- 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 is part of the original Medicare plan. It is managed by the federal government. It covers some, but not all, expenses for: inpatient care at a hospital; medical care at a Skilled nursing facility; hospice care; Home Health Care. The plan has limits. People also must pay deductibles, copays and other costs.
Industry:Health care
This is part of the original Medicare plan managed by the federal government. People sign up for this plan. They usually pay a monthly premium for the plan. It covers: necessary services from doctors; outpatient care from a hospital. It also pays some costs for some: physical therapy; occupational therapy; Home Health Care.
Industry:Health care
This is a Medicare program. It is open to most people who have Medicare Part A and Medicare Part B plans. It provides medical and other benefits. These are provided through health plan companies approved by the federal government. The coverage is offered through Medicare Advantage plans. These plans can be: health maintenance organizations; Preferred provider organizations; Medicare Private Fee-for-Service plans. When people use doctors and hospitals in the plans’ networks, they get more coverage. That means they might pay less. Some of these plans cover prescription drugs. That is an MA-PD plan. Some do not cover prescription drugs. That is an MA plan.
Industry:Health care
This is an optional Medicare plan. It provides coverage for some prescription drugs.
Industry:Health care
This is an optional Medicare plan. It is separate from a Medicare health plan. It provides coverage for some prescription drugs. It is offered through a private company. Sometimes, it is called a “PDP.”
Industry:Health care
This is an insurance policy. It is offered through private companies. It helps pay for some benefits not covered by Medicare Part A and Medicare Part B. New plans of this type do not cover prescription drugs. It is also known as “ Medigap” coverage.
Industry:Health care
This is an Aetna program. It offers contract rates for some claims. These claims would otherwise be paid at the cost the doctor billed. It applies to: indemnity plans; the out-of-network part of managed care plans; Emergency or necessary services not provided by the network.
Industry:Health care
This is an independent, nonprofit group. It is also known as the NCQA. The NCQA has an official recognition process. It measures how well a health plan: manages its care delivery system; improves health care for members.
Industry:Health care
This is an Aetna program. It helps members get covered treatment for: solid organ transplants; bone marrow transplants; some other rare or complex conditions. The services must be done by network facilities. They must have experience in these areas.
Industry:Health care
People can lose some skills because of an accident or illness. These skills include walking, eating, drinking, dressing and bathing. This treatment helps restore the skills.
Industry:Health care
