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Aetna also offers HMO Point-of-Service (HMO-POS) plans, which are HMOs that include an out-of-network option. Plan members may access medical treatment outside their HMO network for specific ...
Aetna Inc. (/ ˈ ɛ t n ə / ET-nə) is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare.
A survey issued in 2009 by America's Health Insurance Plans found that patients going to out-of-network providers are sometimes charged extremely high fees. [117] [118] Network-based plans may be either closed or open. With a closed network, enrollees' expenses are generally only covered when they go to network providers.
The POS is based on a managed care foundation—lower medical costs in exchange for more limited choice. But POS health insurance does differ from other managed care plans. Enrollees in a POS plan are required to choose a primary care physician (PCP) from within the health care network; this PCP becomes their "point of service". The PCP may ...
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Aetna Dental Offers Members Greater Access and Choice Through Expanded PPO Network --Aetna Dental PPO II network adds over 6,000 new dental practice locations-- HARTFORD, Conn.--(BUSINESS WIRE ...