How Good Is Meritain Health Insurance?

by | Last updated on January 24, 2024

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Meritain Health is a subsidiary of Aetna

and is one of the nation's largest administrators of health benefits.

Is meritain owned by Aetna?

Today, as

an independent subsidiary of Aetna and CVS

, we're able to offer access to carrier-level nationwide networks, discounts and other valuable resources. Coupled with our in-house products and valued vendor partners, your customized plan includes everything you need to keep your unique employee population healthy.

Is meritain health a TPA?


Meritain Health – for employees – self-funding – TPA

.

What is Mer healthcare?

Benefit Ratio – Benefit expenses as a percent of premium revenues (also known as

medical expense ratio

– MER, medical loss ratio – MLR).

Who is meritain?

Meritain Health,

an independent subsidiary of Aetna

, is one of the nation's largest administrators of health benefits. Meritain offers the resources of a national carrier combined with unmatched flexibility and plan options.

How do you pronounce meritain?

Does Aetna own PayFlex?


Aetna announced Monday it will acquire account-based health plan administrator PayFlex for $202 million

, adding its HealthHub technology platform as it looks to a changing insurance landscape.

What company owns Aetna?

Parent organizations

Does CVS own Aetna?


CVS bought the payer for $69 billion in 2018

, and has been working to integrate the company, while looking for opportunities to cross-sell, since. The deal created a massive healthcare entity, with significant market share in both the insurance and pharmacy industries.

What is insurance deductible in the USA?


The amount you pay for covered health care services before your insurance plan starts to pay

. With a $2,000 deductible, for example, you pay the first $2,000 of covered services yourself. After you pay your deductible, you usually pay only a copayment or coinsurance for covered services.

What is coinsurance health plan?


The percentage of costs of a covered health care service you pay (20%, for example) after you've paid your deductible

. Let's say your health insurance plan's allowed amount for an office visit is $100 and your coinsurance is 20%. If you've paid your deductible: You pay 20% of $100, or $20.

What is considered a good medical loss ratio?

As insurers are likely already aware, a good MLR is

80 or 85 percent

(depending on the organization size). Falling short of the federal minimum MLR for a given year means delivering rebates to policyholders. If an insurer falls within the Small Group or Individual market, for example, their MLR is 80 percent.

What is a good loss ratio for health insurance companies?

The minimum

60 percent

loss ratio applies to all health products, whether individual or group, unless a higher or lower loss ratio is specifically provided in statute.

What is Mer medical test?

The Medical Examination Report (MER) is

aimed at presenting the complete heath picture of the child along with the diagnosis of a probable illness/ condition that requires specific treatment

, and thus testing would help in restoring the health of the child.

How do I find my meritain claims?

For 24-hour automated phone benefits and claims information,

call us at 1.800. 566.9311

. To reach us by phone, dial the toll-free number on the back of the patient's ID card.

What is meritain health payer ID?

Payer Name: Meritain Health|Payer ID:

64158

|Professional (CMS1500)/Institutional (UB04)[Hospitals]

Is Kyleena covered by Aetna?


Aetna considers progestin-releasing intrauterine devices (IUDs)

(e.g., Kyleena levonorgestrel-releasing IUD; Mirena levonorgestrel-releasing IUD; Skyla levonorgestrel-releasing IUD; Liletta levonorgestrel-releasing IUD) medically necessary for contraception or for treatment of heavy menstrual bleeding.

How do you pronounce Mertian?

How does Aetna PayFlex work?

The PayFlex Card is your account debit card. It helps make it easier for you to spend the money in your PayFlex account.

You can use this card to pay for certain eligible expenses

. Eligible expenses may include doctor and dentist visits, hospital stays, prescriptions, and hearing and/or vision care.

Can I withdraw money from PayFlex?


Click on Make an HSA Withdrawal

. This lets you withdraw funds from your HSA and deposit them into your linked bank account. Step 1: Enter the amount you want to withdraw.

What is PayFlex health?

PayFlex makes health care easier

PayFlex

®

features

a fully integrated platform to help members plan, save and pay for personal well-being, and ease plan sponsor administration

. Contact an Aetna rep.

Is Aetna Life insurance Good?


Aetna is a trusted name in the insurance industry and is currently ranked 61st out of the top 200 life and health insurance companies in the United States

, according to the 2020 annual Best's Review.

What is Aetna known for?

As

one of the nation's leading diversified health care benefits companies

, Aetna provides people with information and resources to help them make better informed decisions about their health care – and the financial side of health care. Our health insurance products include medical, pharmacy, dental, behavioral health.

How does Aetna make money?

Most of Aetna's revenue now comes from

government programs

.

James Park
Author
James Park
Dr. James Park is a medical doctor and health expert with a focus on disease prevention and wellness. He has written several publications on nutrition and fitness, and has been featured in various health magazines. Dr. Park's evidence-based approach to health will help you make informed decisions about your well-being.