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  2. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/Pharmacy_benefit_management

    When filing an insurance claim, ... OptumRx, Humana, Prime ... timely payment for pharmacy services, prevention of spread pricing, adjudication fee limit, and ...

  3. Health insurance marketplace - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_marketplace

    Under the individual mandate provision (sometimes called a "shared responsibility requirement" or "mandatory minimum coverage requirement"), [41] individuals who are not covered by an acceptable health insurance policy will be charged an annual tax penalty of $95, or up to 1% of income over the filing minimum, [42] whichever is greater; this ...

  4. Medicare Part D coverage gap - Wikipedia

    en.wikipedia.org/wiki/Medicare_Part_D_coverage_gap

    The Medicare Part D coverage gap (informally known as the Medicare donut hole) was a period of consumer payments for prescription medication costs that lay between the initial coverage limit and the catastrophic coverage threshold when the consumer was a member of a Medicare Part D prescription-drug program administered by the United States federal government.

  5. Humana sues U.S. government to block Medicare clawback rule - AOL

    www.aol.com/news/humana-sues-u-government-block...

    Humana objected to a rule announced on Jan. 30 to let the government recoup payments when audits uncover charges for diagnoses that are not in patients' medical records.

  6. Health insurance in the United States - Wikipedia

    en.wikipedia.org/wiki/Health_insurance_in_the...

    Opposite to high-deductible plans are plans which provide limited benefits—up to a low level—have also been introduced. These limited medical benefit plans pay for routine care and do not pay for catastrophic care, they do not provide equivalent financial security to a major medical plan. Annual benefit limits can be as low as $2,000. [131]

  7. Humana - Wikipedia

    en.wikipedia.org/wiki/Humana

    Humana Inc. is an American for-profit health insurance company based in Louisville, Kentucky. In 2023, the company ranked 42 on the Fortune 500 list, [2] ...

  8. Flexible spending account - Wikipedia

    en.wikipedia.org/wiki/Flexible_spending_account

    The annual limit was $2,500 for the first plan year beginning after December 31, 2012. [9] The Internal Revenue Service will index subsequent plan years' limits for cost-of-living adjustments. [9] For 2018, this adjustment increases the contribution limit to $2650. [10] Employers have the option to limit their employees' annual elections further.

  9. Form 8-K - Wikipedia

    en.wikipedia.org/wiki/Form_8-K

    Typically an 8-K filing will only have two major parts: the name and description of the event and any exhibits that are relevant. The name and description of the event contains all the information that the company considers relevant to shareholders and the SEC. It is important to read this information, as it has been deemed "material" by the ...