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What’s covered?

Aetna Better Health® of Maryland provides Maryland HealthChoice coverage. We offer a wide range of benefits and services to help you reach all your health goals. For complete info, download your member handbook.


Download member handbook

Teladoc® telemedicine services 

Teladoc connects you with licensed doctors in seconds. Forget the hassle of waiting rooms and traveling to appointments. Teladoc lets you video chat with a doctor 24/7 at no extra cost. They can help you treat common issues like the flu, rashes, acne and more. You can learn more about Teladoc by calling 1-855-835-2362 (TTY: 711).

The Aetna Better Health difference

 

At Aetna Better Health of Maryland, we have experience you can count on. And we help you live your healthiest life. That's why we offer a variety of specialty services to take care of you. 

MyActiveHealth℠

MyActiveHealth is a free tool to help you manage and improve your overall health. You'll get coaching, insights, videos and more to help you reach your health goals.

Remote patient monitoring program

Do you have a chronic health condition such as diabetes, congestive heart failure (CHF) and/or chronic obstructive pulmonary disease (COPD)? If yes, you may benefit from our remote patient monitoring program. Through secure video on your mobile device, this program allows you to meet with a nurse from the comfort of home. You and your nurse will take part in daily sessions to help you learn how to better manage your condition. 

 

Want to learn more? Just call us at 1-866-827-2710 (TTY: 711).

PROMISE Program

If you’re expecting a child, we’re here for you. Our PROMISE Program can help you and your child stay healthy during pregnancy. And take care of you after your child is born. You can earn gift cards for going to appointments. You can also sign up for Text4baby™. They’ll text you free tips and reminders to help you have a healthy pregnancy.

Ted E. Bear, M.D.® kids club

We’ll help you pay for an annual Boy Scouts or Girl Scouts membership. Boy Scouts will get a copy of Scout Life magazine. Girl Scouts will get The Girl’s Guide to Girl Scouting. Scouts will also get one Journey book or a basic uniform, 6 months after they join.

 

Not a scout? That’s OK. We’ll pay for an annual membership at your local YMCA instead (up to $60 per year).

 

And if your child has asthma, we can help them get a second inhaler to take to school.

Asthma care

If you have asthma, you can earn a:

  • $10 gift card for managing your asthma by having an asthma action plan

  • $10 gift card for going to a follow-up appointment with your primary care physician (PCP) after having an asthma attack

  • $10 gift card for completing an in-home environmental assessment 

Diabetes prevention program

Group support and coaching can help you prevent diabetes.  One key step is learning to manage your blood sugar.  Eating healthier and staying active help a lot, too.   You can also learn more about managing stress.  For more information and eligibility criteria, visit CDC.gov/diabetes/prevention.

 

To see if you can take part, just: 

Benefits included in your plan

At Aetna Better Health of Maryland, we take care of the whole you. So 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. You can get started by finding a provider today. 

 

Find a provider

Do you have questions about your health? Skip the crowded waiting rooms. You can talk to a nurse 24 hours a day, 7 days a week, at no extra cost to you. They can help you find local doctors, understand your medicine and much more. Just call Member Services at 1-866-827-2710 (TTY: 711) and say "nurse" to reach a registered nurse.

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. If you don’t see your medicine on our formulary, your doctor will help you find one that is similar. And you can fill your prescription at any pharmacy in our network. 

 

Learn more about pharmacy benefits

Your mental health is important for your overall health. When you’re not quite feeling like yourself, we’re here for you. You can get a variety of mental health services. And other great benefits that extend to people who need: 

 

  • Counseling 

  • Substance use disorder services 

  • Inpatient mental health  

  • Mental health drugs 

 

You can use your behavioral health benefits by calling Optum Health at 1-800-888-1965 (TTY: 711). If you have any questions, you can call Member Services at 1-866-827-2710 (TTY: 711).

Don’t lose sight of what matters most. Going to routine eye exams is an easy way to keep your eyes bright and healthy. We’ll get you the care you need through Superior Vision. You’ll be covered for:

 

  • An annual vision exam 

  • Frames and lenses if you’re 18 or younger

  • An annual $25 benefit toward glasses and contacts if you’re an adult

     

You can find a provider below. Or to learn more, you can call Superior Vision, Monday to Friday, from 8 AM to 9 PM, at 1-800-879-6901 (TTY: 711).
 

Find a vision provider

A healthy smile goes a long way. Dental care is an important part of your overall health. Adults 21 and older are covered to see Avesis providers in our network. Pregnant women and children can get care from the Maryland Healthy Smiles Dental Program. You can find a dental provider below. Or call Member Services for more information.

 

Find an adult dental provider

 

Find a child dental provider

Do you need help getting care? Our care management team is here for you. Care managers are nurses and social workers who understand your health conditions and help connect you to the right care. A care manager can teach you more about your health, help you find rides to your appointments and more.   

 

Some diseases call for a little extra care. Our disease management program can help you. Our care managers can help you manage chronic conditions, like asthma, diabetes, chronic obstructive pulmonary disease (COPD) and more. 

 

Learn more about care management

 

Learn more about disease management

Are you expecting a child? We’ll help you stay healthy during your pregnancy. Our programs will help you get the care and services you need, every step of the way. You can read more about pregnancy and newborn services on our website. Or call Member Services.  

 

Learn more about pregnancy and newborn services

Diabetes can be a lot of work to handle alone. Our Diabetes Prevention Program can help you manage your blood sugar. You can go to group meetings and learn more about eating healthy.  They’ll also teach you more about exercising and dealing with stress.

 

To join, you must be at least 18 years old and:

 

  • Be overweight — defined as having a body mass index (BMI) of 25 or more, or if you’re Asian, a BMI of 23 or more
  • Have been diagnosed with prediabetes
  • Have been diagnosed with gestational diabetes
  • Not be pregnant
  • Have never been diagnosed with type 1 or type 2 diabetes

 

If you qualify for our Diabetes Prevention Program, you can:

 

Email our Diabetes Prevention Program

 

Or call Member Services at 1-866-827-2710 (TTY: 711).

Need a ride? You may be able to get a nonemergency ride if it’s for a medical reason, such as:

 

  • Getting to doctor visits or physical therapy

  • Picking up prescription medicines at the pharmacy

  • Going to dental or vision appointments

 

First, check with your local health department to see if they cover these rides. If they don’t, just call us at 1-866-827-2710 (TTY: 711). You’ll want to call at least 72 business hours before you need a ride. 

 

Have an emergency? These rides are covered. Just call 911.

Stay in touch with your health. If you qualify, you can get Lifeline cell service and an Android™ cell phone at no cost. This service includes:

 

  • Data each month

  • Unlimited texts

  • Voice minutes each month

  • Health tips and reminders by text 

  • Calls to Member Services that won’t count against your monthly minutes

  • One-on-one texting with your health care team

 

Already have Lifeline? It’s easy to switch to Assurance Wireless®. This is the federal Lifeline cell phone service provider that Aetna Better Health of Maryland uses.

 

Learn more about getting a cell phone at no cost

Population health management programs

 

Our population health management programs can help you live your healthiest life possible. We have special programs to help you get the care you need. And prevent health issues in the future.

 

Learn more about our special programs

Get the member handbook

Download for complete coverage information
 

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

 

Choose your language

 

How to use your benefits

As an Aetna Better Health of Maryland member, you can choose anyone from our strong network of providers. Find a provider near you online. Or call Member Services for more information.

Find a provider

Other language and format needs

Interpreter services are provided free of charge to you during any service or grievance process. This includes American Sign Language and real-time oral interpretation. If you need something translated into a language other than English, just call us. We can also provide materials in other formats, too. Like braille, audio CD or large print. And if you need an interpreter for your medical appointment, just call Member Services 48 hours before your appointment. We’ll arrange for one to be at your appointment. 

Ready to enroll?

Join us on the path to better health.

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