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An explanation of benefits (commonly referred to as an EOB form) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. [1] The EOB is commonly attached to a check or statement of electronic payment. An EOB typically describes:
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 ...
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.
For example, the member might have to pay 20% of the cost of a surgery over and above a co-payment, while the insurance company pays the other 80%. If there is an upper limit on coinsurance, the policy-holder could end up owing very little, or a great deal, depending on the actual costs of the services they obtain.
Mark Bertolini, former Aetna CEO and current chief executive of Oscar Health, said Americans’ frustration with insurance systems is justified. Employer-sponsored health insurance, which insured ...
As part of the program, Aetna and Brown & Toland agreed to a new payment model that supports doctors in assuming greater accountability for the quality and cost of Aetna members' overall health ...
With Aetna, CVS picks up a few more pieces of the healthcare system, such as medical benefits and population health tools. The addition gives CVS a lot more data to analyze as well. Screen Shot ...
Aetna, et al., a frustration succinctly summarized in his quote from a previous decision in "Andrews-Clarke v. Travelers Ins. Co., " (a Complaint by a widow for the death of her husband as a consequence of a Managed Care Utilization review decision that cut short her husband's physician's recommended in-hospital treatment plan) as follows: