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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.
Insurance companies, as payors, negotiate health care pricing with providers on behalf of the insured. Hospitals, doctors, and other medical providers have traditionally disclosed their fee schedules only to insurance companies and other institutional payors, and not to individual patients.
Unlike Original Medicare, which a 20% coinsurance for Part B services including doctor’s visits, most Medicare Advantage plans have flat fee co-pays, which will be lower.
The lower a family's income is, the less likely that they can purchase health insurance, according to 2008 US Census figures. About 14.5% of households with $50,000 to $75,000 in income did not have health insurance. While 24.5% of households with $25,000 or less income went without health insurance. [8]
Aetna began life in Hartford, CT, in 1853. They are now part of the CVS Health group. The company estimate that 39 million people rely on them for healthcare, and the Aetna network includes 1.2 ...
CMS begins using the Medicare fee schedule to give larger payments to physicians who provide high-quality care compared with cost. [127] The "Employer Mandate" (originally scheduled to take effect on January 1, 2014) goes into effect for employers with 100 or more employees. [116] [117]
Professional Employer Organization (PEO) health insurance benefits help small businesses offer medical coverage without administrative headaches. Explore PEO healthcare rates and options.
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