Glossary: B

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Balance billingDoctors or hospitals sometimes do this. They bill patients to make up the difference between their usual fee and the amount they are paid by the health plan. Doctors and hospitals that work with Aetna will not do this.
Balance billing (Medicare) Doctors or hospitals that do not charge the fees Medicare approves sometimes do this. They bill patients to make up the difference between the approved fee and the top amount allowed by Medicare. The top amount is 15 percent more than the approved fee. Doctors and hospitals that work with Aetna will not do this.
Behavioral healthThis is also called mental health. It describes a person’s state of mind. Depression, eating disorders and substance abuse are conditions that fall under this term.
Beneficiary This is the person you choose to receive your assets if you die. It can be the person you choose to receive payment from a life insurance policy after your death. It also applies to other types of insurance, such as AD&D.
Beneficiary (Medicare)This is someone who has a health plan under Medicare or Medicaid.
Benefit This refers to medical services covered by your health plan. This word is also used to describe your health plan in general. It can also mean payment received under a plan.
Benefit durationThis is the length of time that benefits will be paid. It applies to workers who are out on short-term or long-term disability.
Benefit maximum This is the maximum amount that may be paid under a benefit plan. There are several types of benefit maximums. See “Lifetime maximum”.
Benefit periodThis is a maximum length of time during which benefits will be paid.
Brand-name drug This is a medicine that is protected by patent. It can only be given to you with a prescription.

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