Quality Matters

It is important to us that you receive quality health care and customer service. Your satisfaction matters to us. The Quality Management (QM) program ensures our services meet high standards of quality and safety. We want to make sure you have:

  • The right kind of care
  • Easy access to quality medical and behavioral health care
  • Help with any chronic conditions or illnesses
  • Support when you need it most
  • High satisfaction with your doctors and with us

If you have a problem, please call Member Services at 1-855-364-0974 (TTY: 711) 24 hours a day, seven days a week.

 

Aetna Better Health of Ohio’s Quality Management Program works to ensure that all of our services meet high standards of quality and safety. We have quality programs so that you can get the care you need. Some of our quality programs are:

  • Surveying members and providers to measure satisfaction
  • Calling members to remind them to get their care
  • Educating members by sending postcards or newsletters
  • Reviewing the type, amount and quality of services given to members
  • Working with members who have serious health issues through case management
  • Reminding providers and members about preventive health care
  • Measuring standards like how long it takes for a member to get an appointment
  • Monitoring phone calls to make sure your call is answered as quickly as possible and that you get correct information
  • Reviewing calls and complaints from members
  • Reviewing all aspects of the health plan with health plan staff, providers and members through committees

This list is just some of our quality programs. Call us at 1-855-364-0974 (TTY: 711) to find out more about our quality programs. You can also ask for a written description of our Quality Management Program.