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Aetna provides medical, prescription drug, and dental insurance plans, including Medigap and Medicare Advantage plans. The company’s Advantage plans include: Health Maintenance Organization (HMO ...
Aetna is a health insurance company selling one Medicare Part D prescription drug plan in 2025 in all 50 states and Washington, D.C. That said, the monthly premium, copays, and deductibles can ...
Aetna offers HMO, HMO-POS, PPO, and D-SNP plans. However, not all of its Medicare Advantage plans may be available in every area. Aetna offers many Medicare Advantage (Part C) plans that fit ...
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.
Individuals whose household incomes are between 100% and 400% of the federal poverty level (FPL) are eligible to receive federal subsidies for premiums for policies purchased on an ACA exchange, provided they are not eligible for Medicare, Medicaid, the Children's Health Insurance Program, or other forms of public assistance health coverage ...
In the US a certificate of medical necessity is a document required by Centers for Medicare and Medicaid Services to substantiate in detail the medical necessity of an item of durable medical equipment or a service to a Medicare beneficiary. [1]
Aetna has a range of Medicare Advantage plans, which typically include prescription drug coverage and some additional benefits. It offers individual MAPD plans in 44 states and Washington, D.C ...
Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...