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The Aetna Better Health® difference
You deserve to be as healthy as you can be. That’s why we offer unique benefits that take care of the whole you. We have experience you can count on — with a range of services to help you on your health journey. You have some benefits that go beyond your standard health coverage.
Check this flyer for a complete list of benefits — English (PDF) | Spanish (PDF).
Check this flyer for a complete list of added benefits — English (PDF) | Spanish (PDF)
Read about some of our value-added benefits for members — English (PDF).
Petersburg members, check out this special flyer for Petersburg-specific value-added benefits — English (PDF).
Healthy moms and kids
Are you pregnant or planning to start a family? Our Baby Matters program can help you stay healthy during your pregnancy. We’ll help you get the care and services you need. And you can earn rewards for making healthy choices.
Kids also get extra perks, like free swimming lessons and sports physicals. Plus, up to a $25 gift card when they join the Ted E. Bear, M.D.® Wellness Club — English (PDF) | Spanish (PDF).
Wellness supplies and services
Do you have asthma or diabetes? Or need help with managing your weight? If so, we can help you get the supplies and services you need for healthier living. You can get inhalers, therapeutic shoes, access to a dietitian and more. Check the benefits flyer for more info.
Rewards
Did you know that you can get rewards for taking care of your health? Complete a preventive care action, like a health screening, and you can earn a gift card. We’ll show you how it works.
Extra help with rides
Need help with getting rides to local resources or services? You can enjoy free rides — up to 30 round trips or 60 one-way trips each year. This extra help goes beyond the standard rides benefit.
Even more benefits
- Home meal delivery: Get home-delivered meals after hospital discharge for seven days (two meals per day).
- General education development (GED): You can get help earning your GED. We’ll cover the cost of classes and provide you with a test voucher.
- Over-The-Counter Health Solutions Period Stipend: A monthly stipend of $20 for members with periods to spend on their choice of period products through CVS Pharmacy®. More about period care products
Healthy Food Card: Eligible members can get money added to a special debit card. The card can be used to buy healthy groceries at nearby stores. More about the Healthy Food Card
Benefits in your plan
Benefits in your plan
Learn about all your plan benefits, from vision and dental care to telehealth, maternity care and help stopping nicotine use. You can learn more about all these topics in your member handbook — English (PDF) | Spanish (PDF) | Arabic (PDF) | Vietnamese (PDF).
Medicaid coverage
Medicaid covers some services that we don't cover. For these services, you don't have to use a provider in our network. Check your member handbook for a list of these services.
Copays
Members may have copays for some services. Have questions? Just call us at 1-800-279-1878 (TTY: 711). You can also check your member handbook.
Approval for services
Some services need approval, or prior authorization (PA), before you get them. We base all our decisions on whether the service is:
- Needed for your health
- Likely to help you
- Covered
You can learn more about PA. Just visit our PA page.
We take care of the whole you. That means you’re covered if you need to see a specialist, have an emergency or plan to start a family. You have unlimited visits, so you can see your primary care provider (PCP) as many times as you need to — at no cost.
You can also get a wide range of preventive care and vaccines. Start by finding a provider today. If you need urgent care or emergency care, you can find a facility or hospital near you.
A healthy smile goes a long way. Dental care is part of your overall health. That’s why you should see your dentist every six months.
Check your member ID card from your dental plan. Then, call your plan for answers to questions about care and coverage.
Keep your eyes healthy with routine eye exams. We work with Vision Service Plan (VSP) to provide you with vision care benefits, including glasses or contacts if needed.
Or, call 1-800-877-7195.
We make it easy to get the medications you need to feel better. You may have a copay for those on our formulary. This is a list of medications we cover. If you don’t see yours on the list, ask your provider to find one that’s similar. And you can fill your prescription at any pharmacy in our network.
You deserve to be healthy in body and mind. Your plan covers health for you as a whole person. That includes help with your mental health or with substance use. You or your child can go to any behavioral health provider in our network.
Help in a crisis
Call 911 or go to the nearest hospital if:
- You have thoughts of harming yourself or someone else
- You have an emergency and need help right now
You can use any hospital for emergency care, even if it isn’t in our network. Just show your member ID card.
You can also call:
- Us at 1-800-279-1878 (TTY: 711). Choose the option for the crisis line. We’re here for you 24 hours a day, 7 days a week.
- The National Suicide Prevention Lifeline: 1-800-273-8255 (TTY: 711)
We can help you and your baby be as healthy as possible. When you take part in Baby Matters, here are some benefits you’ll enjoy:
- Info about healthy pregnancies and baby care
- Rewards you can earn
- Help from a care manager
- Local community programs and resources
We’ll help you get birth control counseling and supplies. You can see any in-network or out-of-network provider. Any family planning care is private. You can call us at 1-800-279-1878 (TTY: 711) to choose a family planning provider. Or you can read more about family planning.
Through EPSDT, children under 21 can get full preventive health care services at no cost. This includes preventive health and wellness visits, like:
- Annual checkups
- Dentist appointments
- Eye doctor appointments
Why do these visits matter? They can help doctors treat symptoms before they get worse. And in some cases, they can help prevent health issues before they start.
Have questions? Just call us at 1-800-279-1878 (TTY: 711).
Stopping nicotine use is hard, whether you smoke, chew, vape or use another method. Most people need help to quit, and we’re here for you.
Quit Now Virginia
This program provides free, 24/7 info and coaching — online or by phone. You can get:
- One-on-one support from trained quit coaches
- Stop smoking info and tools
- Nicotine replacement therapy or medication
- Special services for pregnant women
- Counseling in English or Spanish, plus translation services for interpreting over 140 languages
Members ages 13 and older can take part in this program.
Questions on how to get started? You can call us at 1-800-279-1878 (TTY: 711).
Do you need help getting care? Our care management team is here for you. Care managers are nurses and social workers who understand your health conditions and help connect you to the right care. A care manager can help you learn more about your health, find a ride to your appointments and more.
Chronic disease management
Some health issues need more care. Our care managers can help you manage chronic conditions, like:
- Asthma
- Diabetes
- Coronary artery disease (CAD)
- Congestive heart failure (CHF)
- Chronic obstructive pulmonary disease (COPD)
If it’s late at night or you can’t reach your PCP, you’re not alone. You can speak with a nurse about your health care questions 24 hours a day, 7 days a week. Not sure if you should find urgent care or go to the emergency room? The Nurse Line can help. It doesn’t take the place of your PCP, so be sure to follow up later.
Just call us at 1-800-279-1878 (TTY: 711). Then, choose the option for Nurse Line.
Through secure video on your computer, you can meet with a doctor for treatment of common health conditions. Cold or flu? Great reasons to use telehealth. You can also get help with allergies, sinus problems and more.
It’s important to stay in contact with your health care team. And to be able to receive health tips and reminders by text. Need a smartphone? You can get one through Assurance Wireless® Lifeline at no cost to you. Your smartphone will include services, like:
- Unlimited texts
- 1,000 talk minutes
- 5GB of data each month
To see if you’re eligible for Assurance Wireless, go to Apply for your smartphone.
Apply for your smartphone
If you have no way to get to the hospital during an emergency, call 911. We cover ambulance rides on the ground in a medical emergency.
Nonemergency medical rides
If you don’t have a ride to your appointment, we’ll help you get one. These rides are for the medical services we cover, like:
- Doctor visits
- Dental or vision care
- Behavioral health care
- Pharmacy
To get a ride, just call ModivCare at 1-800-734-0430. Or you can go online.
Health programs
These programs can help you live life as healthy as you can. We have special programs and services to help you get the care you need. And prevent health issues in the future.
Other language and format needs
Need language help? Just call us at 1-800-279-1878 (TTY: 711). We’re here for you ${member_services_hours}. You can get:
- Interpreter services at no cost during any service or complaint process, including American Sign Language and real-time oral interpretation
- Interpreter services for your medical visit (be sure to call 48 hours before your visit)
- Info in another format, like audio CD-ROM, large print and braille
- Materials in other languages if your primary language isn’t English
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