- 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 ...
Health plans usually pay only for care that is “necessary.” They decide this by using medical standards or research that states what care is most effective. Care can mean health services or supplies. This also is called “medically necessary,” “medically necessary services” or “medical necessity.”
Industry:Health care
A network is a group of health care providers. It includes doctors, dentists and hospitals. The health care providers in the network sign a contract with a health plan to provide services. Usually, the network provides services at a special rate. With some health plans, people get more coverage when they get care in the network.
Industry:Health care
This is a medical condition. A person who has it gets up often during the night because he or she needs to urinate.
Industry:Health care
This is the cost of a group insurance plan that is paid by an employer. It can be part of the cost or can be the entire cost.
Industry:Health care
This describes a disease not caused by a job or in any act related to a job.
Industry:Health care
This is an injury not caused by a job or an act related to a job.
Industry:Health care
This is a health care provider who does not have a contract with a health plan. People might pay more when they visit this kind of doctor, hospital or other health care professional. This may also be referred to as “out of network” or “nonpreferred.”
Industry:Health care