Ngaba iyeza liyayigubungela iShingrix?

Ulwazi lweziyobisi

I-Shingles (i-herpes zoster) yintsholongwane yentsholongwane ebangelwa yintsholongwane ye-varicella zoster. Ivelisa irhashalala ebuhlungu enamadyungudyungu kwaye ibonisa kwelinye icala lomzimba. Intsholongwane enye ebangela irhashalala yiyo ebangela i-shingles. Nabani na oye waba ne-chickenpox ngaphambili usengozini yokufumana i-shingles. Izibambo zinokuba buhlungu kodwa zinokuthintelwa ngokugonya.

Amaziko oLawulo lweNtsholongwane kunye noThintelo (CDC) acebisa ukuba Abantu abadala abangaphezu kweminyaka engama-50 fumana iyeza lokuthintela ukonakala. I-Shingles inokubangela iintlungu zexesha elide (i-postherpetic neuralgia) kunye nomonakalo wemithambo-luvo. Ukufumana isitofu sokugonya i-shingles kube kanye, kwaye kwakhona emva kweenyanga ezimbini ukuya kwezintandathu kuye kwangqineka kusebenza kakhulu ekuthinteleni i-shingles. I-Shingrix sesona sitofu sithandwa kakhulu se-shingles; I-Zostavax lolunye ukhetho olukhoyo.

Leliphi iyeza lokugonya elilungele i-shingles?

Ukushwabana kunokubangela irhashalala ebuhlungu ngamadyungudyungu, kwaye abanye abantu bade baqaqanjelwe yintloko, ukugodola, umkhuhlane kunye nesisu esibuhlungu. Abantu abaninzi abanokucinga ukuba baya kufumana i-shingles, kodwa kunokubangela umonakalo ohlala ixesha elide kwaye kubuhlungu kakhulu ukuba namava. Eyona ndlela yokuthintela ezi mpawu kukufumana isitofu sokugonya i-shingles. Nokuba ubukhe wanamaqhina ngaphambili, ukugonywa kunokunceda ukunciphisa amathuba akho okuba uphinde uphinde ufumane.

I-Zostavax yayilishishini lokuthintela i-shingles lokuqala ukuba linikwe ilayisensi yi-FDA kwi Ngo-2006 . Sisigonyo esiphilayo, esithetha ukuba asifanelekanga kubantu abangakwaziyo ukufumana izitofu zokugonya eziphilayo, ezinjengezo zinengxaki yokuzimela.

Ezi zithintelo azisebenzi kwi-Shingrix, kuba ayisiyiyo isitofu esiphilayo. I-Shingrix ikwangqineke ukuba iyasebenza ngakumbi kune-Zostavax, kuba igubungela ngakumbi iintsholongwane, kodwa ukhetha ISringrix ngaphezulu kweZostavax kuya kuthetha ukufumana izithonga ezimbini endaweni enye.

Zombini ezi zitofu zikhusela ngokuchasene ne-shingles ubuncinci iminyaka emihlanu, nangona iShingrix inokuhlala ithuba elide. Ukuthetha nogqirha wakho yeyona ndlela ifanelekileyo yokufumanisa ukuba yeyiphi iyeza lokuthintela i-shingles lukhetho olufanelekileyo kuwe.

Ngaba amayeza ayakhusela amayeza okugonya amayeza?

Uninzi lweenkampani zeinshurensi yezempilo zigubungela i-shingles vaccins, kodwa i-standalone ye-Medicare coveringayigubungeli izitofu. Kuya kufuneka ubhalise kwisicwangciso samachiza se-Medicare Part D ukuze ube nokufumana iziyobisi ezichaphazela amayeza okugonya amayeza okugonya. Isicwangciso se-Medicare Part A (isibhedlele i-inshurensi) okanye isicwangciso se-Medicare Part B (i-inshurensi yezonyango), izinto ze-Medicare yoqobo, ayinakukunika isixa esifanelekileyo sokugubungela.

Ungabhalisa kwi-Medicare Part D isicwangciso sokuyalela iziyobisi ngokwakho, okanye ubhalise kwi-Medicare Advantage Plan ebandakanya icandelo le-D. Nokuba loluphi ukhetho unokugubungela iShingrix kunye neZostavax, ezi zitofu zimbini zokuthintela ukuthengisa kwintengiso.

Isicwangciso ngasinye se-Medicare Part D sahlukile kwaye sibonelela ngokwahluka kwamanqanaba okugonya nge-shingles vaccines. Ezinye izicwangciso zinokuba nokugubungela okungcono ngeepawotshi ezisezantsi, kwaye ezinye zinokuba nokugubungela okungaphezulu ngeepopayi eziphezulu. Kwakhona kunokwenzeka ukuba unakho ukutsalwa kwemali, i-copay, okanye i-coinsurance.

Amacandelo ahlukeneyo eMedare D acwangcisa amayeza kunye nokugonya kumanqanaba ahlukeneyo. Loluphi uhlobo isicwangciso sakho esibeka ugonyo lwe-shingles oluya kumisela ikopi yakho. Eyona ndlela yokujonga ukuba leliphi na icebo leinshurensi elilungele wena kukuthetha nomcebisi ngeenkonzo zonyango.

Unyango.gov ikwasisixhobo esiluncedo ekuthelekiseni izicwangciso zonyango zeMedicare, ukukhangela ababoneleli kunye namancedo, kunye nokuqikelela iindleko ezinokubakho. Abasebenzisi be-TTY banokubiza i-877-486-2048 ukuze bathethe nommeli weMedicare.

Zeziphi izitofu ezigutyungelwa ngamayeza?

I-Medicare igubungela iintlobo ezahlukeneyo zokugonya. Ngelixa icandelo leMedicare B laziwa ngokubanzi ukuba liyakugubungela uninzi lwezitofu zokugonya, Icandelo D ligubungela nasiphi na isitofu esingacwangciswanga sisiCandelo B. Nantsi itafile yokunceda ukucacisa ukuba zeziphi izitofu ezigutyungelwe sisicwangciso ngasinye:

Icandelo leMedare B	Icandelo leMedare D
Ukugonywa kwe-Hepatitis B	Izitofu zokugonya zeMMR
Izitofu zentsholongwane yomkhuhlane	Izitofu zeTdap
Amayeza okugonya pneumonia	Amayeza okugonya amaShingles
Izitofu zokugonya ezinxulumene nokunyanga ukwenzakala okanye ukuvezwa sisifo	Zonke ezinye izitofu ezikhoyo zokuthengisa ezingagqitywanga yiCandelo leMedare B

Ukufunda ukuba ingaba isicwangciso sakho seMedicare sigubungela isitofu osifunayo, kuya kufuneka ujonge ifomula yakho yesicwangciso. I-formulary luluhlu lwawo onke amayeza amiselweyo acwangciswa sisicwangciso sakho kunye nokuba angakubiza malini. Tsalela umnxeba inkampani yakho yeinshurensi okanye iarhente yeinshurensi ukuze ufunde okungakumbi malunga nefomula yakho yesicwangciso esithile.

Ixabisa malini iyeza lokugonya i-shingles?

Amayeza okugonya amaShingles angabiza, abize ama- $ 300 ngedosi nganye. Ukuba ne-inshurensi ingalahla ixabiso lesitofu sokugonya i-shingles, kodwa amaxabiso aya kuxhomekeka kumphathi weinshurensi nakuphi na okutsalwayo, ii-copays, okanye i-coinsurance. Nantsi itafile yokunceda ukuthelekisa indleko ze-Shingrix kunye ne-Zostavax, izitofu ezimbini ze-shingles ezikhoyo ukuthengwa:

	I-Shingrix	Zostavax
Ixabiso lentengiso (ngaphandle kweinshurensi)	$ 181.99	$ 278.00
Ngaba i-inshurensi ihlawulwe?	Ewe	Ewe
Ngaba ukhuselwe yiMedicare yoqobo?	Hayi	Hayi
Ikhuphoni elilodwa	Fumana ikhuphoni Apha	Fumana ikhuphoni Apha

Kutheni le nto isitofu sokugonya i-shingles sibiza kangaka?

Kubalulekile ukukhumbula ukuba ukuzisa amayeza okugonya kungabiza i-1 yezigidigidi zeedola kwaye kuthathe amashumi eminyaka ukuphuhlisa, u-Amesh Adalja, MD, ugqirha oqinisekisiweyo wezifo ezosulelayo kunye nomphengululi omkhulu Iziko likaJohn Hopkins loKhuseleko lwezeMpilo . Umthwalo we-shingles kunye neziphumo zasemva kwayo zinkulu, ke kubalulekile ukuba iinkampani ezimbalwa ezenza iyeza lokugonya zibe nenkuthazo yentengiso yokuqhubeka nokwenza izitofu. Imfuno ye-Shingrix iphezulu kakhulu, kunqongophala okwenzekayo, ke ixabiso alikhange libe ngumqobo ekuthathweni kwalo.

Ukubhalisa kwinkqubo egubungela i-shingles vaccs yeyona ndlela yokonga imali. Amayeza e-Medicare A (i-Inshurensi yeSibhedlele) okanye i-B (i-Inshurensi yezoNyango) awazibandakanyi izitofu ze-shingles, kodwa i-Medicare Part D icwangcisa. Isixa sokugubungela, ukukopisha kunye nokuncitshiswa komntu ekuya kufuneka ahlawule njengenxalenye yesicwangciso seMedicare Part D siyahluka. Ngaphandle kweinshurensi yezempilo, abantu abaninzi abanakho ukubanakho ukufumana izitofu zokugonya.

Uyifumana njani isitofu sokugonya i-shingles esigutyungelwe yiMedicare

Nje ukuba ube nesicwangciso seinshurensi esigubungela iiging shingles, ukuzithenga linyathelo elilandelayo. Iikhemesti ezininzi ezibonelela ngezitofu zokwenza njalo phantsi komyalelo wokuma kogqirha ojongayo. Oku kufanelekile kwizigulana kuba kubasindisa kuhambo lukagqirha ukuya kufumana amayeza kuqala kwisitofu sokugonya.

Khumbula, kuphela ikhemesti enokuhlawula i-Medicare Part D yesitofu sakho kwaye ikunike eyona nkxaso, ukuze ufumane elona xabiso liphezulu, uya kufuna ukufumana isitofu sakho kwikhemesti. Ukuba ikhemesti yakho oyikhethileyo ayinayo i-odolo yokuma ye-shingles vaccine, ke uya kufuna ukutyelela ugqirha wakho kuqala ukuze ufumane amayeza.

Kuyenzeka ukuba wonge imali kwizitofu zokugonya i-shingles ngekhadi lokugcina ikhemesti le-SingleCare. I-singleCare inokunceda abaguli abangaqinisekiswanga okanye abangaqinisekiswanga ukuba bafumane i-shingles vaccins ngexabiso lesaphulelo.