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.
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.
Our NAS program offers care for moms and infants who need it. NAS is a form of drug withdrawal in newborn infants. It can happen when a mom uses certain medicines or drugs during pregnancy. We’ll connect moms at risk with a case manager, who’ll help them get special care during pregnancy. And they’ll help the child get special care after they’re born. Eligible members can join the NAS program starting in 2021. Call Member Services at 1-855-772-9076 (TTY: 711) for info or for help enrolling in the program.
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.
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®.
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:
Let us help you start living your best life today.
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:
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.
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.
The Aetna Better Health of California Diabetes Prevention Program is a new lifestyle change program that may help you adopt healthy habits, lose weight and reduce your risk of developing type 2 diabetes. It is available at no cost to you.
The program focuses on eating healthier, increasing your physical activity and managing the challenges associated with lifestyle changes.
Members will work with a personal coach and small group support to focus on healthy food choices and more activity. Members may qualify for tools such as wireless scales or activity trackers.
For more information:
-Call 1-888-913-4508, Monday through Friday, 9 AM to 9 PM ET
The Health Homes Program (HHP) provides services for members with certain chronic health conditions. These services help coordinate physical health services, behavioral health services and community-based long-term services and supports (LTSS) for members with chronic conditions.
You may be contacted if you qualify for the program. You can also call Aetna Better Health of California or talk to your doctor or clinic staff to find out if you can receive HHP services.
Covered HHP services
The HHP will give you a care coordinator and a care team. They will work with you and your health care providers, such as your doctors, specialists, pharmacists, case managers and others, to coordinate your care. Aetna Better Health of California provides HHP services, which include:
You may qualify for HHP if you have certain chronic health conditions. You can call Aetna Better Health of California to find out which conditions qualify.
To qualify, you must meet one of the following:
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.
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:
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.
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:
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).
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.
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.
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