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Health
programs

You deserve care that focuses on you and your specific health needs. Our programs aim to do just that. They'll help you manage conditions, prevent health problems and stay as healthy as you can.

Need help using your benefits? 

Just call Member Services at 1-888-348-2922 (TTY: 711). Then, ask to speak with a case manager. We’re here for you 24 hours a day, 7 days a week. 

Learn more about your benefits

Check which topics might be helpful to you.

We’ll help you learn more about health screenings and wellness programs. And how they can help you get and stay healthier. We’ll also provide health info through community events.   

 

Learn more about how to stay healthy 

 

Want to get health coaching? Or just learn more about wellness? Register for MyActiveHealth℠. You can get healthy living tips, watch videos about wellness, learn about a healthy lifestyle and more. 

Are you expecting a child? Call us at 1-888-348-2922 (TTY: 711) as soon as you learn you’re pregnant. We’ll help you get the care you need through pregnancy and after birth by: 

 

  • Providing screenings 
  • Working closely with your providers 

 

Did you know that you can earn rewards for pregnancy and birth care? Check it out.

 

Help with drug withdrawal in newborn babies 


Some medicines pass through the mother’s bloodstream to the baby’s blood. Severe drug withdrawal symptoms can happen after the baby is born. NAS (neonatal abstinence syndrome) is the medical name for this condition. 

 

Do you use alcohol, street drugs or even prescription medicine? These can harm you and your baby. Stopping suddenly can also cause harm. So be sure to get help from your doctor. 

 

Watch this video to learn more about our Moms and Babies program.

Questions? Just call Member Services at 1-888-348-2922 (TTY: 711).

Kristen Bowles: [00:00:03] The Neonatal Abstinence Program is a program where when you identify a mother who is using, we try to enroll her in the case management program. We get her into treatment if need be. We follow her throughout her pregnancy. And then, once the baby is born, we enroll the baby in the program as well.

 

Sean Loudin: [00:00:24] The innovative portion of this system is the fact that we're actually trying to take those babies out of the neonatal intensive care unit, put them in other locations where they can frankly get maybe even a little more therapeutic care in an environment, still getting medication, and still treating their withdrawal. But then that actually opens up beds and resources for those babies who do require neonatal intensive care. So, premature babies, or sick newborns. That's what the NICU was designed for. 

 

Rebecca Lawrence: [00:00:57] Addiction tears their lives apart. Some of them end up homeless, some of them, unfortunately, end up dead.

 

Teresa: [00:01:03] If I was here today and not sober, I don't know that I'd be here. I'd probably be in jail, my kids would probably be in the state system. 

 

Alexandra: [00:01:13] These programs are important because there are a lot of addicted mothers out there, that they don't know what to do, and they don't have anybody to turn to.

 

Rebecca Lawrence: [00:01:22] We kind of act as a social worker as well, if they need help with resources in the community.

 

Alexandra: [00:01:25] The groups are helpful, you know. It's kind of a support system. The most helpful thing is being able to stay clean. 

 

Kristen Bowles: [00:01:35] Success would be having a full-term healthy baby who thrives, just a normal baby. 

 

Teresa: [00:01:42] I think if everybody had an Aetna program, there'd be a whole lot more sober people in this town.

 

Alexandra: [00:01:48] I'm able to lead a normal lifestyle which is, for me, is the best thing that could have happened. 

 

Female VO: [00:01:55] Aetna Better Health. You don't join us, we join you.

 

[Blank Screen]: [00:02:00]

 

[00:02:02] [End of tape]

 

Watch this video to learn more about our Moms and Babies program.

Questions? Just call Member Services at 1-888-348-2922 (TTY: 711).

Some members have special health care needs and medical conditions. Our case managers include nurses who can:

 

  • Work with different providers, agencies and groups to help you get the care you need 
  • Help you make appointments 
  • Talk about your care with your doctor

 

Case managers can also help members with:

 

  • High-risk pregnancy
  • Neonatal intensive care (NICU) for babies after birth
  • Treatment of substance use for women and their babies after birth
  • Finding home- and community-based services and resources
  • Gaps in their care

 

If you think you need help from a case manager, call Member Services at 1-888-348-2922 (TTY: 711). Then, ask if you qualify for care management.

 

Care management 

We help our members with chronic conditions be as healthy as they can. We’ll mail you health info to help you manage your condition. You may also get a call from a case manager, who can help you or your child manage chronic conditions like: 

 

  • Asthma
  • COPD (chronic obstructive pulmonary disease)
  • CAD (coronary artery disease)
  • CHF (congestive heart failure)
  • Diabetes
  • Mental health/depression
  • High blood pressure (hypertension)

 

Questions about chronic condition management? Just call Member Services at 1-888-348-2922 (TTY: 711).


Chronic condition management

 

Want to get health coaching to help you manage your condition? Just register for MyActiveHealth. You can get healthy living tips, watch videos about wellness, learn about a healthy lifestyle and more.

It can be hard to figure out the type of care you or your family members may need. We can help you decide whether to go to the ER or urgent care.  

 

Remember, you can use any hospital for emergency care, even if it’s not in our network. Just show your member ID card.

 

24-Hour Nurse Line

This doesn’t take the place of your PCP. But if it’s late at night or you can’t reach your PCP, a nurse can help you decide what to do. 

 

To reach a nurse, just call 1-855-200-5975 (TTY: 711). We’re here for you 7 days a week, 24 hours a day. And we can link you to the right resources.

 

Behavioral health crisis

Call 911 or go to the nearest hospital if:

 

  • You’re thinking about hurting yourself or someone else
  • You have an urgent behavioral health emergency

 

You can also call our Crisis Line. Just call Member Services at 1-888-348-2922 (TTY: 711), then choose the Crisis Line option. We’re here for you 7 days a week, 24 hours a day. And we can link you to the right resources.

 

Care management after acute care

Have you or your child had a hospital stay recently? If so, you may get a call from our care management team. They’ll ask if you: 

 

  • Scheduled a follow-up appointment with a PCP or specialist 
  • Were able to get any prescribed medicine 
  • Understood the discharge instructions 
  • Have any other needs, so they can refer you to one of our case managers

 

Check out some of these articles to learn more about getting the right care at the right time:

 

Flu

 

Most members 6 months and older can get a flu shot every year. Studies show which flu viruses may be the most common during the upcoming season. Seasonal flu shots protect against those three or four flu viruses. Just ask your doctor about getting the shot.

 

Learn how to protect yourself from the flu

 

COVID-19

 

Members 5 years and older can get the vaccine for the coronavirus (COVID-19). You can ask your doctor about getting this shot. Or check with the Centers for Disease Control and Prevention (CDC) for more info about the COVID-19 vaccine.

Opioid medication can be very addictive. Members who have more than one prescription for opioids have a high risk of addiction. That’s why you should always let your doctors know what medications you take. We offer support and services to help you avoid or recover from addiction. You can get help with finding in-network providers and other services, like counseling and more.

 

Find help

 

If you need help with mental health or a substance use disorder, we’re here for you. We offer behavioral health treatment to our members who need it. We’ll also connect you with local resources for more support. Just call 1-888-348-2922 (TTY: 711). Then, ask to speak with a case manager. 

 

Find treatment for addiction

 

Get help in crisis

 

If you’re thinking of hurting yourself or someone else, get help right away. You can call: