Aetna member definition

Aetna member means any patient who was enrolled in an Aetna fully insured or self- funded plan, and received services rendered by an Affiliated Medical Group.
View Source

Examples of Aetna member in a sentence

  • We may encourage you to access certain dental services or categories of dental providers, participate in programs, including but not limited to financial wellness programs, utilize tools, improve your health metrics or continue participation as an Aetna member through incentives.

  • The Parties have jointly identified a group of individuals whose Aetna member files contain one of an agreed-upon set of qualifying IUI or mixed IUI and IVF codes associated with precertification or claim requests during the Class Period and whose Aetna member files also establish that the member was in an Eligible LGBTQ+ Relationship at the time of seeking such services.

  • The Parties have jointly identified a second group of individuals whose Aetna member files contain one of an agreed-upon set of qualifying IUI codes associated with precertification or claim requests during the Class Period, but for whom ▇▇▇▇▇ cannot determine from its member files whether they were in an Eligible LGBTQ+ Relationship during the Class Period.

  • The Parties have jointly identified a third group of individuals whose Aetna member files contain one of an agreed-upon set of qualifying IVF-only codes associated with precertification or claim requests during the Class Period, but for whom Aetna cannot determine from its member files their IUI history and whether they were in an Eligible LGBTQ+ Relationship during the Class Period.

  • If I am a BCBS PPO or Aetna member and opt to use my insurance coverage for treatment services, I am required to pay any known amounts (e.g., deductibles, copays, or co-insurance) at the time of service.

  • We may encourage and incent you to access certain dental services, to use online tools that enhance your coverage and services, and to continue participation as an Aetna member.

  • The Parties have jointly identified a second group of individuals whose Aetna member files contain one of an agreed-upon set of qualifying IUI codes associated with precertification or claim requests during the Class Period, but for whom Aetna cannot determine from its member files whether they were in an Eligible LGBTQ+ Relationship during the Class Period.

  • The Parties have jointly identified a third group of individuals whose Aetna member files contain one of an agreed-upon set of qualifying IVF-only codes associated with precertification or claim requests during the Class Period, but for whom ▇▇▇▇▇ cannot determine from its member files their IUI history and whether they were in an Eligible LGBTQ+ Relationship during the Class Period.

  • If I am a BCBS PPO, United Healthcare (Optum), or Aetna member and opt to use my insurance coverage for treatment services, I am required to pay any known amounts (e.g., copays) at the time of service.