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Extra covered services – Aetna Better Health of Illinois |
Description of Coverage: MLTSS |
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Cell phone benefit |
Cell phone benefit is covered for free calls to our Member Services preprogrammed number, free health-related texts and texts from the health plan for members who qualify for the federal free cell phone program. |
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Health education |
Wide array of health and education tools and programs that is available to members at no additional cost |
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Meal benefit (expanded benefit) |
Prior authorization is required. 10 home-delivered nutritional meals after in-patient hospitalization or nursing home stay |
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Nursing hotline |
Access to a registered nurse 24 hours a day, 7 days a week, 365 days a year |
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Over-the-counter drugs |
$20 per month through mail order catalog service; no carry-overs |
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Podiatry |
No additional coverage |
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Preventive dental – oral exams, prophylaxis (cleaning), fluoride and dental x-rays |
No additional coverage |
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Respite care (expanded benefit) |
16 hours per month of in-home care |
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Smoking cessation (expanded benefit) |
Medically necessary cessation counseling sessions (up to 50 per year), nicotine patches, gum, and lozenges, as well as certain pharmacy medications without needing prior authorization |
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Transportation (expanded benefit) |
To plan-approved locations |
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Weight management (adult) – (expanded benefit) |
Includes health coaching |
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