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As a member, can I receive the Meal service, the Boost liquid service?
What else can I help you with?
Is Aetna Select Open Access a PPO or HMO?
Aetna Select Open Access is a PPO (Preferred Provider Organization).
Is Aetna Medicare primary over Medicare?
The answer depends on what type of Aetna Medicare Plan you have. If you have an Aetna Medicare Supplemental Plan, then Original Medicare pays first and the Aetna plan pays secondary If you have an Aetna Medicare Advantage HMO Plan, then the Aetna plan will always be primary as Medicare has assigned the benefits over to Aetna for processing and administration.
What different types of health insurance plans does Aetna offer to consumers?
Aetna offers health plans raging from an HMO, POS, HNO, a variety of PPO's, preventive and hospital care, and whole health.
Who is the person within an HMO who has been assigned to monitor the services provided to the patient both inside the facility and outside the facility?
gate keeper
What is hmo plan?
An HMO means Health Maintenance Organization. HMO is a form of health insurance that offers a wide range of healthcare services through a network of providers who agree to supply services to its members.
Can an employer use the services of an HMO clinic for 5 or more employees?
That depends on the contracts available from the HMO. Most HMO's have a variety of services available with different price ranges depending on the number of employees to be covered. I've had HMO's at companies with far more than 5 employees.
What model HMO dircetly employs the physicians?
The model of Health Maintenance Organization (HMO) that directly employs physicians is known as a "staff model HMO." In this structure, the HMO hires its own physicians as employees, providing them with a salary and benefits. This allows for greater control over the quality of care and services offered, as well as streamlined communication among healthcare providers within the organization. Staff model HMOs typically have their own facilities and may limit patients to services provided within their network.
What types of policies are offered by AETNA individual health insurance?
The health insurance provider AETNA provides multiple policies to its customers. Some of the noteworthy policies are Managed Choice, which enables the holder to use a network of providers, and other types of HMO coverage.
What is DMO dental coverage?
DMO is acutally a trademark of Aetna for their dental HMO; the rest of the dental benefits industry uses the term DHMO. Dental HMOs have the lowest premium cost of all dental insurance products and usually have no annual maximum benefit. The trade off is that a dental HMO requires that you use a dentist on their list to receive care. Your cost in a dental HMO (DMO) is usually listed as a specific dollar amount for each procedure, such as office visit, x-rays, cleaning, fillings, root canals, etc. The Aetna website describes their DMO as follows: Aetna DMO Dental requires the selection of a Primary Care Dentist from an established network. Preventative care is covered once every six months at 100%. Basic restorative services and major restorative procedures are covered after a scheduled co-payment amount is paid. All services must be provided by your Primary Care Dentist. Specialty care is referred by the Primary Care Dentist to a network specialist. Orthodontic coverage is available to all enrolled employees and their eligible dependents. Evelyn F. Ireland, CAE; Executive Director, National Association of Dental Plans
Where can I find my medicare hmo information?
You can go to medicarhmo.com. There are also several other websited dedicated to helping with medical hmo information services.
What is the goal of hmo?
An HMO is a construct intended to combine the financing and the delivery of health care services. It provides a comprehensive set of health care services to members (subscribers) in return for a monthly fee. Stated otherwise, an HMO may be considered to be both a health care provider and an insurer.
Can a PPO dentist be used in an HMO plan?
No. For one, in an HMO the providers are "capitated" paid part of the premium EVERY month, whether you use their services or not.
