Another group or vendor provides the info on the next page. If you don’t want to leave our site, choose the “X” in the upper right corner to close this message. Or choose “Go on to next website” to move forward.
The Aetna Better Health® difference
You deserve to get the care you need, no matter what health challenges you face. You can count on our experience and range of benefits for your long-term health needs. You’ll also get your own care management team. They will make sure you get the personal attention and support you need to live safely at home.
-
![]()
MLTC benefits let you get health care services at home. Depending on your needs, those services can include:
- Nurse care
- A home health aide
- Nutritional services
- Social work services
- Physical therapy
- Occupational therapy
- Speech or language therapy
To learn more, call Member Services at 1-855-456-9126 (TTY: 711). We’re here for you 24 hours a day, 7 days a week.
-
![]()
You’ll be assigned a care management team to make sure you get the right care. Your team will include a care manager, a social worker and a care management associate. They’ll know your health conditions and help you with your daily needs.
-
![]()
Your benefits help you continue to live at home, but you don’t have to be alone. Social day care programs offer a space for regular social time with other adults. You can also get health care, nutrition help, and more while you’re there.
To learn more, just call us at 1-855-456-9126 (TTY: 711).
-
![]()
You’re covered for any DME needed to treat your health condition(s). This includes devices and other items like:
- Prosthetics and orthotics
- Medical supplies like a cane or walker
- Orthopedic footwear
- Hearing aid batteries
- Surgical supplies
-
![]()
You’re covered for routine eye exams, dental checkups and more. Be sure to make regular visits to your dentist and vision care provider. That way they can catch any problems before they become bigger health issues.
Benefits in your plan
Learn about all your plan benefits, from vision and dental care to rides and home health services. You can also learn more about all these topics in your member handbook.
Spenddown or surplus income program
Do you have a Medicaid surplus (also known as a spenddown)? If yes, then you know it is because your monthly income is over the Medicaid income limit. If you have a surplus/spenddown, we’ll send you a letter with more details. We’ll also tell you where to send your payments.
To learn more, just call us at 1-855-456-9126 (TTY: 711).
Approval for services
All services need approval, or prior authorization (PA), before you get them. We base all our decisions on whether the service is:
- Needed for your health
- Likely to help you
- Covered
-
We’re here to make sure you get the care that’s right for you. Your MLTC plan covers you for certain medical services not covered by regular Medicaid. Depending on your needs, that may include services like:
- Physical therapy
- Occupational therapy
- Podiatry (foot) care
- Outpatient rehabilitation
- Respiratory (breathing) therapy
-
Vision and dental care are important to your overall health and well-being. That’s why you’re covered for a wide range of vision and dental services. Don’t forget to get regular checkups with your dentist and vision care provider. Just be sure to show your member ID card at every visit.
-
Do you need help getting care? Our care management team is here for you. Care managers are nurses and social workers who understand your health conditions and help connect you to the right care. They can help you learn more about your health, find a ride to your appointments and more.
Learn more about care management
Chronic disease managementSome health issues need more care. Our care managers can also help you manage chronic conditions including:
- Asthma
- Chronic obstructive pulmonary disease (COPD)
- Congestive heart failure (CHF)
- Coronary artery disease (CAD)
- Diabetes
- Electrolyte imbalance
- High blood pressure
- HIV
- Sepsis (a life-threatening infection)
- Urinary tract infection (UTI)
-
The SCN is a no-cost service you can use that helps you find support for things, like housing, rides, health care and more. To make this happen, the SCN partners with community-based organizations (CBOs) and other groups that offer or arrange health-related social needs (HRSN) services and providers.
Your Social Care Navigator
Through the SCN, you can meet with a Social Care Navigator, who will:
- Check your eligibility for services that can help with your health and well-being
- Ask questions to understand where you might need extra support
Services and offerings
If you qualify for services, the Social Care Navigator can work with you to get the support you need. You may qualify for more than one service, depending on your situation. These services may include:
- Housing and utilities support:
- Installing in-home equipment like ramps, handrails and grab bars to make your home accessible and safe. Repairing and fixing water leaks to prevent mold from growing in your home.
- Sealing holes and cracks to prevent pests from entering your home.
- Providing an air conditioner, heater, humidifier or dehumidifier to help improve air flow in your home.
- Helping you find and apply for safe and stable housing in the area.
- Transportation services:
- Helping you with rides, including public or private transportation, to places approved by the SCN (examples: job interviews, parenting classes, housing court to prevent eviction, and city or state department offices to get important paperwork).
- Care management services:
- Getting help with finding a job or job training programs, applying for benefits, managing your money and more.
- Getting connected to services like childcare, counseling, crisis support, health homes programs and more.
Special programs
These programs can help you live life as healthy as you can. We have special programs and services to help you get the care you need. And prevent health issues in the future.
Other language and format needs
Need language help? Just call us at 1-855-456-9126 (TTY: 711). We’re here for you 24 hours a day, 7 days a week. You can get:
- Interpreter services at no cost during any service or complaint process, including American Sign Language and real-time oral interpretation
- Interpreter services for your medical visit (be sure to call 48 hours before your visit)
- Info in another format, like audio, large print and braille
- Materials in other languages if your main language isn’t English