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Health and wellness programs

Our health and wellness programs can help you get the care you need and prevent health issues in the future. Read on to learn more.

Improve health and wellness

As a member, you have access to services that can help improve your health and wellness.

The Healthy Adults program promotes health screenings and wellness programs for improved health in all adult members. 

 

Our goal is to increase the number of adult members who receive health screenings for issues such as:

 

  • Breast cancer
  • Cervical cancer
  • Colorectal cancer
  • High blood pressure

 

We’ll send you health info and reminder mailers. Some members can earn rewards for completing certain healthy activities, like health screenings.

 

Other ways we promote wellness include:

 

  • Health courses
  • Community health fairs
  • Community physical and mental health centers
  • Education conferences
  • Faith-based events
  • Other opportunities in collaboration with community agencies 

The Healthy Kids program focuses on preventive health and follows the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) recommendations. This advice is from the Centers for Medicare & Medicaid Services.

 

Preventive services, screening and counseling can help improve health and find any issues earlier, when they’re easier to treat.

 

Centers for Disease Control and Prevention (CDC) immunization schedules

 

Maternity Matters is our program for new parents. You can earn points and use them to buy baby supplies like diapers, baby food, wipes and more. 

 

You’ll be able to track how many points you have. And spend them online or in stores with a preloaded credit card. Just call 1-855-772-9076 (TTY: 711) to learn more. Or let us know you’re pregnant and want to start with this program.

 

Healthy steps that qualify are:

 

  • $50 - Completing Notice of Pregnancy
  • $25 - First prenatal visit
  • $10 - More prenatal visits (up to 12)
  • $25 - Postpartum visit

 

To be active in this program, just stay in touch. You’ll want to contact us after each visit during your pregnancy with: 

 

  • The date of your visit
  • Your provider’s contact info

Our NAS program offers care for moms and infants who need it. NAS is a form of drug withdrawal in newborn babies. It can happen when a mom uses certain medicines or drugs during pregnancy. 

 

We connect moms at risk with a case manager, who’ll help them get special care during pregnancy. And special care for the baby after birth. Need to learn more? Just call us at 1-855-772-9076 (TTY: 711)

What is ECM & Who is Eligible?

 

The Aetna Better Health of California (ABHCA) Enhanced Care Management (ECM) program is for Members who are experiencing:

 

  • Homelessness with complex health and/or behavioral health needs
  • Frequent hospital visits
  • short-term assisted living
  • Emergency room visits

 

Extra Help

 

We know that some health conditions like diabetes, hypertension, or substance use can be hard to manage in your life.

 

Aetna Better Health of California (ABHCA) can offer help through ECM services.

 

How can Aetna Better Health of California (ABHCA) help?

 

If you qualify for ECM, you will get a care team at no cost to you which will include a lead care manager that organizes all your care needs. 

 

Care will include:

 

  • Primary Care
  • Behavioral Health
  • Community-based long-term services and supports (LTSS)
  • Developmental Health
  • Oral Health
  • Social Services

 

Who’s on YOUR Team? You will have access to:

 

  • Nurse Care Managers
  • Behavioral Health Care Managers
  • Care Coordinators
  • Community Health Workers

 

Your TEAM will be right by your side and help you throughout the program.  You can receive support by phone or in-person.

 

What ABHCA ECM plan has included for you is:

 

ABHCA ECM program won’t change any benefits you have now.

 

You can get help to find Doctors and get an appointment for:  

 

  • physical
  • mental
  • substance use health needs

 

  • Keep all your Providers fully updated
  • Set up transportation to your Doctor visits
  • Get follow-up services after you leave the hospital
  • Manage all your medicines
  • Get help with local resources such as food or other social services

 

If you qualify, ABHCA may call you.

 

You can also call us at 1-855-772-9076 (TTY: 711). Or, talk with your doctor to find out if you can receive ECM services.

Diabetes prevention is a program that may help you adopt healthy habits, lose weight and reduce your risk of type 2 diabetes. You can take part at no cost to you.

 

The program focuses on eating healthier, increasing your physical activity and managing the challenges of lifestyle changes.

 

Members work with a personal coach and small group support to focus on healthy food choices and more activity. You may also qualify for tools such as wireless scales or activity trackers.

 

To learn more, just visit the Solera website. Or call 1-888-913-4508 (TTY: 711). You can speak with someone at Solera Monday through Friday, 9 AM to 9 PM ET.

Opioids are a type of medicine for short-term relief from severe pain, usually after:

 

  • Surgery
  • A major injury
  • An illness that may cause pain, like cancer

 

Even if you have a prescription, opioids can cause serious problems, like:

 

  • Overdose: taking too much medicine
  • Dependence: feeling withdrawal symptoms when not taking the medicine
  • Addiction: a brain disease that causes drug-seeking action, even though it’s harmful
  • Misuse: taking medicine the wrong way, which can lead to dependence or addiction

 

To keep yourself and your family safe: 

 

  • Use opioid medicines just as your doctor prescribes them 
  • Store your medicine where others won’t find it 
  • Talk with your doctor about other medicines you can use for pain, as well as other ways to manage pain besides medicine

 

This program can help you better manage opioids or stop using them. We can also help you:

 

  • Find a doctor
  • Understand the cause of your pain
  • Provide other medicine options

 

You can start or stop the program any time. Want to learn more? Just call 1-855-772-9076 (TTY: 711). Then, ask to talk with a care manager.  

 

What is palliative care?

 

Palliative care is a way to improve quality of life for someone with a serious illness. To “palliate” means to ease symptoms like:

 

  • Pain
  • Nausea
  • Vomiting
  • Anxiety
  • Constipation
  • Sleeping problems
  • Breathing problems

 

Emotional and spiritual support for patients and their loved ones is part of palliative care. It happens at the same time as standard medical care. Active treatment for the illness doesn’t stop. Patients and their families help lead the plan of care with the provider team.

 

Goals of palliative care

 

Ease symptoms that cause distress

 

Easing symptoms is the main goal. Symptoms can affect a person’s ability to eat, be active or spend time with others. Providers use medicines, as well as other ways to ease these symptoms. This gives people a better quality of life during treatment for an illness.

 

Coordinate care

 

This means that all the providers know the goals of care. The care team communicates regularly to ensure they can meet these goals.

 

Meet emotional and spiritual needs

 

The care team helps both patients and families cope with emotions. Illness can lead to stress, depression, anxiety and other issues. If desired, patients and families can set up meetings with a counselor or spiritual advisor.

 

Give info and help with decisions

 

Care providers can help people and their families get the info they need. They can also help with making care decisions.

 

Create an advance care plan

 

This plan includes legal documents with a person’s wishes for their future. When people can’t speak for themselves, providers and families can still carry out their wishes. 

 

Working with your palliative care team

 

A team of people give palliative care. They focus on the physical, emotional, and mental and social parts of a serious illness. The team may include:

 

  • Palliative care providers or nurses
  • Social workers
  • Pharmacists
  • Dietitians
  • Counselors
  • Spiritual advisors
  • Others

 

To get the most of palliative care, both patients and their loved ones have a role.

 

What patients can do

 

Tell your health care provider that you’re thinking about palliative care. Ask what services you can get in your area.

 

To ensure the best care, learn what you can about your illness and the goals of your care. Are you having pain and other symptoms? Just ask your health care provider for a palliative care referral.

 

Treating these symptoms is best for your health and quality of life. If you need support in other ways, speak up. Your care team is here to help you get what you need.

 

What families can do

 

Talk with the palliative care team often. Do your best to understand your loved one’s illness and goals of care. When you need to act, do so based on your loved one’s wishes. And if you have a concern or question, speak up.

 

You can help ensure that your loved one has the best quality of life possible. Need to learn more? Just call us at 1-855-772-9076 (TTY: 711).

Need help using these programs?

If you have questions, we’re here to help. Just call us at 1-855-772-9076 (TTY: 711).