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Index
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Index
A
accepting assignment, 4,
25-27, 50
Aetna Member Services, 2,
36, 45
B
Benefits Administration, 2
Benefit Summary, 56-57
C
children, 7-9,
51
chiropractic care, 28,
54
claims, 1-2, 4,
35-37
denial and reconsideration, 37
filing,
35-37
Medicare Part A and Part B, 36
outpatient prescription drugs, 35
outside the U.S., 37
continuation coverage (COBRA), 4,
40-43
coordination of benefits, 4, 33-34
outpatient prescription drugs, 17
co-payments, 11-14, see Benefit Summary, 56-57
cosmetic procedures/treatment, 31
covered expenses, 15, 18,
22, 28-29
custodial care, 23,
31, 51
D
deductibles, 18-24, 51
dental expenses, 36
dependent child,
6-9, 51
divorce, 41-42
durable medical equipment, 30
E
eligibility, 4, 6-7,
40-42
eligible dependents, 6-7,
51
emergency transportation, 28
Employee Retirement Income Security Act (ERISA), 5, 44-48
enrollment, 6-8
Medicare Direct, 36
expenses not covered, 31-32
experimental or investigational, 15,
31, 52
explanation of benefits (EOB), 35-36,
52
extended-care facilities, 31
ExxonMobil Benefits Service Center (EMBSC), 2,
8
eyeglasses, 32
H
Health Portal, 4, 37
Health Assessment, 4, 38
hearing aids, 32
hospice care, 28,
31,
see Benefit Summary, 57
hospital, 8,
19-21,
23, 28-31, 36,
49-50, 53-55,
see Benefit Summary, 57
I
inpatient care, see Benefit Summary, 56-57
K
Key Terms, 50-55
L
lifetime maximum (limit), 18, see Benefit Summary,
56
M
mail order home delivery drug service, 15
mammograms, 29
marriage, 7-9,
51, 55
medical necessity, 51,
53
Medicare,
enrollment, 7
Medicare Direct, 4, 36
Part A, 7, 36,
54
Part B, 7, 36,
54
mental health coverage, 29,
31, see Benefit Summary,
57
Merck-Medco, Medco, 1, 3,
9, 12, 15,
45
N
nursing care, 2-3, 19, 23-24,
28-29,
33, 55
O
office visits, 36
out-of-pocket limits, 4, 12, 15,
18-27, see Benefit Summary, 56
outpatient prescription drugs, 1-4,
10-18, 27,
30-31,
32-33 see Benefit Summary, 56-57
outside the U.S., 22, 28,
37
P
Medco prescriptions, 1,
10-16, 45
Partners in Health, 4, 37-38
pharmacy network, 10-12, 16-17, 35
physician, 19,
21, 23-24,
28-31, 36,
50-51, 53-55, see Benefit Summary, 56
prescription drugs, 1-4,
10-15,
18-19, 28,
31-32,
33-34, see Benefit Summary, 56
coordination of benefits, 17
primary participant, 11,
17, 54
primary plan, 17, 33-34
R
reasonable and customary, 19, 23,
55
retiree, 2-4, 6-8,
34, 38,
40-43, 51-52,
54-55
S
skilled-nursing care, 2-4,
23-24, 28-30,
33, 55
Social Security Administration, 8
surviving spouse, 6, 8,
41, 51, 55
survivors, 2-4, 8,
40,
43
T
transportation, 28
Twenty-four hour nurse line, 38-39
V
vaccinations, 29
vitamins, 32
X
X-rays, 28-29
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