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What’s covered?

Aetna Better Health® of California provides Medi-Cal coverage. We offer a wide range of benefits and services, so you can reach all your health goals. For complete information, download our member handbook.

Download the member handbook

The Aetna Better Health difference

 

At Aetna Better Health of California, we help you live your best life. That’s why we offer a variety of specialty services to help you reach all your health goals. We have experience that you can count on. And we’re always ready to help you out on your path to better health.

 

Learn more about our health and wellness programs

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Benefits included in your plan

At Aetna Better Health of California, we take care of the whole you. No matter where you are on your path to better health, we’ve got your back. That means you’re covered if you need to see a specialist, have an emergency or are planning to start a family. We also offer a wide range of preventive care services and vaccinations.

 

Some diseases call for a little extra care. We cover care for chronic conditions like asthma, diabetes, chronic obstructive pulmonary disease (COPD) and more. We’ll help you manage your condition and teach you how to live a healthy life.

 

Learn more about caring for your condition

 

Find a provider close to you

We make it easy for you to get the medicine you need to feel better. There are no copays or deductibles when you see your medicine on our formulary. A formulary is a list of covered medications. And if you don’t see your medicine on our formulary, your doctor will help you find one that’s similar. You can fill your prescription at any pharmacy in our network. Or we can conveniently mail you your medicine through CVS Caremark®.

 

Visit formulary page

 

Learn more about your pharmacy benefits

When you’re not quite feeling like yourself, we’ve got your back. Your mental health is important for your overall health. That’s why we cover a variety of specialty mental health services. We have great benefits that extend to people who need:

 

  • Outpatient care
  • Specialty mental health services
  • Substance abuse services
  • Treatment for autism

Let us help you start living your best life today.

 

Learn more about your behavioral health benefits

Sometimes, you need a little extra help getting to and from your doctor appointments. We can give you a ride. If your condition prevents you from driving or taking public transportation to your appointment, then we’ll pick you up. With no out-of-pocket costs, we cover:

 

  • Emergency rides
  • Rides to your doctor
  • Rides to other specialty services covered by your plan

Learn more about your transportation benefits

Don’t lose sight of what matters most. Going to routine eye exams is an easy way to keep your eyes bright and healthy. You don’t need a referral when you see a vision provider in our network. Take advantage of routine covered eye exams and other vision services for children and adults.

 

Find a vision provider near you

A healthy smile goes a long way. Dental care is a very important part of your overall health. Your dentist can prevent unwanted pain and infections when you go to your covered checkups twice a year. When you qualify for Medi-Cal, you also qualify for Denti-Cal. Denti-Cal comes with many benefits like regular cleanings, X-rays and any other services that are medically necessary. To learn more about your dental benefits, visit the Denti-Cal website.

 

Learn more about Denti-Cal

 

 

Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services is a Medi-Cal benefit that provides a wide range of preventive, diagnostic, and treatment services, including case management, for individuals under the age of 21. Part of that benefit may also include Private Duty Nursing (PDN). PDN services are nursing services provided in a member’s home by a registered nurse (RN) or licensed vocational nurse (LVN) for a member who requires more individual and ongoing care than what would be available from a visiting nurse. This benefit may be accessed through our Care Management program.

 

To learn more about EPSDT or PDN services available to you, please contact Aetna Better Health of California Member Services at 1-855-772-9076 (TTY:711) and ask to speak with a Care Management team member.

Aetna Better Health of California offers a number of health and wellness programs aimed to keep you and your family healthy! 

 

Learn more about health and wellness programs

Personalized support

Personalized support

Sometimes, you need extra care to feel healthy. If you live in San Diego County, then you may be eligible for our long-term care program. Get care where and when you need it. Our care managers will be there to help you every step of the way on your path to better health. You can learn more about our wide range of long-term care services like assisted living, meals and rides.

Learn more about your plan

Download for complete coverage information
 

Your member handbook is a great resource for all your member needs. It has everything you need to know about your health care plan. You’ll also find important phone numbers, addresses and much more.

 

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How to use your benefits

 

Using your Aetna Better Health of California benefits and services is easy. You have access to things like preventive care, emergency care, pregnancy-related services, nursing home care and more. Just remember to bring your Aetna Better Health ID card and your Medi-Cal Benefits Identification Card (BIC) to your appointment.

Do you have any questions?

If you have any questions about your plan or how to use it, call Member Services at

1-855-772-9076 (TTY: 711).