Ukuphila nokukhubazeka kuletha izinselele ezihlukahlukene ngokomzimba nangokwezimali. Ngokujabulisayo, izinto ezisizayo njengezihlalo ezinamasondo ezisebenza ngogesi zinikeza abantu ukuhamba nokuzimela okukhulu. Kodwa-ke, ukuzulazula enkingeni yokufakwa komshwalense, njengokukholisa iBlue Cross ukuthi ikhokhele isihlalo esinamasondo esinamandla, kungaba yinto enzima kakhulu. Kule bhulogi, sizoxoxa ngamasu asebenzayo okukusiza ukuthi uthole ukufakwa okukufanele.
1. Yazi umshwalense wakho:
Isinyathelo sokuqala sokuthola umshwalense wesihlalo esinamasondo ukubhekisisa inqubomgomo yakho yeBlue Cross. Jwayelana nemibandela ethile abayidingayo ukuze bagunyaze isimangalo esinjalo. Thola ukuthi isihlalo esinamasondo esinamandla sithathwa njengesixhobo sezokwelapha esiqinile (i-DME) noma uma kudingeka imibhalo eyengeziwe (njengeSitifiketi Sesidingo Sezokwelashwa). Lolu lwazi luzokusiza ukuthi uhlele isimangalo sakho ngendlela efanele.
2. Khuluma nomhlinzeki wakho wokunakekelwa kwezempilo:
Umhlinzeki wakho wokunakekelwa kwezempilo udlala indima ebalulekile ohlelweni lokuthola umshwalense wesihlalo sabakhubazekile. Yenza i-aphoyintimenti nodokotela wakho noma umhlinzeki ukuze uxoxe ngokulinganiselwa kwakho kanye nezidingo zokuhamba. Bacele ukuthi bahlole isimo sakho futhi bakunikeze ukuhlola okuphelele, okuningiliziwe okusekela isidingo sesihlalo esinamasondo esinamandla. Lokhu kuhlola kuzoba ubufakazi obuqinile lapho ufaka isimangalo.
3. Qoqa amadokhumenti asekelayo:
Ngokungeziwe ekuhloleni komhlinzeki wakho wokunakekelwa kwezempilo, sicela uqoqe noma imaphi amanye amadokhumenti afanelekile ukuze wenze icala eliphoqelelayo ku-Blue Cross. Lokhu kungase kuhlanganise amarekhodi ezokwelapha, imiyalelo, imiphumela ye-X-ray, nanoma yiluphi olunye ulwazi olubonisa isidingo sezokwelapha sesihlalo esinamasondo. Zama ukunikeza umbono jikelele wesimo sakho ukuze uqinise icala lakho.
4. Bhala incwadi yesidingo sezempilo ehehayo:
Njengoba kushiwo ngaphambili, iBlue Cross ingadinga Isitifiketi Sesidingo Sezokwelashwa. Le ncwadi kufanele ibhalwe umhlinzeki wakho wezempilo futhi kufanele icacise imikhawulo yakho yokuhamba, izizathu zezokwelapha zokuncoma isihlalo sabakhubazekile, kanye nomthelela waso omuhle empilweni yakho yansuku zonke. Umbhalo kufanele ucace, ube mfushane futhi ukhohlise ukuze ukholise inkampani yomshwalense ngesidingo sokumboza isihlalo sakho sabakhubazekile.
5. Landela izinqubo ze-Blue Cross:
Inkampani yomshuwalense ngayinye inezinqubo zayo kanye nezidingo zayo. Kubalulekile ukulandela izinqubo zeBlue Cross ngokucophelela ukuze uqinisekise ithuba elingcono kakhulu lokugunyazwa. Qiniseka ukuthi ugcwalisa wonke amafomu adingekayo ngokunembile, kuhlanganise nawo wonke amadokhumenti asekelayo, futhi uhambise isimangalo sakho phakathi nesikhathi esinqunyiwe. Khumbula ukugcina amakhophi awo wonke amadokhumenti nezincwadi ezihlobene nesicelo sakho.
Ukuthola umshwalense wesihlalo sabakhubazekile samandla kwa-Blue Cross kungase kubonakale kuwumsebenzi onzima, kodwa ngendlela efanele, kungenzeka. Ukuqonda umshwalense wakho, ukubonisana nomhlinzeki wakho wokunakekelwa kwezempilo, ukuqoqa imibhalo esekelayo, ukubhala incwadi yesidingo sezokwelapha esithonya, nokulandela izinqubo zeBlue Cross kuyizinyathelo ezibalulekile zempumelelo. Khumbula, ukuphikelela nokuzimisela kubalulekile phakathi nale nqubo, futhi ungangabazi ukufuna usizo enhlanganweni emelela abakhubazekile uma uludinga. Ufanelwe inkululeko nokuzimela okuhlinzekwa yisihlalo esinamasondo samandla, futhi ngalawa masu, ungandisa amathuba akho okuthola usizo olufanele.
Isikhathi sokuthumela: Oct-30-2023