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Index
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Index
A
accepting assignment, 4,
24-25, 48
Aetna Member Services, 2,
34, 43
B
Benefits Administration, 2
Benefit Summary, 54-55
C
children, 7-9, 49
chiropractic care, 26,
52
claims, 1-2, 4,
32-34
denial and reconsideration, 35
filing, 33-34
Medicare Part A and Part B, 34
outpatient prescription drugs, 32
outside the U.S., 35
continuation coverage (COBRA), 4,
37-41
coordination of benefits, 4, 31-32
outpatient prescription drugs, 16
co-payments, 11-12,
13, see Benefit Summary, 54-55
cosmetic procedures/treatment, 29
covered expenses, 14, 17,
21, 26-27
custodial care, 22, 29,
49
D
deductibles, 17-23,
49
dental expenses, 34
dependent child,
6-9, 49
divorce, 39-40
durable medical equipment, 28
E
eligibility, 4, 6-7,
38-40
eligible dependents, 6-7, 49
emergency transportation, 26
Employee Retirement Income Security Act (ERISA), 5, 42-46
enrollment, 6-8
Medicare Direct, 34
expenses not covered, 29-30
experimental or investigational, 14,
29, 50
explanation of benefits (EOB), 33-34, 50
extended-care facilities, 29
ExxonMobil Benefits Service Center (EMBSC), 2,
8
eyeglasses, 30
H
Health Portal, 4, 35
Health Risk Assessment, 4, 36
hearing aids, 30
hospice care, 26, 29,
see Benefit Summary, 55
hospital, 8,
18-19, 20,
22, 26-28, 34,
47-48, 51-53,
see Benefit Summary, 55
I
inpatient care, see Benefit Summary, 54-55
K
Key Terms, 48-53
L
lifetime maximum (limit), 17, see Benefit Summary,
54
M
mail order home delivery drug service, 14
mammograms, 27
marriage, 7-9,
49, 53
medical necessity, 49,
51
Medicare,
enrollment, 7
Medicare Direct, 4, 34
Part A, 7, 34,
52
Part B, 7, 34,
52
mental health coverage, 27,
29, see Benefit Summary,
55
Merck-Medco, Medco, 1, 3,
9, 12, 14,
43
N
nursing care, 2-3, 18, 22-23,
26-27,
31, 53
O
office visits, 34
out-of-pocket limits, 4, 12, 14,
17-25, see Benefit Summary, 54
outpatient prescription drugs, 1-4,
10-18, 26, 29-30,
31-32 see Benefit Summary, 54-55
outside the U.S., 21, 26,
35
P
Medco prescriptions, 1,
10-15, 43
Partners in Health, 4, 35-36
pharmacy network, 10-12, 15-16, 33
physician, 18,
20, 22-23,
26-29, 34,
48-49, 51-53, see Benefit Summary, 54
prescription drugs, 1-4,
10-14,
17-18, 26, 29-30,
31-32, see Benefit Summary, 54
coordination of benefits, 16
primary participant, 11,
16, 52
primary plan, 16, 31-32
R
reasonable and customary, 18, 22,
53
retiree, 2-4, 6-8,
32, 36,
38-41, 49-50,
52-53
S
skilled-nursing care, 2-4,
22-23, 26-28,
31, 53
Social Security Administration, 8
surviving spouse, 6, 8, 39, 49, 53
survivors, 2-4, 8, 38,
41
T
transportation, 26
Twenty-four hour nurse line, 36-37
V
vaccinations, 27
vitamins, 30
X
X-rays, 26-27
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