For Members

COVID-19 Benefits

  • Your doctor does not need to get prior authorization from Aetna for you to get breathing equipment (i.e. ventilators, suction catheters, and oxygen). Quantity limits on these items do not apply
  • Your doctor does not need to get prior authorization from Aetna for you to get medical supplies (i.e. diabetic strips, adult diapers) delivered to your home. Quantity limits on these items do not apply
  • Certain surgical masks, hand sanitizer, and patient gowns are covered
  • You are allowed to get an emergency refill on prescriptions if you are not able to visit you doctor (excludes control substances)
  • Your pharmacy may fill your prescriptions early (excludes controlled substances)
  • You can get a 90-day supply of your prescriptions

The following services are covered for members diagnosed with COVID-19: 

  • Doctor’s visits and services, including home visits and telemedicine services
  • Laboratory tests and diagnostic imaging
  • Prescribed drugs
  • Vaccines
  • Medical supplies and equipment
  • Inpatient and outpatient hospital services
  • Long-term services and supports
  • Other additional and medically needed Medicaid-covered services

You can find community resources here.

Transportation services to and from necessary health care visits are available:

  • Except in some circumstances, ride sharing (multiple riders in one vehicle) is not allowed
  • If you have COVID-19 or think you may have COVID-19, you should wear a disposable facemask during your ride

You can find information about COVID-19 in Michigan, including testing sites HERE.

For the next 90 days, until June 4, 2020, Aetna will cover telemedicine visits – regardless of diagnosis. Aetna members should use telemedicine as their first line of defense in order to limit potential exposure in physician offices. Members may use telemedicine services for any reason, not just COVID-19 diagnosis. Telemedicine visits do not have to include video. They can be held over the telephone.

Aetna Better Health will pause all face-to-face member assessments. These assessments will be done over the phone.

Copays for Healthy Michigan members who have COVID-19 are waived, including co-pays for COVID-19 tests, treatment, lab test, and hospital stays. These services will be removed from your MI Health Account statements.

Until the end of April 2020 or until the Governor’s Declaration of State of Emergency Order, member disenrollments will be paused. The only reason that members will be disenrolled from the plan is if members: 

  • Move out of state
  • Requests that they be disenrolled
  • Become deceased

COVID-19-- avoid scams

 Aetna is working to protect you from COVID-19 scams. Do not respond if you get a call, text or email about “free” coronavirus testing. Do not give out your Aetna member ID number or other personal information. Please report any scams by calling 1-800-447-8477 or online at https://tips.oig.hhs.gov/. You can also call Aetna Member Services by calling the phone number on the back of your ID card.

 

One plan for all of your Medicare and Medicaid benefits

We understand that everyone has different needs. Whether your goal is to manage an illness, recover from an injury, remain in your home or just stay well, we can help you make it happen. Our goal is to help you get the right care, at the right time, in the right place.

Health care made easy
When health issues arise, you may have questions about your health coverage. You may also need help finding a provider near you. That’s why our Member Services department is here to help you.

Our Aetna Better Health Premier Plan Member Services team is available 24 hours a day, 7 days a week. Call us with questions about your benefits or for help choosing a provider. You can also ask us about any problems you may have with health care services. Our toll-free phone number is 1-855-676-5772 (TTY: 711), 24 hours a day, 7 days a week. The call is free.

Our Aetna Better Health of Michigan Medicaid, Healthy Michigan and MIChild Plan Member Services team is available Monday through Friday 8 a.m. to 5 p.m. at 1-866-316-3784, TTY 711. Call us with questions about your benefits or for help choosing a provider. We are here to answer all your questions. For 24 hour access 7 days a week, members may call 1-866-711-6664 for assistance and direct contact with a qualified clinical staff person. 

The 24 Hour Nurse line:  1-866-711-6664

Be a voice in your community. Join a committee.
We’re always looking for members to help us improve. Let your voice be heard by joining our Member Advisory Committee. To join, you must be willing to attend meetings in person or by phone four to six times a year. If you want to attend meetings in person, and you need transportation, we can arrange it for you.

Download our Aetna Better Health Premier Plan Member Advisory Committee application and mail to:

Aetna Better Health℠ Premier Plan
Attn: Member Services
1333 Gratiot Avenue, Suite 400
Detroit, MI 48207
Fax: 1-855-854-3245

Download our Aetna Better Health Medicaid Plan Member Advisory Committee application and mail to:

Aetna Better Health of Michigan
Attn: Medicaid Member Services
1333 Gratiot Avenue, Suite 400
Detroit, MI 48207

 

 

Aetna Better HealthSM Premier Plan is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees.