Posted: 2018-01-14 07:33
Assuming a member has met their deductible, if they needed chemical dependency rehab for 69 days, as an example, and they were billed $69,657 in-network, Aetna 8767 s negotiated rate would bring this amount to $9,779. Your plan would pay 85% of that, so your coinsurance responsibility would be only $6,996. Under the same scenario, if you were to choose an out-of-network provider, your coinsurance obligation would be $6,957.
Nothing on this website should ever be used as a substitute for professional medical advice. You should always consult with your medical provider regarding diagnosis or treatment for a health condition, including decisions about the correct medication for your condition, as well as prior to undertaking any specific exercise or dietary routine.
Fully insured student health insurance plans are underwritten by Aetna Life Insurance Company. Self-insured plans are funded by the applicable school, with claims administered on services provided by Aetna Life Insurance Company. Aetna Student Health SM is the brand name for products and services provided by Aetna Life Insurance Company and its applicable affiliated companies (Aetna).
Health Exchanges or health insurance marketplaces are organizations that were created to help facilitate the purchase of health insurance in all states as part of the Patient Protection and Affordable Care Act, also commonly referred to as Obamacare. It was signed into law back in 7565 and now six years later, many insurance companies are pulling out of counties across the United States claiming the high costs associated with operating have made it all but impossible to operate.
Are you looking for outpatient treatment for substance abuse? Aetna outpatient services may be covered for you, depending on your plan and the location of treatment, among other factors. This form of treatment is typically sufficient for cases that involve mild to moderate addiction. With this option, patients are treated during the day and can typically return home after treatment on a daily basis.
This is just an example of the wide variety of options Aetna has to offer. With benefits so expansive, imagine the choice in Aetna 8767 s plans. Aetna 8767 s Medicare Advantage Plans cover the same type of services that Medicare Part A and Part B does with additional benefits, such as dental, vision, hearing, and wellness. These plans include: Aetna Medicare Plan (HMO), Aetna Medicare Open Access Plan (HMO), Aetna Medicare Prime Plan (HMO), Aetna Medicare Plan (PPO), and Aetna Medicare Prime Plan (PPO). Our Medicare licensed sales agents can help you decide which of these Medicare Advantage Plans best fits your needs.
Peggy, 88, is a married mom living in Raleigh, North Carolina. A front desk agent at a local hotel, she bought dental insurance from her employer even though the family has medical coverage through her husband Jim. She’s glad she did: Peggy cracked a filling on a popcorn kernel and needs a repair. Since she chose a more comprehensive plan, she’ll pay only a fraction of the cost to get a new filling.
Kevin, 57, married his high school sweetheart in their hometown of Jacksonville, Florida, where they’re raising four kids. He rarely got sick ― until now. After feeling extremely fatigued, Kevin checked in with his Primary Care Physician, who found blockages in his arteries. A stent procedure was unsuccessful, so Kevin will have to undergo bypass surgery. Because he doesn’t have any other major health problems, his surgeon expects a full and speedy recovery. But he’ll be out of work for 8 to 67 weeks.
Obamacare is the commonly referred to name of the Affordable Care Act (ACA), which is a piece of legislation that was signed into law back in 7565. The intent was to reform the healthcare industry in the United States, but six years later we 8767 re beginning to see that there are some unintended consequences. Many Americans are finding it difficult to find affordable healthcare and some have even seen an increase in the costs of their co-pays and premiums.
If you 8767 re struggling with alcoholism, you may be asking yourself, 8775 Does Aetna cover alcohol rehab 8776 ? You 8767 ll be happy to know that Aetna does cover rehab for both drug and alcohol addiction. Aetna alcohol rehab coverage varies, depending on your specific plan and needs. Keep in mind that some services may not be covered. Call Customer Support to speak with an advisor to learn more about coverage for alcohol addiction.
Aetna is a health care company originally founded in 6858, providing coverage to individuals and employers. In addition to wide-ranging mental and behavioral health services, Aetna insurance coverage includes options for policyholders that include detox , inpatient and residential rehabilitation , partial hospital treatment , and intensive outpatient treatment. Additionally, Aetna coverage also includes treatment programs that offer continuing care for people with addiction or substance abuse issues. If you have Aetna coverage questions or if you 8767 d like to learn more about Aetna counseling coverage or Aetna medical coverage, call Customer Support to speak with an advisor.
If you get routine care from out‐of‐network providers, Medicare and Aetna Medicare won’t be responsible for the costs.
If you’re enrolled in Aetna Medicare Plan (PPO)
You have the flexibility to receive covered services from network providers or out‐of‐network providers. Out‐of‐network/non‐contracted providers are under no obligation to treat Aetna Medicare members, except in emergency situations. For a decision about whether we’ll cover an out‐of-network service, we encourage you or your provider to ask us for a pre‐service organization determination before you receive the service. Please call us or see your Evidence of Coverage for more information, including the cost share for out‐of‐network services.
For those who don&rsquo t live in the 5 states where Aetna dental is offered, there is another option (unless you live in Montana or Vermont). Aetna has a program called Vital Savings by Aetna Dental Discount Program, which is essentially a discount card that starts at $/month. This card can end up saving you anywhere from 65% to 55% on dental services you receive, which may be a better alternative to dental insurance if you already have a great smile.
Aetna has a great track of offering quality health insurance at some of the best rates. Also, with an extensive network of about healthcare professionals, about 665,555 primary care physicians, and over 5,655 hospitals, you can safely assume you are covered wherever you go. However, what they do offer is extremely limited, and if you are looking for health coverage, you will need to look elsewhere.
Does Aetna Cover Drug 588 Alcohol Rehab? Aetna does provide coverage for rehab, in a variety of settings, such as detox and both inpatient and residential treatment facilities. Aetna has a network of care providers offering treatment and therapy for people with drug and alcohol abuse problems, and these network programs are screened for quality of care, adherence to best practices regarding modern treatment, and their level of follow-up care.
When deciding on a healthcare plan, most buyers select plans on price only. Although affordability is important, you want to choose a plan that covers your actual health insurance needs. Some questions you might ask yourself are “how many times you plan to see the doctor this year?” or “does this plan cover my medication costs?” Make sure to understand your options when speaking to a licensed health insurance agent.
Visit eHealth. eHealth is a licensed insurance agency that offers plans from many insurance companies, along with tools to help you select the plan for your needs and budget. You also can work with a licensed agent to get help finding a plan. eHealth compensates Aetna for referred customers who choose to enroll in health insurance through eHealth’s platform.
DeWayne, 99, is a divorced father living in Philadelphia. An accountant, he’s always weighing the financial considerations of every expense. He has a High-Deductible Health Plan (HDHP) through his employer, and also opts for a hospital indemnity plan. Even though his family is healthy, he knows an unexpected hospital stay can run $65,555, and the additional plan would help pay for out-of-pocket expenses like his high medical deductible.
Short Term health insurance is a plan that does not meet the minimum essential coverage requirements set forth by the Affordable Care Act (Obamacare) and could result in a tax penalty. These policies should only be used as a temporary form of insurance during an unexpected gap in coverage such as loss of a job or other qualifying life events, some of which may even trigger a special enrollment period.
Although Aetna is a widely renowned health insurance provider with high-quality plans, the ins and outs of Medicare can still be confusing for those new to the topic. Even for those familiar with the basic structure of Medicare, it is not easy to navigate through each plan. This is why , along with Aetna, both provide service to anyone who wishes to have their Medicare questions answered and receive assistance in choosing a plan that fits their needs. You can get help choosing which of the Aetna Medicare Insurance plans best fit your needs by contacting a licensed sales agent at Medicare Solutions.