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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.
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 ...
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 ...
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 ...
There are medical organizations which disagree with or dislike the concept of Silent PPOs. [1] The problem, as advocated, is that when the physician negotiated the discount, they intended to give it only in exchange for referrals from members of the insurer – where a patient is given some advance incentive to choose them.