Results for tag: "Medical Necessity"

Medical Necessity is a term used in the health insurance industry to refer to services or treatments that are medically necessary for a patient's health and well-being. It is used to determine whether a service or treatment is covered by a health insurance plan. Medical Necessity is based on the concept that health insurance should cover only those services or treatments that are necessary for a patient's health and well-being. This includes services or treatments that are medically necessary, as well as those that are cost-effective and appropriate for the patient's condition. Medical Necessity is determined by a variety of factors, including the patient's medical history, diagnosis, and treatment plan. It is also based on the standards of care established by the medical community. In addition, the cost of the service or treatment must be considered when determining Medical Necessity. Companies in the Medical Necessity market include health insurance providers, such as Aetna, Cigna, and UnitedHealthcare, as well as medical providers, such as hospitals, clinics, and physicians. These companies are responsible for determining Medical Necessity and ensuring that patients receive the services and treatments they need. Show Less Read more