Benefits and services

We manage your covered benefits by:

  • Working with your health care provider to decide what care is needed.
  • Deciding what care is covered.

A health plan provider must give most of your care. You will have your own personal primary care provider to call on.

Aetna Better Health contracts with a select network of providers for your care. We check our doctors and hospitals often to make sure you get the care you deserve. There may be times when no network provider can give you the care you need. If this happens, you may need to go out of the network for the care. We must approve this first.

We only cover care or supplies that are medically needed by you. We decide medical need by looking at the accepted standards of care. We decide whether the care meets these standards.