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An individual must pay any amount above this limit for the dental care they receive. Aetna also offers a discount card that provides savings of 15% to 50% off the cost of many dental services.
Aetna's Dental Medical Integration Program May Help Lower Costs and Result in Better Health -- Medical claims costs lowered by an average of 17 percent among members in the program -- HARTFORD ...
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.
The card can be used to pay for discounted dental services from any Aetna provider participating in the Aetna Dental Access network. The cost is deducted from the card at the time of purchase ...
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 ...
Payors evaluate claims by verifying the patient's insurance details, medical necessity of the recommended medical management plan, and adherence to insurance policy guidelines. [4] The payor returns the claim back to the medical biller and the biller evaluates how much of the bill the patient owes, after insurance is taken out.
Dignity Health warned local patients that its facilities could be out of network on April 1. ... Aetna, which offers health and dental insurance for roughly 39 million members across the United ...
In 2010 about 250 plans participate in the program. [3] About 20 plans are nationwide or almost nationwide, such as the ones offered by some employee unions such as the National Association of Letter Carriers, by some employee associations such as GEHA, and by national insurance companies such as Aetna and the Blue Cross and Blue Shield Association on behalf of its member companies.