Glossary: R

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Radiation therapyThis is a treatment used to fight cancer. High-energy rays damage cancer cells so they stop growing.
Reasonable chargeA limit on the amount your health plan will pay. Also called "usual, customary and reasonable (UCR)," "customary and reasonable" or "prevailing" charge. The limit is based on data Aetna receives.  The data is based on what doctors' charge for the health care service. We get this data from a subsidiary of another health insurer. In 2011, we will receive the data from an independent organization known as Fair Health.

Check your plan documents for more details: Your health plan documents will tell you how we pay for out-of-network care. Or call Member Services at the phone number listed on your Aetna ID card. Learn More

Reasonable occupation or job

This is a paid occupation or job a disabled person can get through training or skill.
RebaseThis is when the entire base of a denture is replaced without changing the teeth.
Recognized charge

A limit on the amount your health plan will pay.  Also called the "allowed amount".  If you choose to go out of network, your provider may not accept this amount as payment in full and may bill you for the rest. This is in addition to your plan's required co-pays and deductibles.

Check your plan documents for more details: Your health plan documents will tell you how we pay for out-of-network care and how we calculate the recognized charge.  Or call Member Services at the phone number listed on your Aetna ID card.  Learn More 

Recurrent disabilityThis means a person gets disability benefits more than once for the same reason. There is a period in between when they are back at work. There is a limit to how long this time period can be.
ReferralThis is a form your doctor gives you so you can get care from a specialist or health care facility. It may be written or sent by computer.
Rehabilitation engineeringThis is done to help disabled people live better. It can help them do their job. It can also help them in community and daily life activities. It can be building a wood ramp for a wheelchair. It can be using a computer that responds to a voice. These are just two examples.
Rehabilitation programThis is a program that helps a person improve his or her health so he or she can return to work. Physical, mental and career training is used.
ReimbursementThis is money you get back from your health plan for covered costs you paid to your doctor.
Related absences This is when a worker is out of work two different times or more. The worker is out for the same health problem each time.
RelineThis is when a dentist resurfaces part of a denture to make it fit better.
Renewal This is when an insurance policy continues, but with changed terms, like new rates.
Respiratory therapyThis treatment brings dry or moist gases into the lungs.
Respite care This is care that gives families a short break from the duties of constant care.
RetireeThis is an employee who has retired from working. To be called this, he or she must meet the employer’s rules for minimum age and years of service.
Retiree reimbursement account (RRA)This is a type of account people can use after they have retired. It can help pay for health plan premiums and medical costs. The employer puts money into the account. Balances roll over year to year, per employer rules.
Retirement ruleThis rule sets the benefit amounts that retired workers can get.
Return-to-work (RTW) incentiveThis lets workers who were disabled return to work part time. They can return if their disability benefits and pay are less than what they earned before they were disabled.
RiderThis is a policy that is separate from the main policy. It has changes in it that affect the main policy.
Risk This is the chance or likelihood of loss.
Rollover featureThis lets a person carry forward or “roll over” any balance in a health fund. The amount can be used to pay for health care costs in future years.
Root canal This is the space in the center or “canal” of the tooth that contains the pulp and the root of the tooth. A root canal treatment takes red or infected tissue out of the canal of the tooth root. Then, the empty canals are cleaned and sealed so the tooth does not have to be pulled.
Root planing and scalingThis is how a dentist removes buildup under the gum line. It smoothes the surface so bacteria can’t form as easily.
RRA See “Retiree reimbursement account.”
RTWSee “ Return-to-work incentive.”
Rx This is a common symbol. It means “prescription” or “pharmacy.”

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