Aetna Better Health of Illinois covers a wide range of physical and behavioral health services, including doctor visits, hospital care, mental health treatment, and addiction services.
The plan provides access to a comprehensive network of healthcare providers, including primary care physicians, specialists, hospitals, and pharmacies across the state.
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Aetna Better Health offers care coordination services to help members manage chronic conditions, such as diabetes, asthma, and heart disease, by connecting them with the appropriate resources and support.
The plan includes coverage for preventive services, such as annual checkups, immunizations, and cancer screenings, to help members stay healthy and detect issues early.
Aetna Better Health provides transportation assistance to help members get to and from their medical appointments, ensuring they can access the care they need.
The plan offers a variety of health and wellness programs, including weight management, smoking cessation, and disease management, to empower members to take an active role in their health.
Aetna Better Health's member portal allows enrollees to manage their benefits, find providers, view claims, and access a 24/7 nurse line for immediate medical advice.
The plan covers medically necessary durable medical equipment, such as wheelchairs, walkers, and oxygen supplies, to help members maintain their independence and quality of life.
Aetna Better Health provides support for pregnant women, including prenatal care, postpartum visits, and assistance with accessing resources for newborns and young children.
The plan offers benefits for long-term services and supports, such as in-home care, assisted living, and nursing home services, to help members with daily living activities.
Aetna Better Health's network includes Federally Qualified Health Centers and Rural Health Clinics, ensuring that members in underserved areas have access to essential healthcare services.
The plan collaborates with community organizations and social service providers to address social determinants of health, such as food insecurity, housing instability, and transportation barriers.
Aetna Better Health's member engagement strategies, such as regular outreach and tailored health education, aim to improve health literacy and empower members to actively manage their care.
The plan's utilization management processes focus on ensuring members receive the right care at the right time, while also preventing unnecessary hospitalizations and emergency department visits.
Aetna Better Health's commitment to quality is reflected in its accreditation by the National Committee for Quality Assurance (NCQA), a recognized leader in healthcare quality evaluation.
The plan's care management team includes social workers, nurses, and other healthcare professionals who work closely with members to coordinate their care and address their unique needs.
Aetna Better Health offers a 24/7 nurse line, allowing members to speak with a registered nurse anytime for guidance on managing their health or accessing urgent care.
The plan's value-added benefits, such as gym memberships, home-delivered meals, and baby essentials, aim to promote overall health and well-being beyond standard Medicaid coverage.
Aetna Better Health's provider network includes many Substance Use Disorder treatment facilities and programs, ensuring members have access to comprehensive addiction services.
The plan's member rewards program incentivizes healthy behaviors, such as completing preventive screenings or managing chronic conditions, by providing gift cards and other prizes.