻole ka haukapila mālama wā lōʻihi (LTC)

Kahakaha Inā ʻoe i kahi papahana mālama lāʻau ʻaʻole hiki iā ʻoe ke hoʻololi i nā hoʻolālā ʻO ka Mokuna 5 Pauku 10 e haʻi hou aku ai iā ʻoe e pili ana i nā polokalamu hoʻokele lāʻau

bull Āhea nā wā kau inoa kūikawā Hoʻololi nā manawa kau inoa ma muli o kāu kūlana


bull He aha kāu e hana ai E ʻike inā kūpono ʻoe no kahi Wae Hoʻokomo Kūpono e ʻoluʻolu e kāhea iā Medicare ma 1-800-MEDICARE (1-800-633-4227) 24 mau hola i ka lā 7 lā o ka pule Kāhea nā mea hoʻohana TTY iā 1-877-486-2048 Inā kūpono ʻoe e hoʻopau i kou noho lālā ʻana ma muli o kahi kūlana kūikawā hiki iā ʻoe ke koho e hoʻololi i kāu kaola olakino Medicare a me ka uhi lāʻau lāʻau ʻO kēia ka mea hiki iā ʻoe ke koho i kekahi o nā ʻano o nā hoʻolālā


ʻO Medicare kumu me kahi hoʻolālā lāʻau lāʻau Medicare ʻokoʻa - a i ʻole - ʻO Medicare kumu me ka ʻole kahi hoʻolālā lāʻau lāʻau Medicare ʻokoʻa

Inā loaʻa iā ʻoe ka Kōkua keu mai Medicare e uku ai i kāu lāʻau lapaʻau Inā ʻoe e kuapo i Original Medicare a ʻaʻole ʻoe e kākau inoa i kahi hoʻolālā lāʻau lāʻau Medicare ʻokoʻa hiki iā Medicare ke hoʻokomo iā ʻoe i kahi hoʻolālā lāʻau ke ʻole ʻoe i kāpae i ke kākau inoa ʻana

Kahakaha Inā haʻalele ʻoe i ke kuhi lāʻau lapaʻau Medicare a hele me ka uhi ole ana o ka lāʻau lapaʻau no ka wā holo mau o 63 mau lā a keu paha pono pahaʻoe e uku i kahi uku D ma hope o ka hoʻopaʻi inoa inoa inā komoʻoe i Medicare hoʻolālā lāʻau ma hope (Ka hōʻaiʻē Creditable ke kumu o ka uku e manaʻo ʻia e uku ma ka awelika ma ka liʻiliʻi e like me ke ʻano o ka lāʻau lapaʻau lāʻau lapaʻau maʻamau a Medicare) E ʻike i ka Mokuna 1 ʻĀpana 5 no ka ʻike hou aku e pili ana i ka hoʻopaʻi no ke kākau inoa ʻana

bull Āhea e pau ai kou lālā E pau pinepine kāu lālā ma ka lā mua o ka mahina ma hope o ka loaʻa ʻana o kāu noi e hoʻololi i kāu hoʻolālā

Pauku 24 Ma hea ʻoe e kiʻi ai i ka ʻike hou aku e pili ana i ka wā e hiki ai iā ʻoe ke hoʻopau i kou lālā

Inā he nīnau kāu a makemake paha ʻoe i ka ʻike hou aku i ka wā hiki iā ʻoe ke hoʻopau i kou lālā


bull Hiki iā ʻoe ke ʻike i ka ʻike ma ka puke heluhelu Medicare amp You 2022 Loaʻa i kēlā me kēia kanaka me Medicare kahi kope o ka Medicare amp You 2022 puke lima i kēlā me kēia hāʻule Loaʻa kēlā mau mea hou iā Medicare iā ia i loko o hoʻokahi mahina ma hope o ke kau inoa mua ʻana


Hiki iā ʻoe ke hoʻoiho i kahi kope mai ka pūnaewele Medicare (wwwmedicaregov) A i ʻole hiki iā ʻoe ke kauoha i kahi kope i paʻi ʻia ma ke kāhea ʻana iā Medicare ma ka helu ma lalo

bull Hiki iā ʻoe ke hoʻokaʻaʻike iā Medicare ma 1-800-MEDICARE (1-800-633-4227) 24 mau hola i ka lā 7 lā o ka pule Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048

PAUKU 3 Pehea ʻoe e hoʻopau ai i kou lālā ʻana i kā mākou papahana

Pauku 31 Maʻamau hoʻopau ʻoe i kou lālā ma ke kākau inoa ʻana i kahi hoʻolālā ʻē aʻe

ʻO ka maʻamau e hoʻopau i kou lālā ʻana i kā mākou papahana kau inoa wale ʻoe i kahi papahana Medicare ʻē aʻe i kekahi o nā wā kau inoa (e ʻike i ka ʻĀpana 2 ma kēia mokuna no ka ʻike e pili ana i nā wā kau inoa) Eia nō naʻe inā makemake ʻoe e kuapo mai kā mākou hoʻolālā i Original Medicare me ka ʻole o kahi hoʻolālā lāʻau lāʻau Medicare pono ʻoe e noi e haʻalele ʻia mai kā mākou papahana ʻElua ala e hiki ai iā ʻoe ke noi e haʻalele ʻia i kāu inoa

bull Hiki iā ʻoe ke noi i ke kākau ʻana iā mākou Kāhea aku i nā lawelawe lālā inā makemake ʻoe i ka ʻike hou aku e pili ana pehea e hana ai i kēia (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)

bull - a i ʻole - Hiki iā ʻoe ke kelepona iā Medicare ma 1-800-MEDICARE (1-800-633-4227) 24 mau hola i ka lā 7 lā o ka pule Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048

Kahakaha Inā haʻalele ʻoe i ke kuhi lāʻau lapaʻau Medicare a hele me ka uhi ole ana o ka lāʻau lapaʻau no ka wā mau o 63 mau lā a keu paha pono pahaʻoe e uku i kahi uku D ma hope o ke kau inoa inoa inā piliʻoe i Medicare hoʻolālā lāʻau ma hope (Ka hōʻaiʻē Creditable ke kumu o ka uku e manaʻo ʻia e uku ma ka awelika ma ka liʻiliʻi e like me ke ʻano o ka lāʻau lapaʻau lāʻau lapaʻau maʻamau a Medicare) E ʻike i ka Mokuna 1 ʻĀpana 5 no ka ʻike hou aku e pili ana i ka hoʻopaʻi no ke kākau inoa ʻanaHōʻike ka papa ma lalo nei pehea ʻoe e hoʻopau ai i kou lālā ʻana i kā mākou papahana


Inā makemake ʻoe e kuapo mai kā mākou hoʻolālā i

ʻO kēia kāu e hana ai

bull ʻO kekahi papahana olakino Medicare

bull E kāinoa komo aku ma kēlā papahana ʻinikua mālama olakino Medicare hou E wehe wale ʻia no hoʻi kou kūlana kāinoa Wellcare ʻOhana No Premium (HMO) i ka hoʻomaka ʻana aku o kāu kōkua uhi a kāu papahana ʻinikua hou

bull ʻO Medicare kumu me kahi papa lāʻau lāʻau ʻoka lāʻau Medicare ʻokoʻa

bull E kāinoa komo aku ma kēlā papahana ʻinikua lāʻau kuhikuhi hou a ka ʻInikua mālama olakino makule E wehe wale ʻia no hoʻi kou kūlana kāinoa Wellcare ʻOhana No Premium (HMO) i ka hoʻomaka ʻana aku o kāu kōkua uhi a kāu papahana ʻinikua hou

bull ʻO Medicare kumu me ka ʻole kahi hoʻolālā lāʻau lāʻau Medicare ʻokoʻa

Kahakaha Inā haʻalele ʻoe i kahi hoʻolālā lāʻau lāʻau Medicare a hele aku me ka ʻole o ka uhi ʻia ʻana o ka lāʻau i kauoha ʻia no 63 mau lā a ʻoi aʻe paha i ka lālani pono paha ʻoe e uku i kahi hoʻopaʻi no ke kākau inoa inā hoʻokomo ʻoe i kahi papa lāʻau lāʻau Medicare ma hope E ʻike i ka Mokuna 1 ʻĀpana 5 no ka ʻike hou aku e pili ana i ka hoʻopaʻi no ke kākau inoa ʻana

bull E hoʻouna iā mākou i kahi noi palapala e haʻalele i ka inoa Kāhea aku i nā lawelawe lālā inā makemake ʻoe i ka ʻike hou aku e pili ana pehea e hana ai i kēia (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)

bull Hiki iā ʻoe ke hoʻokaʻaʻike iā Medicare ma 1-800-MEDICARE (1-800-633-4227) 24 mau hola i ka lā 7 lā o ka pule a noi e haʻalele ʻia kou inoa Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048

bull E wehe ʻia no hoʻi kou kūlana kāinoa Wellcare ʻOhana No Premium (HMO) i ka hoʻomaka ʻana aku o kāu kōkua uhi a kāu papahana ʻinikua Original Medicare hou


PAUKU 4 A pau kou lālā pono ʻoe e hoʻomau i ka lawelawe ʻana i kāu lawelawe olakino a me nā lāʻau i loko o kā mākou papahana

Pauku 41 A hiki i ka pau ʻana o kou lālā he lālā nō ʻoe no kā mākou hoʻolālā

Inā haʻalele ʻoe i kō mākou papahana ʻinikua ʻano lōʻihi ana paha au e kali aku ai a hoʻopau ʻia aku kou noho lālā ʻana a Laila e hoʻomaka aku ka hana a kāu kōkua uhi ʻInikua Mālama Olakino Makule hou (e nānā aku i ka māhele 2 o kēia mokuna nei no nā manaʻo e pili ana i nā wā kāinoa komo) I kēia manawa nei pono ʻoe e hoʻmau aku i ke kiʻi ʻana i kāu mau lāʻau maō ka mākou papahana ʻinikua)

bull E hoʻomau aku no ʻoe i ka hoʻohana ʻana aku ka mākou ʻōnaehana hale kūʻai lāʻau no ka hoʻopiha ʻana aku i kāu mau lāau kuhikuhi a i ka wā e pau aku ai ka mana o kou noho lālā ʻana me mākou O ka maʻamau hiki wale no ke uhi ʻia kāu mau lāʻau kuhikuhi inā e hoʻopiha ʻia ma kekahi ʻōnaehana hale kūʻai lāʻau a pēia pū me ka mākou kōkua hale kūʻai lāʻau ʻoka a hoʻouna

bull Inā ua hoʻopaʻa ʻia paha ʻoe ma kekahi haukapila i ka lā i pau ai kou noho lālā ʻana o ka hana maʻamau uhi ʻia no hoʻi kou noho haukapila ʻana e papahana inikua a hiki aku i ka la e hoʻokuʻu ia aku ai ʻoe (pēia pū no hoʻi inā ua hoʻokuʻu ʻia ʻoe ma hope mai o ka hoʻomaka ʻana aku o kāu kōkua uhi mālama olakino hou)

PAUKU 5 Pono mākou e hoʻopau i kou noho lālā ʻana i ka papahana i kekahi mau hanana

Pauku 51 Āhea mākou e hoʻopau ai i kou lālā i ka hoʻolālā

Pono hoʻi mākou e hoʻopau aku i kou noho lālā ʻana ma ka papahana ʻinikua inā puka mai kekahi o kēia mau kūlana ʻano

bull Inā ʻaʻole loaʻa hou iā ʻoe ka Inikua Mālama Olakino Part A a i ʻole ka Part B bull Inā hele ʻoe i waho o kā mākou wahi lawelawe bull Inā ʻoe e haʻalele i kā mākou wahi lawelawe no nā mahina ʻeono

Inā neʻe ʻoe a hele paha i kahi huakaʻi lōʻihi pono ʻoe e kāhea i nā lawelawe ʻo Member e ʻike inā ma kahi o kā mākou hoʻolālā kahi āu e neʻe nei a huakaʻi ai paha (Paʻi ʻia nā helu kelepona no nā lawelawe lālā ma ka uhi hope o kēia puke)


bull Inā lilo ʻoe i hale paʻahao (e hele i ka hale paʻahao) bull Inā ʻaʻole ʻoe he kamaʻāina ʻAmelika Hui Pū ʻIa a i ʻole kū kānāwai ma ʻAmelika Hui Pū ʻIa

bull Inā ʻoe e wahaheʻe a paʻa paha i ka ʻike e pili ana i nā inikua ʻē aʻe iā ʻoe e hāʻawi nei i ka uhi lāʻau lāʻau

bull Inā koi ʻia ʻoe e uku i ka ʻāpana Part D hou aʻe ma muli o kāu loaʻa kālā a ʻaʻole ʻoe e uku aku Medicare e haʻalele iā ʻoe mai kā mākou hoʻolālā a e lilo ana kāu lāʻau i lāʻau lapaʻau

Ma hea e hiki ai iā ʻoe ke kiʻi hou aku i ka ʻikeInā he mau nīnau kāu a makemake paha ʻoe i ka ʻike hou aʻe i ka wā e hiki ai iā mākou ke hoʻopau i kou lālā

bull Hiki iā ʻoe ke kelepona iā Nā lawelawe lālā no ka ʻike hou aku (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke)

Pauku 52 ʻAʻole hiki iā mākou ke hana noi iā ʻoe e haʻalele i kā mākou hoʻolālā no nā kumu pili i kou olakino

ʻAʻole ʻae ʻia kō mākou papahana ʻinikua i ka noi ʻana aku iā ʻoe e haʻalele aku i kō mākou papahana ʻinikua no nā ʻano o ke kumu i pili i kou olakino

He aha kāu e hana ai inā kū kēiaInā manaʻo ʻoe e noi ʻia ʻoe e haʻalele i kā mākou hoʻolālā no ke kumu pili i ke olakino pono ʻoe e kāhea iā Medicare ma 1-800-MEDICARE (1-800-633-4227) Pono nā mea hoʻohana TTY e kāhea iā 1-877-486-2048 Hiki iā ʻoe ke kāhea he 24 mau hola i ka lā 7 mau lā o ka pule

Pauku 53 He kuleana nō kāu e hoʻopiʻi inā e hoʻopau mākou i kou lālā ʻana i kā mākou papahana

Inā hoʻopau mākou i noho lālā ʻana ma kō mākou papahana ʻinikua pono no hoʻi mākou e haʻi aku iā ʻoe ke kumu o ka hoʻopau ʻana ʻia o kou noho lālā ʻana Pono pū no hoʻi mākou e wehewehe aku iā ʻoe pehea e hana ai i kekahi hoʻopiʻi lawehala a i ʻole hiki ke hana aku i kekahi hoʻohalahala e pili i ka mākou i koho ai e hoʻopau aku i kou noho lālā ʻana Hiki iā ʻoe ke nānā aku i ma loko o ka Mokuna 9 māhele 10 no nā manaʻo pehea e hana ai i kekahi hoʻohalahala

MOKUNA 11Nā leka hoʻomaopopo

2022 Hōʻike o ka uhi ʻana no Wellcare Ohana No Premium (HMO) 317Mokuna 11 Nā leka hoʻomaopopo

Mokuna 11 Nā leka hoʻomaopopo

PAUKU 1 Hoʻolaha e pili ana i ke kānāwai aupuni 318PAUKU 2 Hoʻolaha e pili ana i ka hoʻokae ʻole 318PAUKU 3 Hoʻolaha e pili ana i nā pono subrogation o ka mea uku

ʻelua Medicare 319PAUKU 4 Ka loaʻa hou ʻana o nā waiwai no nā pono kōkua i uku ʻia

e kō mākou papahana ma lalo o ka papahana ʻinikua ʻo Wellcare ʻOhana No Premium (HMO) 319

PAUKU 5 Kāleka lālā 322PAUKU 6 Mau aelike kuokoa 322PAUKU 7 Hana hoʻopunipuni hoʻolālā mālama ola 323PAUKU 8 Nā kūlana ma ʻō aku o ka hoʻolālā o ka hoʻolālā 323


PAUKU 1 Hoʻolaha e pili ana i ke kānāwai aupuni

Pili nā kānāwai he nui i kēia Hōʻoiaʻiʻo o ke Coverage a pili kekahi mau mea hou aʻe no ka mea koi ʻia e ke kānāwai Hoʻopili paha kēia i kāu mau kuleana a me kāu kuleana inā ʻaʻole i hoʻokomo ʻia a wehewehe ʻia nā kānāwai i kēia palapala ʻO ke kānāwai nui e pili ana i kēia palapala ʻo ia ke poʻo inoa XVIII o ke kānāwai mālama ola a me nā rula i hana ʻia ma lalo o ke kānāwai mālama ola e nā kikowaena no nā lawelawe Medicare amp Medicaid a i ʻole CMS Eia hou pili paha nā kānāwai Pekelala ʻē aʻe a ma lalo o kekahi mau kūlana nā kānāwai o ka mokuʻāina āu e noho nei

PAUKU 2 Hoʻolaha e pili ana i ka hoʻokae ʻole

Pono no hoʻi nā papahana ʻinikua a mākou e hahai aku i nā kānāwai no ka mālama mai iā ʻoe mai ʻĀʻole no hoʻi mākou e hoʻokae ʻili e pili ana i nā lāhui he kupa no kou pae ʻāina no ke kala o kou ʻili keka kāne a i ʻole wahine ka pae makahiki nā kīnā noʻonoʻo a i ʻole kīnā kino kou kulana olakino pae ʻike hana hoʻohalahala kou mōʻaukala maʻi na lako pilinā kālaiʻōewe kekahi hōʻoiʻa loaʻa ʻinikua a i ʻole ka wahi e noho nei ma kahi loaʻa ke kōkua ʻO nā ʻaha hui a pau e hoʻolako aku i nā papahana ʻinikua kōkua lāʻau kuhikuhi ʻInikua mālama olakino makule e like me ka mākou pono no hoʻi e hahai aku i nā kānāwai Pekelala e pili ana i ka hōʻokoʻa ʻana aku i kekahi komo pū ka Māhele VI o ke Kānāwai Pono Kiwila o ka Makahiki 1964 ke Kānawai Hoʻopolapola a ka Makahiki 1973 ke Kānawai Hōʻokoʻa Pae Makahiki o ka Makahiki 1975 ke Kānawai o nā Amelika me nā Kīnānā ka Māhele 1557 o ke Kānawai Kōkua Mālama Olakino Uku Kūpono a me nā kānāwai ʻēaʻe i pili no hoʻi i nā ʻaha hui I loaʻa nā kōkua waiwai kālā Pekelala a me nā ʻano kānāwai like ʻole ʻēaʻe a me nā lula i pili no hoʻi no kekahi mau kumu

Inā makemake ʻoe i ka ʻike hou aku a i ʻole he hopohopo e pili ana i ka hoʻokae a hana kūpono ʻole paha e ʻoluʻolu e kāhea i ke Keʻena ʻo Health and Human Services ʻOihana no nā Pono Kivila ma 1-800-368-1019 (TTY 1-800-537-7697) a i ʻole kāu Keʻena kūloko no nā Kuleana Kivila

Inā he kīnā kou a pono ʻoe e kōkua me ke kōkua e kōkua ai e ʻoluʻolu e kelepona iā mākou ma Nā lawelawe lālā (paʻi ʻia nā helu kelepona ma ka uhi hope o kēia puke) Inā loaʻa iā ʻoe kahi hoʻopiʻi e like me kahi pilikia me ka noho huila hiki i nā lawelawe lālā ke kōkua


PAUKU 3 Hoʻolaha e pili ana i nā pono subrogation o ka mea uku ʻelua Medicare

Loaʻa no hoʻi iā mākou ka pono a me ke kuleana no ka ʻohiʻohi ʻana aku i nā ʻaiʻē no nā kōkua uhi lāʻau kuhikuhi ʻnikua mālama olakino makule ʻoiai Medicare ʻaʻole no hoʻi ka hui ʻinikua mālama olakino Medicare ke kuleana uku kuakahi Wahi a nā lula o CMS ma ka kānawai 42 CFR māhele 422108 a me 423462 nā kā mākou papahana ʻinikua a ka Hui ʻInikua mālama olakinoMedicare Advantage a e hoʻohana pū no hoʻi lākou i nā pono like no ka ʻohiʻohi ʻana i nā koena ʻaiʻē i uku ʻole ʻia e like no me ka hana a ke Kākau ʻŌlelo e hana ai ma lalo o nā kānāwai CMS i hui pū ʻia me ka Part B a D pf ka māhele 411 o 42 CFR a o nā lula i hoʻopaʻa ʻia ma kēia māhele nei ua ʻoi aku ma mua o nā kānāwai mokuʻāina

PAUKU 4 Ka loaʻa hou ʻana o nā waiwai no nā pono kōkua i uku ʻia e kō mākou papahana ma lalo o ka papahana ʻinikua ʻo Wellcare ʻOhana No Premium (HMO)

Ke hōʻeha ʻoeInā ʻeha mau ʻoe lilo i maʻi a hoʻomōhala i kahi kūlana ma o nā kiʻina hana a kekahi kanaka ʻoihana a iā ʻoe iho (kahi ʻaoʻao kuleana) e hāʻawi kā mākou hoʻolālā i nā pono no nā lawelawe uhi i loaʻa iā ʻoe Eia nō naʻe inā loaʻa iā ʻoe ke kālā a kuleana paha e loaʻa kālā ma muli o kou ʻeha maʻi a kūlana paha inā ma o ka hoʻoponopono ʻana hoʻoholo ʻana a i ʻole nā uku ʻē aʻe e pili ana i kāu ʻeha maʻi a kūlana paha mālama kā mākou papahana a me a i ʻole nā lawelawe lawelawe ke kuleana e hoʻihoʻi i ka waiwai o nā lawelawe i hāʻawi ʻia iā ʻoe ma o kēia Palena e like me ke kānāwai Mokuʻāina pili

E like me ka mea i hoʻohana ʻia i loko o kēia hoʻolako ʻo ka huaʻōlelo kuleana kuleana ʻo ia hoʻi kēlā me kēia kanaka a i ʻole mea ʻona āpau a kuleana paha no kāu ʻeha maʻi a ʻano maʻi paha Aia i loko o ka ʻaoʻao ʻaoʻao kuleana ke kuleana a i ʻole kahi mea ʻinikua ʻē aʻe o ka mea kuleana a mea ʻona paha

ʻO kekahi mau laʻana pehea ʻoe e ʻeha ai lilo i maʻi a hoʻomōhala i kahi kūlana ma o nā kiʻina hana a ka ʻaoʻao kuleana ʻo

bull Aia ʻoe i kahi ulia kaʻa bull Pāheʻe ʻoe a hāʻule i kahi hale kūʻai a i ʻole bull Hōʻike ʻia ʻoe i kahi kemikino weliweli i ka hana


Pili ka kuleana o kā mākou papahana i kekahi a me nā nui āu i loaʻa ai mai ka ʻaoʻao kuleana e pili pū ana me ka palena ʻole i

bull Nā uku i hana ʻia e ka ʻaoʻao ʻekolu a i ʻole kekahi ʻoihana ʻinikua ma ka ʻaoʻao o ke kolu o ka ʻaoʻao

bull Ka uhi motorist ʻole insinsured a i ʻole underinsured bull Ka pale ʻana i ka ʻeha pilikino ʻaʻohe hewa a i ʻole nā uhi ʻaoʻao ʻē aʻe ʻē aʻe bull Nā uku a nā limahana a i ʻole Disability makana a i ʻole noho ʻana bull Uku uku uku lāʻau lapaʻau ma lalo o nā kulekele kaʻa nā wahi a i ʻole ka ka hoʻopiʻi ʻinikua a ka poʻe nona ka hale

bull Loaʻa nā hoʻoponopono i loaʻa mai ka hoʻopiʻi a i ʻole ka hana kū kānāwai bull Loaʻa i kekahi ʻōlelo hoʻoholo mai ka hoʻopiʻi ʻana a i ʻole ka hana kū kānāwai a i ʻole

bull Loaʻa nā uku ʻē aʻe mai nā kumu ʻē aʻe i uku no ka hana a ka ʻaoʻao ʻaoʻao kuleana

Ma kaʻae ʻana i nā pōmaikaʻi ma lalo o kēia Plan ʻae ʻoe he kuleana nui ko kā mākou papahana o ka subrogation a me ka uku e pili ana i ka wā i uku ai kēia Kālā i nā pono no nā lawelawe uhi ʻia i loaʻa iā ʻoe ma muli o nā kiʻina hana a i haʻalele ʻia paha o kahi ʻaoʻao kuleana a ʻo ʻoe a me kāu ʻelele ua loaʻa a ua kuleana ʻia e hoʻōla i kekahi kālā mai ka ʻaoʻao kuleana

Ma kaʻae ʻana i nā pōmaikaʻi ma lalo o kēia Plan hāʻawi ʻoe (i) i kā mākou hoʻolālā i kāu kuleana e hoʻōla i nā lilo olakino mai nā uhi āpau i loaʻa a hiki i ke kumukūʻai piha o nā lawelawe uhi āpau i hāʻawi ʻia e ka Plan e pili ana i kāu ʻeha maʻi a i ʻole kūlana a (ii) ʻae ʻoe e kuhikuhi kikoʻī i ka ʻaoʻao kuleana e uku pololei i ka Plan ma kou inoa

Ma kaʻae ʻana i nā pōmaikaʻi ma lalo o kēia Plan hāʻawi ʻoe i kā mākou papahana i ka uku no ka loaʻa hou ʻana ka hoʻoponopono ʻana a i ʻole ka hoʻoholo ʻana a i ʻole nā kumuwaiwai uku ʻē aʻe a me nā uku āpau no ke kumukūʻai piha o nā pono no nā lawelawe uhi ʻia i uku ʻia ma lalo o ka Plan e pili ana i kāu ʻeha maʻi a kūlana paha ma muli o ka nā kiʻina hana a i ʻole nā kiʻina hana i haʻalele ʻia o kahi ʻaoʻao kuleana Pili kēia mea nui me ka nānā ʻole inā ʻike maopopo ʻia ka nui o ke kālā ma ke ʻano he hoʻihoʻi no nā lilo lapaʻau a me ka nānā ʻole inā ua piha a uku piha ʻia ʻoe no kāu nalo Hiki i kā mākou hoʻolālā ke hoʻihoʻi i ke kumukūʻai holoʻokoʻa o nā pono āpau i hāʻawi ʻia e kēia Plan me ka nānā ʻole ʻana i kekahi kuleana o ka ʻaoʻao ma kāu ʻaoʻao inā ma ka mālama ʻole ʻana ʻAʻole hiki ke unuhi ʻia nā uku loio mai kā mākou hoʻolālā hoʻōla ʻana a


ʻaʻole koi ʻia kā mākou hoʻolālā e uku a hāʻawi paha i ka uku ʻana i nā koina o ka ʻaha a i ʻole nā uku a nā loio no ka loio i hoʻolimalima ʻia e alualu i ka hoʻopiʻi a i ʻole ka hoʻopiʻi e pili ana i kekahi ʻaoʻao kuleana

Nā anuu e pono ai ʻoe e laweInā ʻeha ʻoe lilo i maʻi a hoʻomōhala i kahi kūlana ma muli o ka ʻaoʻao kuleana pono ʻoe e laulima me kā mākou papahana a me a i ʻole nā kiʻina hana a ka mea lawelawe hana e hoʻōla i kāna mau lilo e like me

bull Ke haʻi nei i kā mākou papahana a i ʻole ka mea lawelawe hana e pili ana ka inoa a me ka helu wahi o ka ʻaoʻao kuleana a a i ʻole kāna loio inā ʻike ʻoe ka inoa a me ka helu wahi o kāu loio inā ʻoe e hoʻohana nei i kahi loio ka inoa a ka helu wahi o kekahi ʻoihana ʻinikua e pili ana me kahi wehewehe o ka hopena o ka ʻeha ka maʻi a me ke kūlana

bull Ke hoʻopiha nei i nā palapala a kā mākou papahana a i ʻole ka mea lawelawe hana e koi kūpono ai e kōkua i ka hoʻokō ʻana i ke kuleana a i ʻole ke kuleana o ka hoʻōla

bull Ke pane koke nei i nā nīnau mai kā mākou papahana a i ʻole ka mea lawelawe hana e pili ana i ke kūlana o ka hihia a i ʻole ka hoʻopiʻi a me nā kūkā kamaʻilio ʻana

bull Ke hoʻomaopopo koke nei i kā mākou hoʻolālā iā ʻoe a i kāu loio e loaʻa ana i kekahi kālā mai ka ʻaoʻao kuleana a i ʻole nā kumu ʻē aʻe

bull Ke uku nei i ka laikini mālama olakino a i ʻole ka hoʻihoʻi ʻana i ka hoʻolālā mai ka loaʻa hou ʻana ka hoʻoponopono ʻana a i ʻole ka hoʻoholo ʻana a i ʻole nā kumuwaiwai uku ʻē aʻe e like me ka uku ʻana i nā uku āpau ma muli o kā mākou hoʻolālā no ke kumukūʻai piha o nā pono i uku ʻia ma lalo o ka Plan e pili ana i kāu ʻeha maʻi a i ʻole ke kūlana ma muli o ka ʻaoʻao kuleana me ka nānā ʻole inā ʻike maopopo ʻia e like me ka hoʻōla hou ʻana no nā lilo lapaʻau a me ka nānā ʻole inā ua piha a uku piha ʻia ʻoe no kāu nalo

bull Ke hana nei i kekahi mea e hōʻino ai i nā pono o kā mākou papahana e like me ka mea i hōʻike ʻia ma luna Hoʻopili pū kēia akā ʻaʻole kau palena ʻia ia ke kāpae ʻana i nā hoʻāʻo e hoʻoliʻiliʻi a i ʻole kāpae ʻia mai ka hoʻonohonoho ʻana a i ʻole ke hoʻihoʻi ʻana i ke kumukūʻai holoʻokoʻa o nā pono āpau i uku ʻia e ka Plan a i ʻole nā hoʻāʻo e hōʻole i kā mākou papahana i kāna kuleana nui o ka hoʻihoʻi a i ʻole ke kuleana


bull Ke mālama nei i kekahi kālā i loaʻa iā ʻoe a i ʻole kāu loio mai ka ʻaoʻao kuleana (a) a i ʻole nā kumuwaiwai ʻē aʻe i ka hilinaʻi a me ka uku ʻana i kā mākou papahana a i ʻole ka mea lawelawe hana e pili ana no ka nui o ka hoʻihoʻi no ka Plan ke loaʻa uku ʻia ʻoe a ma mua o ka uku ʻia ʻana o nā mea kuleana ʻē aʻe a i ʻole nā aoʻao ʻekolu e koi ana i kahi kuleana e ola

bull Koi ʻia ʻoe e hui pū me mākou i ka alualu ʻana i nā loaʻa hou a i ʻole nā uku uku

PAUKU 5 Kāleka lālā

ʻO kahi kāleka lālā i hoʻopuka ʻia e kā mākou hoʻolālā ma lalo o kēia Hōʻike o ke Kapuni no nā kumu ʻike wale nō ʻO ka loaʻa ʻana o kahi kāleka lālā ʻaʻole ia e hāʻawi i kekahi kuleana i nā lawelawe a i ʻole nā keu pono ʻē aʻe ma lalo o kēia Hōʻike o ka ʻIliʻi E kuleana ai i nā lawelawe a i ʻole nā pono ma lalo o kēia Hōʻike o ke Kapuna pono ka mea nona ke kāleka e pono no ke uhi ʻana a e kākau inoa ʻia ma ke ʻano he lālā ma lalo o kēia Hōʻike o ke Kapuna ʻO kēlā me kēia kanaka e loaʻa ana nā lawelawe āna i kuleana ʻole ai ma lalo o kēia Hōʻike o ke Kapuna Pono kahi lālā e hōʻike i ke kāleka lālā o ka hoʻolālā ʻaʻole kahi kāleka Medicare i ka manawa o ka lawelawe E ʻoluʻolu e kāhea i nā lawelawe a nā lālā ma ka helu ma ka ʻaoʻao hope o kēia puke inā pono ʻoe e hoʻololi i kāu kāleka lālā

Kaha ʻO kekahi lālā e ʻae nei i ka hoʻomāinoino a hoʻohana hewa paha i ka kāleka lālā hiki ke haʻalele ʻia no ke kumu Koi ʻia kā mākou hoʻolālā e hōʻike i kahi haʻalele ʻana i nā hualoaʻa ma muli o ka hana ʻino ʻana a ke kāleka lālā a i ʻole hoʻohana hewa i ka Office of the Inspector General a ʻo ia ka hopena i ka hoʻopiʻi kalaima

PAUKU 6 Mau aelike kuokoa

ʻO ka pilina ma waena o kā mākou hoʻolālā a me kēlā me kēia mea lawelawe e komo nei kahi pilina ʻaelike kūʻokoʻa ʻAʻole nā limahana a i ʻole nā ākena o kā mākou papahana a ʻo kā mākou papahana a me nā limahana o kā mākou hoʻolālā he limahana a i ʻole ʻākena o kahi mea hāʻawi ʻAʻohe hihia e pili ana i kā mākou hoʻolālā no ka mālama ʻole hana hewa ʻole a me ka haʻalele ʻole ʻana i kekahi mea e komo a i ʻole nā lawelawe mālama olakino ʻē aʻe ʻO nā kauka komo ʻaʻole kā mākou papahana e mālama i ka pilina kauka-hoʻomanawanui me ka lālā ʻAʻole hoʻolako kā mākou papahana i ka mālama olakino


PAUKU 7 Hana hoʻopunipuni hoʻolālā mālama ola

Ua wehewehe ʻia ka hoʻopunipuni hoʻolālā mālama ola e like me ka hoʻopunipuni a hōʻike hewa ʻole paha i ka hoʻolālā e kahi mea hāʻawi lālā luna hana a i ʻole kekahi mea e hana ana ma kā lākou inoa He feloni hiki ke hoʻopiʻi ʻia ʻO kēlā me kēia kanaka e hana me ka ʻoluʻolu a me ka ʻike i kahi hana i manaʻo ʻia e ʻaihue i ka papa mālama olakino e e laʻa me ka waiho ʻana i kahi hoʻopiʻi i loaʻa i kahi ʻōlelo wahaheʻe a hoʻopunipuni paha ka hewa o ka hoʻopunipuni hoʻolālā mālama ola

Inā kānālua paha ʻoe i kekahi o kēia mau hoʻopaʻi i hoʻopaʻa ʻia ma kāu pila ʻaiʻē a i ʻole ka palapala wehewehe ʻia ʻana o nā pono kōkua ʻa i ʻole inā maopopo paha iā ʻoe a i ʻole ua ʻike paha i kekahi ʻano hana kū i ke kānāwai e kāhea aku i nā papahana ʻinikua a mākou ma nā helu kāhea manuahi helu hoʻopiʻi hana ʻolohewa 1-866-685-8664 (TTY 711) Hemo ka laina helu hoʻopiʻi hana ʻolohewa 24 hola o ka lā ʻehiku lā o ka pule Kapu ʻia nā kāhea a pau e komo mai iā mākou

PAUKU 8 Nā kūlana ma ʻō aku o ka hoʻolālā o ka hoʻolālā

I ka nui o ka pōʻino kūlohelohe ke kaua ka haunaele ka hoʻohaunaele kīwila ka maʻi ahulau ka hoʻopau piha a hapa paha o nā wahi pahū ʻĀtoma a i ʻole kekahi hoʻokuʻu ʻana o ka ikehu nukelea kīnā o nā limahana pūʻulu olakino koʻikoʻi mokuʻāina o ka ulia pōpilikia a i ʻole nā hanana like ʻole i loko o ka kaohi o kā mākou papa nā hopena i nā pono o kā mākou hoʻolālā a i ʻole nā limahana i loaʻa ʻole e hoʻolako a hoʻonohonoho no nā lawelawe a i ʻole nā pono ma lalo o kēia Hōʻike o ka uhi ʻana ke koi a kā mākou hoʻolālā e hana pono ai i ka hilinaʻi e hāʻawi a hoʻonohonoho no ka hoʻolako ʻana i nā lawelawe a i ʻole nā pono i loko o ka loaʻa o kāna mau pono a limahana paha

MOKUNA 12Nā wehewehe ʻana o nā huaʻōlelo nui

2022 Hōʻike o ka uhi ʻana no Wellcare Ohana No Premium (HMO) 325MOKUNA 12 Nā wehewehe ʻana o nā huaʻōlelo nui

Mokuna 12 Nā wehewehe ʻana o nā huaʻōlelo nuiʻO ke keʻena ʻoki kino Ambulatory - He keʻena ʻoki lāʻau lapaʻau Ambatory kahi hui e hana wale no ka hoʻolako ʻana i nā lawelawe ʻoki lāʻau maʻi i nā mea maʻi e koi ʻole i ka haukapila a ʻo ka mea i manaʻo ʻia e noho ma waenakonu ʻaʻole i ʻoi aku i 24 mau hola

Wā Hoʻokomo makahiki makahiki - He manawa i hoʻonohonoho ʻia i kēlā me kēia hāʻule ke hiki i nā lālā ke hoʻololi i ko lākou olakino a i ʻole nā hoʻolālā lāʻau a hoʻololi paha iā Original Medicare ʻO ka wā kau inoa makahiki mai ʻOkakopa 15 a hiki i Kēkēmapa 7

Hoʻopiʻi - He hoʻopiʻi kahi mea āu e hana ai inā ʻaʻole ʻoe e kūlike me kā mākou hoʻoholo e hōʻole i kahi noi no ka uhi ʻana i nā lawelawe mālama olakino a i ʻole nā lāʻau lapaʻau a i ʻole uku no nā lawelawe a i ʻole nā lāʻau i loaʻa iā ʻoe Hiki paha iā ʻoe ke hoʻopiʻi hou inā kūlike ʻole ʻoe i kā mākou hoʻoholo e kāpae i nā lawelawe e loaʻa nei iā ʻoe ʻO kahi laʻana noi paha ʻoe i kahi hoʻopiʻi inā ʻaʻole mākou e uku no kahi lāʻau mea a lawelawe paha āu i manaʻo ai hiki iā ʻoe ke loaʻa Hoʻomaopopo ka mokuna 9 i nā hoʻopiʻi me ke kaʻina i pili i ka hoʻopiʻi ʻana

Nā Palekana Kaulike Pila ʻAiʻē - i ka wā e kāki ai nā hui hoʻolako (e like me nā kauka a i ʻole haukapila) i nā pila ʻaiʻē i nā mea maʻi maʻō aʻe o ka huina nui o ka kuleana kaʻana uku i ʻāpono ʻia e ka papahana ʻinikua Iā ʻoe hoʻi e noho lālā nei no Wellcare ʻŌhana Nō Premium (HMO) e uku wale no ʻoe i ke kuleana kaʻana uku a ka papahana i ka loaʻa ʻana mai o nā pono kōkua i uhi ʻia e ko mākou papahana ʻAʻole mākou e ʻae i nā hui hoʻolako e hoʻokomo i kekahi o nā kāki kaʻawale ʻēaʻe i kapa ʻia ka Palekana Kaulike Pila ʻAiʻē a i ʻole e kāki aku no mākou iāʻoe i kekahi huina i ʻoi aku i ka huina nui o kāu kuleana kaʻana uku i waiho ʻia e ka papahana

Nā Wā Hoʻolako Pono Kōkua - Ke ʻano o ke ana ʻana aku o nā papahana ʻinikua a me ka papahana ʻinikua mālama olakino Original Medicare i kāu hoʻohana ʻana i kāu pono kōkua kahua mālama mea maʻi me nā kahu maʻi mākaukau (SNF) Hoʻomaka ka wā hoʻolako pono kōkua i ka lā e komo aku ai ʻoe ma kekahi kahua mālama mea maʻi me nā kahu maʻi mākaukau (SNF) Hoʻopau ʻia aku ka wā hoʻolako pono kōkua inā hoʻohana ʻole ʻoe i nā kōkua o nā kahu maʻi mākaukau i loko hoʻi o 60 lā o ka manawa Inā komo aku ʻoe ma kekahi kahua mālama mea maʻi me nā kahu maʻi mākaukau i ka pau ʻana o ka wā hoʻolako pono kōkua e hoʻomaka hou no hoʻi kekahi wā hoʻolako pono kōkua hou ʻAʻohe palena o nā wā hoʻolako pono kōkua


Lāʻau Inoa Lapaʻau - He lāʻau kuhikuhi i hana a kūʻai ʻia e ka ʻoihana lāʻau lapaʻau i noiʻi mua a hoʻomohala i ka lāʻau Loaʻa nā lāʻau lapaʻau inoa like i ka mana hana-pono e like me ka mana generic o ka lāʻau Eia nō naʻe hana ʻia nā lāʻau laulaha generic a kūʻai ʻia aku e nā mea hana lāʻau ʻē aʻe a ʻaʻole loaʻa pinepine a hiki i ka hala ʻana o ka patent ma ka inoa inoa lāʻau

Kahi poʻomanaʻo pōpilikia - Ke kahua ma ka Part D lāʻau kōkua kahi e uku ai i kahi uku haʻahaʻa a i ʻole ke kūʻai kālā ʻana no kāu mau lāʻau i hope o ʻoe a i ʻole nā aoʻao ʻē aʻe i hoʻohana ma kou inoa i lilo $7050 i nā lāʻau i uhi ʻia i loko o ka makahiki i uhi ʻia

Nā Kikowaena no Medicare amp Medicaid Services (CMS) - Ke keʻena Pekelala e lawelawe iā Medicare Hoʻomaopopo ka mokuna 2 pehea e hoʻopili ai iā CMS

Coinsurance - Kālā e koi ʻia ʻoe e uku e like me kāu mahele o ke kumukūʻai no nā lawelawe a i ʻole nā lāʻau i kuhikuhi ʻia ma hope o kou uku ʻana i kekahi deductibles ʻO ka coinsurance ka maʻa mau (ʻo kahi laʻana 20)

Hoʻopiʻi - ʻO ka inoa kūikawā no ka hana ʻana i kahi hoʻopiʻi he waiho ʻana i kahi hoʻopiʻi Hoʻohana ʻia ke kaʻina hoʻopiʻi no kekahi mau ʻano pilikia wale nō Hoʻopili kēia i nā pilikia e pili ana i ka maikaʻi o ka mālama nā manawa kali a me ka lawelawe mea lawelawe āu e loaʻa ai E nānā hoʻi i ka Grievance i kēia papa inoa o nā wehewehe ʻana

Nānā Hou Rehabilitation Outpatient Facility (CORF) - He wahi e hoʻolako nui i nā lawelawe hoʻoponopono hou ma hope o kahi maʻi a ʻeha paha a hāʻawi i nā ʻano lawelawe like ʻole me ka hoʻōla kino nā lawelawe kaiāulu a i ʻole ke olakino hoʻoponopono ʻōnaehana ka hoʻomaʻamaʻa hana a me ka ʻōlelo -ʻo nā lawelawe pilikino pathology a me nā lawelawe loiloi i ka nohona home

Copayment (a i ʻole copay) - He uku e koi ʻia ai ʻoe e uku no kāu mahele o ke kumukūʻai no kahi lawelawe olakino a i ʻole hoʻolako e like me ke kipa ʻana a ke kauka kipa ʻana i waho o ka haukapila a i ʻole kahi lāʻau lapaʻau ʻO kahi copayment kahi helu i hoʻonohonoho ʻia ma mua o ka pākēneka ʻO kahi laʻana uku paha ʻoe i $10 a i ʻole $20 no ke kipa ʻana a ke kauka a i ʻole ka lāʻau hoʻomalu

Kuleana kaʻana uku ʻinikua - ʻO nā kuleana kaʻana uku ʻinikua nā huina nui a kekahi lālā e uku aku ai i ka loaʻa ʻana mai o nā pono kōkua ʻO ke kuleana kaʻana uku ʻinikua loaʻa kekahi mau huihuina o ʻekolu ʻano o ka uku ʻana aku (1) nā ʻano huina nui uku pilikino a ka papahana ʻinikua e kau hoʻokau ai ma luna ma mua o ka uhi ʻia ʻana o nā pono kōkua (2) nā ʻano huina uku paʻa o ka uku kāki mea maʻi e koi ʻia mai e ka papahana ʻinikua i ka loaʻa ʻana mai o kekahi o nā pono kōkua kūikawā a i ʻole (3) nā ʻano huina koena ʻuku ʻinikua like ʻole


kekahi pākeneka o ka Huina nui i uku ʻia no ka lāʻau i koi ʻia mai e ka papahana ʻinikua i ka loaʻa ʻana mai o kekahi pono kōkua kikoʻī E loaʻa paha kekahi kāki aʻe i kapa ʻia he kuleana kaʻana ukupaneʻe no nā lā pākahi inā hoʻopaʻa kāu kauka i ke kahi kuhikuhi lāʻau me nā lako lāʻau i lawa ʻole no ka māhina holoʻokoʻa

Kelepona Hoʻolaha Kālā - ʻO kēlā me kēia lāʻau i ka papa inoa o nā lāʻau i uhi ʻia aia i loko o kekahi o nā pae hoʻoili kumukūʻai 6 Ma ka laulā ʻo ke kiʻekiʻe o ka pae kaʻina kūʻai ʻoi aku ke kiʻekiʻe o kāu kumukūʻai no ka lāʻau

Hoʻoholo ʻIke - He hoʻoholo e pili ana inā uhi ʻia kahi lāʻau i kuhikuhi ʻia e ʻoe e ka hoʻolālā a me ka nui inā loaʻa koi ʻia ʻoe e uku no ke kauka Ma ka laulā inā ʻoe e lawe i kāu kauka i ka hale kūʻai lāʻau a haʻi ka lāʻau iā ʻoe ʻaʻole uhi ʻia ke kuhikuhi ma lalo o kāu hoʻolālā ʻaʻole ia kahi hoʻoholo paʻa Pono ʻoe e kāhea a kākau paha i kāu hoʻolālā e noi i kahi hoʻoholo kūhelu e pili ana i ka uhi Kāhea ʻia nā hoʻoholo Coverage nā ʻōlelo hoʻoholo i loko o kēia puke Hoʻomaopopo ka Mokuna 9 pehea e noi ai iā mākou no kahi hoʻoholo hoʻopiʻi

Nā lāʻau i uhi ʻia - ʻO ka huaʻōlelo a mākou e hoʻohana ai e pili ana i nā lāʻau lapaʻau āpau i uhi ʻia e kā mākou hoʻolālā

Nā Pono Kōkua i Uhi ʻia ndash Ka huaʻōlelo maʻamau a mākou e hoʻohana ai no nā pono kōkua mālama olakino a pau loa a me nā lako i uhi ʻia e kō mākou papahana ʻinikua

Kākoʻo ʻAoʻao Kākoʻo ʻAoʻao Kākau ʻAoʻao - Ka lāʻau lāʻau i kuhikuhi ʻia (e laʻa me mai kahi haku a i ʻole uniona) e manaʻo ʻia e uku ma ka awelika ma ka liʻiliʻi e like me ka Medicare palapala lāʻau lapaʻau maʻamau ʻO ka poʻe i loaʻa kēia ʻano uhi ke lilo lākou i kūpono no Medicare hiki ke mālama maʻamau i kēlā uhi me ka uku ʻole ʻana i ka hoʻopaʻi inā hoʻoholo lākou e kākau inoa i ka lāʻau lapaʻau lāʻau lapaʻau Medicare ma hope

Mālama mālama - Mālama pilikino ʻia ka mālama mālama ʻana i kahi home kahu hānai a i ʻole nā wahi lawelawe ʻē aʻe inā ʻaʻole ʻoe e pono i ka mālama olakino mākaukau a i ʻole ka mālama kahu hānai mākaukau ʻO ka mālama mālama kahi mālama pilikino e hiki ai ke hāʻawi ʻia e ka poʻe ʻaʻohe o lākou mākaukau ʻoihana a hoʻomaʻamaʻa e like me ke kōkua me nā kiʻina hana o ka nohona o kēlā me kēia lā e like me ka ʻauʻau ʻana ka lole ʻana ka ʻai ʻana hele ʻana a i ʻole mai kahi moe a noho paha neʻe a puni a e hoʻohana ana i ka lua Pākuʻi ʻia paha i ke ʻano o ka mālama e pili ana i ke olakino ka hapanui o ka poʻe e hana iā lākou iho e like me ka hoʻohana ʻana i nā kulu maka ʻAʻole uku ʻo Medicare no ka mālama mālama


Ka helu hoʻolimalima kālā i kēlā me kēia lā - E noi ʻia kahi uku kumukūʻai o kēlā me kēia lā ke kēnā kāu kauka i ka hāʻawi ʻana o kekahi mau lāʻau i hoʻokahi mahina piha no ʻoe a koi ʻia ʻoe e uku i kahi copayment ʻO ka helu hoʻokaʻawale kumukūʻai i kēlā me kēia lā ka copayment i hoʻokaʻawale ʻia e ka helu o nā lā i ka lako o ka mahina Eia kahi laʻana Inā kāu copayment no kahi mahina hoʻokahi o ka lāʻau lapaʻau he $30 a me ka lako o hoʻokahi mahina i loko o kāu hoʻolālā he 30 mau lā a laila ʻo kāu uku kumukūʻai hoʻokaʻawale i kēlā me kēia lā ʻO kēia ke uku nei ʻoe i $1 no ka lako o kēlā me kēia lā ke hoʻopiha ʻoe i kāu kuhikuhi

Lawe ʻia - Ka nui āu e uku ai no ka mālama olakino a i ʻole nā kuhikuhi ma mua o ka hoʻomaka ʻana o kā mākou hoʻolālā e uku

Disenroll a i ʻole Disenrollment - Ke kaʻina hana o ka hoʻopau ʻana i kou lālā i kā mākou papahana He manawaleʻa paha ka haʻalele ʻana (kāu koho ponoʻī) a i ʻole he hana manawaleʻa (ʻaʻole kāu koho ponoʻī)

ʻO ka uku hāʻawi ʻana - He uku i uku ʻia i kēlā me kēia manawa e hāʻawi ʻia kahi lāʻau i uhi ʻia e uku no ke kumukūʻai no ka hoʻopiha ʻana i kahi kuhikuhi Uhi ka uku hoʻolimalima i nā koina e like me ka manawa a ka mea kauka lāʻau e hoʻomākaukau ai a hōʻiliʻili i ke kauka

Mea Pono Lapaʻau paʻa (DME) - Kekahi mau pono olakino i kauoha ʻia e kāu kauka no nā kumu olakino ʻO nā laʻana e like me nā mea hele wāwae nā noho huila nā koʻokoʻo nā ʻōnaehana moena mana nā lako diabetic nā pōpō infusion IV nā lako hana hoʻopuka nā pono oxygen a me nā moena haukapila i kauoha ʻia e kahi mea hoʻolako no ka hoʻohana ʻana i ka home

Pilikia - He ulia pōpilikia ke wā ʻoe a i ʻole kekahi mea ʻimi naʻau ʻē aʻe me ka ʻike awelika o ke olakino a me nā lāʻau lapaʻau manaʻo ʻoe he mau hōʻailona olakino kāu e pono ai i ka lāʻau lapaʻau koke e pale i ka pohō o ke ola nalowale o kahi lālā a i ʻole ka nalowale ʻana o ka hana o ka lālā ʻO nā ʻōuli lapaʻau he maʻi paha ʻeha ʻehaʻeha loa a i ʻole kahi ʻano olakino e hele wikiwiki nei i ka ʻino

Nā kōkua hoʻolako pōulia pili olakino - ʻO nā kōkua hoʻolako koʻikoʻi he kōkua hoʻi no 1) Hoʻolako ʻia e kekahi hui hoʻolako i loaʻa nā mākaukau no ka hoʻolako ʻana i nā kōkua koʻikoʻi a me 2) i pono e loaʻa no ka huli i ke kumu o ka pilikia a i ʻole e hoʻomalu aku i kekahi pōulia pōpilikia o ka maʻi

Hōʻike o ka uhi (EOC) a me ka hōʻike hōʻike ʻana - Kēia palapala me kāu palapala kākau inoa a me nā mea hoʻopili ʻē aʻe nā mea holo a i ʻole nā koho koho ʻē aʻe i koho ʻia e wehewehe nei i kāu uhi ʻana ka mea a mākou e hana ai kāu mau pono a he aha kāu e hana ai ma ke ʻano he lālā o kā mākou hoʻolālā


Nā Kūʻē Lula ndash He hoʻoholo kōkua uhi hoʻi inā ʻāpono ʻia ʻae ʻia hoʻi o ka loaʻa ʻana iāʻoe nā lāʻau I loaʻa ʻole ma ka papakuhikuhi lāʻau kuhikuhi a ka hui hoʻolako a kāu papahana ʻinikua (kūʻē papakuhikuhi lāʻau kuhikuhi) a i ʻole e kiʻi aku i kekahi lāʻau-makemake ʻole ʻia me ke kumukūʻai ma ka pae ʻanuʻu kuleana kaʻana-uku haʻahaʻa (he ʻāpono lele pae ʻanuʻu) Ua hiki pū no hoʻi iā ʻoe ke noi no kekahi kūʻē lula inā e koi ʻia mai e ka hui kākoʻo a kāu papahana ʻinikua no ka hoaʻo ʻana aku i kekahi lāʻau ʻēaʻe mā mua o ka loaʻa ʻana aku o ka lāʻau au e noi nei a i ʻole kau palena aku ka papahana i ka nui lāʻau i hiki ke loaʻa a i ʻoole ka ʻikaika o ka lāʻau au e noi nei (kūʻē papakuhikuhi lāʻau kuhikuhi)

Kōkua keu - He papahana Medicare e kōkua i ka poʻe me ka loaʻa kālā palena ʻole a me nā kumuwaiwai e uku i nā kumukūʻai o ka papahana lāʻau lāʻau Medicare e like me nā uku uku nā deductibles a me ka coinsurance

Laau Lapaʻau Generic - He lāʻau kuhikuhi i ʻae ʻia e ka Food and Drug Administration (FDA) me ke ʻano like o nā mea hana e like me ka lāʻau inoa ʻO ka mea maʻamau hana ka lāʻau generic i ka lāʻau lapaʻau inoa a ʻoi aku ka liʻiliʻi o ke kumukūʻai

ʻĀina - Ke ʻano o ka hoʻopiʻi āu e hana ai e pili ana iā mākou a i nā kauka lāʻau me kahi hoʻopiʻi e pili ana i ka maikaʻi o kāu mālama ʻana ʻAʻole pili kēia ʻano hoʻopiʻi i ka hoʻopiʻi a i ʻole nā hoʻopaʻapaʻa uku

Mea kōkua olakino home - Hāʻawi kahi mea kōkua olakino home i nā lawelawe e pono ʻole ai ka mākau o kahi kahu maʻi laikini a mea hoʻoponopono paha e like me ke kōkua me ka mālama pilikino (e laʻa me ka ʻauʻau ʻana ka hoʻohana ʻana i ka lua ka lole a me ka hāpai ʻana i nā kiʻina hana i kuhikuhi ʻia) ʻAʻohe o nā mea kōkua olakino home kahi laikini hānai a hāʻawi ʻole i ka lāʻau

Hospice - He kuleana ko kekahi lālā nona 6 mau mahina a ʻoi aku paha i ke ola e koho i ka hale hoʻokipa ʻO mākou kāu hoʻolālā pono e hāʻawi iā ʻoe i ka papa inoa o nā hale hoʻokipa ma kāu wahi ʻāina Inā koho ʻoe i ka hale hoʻokipa a hoʻomau i ka uku ʻana i nā uku uku he lālā ʻoe no kā mākou hoʻolālā Hiki iā ʻoe ke loaʻa nā lawelawe pono olakino āpau a me nā kōkua keu a mākou e hāʻawi nei E hāʻawi ka hale hoʻokipa i kahi lapaʻau kūikawā no kou mokuʻāina

Noho Halemai Haukapila - Noho kahi haukapila ke ʻae ʻae ʻia ʻoe i ka haukapila no nā lawelawe olakino mākaukau ʻOiai inā ʻoe e noho i ka haukapila i ka pō e manaʻo ʻia ʻoe he mea maʻi

Kālā Hoʻohui Mahina Mahina Loaʻa (IRMAA) - Inā ʻo kāu kālā i hoʻoponopono ʻia i hoʻololi ʻia e like me ka mea i hōʻike ʻia i kāu hoʻihoʻi ʻauhau IRS mai 2 mau makahiki i hala aku ma mua o kekahi nui e uku ʻoe i ka nui o ka uku maʻamau


a me kahi loaʻa ʻO ka nui o ka nui o ka hoʻololi ʻana o ka mahina ʻike ʻia ʻo IRMAA ʻO IRMAA kahi uku keu i hoʻohui ʻia i kāu uku Ma lalo o 5 o ka poʻe me Medicare e hoʻopili ʻia no laila ʻaʻole e uku ka hapa nui o ka poʻe i kahi uku kiʻekiʻe

Hui Hoʻohui Kūʻokoʻa (IPA) - He hui o nā kauka e like me PCP a me nā loea a me nā lawelawe mālama ola ʻē aʻe e like me nā haukapila i ʻaelike me ka hoʻolālā e hāʻawi i nā lawelawe i nā lālā E nānā i ka Mokuna 1 Pauku 81

Ka palena palena paʻa mua - Ka palena palena palena o ka uhi ʻana ma lalo o ke Keʻena ʻImi ʻImi

ʻAnuʻu kōkua uhi - O ka ʻanuʻu kēia ma mua o ka hōʻea ʻana o kāu huina nui holoʻokoʻa no nā lāʻau au i uku aku ai a me ka māhele a ka papahana i uku aku ai ma kou pono iho no ka makahiki a ua hōʻea aku i ka huina nui o $4430

Wā Hoʻokomo Mua - Ke hiki mua ʻoe no Medicare ka manawa e hiki ai iā ʻoe ke kau inoa no ka Medicare Part A a me ka Part B ʻO kahi laʻana inā kūpono ʻoe no Medicare ke huli ʻoe i 65 ʻo kāu wā kau inoa mua ka manawa 7-mahina e hoʻomaka i 3 mau mahina ma mua o ka mahina e hala ʻoe i 65 e komo pū me ka mahina āu e huli ai 65 a hoʻopau i 3 mau mahina ma hope o ka mahina ʻo ʻoe huli 65

Ka Papa Inoa o nā Lāʻau i Uhi ʻIa (Papa Kuhikuhi Lāʻau Kuhikuhi a i ʻole ka Papa Inoa Lāʻau) - Nā inoa o nā lāʻau kuhikuhi a pau i uhi ʻia e ka papahana ʻinikua mālama olakino Ua hoʻopili ʻia lāua i ka papa inoa ʻelua nā lāʻau kūʻai emi a me nā lāʻau me ke inoa i hoʻokilaʻia

Kākoʻo loaʻa kālā haʻahaʻa (LIS) - E nānā iā Extra Help

Huinanui o nā lilo mai-kou-paiki-kālā-mai - ʻO ka huina au e uku ai no na uku kāki a me nā koena uku a ka mea maʻi no nā kōkua uhi ʻōnaehana-kūloko a Medicare Part A a me ka Part B Helu ʻia ka huina au e uku ai no kāu uku ʻinikua a me nā lāʻau kuhikuhi a ka hui Medicare Part A a me ka Part B no nā lilo i ka huinanui o nā lilo mai-kou-paiki-kālā-mai E nānā aku ma loko o ka Mokuna 4 māhele 12 no nā manaʻo e pili ana i kāu huinanui o nā lilo mai-kou-paiki-kālā-mai

Medicaid (a i ʻole kōkua kōkua lapaʻau) - He papahana pekelala a me kahi mokuʻāina e kōkua me nā kumukūʻai olakino no kekahi poʻe me ka loaʻa kālā haʻahaʻa a me nā kumu waiwai palena Hoʻololi nā papahana Medicaid mai ka mokuʻāina a i ka mokuʻāina akā uhi ʻia ka hapa nui o nā kumukūʻai mālama ola inā kūpono ʻoe no Medicare a me Medicaid E ʻike i ka Mokuna 2 ʻĀpana 6 no ka ʻike e pili ana i ka hoʻopili ʻana iā Medicaid i kou mokuʻāina


ʻO nā pūʻulu hoʻolako lapaʻau - He mau ʻaha hui o nā kauka pēia pū me nā hui PCP a me nā limahana loea i ka lapaʻau ʻana a me nā hui hoʻolako kōkua mālama ola ʻē aʻe ʻo ia hoʻi nā haukapila i hoʻopaʻa i kekahi ʻaelike me ka papahana ʻinikua no ka hoʻolako ʻana mai i nā lālā i kāino komo mai E nānā i ka Mokuna 1 māhele 32

Hōʻike ʻae Medikal - Hoʻohana i kahi lāʻau i ʻae ʻia e ka Food and Drug Administration a i kākoʻo ʻia e kekahi mau puke kūmole E ʻike i ka Mokuna 5 ʻĀpana 3 no ka ʻike hou aku e pili ana i kahi hōʻike lapaʻau i ʻae ʻia

Pono Pono Lapaʻau - Nā lawelawe nā lako a i ʻole nā lāʻau e pono ai no ka pale ʻana ka ʻike ʻana a i ʻole ka mālama ʻana i kāu kūlana olakino a kū i nā kūlana ʻae ʻia o ka hana olakino

Medicare - Ka papahana inikua olakino Pekelala no ka poʻe he 65 mau makahiki a ʻoi paha ʻo kekahi poʻe ma lalo o 65 mau makahiki me kekahi mau kīnā a me nā kānaka me nā maʻi hōʻeha hope loa (ʻo ka poʻe maʻamau me nā kōpaʻa paʻa ʻole e pono ai ka dialysis aiʻole kahi transplant kidney) Hiki i nā poʻe me Medicare ke kiʻi i kā lākou olakino Medicare ma o Original Medicare a i ʻole Medicare Advantage Plan

Medicare Advantage Open Enrollment Period - He manawa i hoʻonohonoho ʻia i kēlā me kēia makahiki ke hiki i nā lālā i kahi hoʻolālā Medicare Advantage ke hoʻopau i kā lākou papa inoa papa inoa ʻana a hoʻololi i kahi hoʻolālā Medicare Advantage ʻē aʻe a i ʻole loaʻa ka uhi ma o Original Medicare Inā koho ʻoe e hoʻololi i Original Medicare i kēia wā hiki iā ʻoe ke komo pū i kahi hoʻolālā lāʻau lapaʻau Medicare i hoʻokaʻawale ʻia i kēlā manawa ʻO ka Medicare Advantage Open Enrolment Period mai Ianuali 1 a hiki i Malaki 31 a loaʻa no 3 mau mahina ma hope o ke koho mua ʻia ʻana o kekahi kanaka no Medicare

Medicare Advantage (MA) Plan - i kekahi manawa i kapa ʻia ʻo Medicare Part C ʻO kahi hoʻolālā i hāʻawi ʻia e kahi ʻoihana pilikino e ʻaelike me Medicare e hāʻawi iā ʻoe i kāu Medicare Part A a me ka Part B maikaʻi Hiki i kahi Medicare Advantage Plan ke lilo i kahi HMO PPO kahi hoʻolālā pilikino Fe e-for-Servi ce (PFFS) a i ʻole kahi hoʻolālā Medicare Medical Savings (MSA) Ke kau inoa ʻia ʻoe i kahi Plan Medicare Advantage Plan uhi ʻia nā lawelawe Medicare ma o ka hoʻolālā a ʻaʻole uku ʻia ʻoe ma lalo o Original Medicare I ka hapanui o nā hihia hāʻawi ʻo Plic Medicare Advantage Plans iā Medicare Part D (lāʻau lapaʻau lāʻau kuhikuhi) Kapa ʻia kēia mau hoʻolālā Medicare Advantage Plans with Prescription Drug Coverage ʻO kēlā me kēia mea iā Medicare Part A a me Part B hiki ke komo i kēlā me kēia papahana olakino Medicare Advantage i hāʻawi ʻia i ko lākou wahi


Medicare Coverage Gap Discount Program - He papahana e hāʻawi ana i nā uku hōʻemi no ka hapa nui o ka lāʻau D inoa inoa B i uhi ʻia i nā lālā D i hōʻea i ka pae Coverage Gap a ʻaʻole e loaʻa nei iā Kōkua keu Hoʻokumu ʻia nā hōʻemi ma nā ʻaelike ma waena o ke aupuni Pekelala a me kekahi mau mea hana lāʻau No kēia kumu ʻo ka hapa nui akā ʻaʻole pau hōʻemi ʻia nā lāʻau lapaʻau inoa

Nā lawelawe i uhi ʻia e ka lāʻau Medicare - Nā lawelawe i uhi ʻia e Medicare Part A a me Part B Pono nā hoʻolālā olakino Medicare āpau me kā mākou papahana e uhi i nā lawelawe āpau e uhi ʻia e Medicare Part A a me B

Hoʻolālā olakino Medicare - Hāʻawi ʻia kahi hoʻolālā olakino Medicare e kahi ʻoihana pilikino e ʻaelike me Medicare e hāʻawi i ka Part A a me ka Part B i nā pōmaikaʻi i ka poʻe me Medicare i kākau inoa i ka hoʻolālā Hoʻopili kēia huaʻōlelo i nā hoʻolālā Medicare Advantage Plans Medicare Cost Plan Demonstration Pilot Programs a me nā Programs of All-inclusive Care for the Elderly (PACE)

Medicare Prescription Drug Coverage (Medicare Part D) - ʻInikua e kōkua i ka uku ʻana no nā lāʻau i kuhikuhi ʻia i ka poʻe maʻi nā lāʻau āpau nā meaolaola a me kekahi mau lako i uhi ʻole ʻia e Medicare Part A a i ʻole Part B

Palapala ʻlelo Medigap (ʻInikua Hoʻohui Medicare) - ʻInikua kōkua kōkua Medicare i kūʻai ʻia e nā ʻoihana ʻinikua pilikino e hoʻopihapiha i nā āpau i ka Original Medicare Hana wale nā kulekele Medigap me Original Medicare (ʻO kahi Medicare Advantage Plan ʻaʻole ia he kulekele Medigap)

lālā (lālā o kā mākou papahana a i ʻole lālā lālā) - He kanaka me Medicare i kūpono e loaʻa nā lawelawe uhi nāna i kākau inoa i kā mākou papahana a ʻo kāna mea i hoʻopaʻa inoa ʻia e nā kikowaena no Nā lawelawe Medicare amp Medicaid (CMS)

Nā lawelawe lālā - He ʻāpana i loko o kā mākou hoʻolālā e kuleana no ka pane ʻana i kāu nīnau e pili ana i kou lālā nā pono nā hoʻopiʻi a me nā hoʻopiʻi E ʻike i ka Mokuna 2 no ka ʻike e pili ana i ka hoʻopili ʻana i nā lawelawe a nā lālā

Kālā Launa Pūnaewele - He hale kūʻai lāʻau lapaʻau kahi pūnaewele kahi e hiki ai i nā lālā o kā mākou hoʻolālā ke loaʻa i kā lākou mau pono lāʻau lapaʻau Kāhea mākou iā lākou he hale kūʻai lāʻau lapaʻau pūnaewele no ka mea ʻaelike lākou me kā mākou papahana I ka hapanui o nā hihia uhi wale ʻia kāu kuhikuhi inā hoʻopiha ʻia lākou i kekahi o kā mākou hale kūʻai lāʻau lapaʻau

Mea hoʻolako pūnaewele - Mea hoʻolako ʻo ia ka manawa maʻamau a mākou e hoʻohana ai no nā kauka nā ʻoihana mālama olakino ʻē aʻe nā haukapila a me nā lawelawe olakino ʻē aʻe i laikini ʻia a hōʻoia ʻia e Medicare a e ka Mokuʻāina e hāʻawi i nā lawelawe mālama olakino Kāhea mākou iā lākou mea hoʻolako


pūnaewele ke ʻaelike lākou me kā mākou hoʻolālā e ʻae i kā mākou uku ma ke ʻano he uku a i kekahi mau hihia e laulima a hāʻawi i nā lawelawe uhi ʻia i nā lālā o kā mākou hoʻolālā Uku kā mākou hoʻolālā i nā mea hoʻolako pūnaewele e pili ana i nā ʻaelike i loaʻa iā ia me nā mea hāʻawi a i ʻole inā ʻae nā mea hāʻawi e hāʻawi iā ʻoe i nā lawelawe uhi uhi ʻia E kapa ʻia paha nā mea lawelawe pūnaewele ʻo nā mea hoʻolako papahana

Nā hoʻolo ʻahahui - ʻO hoʻoholo ka papahana ʻInikua pakuʻi hou mālama olakino (Medicare Advantage) i kekahi hoʻoholo ʻahahui inā hoʻoholo aku lākou i kō lākou manaʻo inā uhi a uhi ʻole nā ikamu a i ʻole inā uhi a uhi ʻole ʻia nā pono kōkua a i ʻole i ka huina nui e pono ai ʻoe e uku aku no nā uhi ʻia ʻana o nā ʻikamu a me nā pono kōkua Kapa ʻia ka hoʻoholo ʻahahui he koho hoʻoholo uhi ma loko o keia pepelu nei Wehewehe ʻia no hoʻi ma ka Mokuna 9 pehea e noi ai no kekahi koho hoʻoholo uhi

Hui ʻinikua mālama olakino Original Medicare (Hui ʻInikua Mālama Olakino Kūmau a i ʻole ʻinikua Kāki-no-ke-kōkua Medicare) - Hoʻolako ʻia ka Hui ʻinikua mālama olakino Original Medicare a ke aupuni a ʻaʻole hoʻi he ʻinikua mālama olakino kūʻokoʻa e like me nā papahana ʻinikua mālama olakino ʻoiaʻe Medicare Advantage a me nā papahana ʻinikua lāʻau kuhikuhi Ma lalo o ka hui ʻinikua mālama olakino Original Medicare uhi ʻia nā kōkua a ka ʻInikua mālama olakino makule Medicare ma ka uku ʻana aku i nā kauka nā haukapila a me nā hui hoʻolako kōkua mālama olakino ʻē aʻe i nā uku o nā huina nui i waiho ʻia e ka ʻAha ʻŌlelo Nui Hiki nō iā ʻoe ke hele aku i nā ʻano kauka like ʻole haukapila like ʻole a i ʻole i kekahi hui hoʻolako kōkua mālama olakino i ʻāpono i ka ʻinikua mālama olakino makule Medicare Pono ana ʻoe e uku aku i ka uku pilikino Nā ka ʻinikua mālama olakino makule Medicare e uku aku i ka lākou hapa o nā huina nui e uku ai i ʻāpono ʻia mai e ka hui ʻinikua mālama olakino a nāu no e uku aku i kāu hapa He ʻelua māhele a ka hui ʻinikua mālama olakino Original Medicare Part A (ʻinikua haukapila) a me ka Part B (ʻinikua mālama olakino) a ʻae ʻi hoʻi ka hoʻohana ʻana mā nā wahi like ʻole o ʻAmelika Hui Pū ʻIa

ʻOihana Hale kūʻai lāʻau Ma waho o ka Pūnaewele - Kahi hale kūʻai lāʻau lapaʻau ʻaʻohe ona ʻaelike me kā mākou hoʻolālā e hoʻohui a hāʻawi i nā lāʻau i uhi ʻia i nā lālā o kā mākou hoʻolālā E like me ia i wehewehe ʻia ai i kēia hōʻike o ka uhi ʻo ka hapa nui o nā lāʻau i loaʻa iā ʻoe mai nā hale kūʻai mai waho o ka pūnaewele ʻaʻole e uhi ʻia e kā mākou papa hana inā ʻaʻole pili kekahi mau ʻano

Mea hoʻolako ma waho o ka pūnaewele a i ʻole ma waho o ka pūnaewele - He mea hoʻolako a kahi hana paha a mākou i hoʻonohonoho ʻole ai e laulima a hāʻawi i nā lawelawe i uhi ʻia i nā lālā o kā mākou hoʻolālā ʻO nā mea hoʻolako i waho pūnaewele he mea lawelawe i hoʻohana ʻole ʻia ʻona ʻia a lawelawe ʻia paha e kā mākou hoʻolālā a i ʻole ma lalo o ka ʻaelike e hāʻawi i nā lawelawe uhi iā ʻoe Hoʻohana ʻia o o ut-of-netw ork mea hoʻolako a i ʻole nā pono i wehewehe ʻia i kēia puke i ka Mokuna 3


Nā Koina o ka Pocket - E ʻike i ka wehewehe no kaʻana like i ke kumukūʻai ma luna ʻO ke koina hāʻawi kālā a kekahi lālā e uku no kahi ʻāpana o nā lawelawe a i ʻole nā lāʻau i loaʻa i kapa ʻia hoʻi ma ke ʻano he koina o ka lālā out-of-pocket

Part C - e nānā i ka Medicare Advantage (MA) Plan

Part D - Ka Polokalamu Pono Pono Lapaʻau Medicare (No ka maʻalahi o ke kuhikuhi e nānā mākou i ka papahana pono lāʻau lapaʻau e like me Part D)

Nā lāʻau Part D - Nā lāʻau i hiki ke uhi ʻia ma lalo o ka Part D Hāʻawi a hāʻawi ʻole paha mākou i nā lāʻau Part D āpau (E ʻike i kāu Papa kuhikuhi lāʻau kuhikuhi no kahi papa inoa kikoʻī o nā lāʻau i uhi ʻia) Ua hoʻokaʻawale ʻia kekahi mau papa lāʻau e ka ʻahaʻōlelo mai ka uhi ʻana ma ke ʻano he lāʻau D ʻāpana

Part D Late Enrollment Penalty - He huina i hoʻohui ʻia i kāu uku uku mahina no ka laʻau lāʻau Medicare inā ʻoe e hele me ka ʻole o ka hōʻaiʻē hōʻaiʻē (uhi ʻia e manaʻo ʻia e uku ma ka awelika ma ka liʻiliʻi e like me ka lāʻau lapaʻau maʻamau Medicare uhi) no kahi manawa hoʻomau o 63 mau lā a ʻoi paha ma hope o kou ʻae mua ʻana e komo i kahi papahana Part D Uku ʻoe i kēia nui kiʻekiʻe inā loaʻa iā ʻoe kahi hoʻolālā lāʻau Medicare Aia kekahi mau hoʻokoe ʻO kahi laʻana inā loaʻa iā ʻoe ke Kōkua keu mai Medicare e uku i kāu kumukūʻai hoʻolālā lāʻau lāʻau ʻaʻole ʻoe e uku i ka hoʻopaʻi no ke kākau inoa lohi

Kaʻana like ʻana i nā kumukūʻai ma mua - Kaʻana like ʻana i ke kumu kūʻai me ka hoʻokaʻawale ʻana i ke kumu kūʻai no kekahi mau lāʻau Part D i uhi ʻia ma kekahi mau hale kūʻai lāʻau lapaʻau ʻoihana

Premium - ʻO ka uku manawa manawa iā Medicare kahi ʻoihana inikua a i ʻole kahi papa mālama ola no ke olakino a i ʻole ka lāʻau hoʻomake lāʻau

ʻO ka mea mālama mālama mua (PCP) - ʻO kāu kauka lawelawe mua ke kauka a i ʻole kahi mea lawelawe ʻē aʻe āu e ʻike mua ai no ka nui o nā pilikia olakino Mālama pono ʻo ia iā ʻoe e mālama pono iā ʻoe e mālama i kou olakino E kamaʻilio pū paha ʻo ia me nā kauka ʻē aʻe a me nā lawelawe lawelawe olakino e pili ana i kāu mālama a kuhikuhi iā ʻoe iā lākou I nā hoʻolālā olakino Medicare he nui pono ʻoe e ʻike i kāu kahu mālama mua ma mua o kou ʻike ʻana i kahi kahu mālama ola ʻē aʻe E ʻike i ka Mokuna 3 ʻĀpana 21 no ka ʻike e pili ana i ka poʻe mālama mālama kula

Pono e ʻĀpono mua ʻIa - Pono e ʻāpono mua ʻia mamua o ka loaʻa ʻana o nā pono kōkua a i ʻole nā lāʻau i loaʻa a loaʻa ʻole paha ma kō mākou papakuhikuhi lāʻau Uhi ʻia kekahi o nā kōkua lapaʻau mai nā ʻōnaehana-kūloko mai inā e noi aku kāu kauka a i ʻole nā hui hoʻolako ʻē aʻe no kekahi pono ʻāpono mua ʻia Māka ʻia nā kōkua i uhi ʻia a e pono no hoʻi kekahi ʻāpono mua ʻia ʻana ma loko o


ka Pakuhi Pono Kōkua mālama olakino o ka Mokuna 4 Uhi ʻia kekahi mau lāʻau wale no inā e noi aku kāu kauka a i ʻole nā hui hoʻolako ʻē aʻe no kekahi Pono ʻĀpono Mua ʻIa mai iā mākou mai Māka ʻia nā lāʻau i uhi ʻia i pono ai e ʻāpono mua ʻia ma ka papakuhikuhi lāʻau

Nā Prosthetics a me nā Orthotics - He mau lāʻau lapaʻau kēia i kauoha ʻia e kāu kauka a mea lawelawe olakino ʻē aʻe Pākuʻi ʻia nā mea i uhi ʻia akā ʻaʻole kau palena ʻia nā lima kua a me nā ʻāʻī o ka ʻāʻī nā lālā hana lima maka maka a me nā hāmeʻa e pono ai e pani i kahi ʻāpana o ke kino a i ʻole hana me nā lako ostomy a me ka enteral a me ka parenteral nutrition therapy

ʻOihana Hoʻolālā Pono (QIO) - He hui o nā kauka hoʻomaʻamaʻa a me nā loea mālama olakino ʻē aʻe i uku ʻia e ke aupuni Pekelala e nānā a hoʻomaikaʻi i ka mālama i hāʻawi ʻia i nā mea maʻi Medicare E ʻike i ka Mokuna 2 ʻĀpana 4 no ka ʻike e pili ana i ka hoʻopili ʻana i ka QIO no kou mokuʻāina

Nā Palena Nui - He mea hana hoʻokele i hoʻolālā ʻia e kaupalena i ka hoʻohana ʻana o nā lāʻau i koho ʻia no ka maikaʻi palekana a i ʻole nā kumu hoʻohana Loaʻa paha nā palena ma ka nui o ka lāʻau a mākou e uhi ai i kēlā me kēia kuhikuhi a i ʻole no kahi manawa i hoākāka ʻia

Nā lawelawe hoʻōla - Kuhi ʻia kēia mau lawelawe me ka hoʻomaʻamaʻa kino ka ʻōlelo a me ka hoʻōla ʻōlelo a me ka hana ʻoihana

Wahi lawelawe - Kahi ʻāina hulihonua e ʻae ai kahi papa olakino i nā lālā inā palena ka lālā ma muli o kahi e noho ai ka poʻe No nā hoʻolālā e kaupalena ana i nā kauka a me nā haukapila āu e hoʻohana ai ʻo ia pū kekahi kahi e hiki ai iā ʻoe ke loaʻa i nā lawelawe maʻamau (non-emergency) Hiki i ke hoʻolālā ke haʻalele iā ʻoe inā ʻoe e neʻe mau mai kahi o ka lawelawe o ka hoʻolālā

Mākaukau Nursing Facility (SNF) Mālama - Hāʻawi ʻia nā lawelawe kahu hānai mākau a me nā lawelawe hoʻoponopono hou ʻana i kahi hoʻomau i kēlā me kēia lā i kahi keʻena hānai mākaukau ʻO nā laʻana o ka mālama pono ʻana i kahi ʻoihana hānai e pili ana i ka hoʻōla kino a i ʻole nā inikua intravenous i hiki ke hāʻawi ʻia e kahi kahu hānai a kauka paha

Wā kāinoa komo kūikawā - He wā hoʻi i waiho ʻia i hiki ai i nā lālā ke hoʻololi aku i ka lākou papahana ʻinikua mālama olakino a i ʻole nā papahana ʻinikua kōkua uhi lāʻau a i ʻole e hoʻi hou aku i ka hui ʻinikua mālama olakino Original Medicare ʻO nā kūlana ʻano i hiki ai paha ke ʻāpono ʻia no ka loaʻa ʻana aku iā ʻoe kekahi wā kāinoa komo kūikawā ʻo ia no Inā neʻe ʻoe ma waho aʻe o kekahi wahi i loaʻa nā kōkua inā paha ke loaʻa nei iā ʻoe ke Extra Help me kāu huina nui o lāʻau kuhikuhi ua neʻe paha i loko o kekahi kahua kahu maʻi mālama makule a i ʻole inā ʻaʻe kapu aku mākou i nā ʻaelike me ʻoe


Kuleana kaʻana uku maʻamau - Ke kuleana kaʻana uku maʻamau he kōkua kaʻana uku i koho ʻia a loaʻa no hoʻi ma nā ʻōnaehana hale kūʻai lāʻau

Step Therapy - He pono hana e koi iā ʻoe e hoʻāʻo mua i kahi lāʻau ʻē aʻe e mālama i kāu kūlana olakino ma mua o ka uhi ʻana i ka lāʻau i kuhikuhi mua ʻia e kāu kauka

Loaʻa Kākoʻo Kākoʻo (SSI) - He uku no kēlā me kēia mahina uku ʻia e ka Palekana Ola i nā poʻe me ka loaʻa kālā palena ʻole a me nā kumuwaiwai kīnā makapō a i ʻole 65 mau makahiki a ʻoi paha ʻAʻole like nā pōmaikaʻi SSI me nā pono ʻo Palekana Ola

Nā lawelawe e pono koke ai - Hāʻawi ʻia nā lawelawe e pono ai e mālama i kahi pilikia ʻole nā maʻi olakino i ʻike ʻole ʻia ʻeha a i ʻole ke ʻano e pono ai ka mālama olakino koke E hoʻolako ʻia paha nā lawelawe e pono ai e nā mea lawelawe pūnaewele a i ʻole nā mea lawelawe i waho o ka pūnaewele ke loaʻa ʻole a loaʻa ʻole paha nā mea lawelawe pūnaewele

Ua waiho wale ʻia kēia ʻaoʻao

Nā lawelawe lālā ʻo Wellcare Ohana No Premium (HMO)

Nā kiʻina hana Nā lawelawe lālā - ʻIke KaheaKāhea 1-877-457-7621

Manuahi nā kāhea i kēia heluMa waena o ʻOkakopa 1 a me Malaki 31 loaʻa nā lunamakaʻāinana i ka Pōʻakahi-Lāpule 8 a i ka hola 8 o ke ahiahi Ma waena o ʻApelila 1 a Kepakemapa 30 loaʻa nā lunamakaʻāinana Pōʻakahi-Pōʻalima 8 a i ka hola 8 o ke ahiahiEia nō naʻe e ʻoluʻolu e ʻike i nā hopena pule a me nā lā nui mai ʻApelila 1 a Sepatemaba 30 e pane paha kā mākou ʻōnaehana kelepona automated i kāu kelepona ʻana E ʻoluʻolu e waiho i kou inoa a me kāu helu kelepona a e kāhea hou mākou iā ʻoe i loko o hoʻokahi (1) lā ʻoihanaLoaʻa i nā lawelawe lālā nā lawelawe unuhi unuhi manuahi no nā poʻe ʻōlelo Pelekania ʻole

TTY 711Manuahi nā kāhea i kēia helu



He polokalamu kōkua kōkua mālama ola kino ʻo Hawaiʻi State (SHIP)

He polokalamu kōkua kōkua mālama ola kino ʻo Hawaiʻi State (SHIP) i loaʻa kālā mai ke aupuni Pekelala e hāʻawi i ka ʻōlelo aʻoaʻo ʻinikua kūloko manuahi i nā poʻe me Medicare

Nā kiʻina hana ʻIke HoʻokaʻaʻikeKāhea 1-808-586-7299

1-888-875-9229TTY 1-866-810-4379

Pono kēia helu i nā pono kelepona kūikawā a no nā poʻe wale nō i loaʻa ka pilikia me ka hoʻolohe ʻana a i ʻole ke kamaʻilio ʻana

KAKAU MAI IĀ Hawaii SHIP Executive Office on Aging No 1 Capitol District250 South Hotel Street Suite 406 Honolulu Hawaii 96813-2831


Kākoʻo hoʻolaha PRA Wahi a ke Lawage Reduction Act o 1995 ʻaʻohe mea e koi ʻia e pane i kahi hōʻiliʻili o ka ʻike ke ʻole e hōʻike i kahi helu kāohi OMB kūpono ʻO ka helu mana OMB kūpono no kēia hōʻiliʻili ʻike 0938-1051 Inā he manaʻo a manaʻo paha kāu no ka hoʻomaikaʻi ʻana i kēia palapala e ʻoluʻolu e kākau iā CMS 7500 Security Boulevard Attn PRA Reports Clearance Officer Mail Stop C4-26-05 Baltimore Maryland 21244-1850

ATENCIOacuteN Si habla espantildeol contamos con servicios de asistencia linguumliacutesca que se encuentran disponibles para usted de manera gratuita Llame al 1-877-374-4056 (TTY 711)

注意如果您說中文您可以免費獲得語言援助服務請致電 1-877-374-4056 (TTY711)

Chuacute yacute Nếu quyacute vị noacutei ếng Việt dịch vụ hỗ trợ ngocircn ngữ coacute sẵn miễn phiacute dagravenh cho quyacute vị Hatildey gọi số 1-877-374-4056 (TTY 711)

주의사항 한국어를 구사할 경우 언어 보조 서비스를 무료로 이용 가능합니다 1-877-374-4056 (TTY 711) 번으로 연락해 주십시오

Atensyon Kung nagsasalita ka ng Tagalog may mga available na libreng tulong sa wika para sa iyo Tumawag sa 1-877-374-4056 (TTY 711)

Dumngeg No agsasau ka i Ilokano dagi tulong nga serbisio a libre ket available para kaniam Awagan 1-877-374-4056 (TTY 711)

o lorsquoo avanoa ia te lsquooe Valarsquoau le 1-877-374-4056 (TTY 711)

Maliu Inā ʻōlelo Hawaiʻi ʻoe he lawelawe māhele ʻōlelo manuahi i lako iā ʻoe E kelepona iā 1-877-374-4056 (TTY 711)









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