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What’s
covered?

This is Maryland HealthChoice coverage. As a member, you’ll enjoy benefits and services that can help you reach your health goals. To learn more, check your member handbook — English (PDF) | Spanish (PDF).

 

Ready to enroll?

The Aetna Better Health® difference

 

You deserve to be as healthy as you can be. That’s why we offer unique benefits that take care of the whole you. We have experience you can count on — with a range of services to help you on your health journey. We’ve added some benefits that go beyond your standard health coverage.

 

Check this booklet for a complete list of benefits — English (PDF) | Spanish (PDF).

Support for monthly periods
 

If you’re between ages 10 and 55 and you have monthly periods, you can get a variety of menstrual period-care supplies and products. And we’ll send them to you every month at no extra cost.

 

How to get your no-cost period-care products

Maternity Matters® pregnancy and newborn care 
 

Are you pregnant or planning to start a family? We can help you and your child stay healthy during your pregnancy. We’ll help you get the care and services you need. And you can earn rewards for making healthy choices, including:
 

  • $75 for prenatal and postpartum visits 

  • $10 for dental visits

Baby diapers: If you’ve recently had a baby (birth to 24 months of age), you can also get a supply of diapers. We’ll send them to you every month at no extra cost.

 

More about pregnancy and newborn care

Baby diapers

 

Baby diapers: If you’ve recently had a baby (birth to 24 months of age), you can also get a supply of diapers. We’ll send them to you every month at no extra cost.

Kids’ programs
 

If your child needs more support in or outside school, we can help:
 

  • Ted E. Bear, M.D.® kids club: This program can help you pay for your child’s annual Boy Scouts or Girl Scouts membership. Not a scout? That’s OK. Kids (ages 2 to 18 years) can also get up to $60 per year toward a membership at their local YMCA®. 

  • Sports programs: We’ll also help cover fees for some sports activities and weight management programs.

  • School uniforms: Does your child need school uniforms? Kids (in 1st through 5th grade) who are up to date on health screenings and wellness visits can get three sets of uniforms.

Care for chronic conditions 
 

  • Remote patient monitoring program: If you have a chronic condition like diabetes, congestive heart failure (CHF) and/or chronic obstructive pulmonary disease (COPD), you may benefit from this program. Through secure video on your mobile device, you can 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.

  • Carpet cleaning services: Members with asthma and/or COPD can also receive 2 carpet cleanings per year.

Want to learn more? Just call us at 1-866-827-2710 (TTY: 711). We’re here for you 24 hours a day, 7 days a week.

Support for loneliness

Dealing with loneliness? The Pyx Health® app can help. You can connect with a friendly, non-judgmental chat robot named Pyxir. The chat robot is a good listener who offers support, jokes and links to other people and support services. It can also help you find resources for things like food, diapers, rides and more. The Pyx Health app is free and you can use its services 24 hours a day, 7 days a week.

More about Pyx Health

MyActiveHealth SM 


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

Learn more about MyActiveHealth

Teladoc® telehealth services


Through secure video on your computer, you can meet with a doctor for treatment of common health conditions. Cold or flu? Great reasons to use telehealth. You can also get help with allergies, sinus problems and more. To learn more about Teladoc, just call 1-855-835-2362 (TTY: 711).

Register for Teladoc online
 

Teledoc member guide (PDF)

Benefits included in your plan

Learn about all your plan benefits, from vision and dental care to telehealth, maternity care and mental and behavioral health care. You can learn more about all these topics in your member handbook — English (PDF) | Spanish (PDF).

Medical care

 

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


Dental care
 

Dental care is an important part of your overall health. Dental services are provided by the Maryland Healthy Smiles Dental Program. Visit  member.mdhealthysmiles.com or contact Maryland Health Smiles member services at  team at 1-855-934-9812 for assistance with finding a dental provider near you

 

Find a dental provider
 

Vision care
 

Keep your eyes healthy with routine eye exams. We work with Superior Vision to provide you with vision care benefits. Your coverage includes:
 

  • An annual vision exam 
  • Frames and lenses (for members up to age 18)
  • $200 per year toward glasses and contacts (ages 19 and up)

 

To learn more, just call Superior Vision at 1-800-879-6901 (TTY: 711). You can call Monday through Friday, 8 AM to 9 PM.

 

Find a vision provider 

If it’s late at night or you can’t reach your primary care provider (PCP), you’re not alone. You can speak with a nurse about your health care questions 24 hours a day, 7 days a week. Not sure if you should find urgent care or go to the emergency room? The Nurse Line can help. It doesn’t take the place of your PCP, so be sure to follow up later.
 

Just call us at 1-866-827-2710 (TTY: 711). Then, choose the option for Nurse Line.

 

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

 

You deserve to be healthy in body and mind. Your plan covers health for you as a whole person. That includes help with your mental health or with substance use. You or your child can go to any behavioral health provider in our network. 

 

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). Questions? You can call us at 1-866-827-2710 (TTY: 711).

 

Help in a crisis
 

Call 911 or go to the nearest hospital if:
 

  • You have thoughts of harming yourself or someone else  

  • You have an emergency and need help right now  

You can also call or text 988 to reach the 988 Suicide & Crisis Lifeline.

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 a ride 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.

If you’re expecting a child, we can 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 learn more about pregnancy and newborn care. You can also call us at 1-866-827-2710 (TTY: 711).  

 

More about pregnancy and newborn care 

Diabetes can be a lot of work to handle alone. Our program can help you manage your blood sugar. You can go to group meetings and learn more about eating healthy, exercising and dealing with stress.
 

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

  • Be overweight (have a body mass index of 25 or more, or if you’re Asian, have a body mass index 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 think you qualify for our Diabetes Prevention Program, you can email our Wellness and Prevention Coordinator.

 

More about diabetes prevention

If you have no way to get to the hospital during an emergency, call 911. We cover ambulance rides on the ground in a medical emergency.  

 

Nonemergency medical rides
 

If you don’t have a ride to your appointment, we’ll help you get one. These rides are for medical services, like:
 

  • Doctor visits
  • Dental or vision care
  • Behavioral health care
  • Pharmacy

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. 

You can get a smartphone with an Android™ platform and Assurance Wireless® Lifeline cell service at no extra cost to you. If you already have Lifeline, you can switch to Assurance Wireless. You’ll get:

  • A smartphone with an Android platform
  • Data each month
  • Unlimited texts
  • Voice minutes each month
  • Health tips and reminders by text
  • One-on-one texting with your health care team
     

Calls to Member Services that won’t count against your monthly minutesAlready 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.

Apply for your smartphone

These programs can help you live life as healthy as you can. We have special programs and services to help you get the care you need. And prevent health issues in the future.

 

More about health programs

Medicaid coverage

Medicaid covers some services that we don’t cover. For these services, you don’t have to use a provider in our network. Check your member handbook for a list of these services.

Copays

Members don’t have any copays. You don’t pay anything to get services we cover. If a provider bills you, don’t pay the bill. Just call us at 1-866-827-2710 (TTY: 711).

Approval for services

Some services need approval, or prior authorization (PA), before you get them. We base all our decisions on whether the service is: 

  • Needed for your health 

  • Likely to help you 

  • Covered 

Other language and format needs
 

Need language help? Just call us at 1-866-827-2710 (TTY: 711). We’re here for you 24 hours a day, 7 days a week. You can get:

 

  • Interpreter services at no cost during any service or complaint process, including American Sign Language and real-time oral interpretation

  • Interpreter services for your medical visit (be sure to call 48 hours before your visit)

  • Info in another format, like audio, large print and braille

  • Materials in other languages if your primary language isn’t English

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