What is a medical emergency?

An emergency is a sudden injury or serious illness that if not treated right away, could cause death or permanent harm. If you are pregnant, it could mean harm to the health of you or your baby. You do not have to go to an Aetna Better Health of Kentucky participating provider in an emergency. Some examples of an emergency are:

  • ›Trouble breathing
  • ›Severe or unusual bleeding
  • ›Poisoning
  • ›Convulsions or seizures
  • ›Broken bones
  • ›Severe burns
  • ›Chest pain
  • ›Any vaginal bleeding in pregnancy
  • ›Unconsciousness (blackout)
  • ›Suicidal or homicidal feelings

If possible, call your PCP or the 24‑Hour Nurse Line at 1‑855‑620‑3924 (TTY users dial 711, TDD users dial 1‑800‑627‑4702). If you cannot call, go to the nearest hospital emergency room or call 911. If you are admitted to a hospital that is not in Aetna Better Health’s network, you may be transferred to a hospital in our network when your condition is stable if authorized by Aetna Better Health.

If you must stay in the hospital after an emergency, the provider must call Aetna Better Health within 24 hours. If that day is on a weekend or legal holiday, the provider must call by the end of the next working day.

Show your Aetna Better Health Member ID card to the providers and ask them to file the claims with Aetna Better Health.