Member materials
Aetna Better Health of Illinois member handbook — English (PDF) | Spanish (PDF)
Aetna Better Health of Illinois Certificate of Coverage — English (PDF) | Spanish (PDF)
Aetna Better Health of Illinois MLTSS Certificate of Coverage — English (PDF) | Spanish (PDF)
Aetna Better Health of Illinois MLTSS eligibility document — English (PDF) | Spanish (PDF)
Forms
Health risk screening form (Adult) — English (PDF) | Spanish (PDF)
Health risk screening form (Child) — English (PDF) | Spanish (PDF)
Authorization to disclose protected health information form — English (PDF) | Spanish (PDF)
Removal of authorization to disclose information form — English (PDF) | Spanish (PDF)
Authorized representative designation form — English (PDF) | Spanish (PDF)
Medical appeal request form— English (PDF) | Spanish (PDF)
Power of attorney for health care — English (PDF) | Spanish (PDF)
Primary care physician (PCP) change request form — English (PDF) | Spanish (PDF)
Notification of pregnancy form — English (PDF) | Spanish (PDF)
Authorization to release psychotherapy notes form — English (PDF) | Spanish (PDF)
Protected Health Information Access Request form — English (PDF) | Spanish (PDF)
Request for an accounting of Disclosures of PHI form — English (PDF) | Spanish (PDF)
Additional resources
Childhood wellness visit checklist
Aetna Better Care Rewards Brochure — English (PDF) | Spanish (PDF)
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