- 産業: 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 a request to be paid by a health plan for health services given. An example would be the claim your doctor sends to your health plan for an office visit. It is also a request for payment under a disability or life insurance plan.
Industry:Health care
This is an area served by a health plan. It is where the plan is licensed to accept members. It is also where a network of doctors exists to give health care services.
Industry:Health care
These employers pay the health plan provider to administer and manage the benefits they've chosen. The insurer pays the claims. This means the insurer is the one taking the risk.
Industry:Health care
This is a type of pharmacy benefits plan. It only covers prescription drugs on the plan’s list. The list is called a “formulary”. Drugs not on this list need to be approved by the plan before they can be covered.
Industry:Health care
This pays part of a worker’s pay when he or she is out of work. This person must be out of work for a short time with an illness or injury that is not related to work.
Industry:Health care
This exam is done by occupational or physical therapists. It tests people who have been injured or sick to see if they can return to work. It might test how well a person can lift, bend, stand, climb or carry. It can also focus on a specific function, like use of the hands. The tests used show if the worker can resume normal job activities.
Industry:Health care
This is the percentage of health care expenses you pay after your deductible. Your health plan pays the rest up to any benefit or lifetime maximum.
Industry:Health care
This is a type of health care plan that fills gaps in a regular plan. It gives you benefits when you are between jobs, after a move or when you are out of the country. It usually lasts for one year or less. And it usually cannot be renewed.
Industry:Health care
A generic drug is a copy of a brand-name drug that no longer has a patent. The cost is usually less than the brand-name drug.
Industry:Health care
This is the highest amount of life insurance you can get. It means you can have both basic and supplemental plans, but only up to this amount.
Industry:Health care
