Disease management

Our disease management programs can help you stay healthy. We do this by teaching you about your disease and helping you learn how to stay well. There's no cost to you. It's part of your health plan benefits.

The conditions in our program include diabetes, asthma, chronic obstructive pulmonary disorder and congestive heart failure.

Some of the benefits of the program are:

  • A newsletter you receive twice a year. It will give you the latest information about your condition.
  • Reading materials that can help you understand and manage your medications. These also help you plan visits to your doctor.

Often the Aetna Better Health of New Jersey identifies members for disease management from health information. A care management staff member may call you if you might be helped by the program. 

You may also call us if you are interested in the disease management program. Please call Aetna Better Health of New Jersey at 1-855-232-3596, TTY 711. Ask to speak to a disease management staff person. The disease management program is voluntary. You can stop taking part in the program anytime. Just call us to let us know.

Asthma affects people in different ways. In some people it’s worse, and they have a lot of trouble breathing. Others don’t have as many problems. If you have asthma, the important thing is to discuss your case with your doctor. We’re here to help.

If you’re low risk, we’ll give you information to help you take care of yourself.

If you’re high risk, a care manager will call you to talk about your care. Here are some things the case manager will talk about with you:

  • Taking care of your asthma at home
  • Why taking your medicine is important
  • What causes asthma attacks
  • Why you need to do what your doctor tells you
  • Ways to change your habits so you feel better 

It’s important to learn as much as you can about your asthma. 

If you want to learn more about Aetna Better Health of New Jersey’s asthma management program, call Member Services toll free at 1-855-232-3596, TTY 711. Ask to talk to an asthma care manager.

People with diabetes have too much sugar in their blood. If you have diabetes, we can help you.  Without treatment, you could develop major health problems, like heart disease. Diabetes also can severely affect your eyesight.

Some people have mild diabetes. They take care of it by exercising and eating healthy foods. Other people have more serious diabetes. They have to take shots of a hormone called insulin. Insulin helps your body's cells use food the right way. Everyone with diabetes needs care from a doctor.

We have a disease management program for members with diabetes. Tell us and your doctor if you have diabetes. Call us if your doctor tells you that you have diabetes. We’ll work with you to see if you are low risk or high risk for problems.

If you’re low risk, we’ll give you information to help you care for yourself. Also, we’ll work with your doctor to get you the right care.

If you’re high risk, a care manager will call you to see if you need more help.

We can teach you about diabetes and help you take care of yourself. You’ll learn:

  • How to take care of your diabetes
  • How to watch your blood sugar
  • Why you need to take your medicine
  • How to take good care of your feet
  • Why you need to do what your doctor tells you
  • How to learn healthy habits so you feel better 

It’s important to learn as much as you can about your diabetes.

If you want to learn more about Aetna Better Health of New Jersey’s diabetes management program, call Member Services toll free at 1-855-232-3596, TTY 711. Ask to talk to a diabetes care manager.

Your heart is a wonderful machine that pumps blood to every cell in your body. Your blood carries oxygen and important nutrients your body needs. When your cells are fed properly, your body can function normally.

If you have Heart Failure (HF), your heart is weaker. It can't always supply the cells with enough oxygen. That’s why you may often feel tired or short of breath. Everyday activities such as walking, climbing stairs or carrying groceries can become very difficult.

We can help you. We have a disease management program for members with HF. We can help you get care from a doctor. It’s important to get care. Otherwise, you may get very sick and need to go to the hospital.

Many people live very well with HF. You can too. To live well, however, you must see a doctor regularly and do what the doctor tells you. We’ll work with you and your doctor to get you the right treatment.

Most people with HF fit in one of four groups:

  • Group One: A person may not have signs of HF or heart damage. He or she may have other problems such as high blood pressure, diabetes or blocked blood vessels in the heart. We’ll teach you ways to live healthier if you are part of this group. This will help you be less likely for your HF to quickly get worse.
  • Group Two: A person's heart has been damaged. The heart is not as healthy as it could be. But the person does not show symptoms of heart failure. Maybe the person has had a heart attack or an infection in the heart. Maybe the heart valves are not working correctly. Your doctor may give you medicine called ACE inhibitors or beta blockers if you are part of this group.
  • Group Three: A person's heart may be damaged, as in Group Two. The person shows signs of heart failure. We’ll teach you healthier habits to adopt if you’re part of this group. You’ll learn about exercise and eating healthy food. Also, your doctor may give you more medicines to treat your HF.  Your doctor may send you to a heart specialist.
  • Group Four: This is the most serious group. In this group, the heart is weaker. It may not be able to pump blood to the body very well. Your doctor work with a heart doctor to treat you. It’s likely you may need to go to the hospital for treatment if you are part of Group Four.

It’s important to learn as much as you can about your HF. If you want to learn more about Aetna Better Health of New Jersey's disease management program for HF, call Member Services toll free at 1-855-232-3596, TTY 711. Ask to talk to an HF care manager.

COPD stands for chronic obstructive pulmonary disease, which is a lung disease. COPD can make it harder for you to do everyday tasks. However, there are things you can do to feel better. Medication and lifestyle changes can help you stay more active. We can help you get the good care that is important for you.

COPD happens slowly over time. In the beginning, people often don’t know there’s a problem. With COPD, people’s lungs don’t work as well as they used to. Some people have worse COPD than others. That’s why everyone gets different kinds of treatment. We’ll work with you and your doctor to find the best treatment for you.

We have a disease management program for members with COPD. Tell us and your doctor if you have lung disease. Call us if your doctor tells you that you have lung disease. We’ll see if you are low risk or high risk for problems with COPD.

If you’re high risk, a care manager will call you to see if you need more help. Your care manager will talk to you about your treatment plan. If you smoke, your care manager may talk to you about how much better you’ll feel if you quit. Some people with COPD need oxygen, as well as medicines and other care.

It’s important to learn as much as you can about your COPD.

If you want to learn more about Aetna Better Health of New Jersey's disease management program for COPD, call Member Services toll free at 1-855-232-3596, TTY 711. Ask to talk to a COPD care manager.