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Aetna, the company’s health care benefits segment, reported about $939 million in the second quarter, down from about $1.5 billion in the second quarter of 2023.
The contract fight spilled into the public when the companies told customers that without a new contract by July 1, in-network providers would be considered out-of-network.
Mail. 24/7 Help. For premium support please call: ... unless a new health insurance coverage deal is reached by March 31. ... that estimated patient cost gap increased from $120 for Aetna network ...
Almost two weeks after their contract lapsed, WakeMed and insurance giant Humana have yet to reach a deal, leaving many Medicare patients out of network. WakeMed and Humana contract dispute could ...
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.
In U.S. health insurance, a preferred provider organization (PPO), sometimes referred to as a participating provider organization or preferred provider option, is a managed care organization of medical doctors, hospitals, and other health care providers who have agreed with an insurer or a third-party administrator to provide health care at ...
The effective result of this decision was that the THCLA, which held Case Management and Utilization Review decisions by Managed Care entities like CIGNA and Aetna to a legal duty of care according to the laws of The State of Texas could not be enforced in the case of Health Benefit plans provided through private employers, because the Texas ...
An explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. [1] The EOB is commonly attached to a check or statement of electronic payment. An EOB typically describes: