What is a medical emergency?

A medical emergency is a sudden injury or serious illness that, if not treated right away, could cause death or serious harm to you. If you are pregnant it, may mean harm to you or your unborn child. In case of an emergency, go to the nearest emergency room or call 911.

An example of a life threatening emergency could be the following:

  • Heart attack
  • Severe breathing problem
  • Severe bleeding
  • Stroke
  • Convulsions
  • Severe burns
  • Gunshot or knife wounds
  • Unconsciousness
  • Immediate and imminent threat to life or loss of life due to a psychiatric illness or substance use

If possible, call your PCP or the 24‑Hour Nurse Line at 1-800-279-1878 (TTY/TDD: 711 or 1-800-828-1120). If you cannot call, go to the nearest hospital emergency room or call 911. If you are admitted to a hospital that is not in Aetna Better Health’s network, you may be transferred to a hospital in our network when your condition is stable if authorized by Aetna Better Health.

If you must stay in the hospital after an emergency, the provider must call Aetna Better Health within 24 hours. If that day is on a weekend or legal holiday, the provider must call by the end of the next working day.

Show your Aetna Better Health Member ID card to the providers and ask them to file the claims with Aetna Better Health.