Ka nui te utu o te haerenga ki te ruma ohorere ahakoa kei a koe te inihua. Ki te kore he inihua, ka tino uaua ki te matapae i te utu, no te mea ka whakawhirinaki te pire whakamutunga ki te hōhipera, ki ngā ratonga e whiwhi ana koe, ki te mea ka hiahiatia e koe he whakamātau, he whakaahua, he tikanga rānei, he tiaki tohunga kē rānei.
Ko te haerenga taketake ki te ruma ohorere ka taea te utu mai i te $1,000 ki te $3,000, neke atu rānei. Ka tere te eke ki te $5,000 ki te $10,000, neke atu rānei te tiaki uaua ake.
Ehara tēnā i te tikanga kia kaua koe e haere ki te ruma ohorere ina hiahiatia e koe he tiaki ohorere. Ki te mate te mate o ngā tohu, he nui ake te mea nui o te rongoa tere atu i te pire. Engari ki te whai koe ki te mate kāore e tino ohorere ana, me te whiriwhiri i waenganui i te ruma ohorere, te tiaki tere, me te telehealth, ka āwhina te mātau ki te rerekētanga o te utu ki te whiriwhiri i te wāhi tika.
TL;DR: Ngā Kaupapa Matua
- Ko ngā utu o te haerenga ki te ruma ohorere kaore he inihua ka tata ki te $1,000 ki te $3,000 neke atu rānei mō te haerenga taketake.
- Ko te tiaki ohorere matatini ake, tae atu ki ngā whakaahua, tikanga, whare whakarite rānei, ka taea te utu mai i te $5,000 ki te $10,000, neke atu rānei.
- Ko te tiaki tere karekau he inihua ka tata ki te $150 ki te $280 mō te haerenga taketake, i mua i ngā whakamātau, tikanga rānei.
- Ka rite te ahua o ngā ruma ohorere motuhake ki ngā whare tiaki tere, engari ka utua e ratou ngā reiti o te ruma ohorere.
- Ko te ture a te kāwanatanga 'No Surprises Act' ka tiaki i ngā tūroro mai i ngā pire ohorere kaore i uru ki te inihua i ngā ohorere me ētahi atu āhuatanga.
- Ko te Telehealth he kōwhiringa iti ake te utu mō ngā mate kore-ohorere, me ngā haerenga utu-ā-moni ka tata ki te $39 ki te $100.
- Ki te whiwhi koe i te pire ruma ohorere kāore e taea e koe te utu, ka taea e koe te tono i te pire kua tohua, he utu whakahekenga mō te utu-ā-moni, he āwhina pūtea, he whiriwhiringa, me ngā mahere utu.
- Ki te paingia koe e te mate ohorere, kaua e whakaroa ki te tiaki mō te utu. Waea atu ki te 911, haere rānei ki te ruma ohorere tata.
Kāore koe e tino mōhio ana me hiahia rānei ngā tohu o tō tinana ki te ruma ohorere, te tiaki tere, te telehealth rānei? Whakamātauhia te aromatawai tohu kore utu a August AI hei āwhina i te whakaaro he aha te momo tiaki e tika ana. Ki te mate ngā tohu o tō tinana, whakapono rānei koe kei te mate koe, kaua e whakamahi i te tātari ā-ipurangi.
Waea atu ki te 911, haere rānei ki te ruma ohorere tata tonu. Ko te tātari AI ehara i te rongoā. Mō te tiaki kāore e tino ohorere ana ka taea te whakahaere i tawhiti, ka taea e te kaimātai rongoā kua raihanatia e te USA te tātari i ngā tohu o tō tinana me te tuku rongoā ina tika te rongoā.
Ka hia te utu o te haerenga ki te ruma ohorere me te kore inihua?
Kāore he utu paerewa kotahi mō te haerenga ki te ruma ohorere. Ka rerekē ngā utu i te hōhipera, i te wāhi, me te momo tiaki e hiahiatia ana e koe.
Mō te haerenga taketake ki te ruma ohorere kaore he inihua, ka taea e koe te utu tata ki te $1,000 ki te $3,000. Ka tae ana ki te taapiri whakaahua, whakamātau taiwhanga, tikanga, kōrero-a-tohunga, me te whare whakarite rānei, ka taea e te katoa te eke ki te $5,000 ki te $10,000 neke atu rānei.
Ka taea te uru ki tō pire ngā utu motuhake, tae atu ki:
- He utu whare mō te whakamahi i te tari ohorere
- He utu mō te tākuta, kaimātai rānei
- Ngā whakamātau taiwhanga
- Ngā X-ray, CT scans, me ētahi atu whakaahua
- Ngā rongoā kua hoatu i te wā o te haerenga
- Ngā tikanga
- Ngā utu tohunga
Ka taea e koe te whiwhi pire motuhake mai i te hōhipera me ngā kaimātai kua uru ki tō tiaki. Hei tauira, ka taea e te tohunga reorangi e whakamaori ana i te rangahau whakaahua te utu motuhake mai i te tari ohorere.
Ki te kore koe e inihua, pataia mehemea ka whakaekea e te hōhipera he utu whakahekenga mō te utu-ā-moni. Kāore te nama tuatahi i runga i te pire e tika ana kia utua katoatia e koe.
Ka hia te utu o te tiaki tere me te kore inihua?
Ki te kore te mate e tino ohorere ana engari ka hiahiatia e koe he tiaki rongoā i te rangi kotahi, ko te tiaki tere he iti ake te utu i te ruma ohorere.
Ko ngā utu tiaki tere kaore he inihua ka tata ki te $150 ki te $280 mō te haerenga taketake. Ka taea e ngā ratonga atu te whakapiki i te katoa.
Hei tauira, ka taea e koe te utu atu mō:
- Ngā whakamātau taiwhanga
- Ngā X-ray
- Tiaki mate
- Te whakanoho i te wheua
- Ētahi atu tikanga
- Ngā rongoā
Na, ko te haerenga ngawari ki te tiaki tere mō te mate ngāwari, te whara rānei ka taea te utu ngā rau, ahakoa ngā mano tārara iti atu i te haerenga ki te ruma ohorere.
Ki te whiriwhiri koe i waenganui i ngā mea e rua, ka āwhina te ātaahua mō te Tiaki Tere, Ruma Ohorere rānei: Me Pēhea te Whiriwhiri i roto i te 60 Hēkona ki te mātau ko ehea te kōwhiringa e tika ana mō koe.
Ruma Ohorere Motuhake vs Tiaki Tere: He aha te rereketanga?
Ko tētahi o ngā huarahi ngāwari ki te whiwhi pire rongoā nui ko te pohehe i te ruma ohorere motuhake hei whare tiaki tere.
Ka rite te ahua o ngā ruma ohorere motuhake ki ngā whare tiaki tere. Ka taea te tū i roto i ngā whare hokohoko, i ngā whare motuhake, ā, ka taea te tuku tiaki pokepoke noa mai.
Ko te rereketanga nui, ko te ruma ohorere motuhake he tari ohorere tonu. Ka taea te utua ngā reiti o te ruma ohorere, ka taea te maha ake te utu i te mea ka utua e koe ki te tiaki tere.
I mua i te tomo ki tētahi wāhi, tirohia mehemea kua tohua hei ruma ohorere, hei whare tiaki tere rānei. Ki te kore koe e tino mōhio, pataia he aha te momo wāhi, mehemea he utu whare motuhake tōna.
He nui te take o tēnei rereketanga ina kore koe e mate ohorere ana, ā, ka whakataurite ana koe i ngā utu.
He aha ngā tiaki kei te noho mō ngā pire rongoā ohorere?
Ko te Ture No Surprises Act a te kāwanatanga, i mana i te tau 2022, ka whakaratohia ngā tiaki mō te maha o ngā pire rongoā ohorere kaore i uru ki te inihua.
Hei tauira, ko ētahi ratonga ohorere kua whakaratohia e ngā hōhipera, kaimātai rānei kaore i uru ki te inihua, kāore e taea te utu taapiri atu i te inihua e hiahiatia ana. Ka whakarato hoki te ture i ngā tiaki mō ētahi āhuatanga kāore e tino ohorere ana i ngā wāhi kua uru ki te inihua me ētahi ratonga waka rererangi.
Ki te kore koe e inihua, te utu ā-moni rānei mō te tiaki kua whakaritea, ka whakarato te CMS i ngā pārongo mō ngā Whakatau Utu Pai. Ka hoatu e te Whakatau Utu Pai he utu tēnehi i mua i ētahi ratonga kua whakaritea.
Ki te nui ake te pire whakamutunga i te $400 atu i te whakatau, ka taea e koe te whai tika ki te tautohetohe i ngā utu i raro i te tikanga a te kāwanatanga.
Kāore ēnei tiaki e taupoki ana i ngā pire rongoā katoa. Hei tauira, ko ngā ratonga waka whenua kāore e taupoki ana i te Ture No Surprises Act, ahakoa ka taea e ngā ture a te whenua te whakarato atu i ngā tiaki.
He aha te mea ka taea e koe ki te kore e taea e koe te utu te pire ruma ohorere?
Ka nui te mamae o te whiwhi pire ruma ohorere o ngā mano tārara, otirā ki te kore koe e inihua. I mua i te whakapono me utua e koe te katoa, pataia te hōhipera mō ō kōwhiringa.
Tonoa he pire kua tohua
Tonoa he wehewehenga taipitopito, raina-i-reira-rānei o ngā utu. Āta tirohia mō ngā ratonga takatika, ngā utu he, ngā ratonga kāore koe e mōhio ana.
Pataia mō he utu whakahekenga mō te utu-ā-moni
Ka taea e ngā hōhipera te whakarato utu whakahekenga ki ngā tūroro kāore he inihua. Pataia mā te motuhake mē he utu-ā-moni, utu-ā-moni rānei kei te wātea.
Tonoa he āwhina pūtea
He maha ngā hōhipera kore-painga ka whai kaupapa āwhina pūtea, tiaki āroha rānei mō ngā tūroro e tika ana. Whakapā atu ki te tari pire o te hōhipera me te patai me pēhea te tono.
Whiriwhiria te pauna
I runga i te hōhipera me ō āhuatanga, ka taea e koe te whiriwhiri i te nui e nama ana koe. Ko ētahi kaiwhakarato ka tuku i te nama iti ake ki te taea e koe te utu kotahi.
Pataia mō he mahere utu
Ki te kore koe e utu te pire i te wā kotahi, pataia mehemea ka whakarato te hōhipera i tētahi mahere utu. Ko te wehewehenga o ngā utu i te wā ka taea ai te nama nui ake te whakahaere.
Whakaarohia he kaiwawao tūroro
Ka taea e ngā kaiwawao tūroro me ngā whakahaere kore-painga te āwhina ki te mātau, te tautohetohe, te whiriwhiringa rānei i ngā pire rongoā.
Kaua e wareware i te pire. Ki te raruraru koe ki te utu, whakapā atu ki te tari pire me te patai mō ngā kōwhiringa kei te wātea.
Ahea ka taea e te telehealth, te tiaki tere rānei te whakaora moni i a koe?
Kāore ngā raruraru rongoā katoa e hiahiatia ana he ruma ohorere.
Mō ngā mate kore-ohorere e tika ana, ka taea e te telehealth, te tiaki tere rānei te iti ake te utu.
Ngā mate ka taea te aromatawai i waho o te ruma ohorere ko:
- Ngā tohu makariri me te rewharewha
- Ngā mate ngāwari
- Ngā mate mimi ngāwari
- Kōwhai kōwhai
- Ētahi werawera
- Ngā pātai rongoā, te whakakī rānei
- Ngā whara ngāwari kāore e hiahiatia he whakaahua ohorere
- Ētahi atu take kore-ohorere
Ko ngā haerenga telehealth utu-ā-moni ka tata ki te $39 ki te $100, ko te haerenga tiaki tere kaore he inihua ka tata ki te $150 ki te $280 i mua i ngā ratonga atu.
Mō te whakatauranga tata ake o ēnei kōwhiringa, tirohia tiaki tere vs telehealth: utu, tere, me te aha e rongoā nei ia.
Kāore te kōwhiringa iti rawa te utu e tika ana mō te katoa. Me whakatau ngā tohu o tō tinana i te taumata o te tiaki e hiahiatia ana e koe.
Ahea koe kaua e ngana ki te whakaora moni mā te karo i te ruma ohorere?
Kaua rawa e waiho te utu hei mea whakatau ina paingia koe e tētahi mate ohorere.
Waea atu ki te 911, haere rānei ki te ruma ohorere mō ngā tohu pēnei ki:
- Te mamae, te pehanga rānei o te uma
- Te uaua nui ki te manawa
- Ngā tohu o te whiu, tae atu ki te waha kōpū, te ngoikore o te ringa, te uaua ki te kōrero
- Te toto nui, te kore rānei e mutu
- Te ngaro ohorere o te māramatanga, te rangirua nui rānei
- Ngā pāwaha
- Te mate pāwera nui
- He whara nui ki te upoko
- Ngā tohu e tere haere ana, e tino kino ana rānei
Ko te rongoa ohorere tere ka taea te aukati i te kino mau tonu. Ka taea te whakatika i ngā take pūtea i muri mai mā te āwhina pūtea o te hōhipera, ngā mahere utu, ngā tiaki inihua, me ētahi atu rauemi.
Ngā Pātai Auau
He aha te nui o te utu o te ruma ohorere?
Me noho rite ngā tari ohorere ki te rongoa i ngā mate nui i ngā wā katoa, e hiahiatia ana he kaimahi, taputapu, me ngā hanganga motuhake.
Ka taea hoki te uru ki ngā pire ruma ohorere he utu whare, tākuta, tohunga, taiwhanga, whakaahua, rongoā, me ngā utu tikanga motuhake.
Mō te raru kāore e tino ohorere ana, ka taea te iti ake te utu o te tiaki tere, te telehealth rānei, no te mea kāore ēnei wāhi e rite ana te hanganga tiaki ohorere.
Ka taea ahau te panaia mai i te ruma ohorere ki te kore au he inihua?
I te nuinga, kāore.
I raro i te Ture Tiaki Hauora me te Whānautanga (EMTALA) a te kāwanatanga, me whakarato ngā hōhipera kua uru ki te Medicare, kua whai tari ohorere, he whakamātau rongoā me te tiaki whakaū i te hunga kua tae mai ki te mate ohorere, ahakoa tō tūnga inihua, te kaha rānei ki te utu.
Ehara tēnā i te tikanga he kore utu te tiaki ohorere. Ka taea tonu e koe te whiwhi pire i muri i te tiaki.
He aha te utu whare o te ruma ohorere?
Ko te utu whare he utu mō te whakamahi i ngā whare me ngā rauemi o te hōhipera, tari ohorere rānei. He motuhake tēnei i te utu e utua ana e te kaimātai e rongoa ana i a koe.
Ka nui pea ngā utu whare, ā, ko tētahi take tēnei e nui ake ai te pire ruma ohorere i te tēnehi, ahakoa kāore koe e whiwhi tiaki nui.
Ka tukuna e te tiaki tere ngā mahere utu?
Ka whakawhirinaki ki te whare.
Ko ētahi whare tiaki tere ka tuku mahere utu, utu whakahekenga mō te utu-ā-moni, etahi atu kōwhiringa utu rānei, ko ētahi atu ka hiahia te utu i te wā o te ratonga.
Ki te kore koe e inihua, te utu ā-moni rānei, pataia mō ngā utu me ngā kōwhiringa utu o te whare i mua i te whiwhi tiaki ina taea.
He aha te mahi mehemea ka whiwhi ahau i tētahi pire rongoā ohorere?
Me tīmata ki te ata tirotiro i te pire.
Tonoa he tauākī kua tohua, ā, kia mārama kei te rite ngā ratonga kua tuhia ki te tiaki i whiwhi koe. Ki te whakapono koe ko te utu ohorere kaore i uru ki te inihua ka takahi i te Ture No Surprises Act, ka taea e koe te whakapā atu ki ngā Tari Medicare & Medicaid, ki tō kaiwhakahaere ā-whenua rānei.
Ki te tika te pire engari kāore e taea te utu, pataia te kaiwhakarato mō te āwhina pūtea, ngā utu whakahekenga mō te utu-ā-moni, te whiriwhiringa, me ngā mahere utu.
Whakaoti
Ka nui te utu o te haerenga ki te ruma ohorere me te kore inihua, me te tata ki te $1,000 ki te $3,000 neke atu rānei te utu mō te haerenga tari ohorere taketake. Ka taea e te tiaki matatini te whakahuihui i te katoa ki runga ake i te $5,000.
Mō ngā mate kāore e tino ohorere ana, ka taea e te tiaki tere me te telehealth te iti ake te utu. Engari kāore te utu e tika kia whakatau mehemea ka rapu koe i te tiaki ohorere ina taea te mate te mate o ngā tohu.
Ki te whiwhi koe i tētahi pire nui o te ruma ohorere, kaua e whakapono me utu e koe te katoa i te wā kotahi. Tirohia ngā utu kua tohua, pataia mō ngā utu whakahekenga mō te utu-ā-moni me te āwhina pūtea, ā, kimihia mehemea kei te wātea he mahere utu, he whiriwhiringa pire rānei.
A ki te paingia koe e te mate ohorere, kaua e whakaroa ki te tiaki mō te manukanuka ki te utu. Waea atu ki te 911, haere rānei ki te ruma ohorere tata. Ka taea te whakatika i ō kōwhiringa pūtea i muri i te whiwhinga o te tiaki e hiahiatia ana e koe.
