- Industry: Insurance
- Number of terms: 2862
- Number of blossaries: 0
- Company Profile:
Aetna, Inc. is an American diversified health insurance company, providing a range of traditional and consumer directed health care insurance products and related services, including medical, pharmaceutical, dental, behavioral health, group life, long-term care, and disability plans, and medical ...
This can be a health plan without a deductible. It can also be a health plan with a high deductible. This plan pays for some services before the member has to pay money on his or her own. Covered services are paid out of a special fund first. Once the fund is used up, the member must satisfy the deductible before receiving coverage under the plan. Funds for this plan do not roll over from year to year.
Industry:Health care
This is a way to decide if a worker is truly disabled. The terms of the policy are used to decide this.
Industry:Health care
This is a way workers can set aside money to help pay for health care. It is used with a health benefits plan. The worker asks for money to be taken from his or her pay each pay period. This money is not taxed in most states. The money goes into a fund the worker can use to pay for different health expenses. All money must be used by the end of the stated year or it will be lost. This money cannot be transferred to another job or account.
Industry:Health care
This is a cancer treatment. It involves chemical or biological drugs. These drugs are usually given through a vein.
Industry:Health care
This is an employer who pays benefit claims for his or her employees. The employer takes on most, or all, of the risk of the costs of benefit claims. The benefit company manages those payments.
Industry:Health care
This is a list of prescription drugs the health plan covers. It can include drugs that are brand name and generic. Drugs on this list may cost less than drugs not on the list. How much a plan covers may vary from drug to drug. An open formulary provides a greater choice of covered drugs. It is also called a “preferred drug list.”
Industry:Health care
This therapy is used to help treat the spine, joint pain and movement problems. A licensed chiropractor gives this care.
Industry:Health care
This is also called a “self-funded plan.” This is a type of plan in which the employer takes on most, or all, of the costs of benefit claims. The benefit company manages the payments. But the employer is the one who pays the claims. These plans are often more flexible for the employer. That is because the employer is oftentimes not subject to state law requirements.
Industry:Health care
This is a list of prescription drugs not covered by a health plan. It applies to closed formulary plans. If a member needs a drug on this list, the doctor must ask the plan to cover it as an exception. The plan will only do so if use is medically necessary.
Industry:Health care
