Case management

As a member of Aetna Better Health Premier Plan MMAI, you will have your own case manager as part of our case management program. Your case manager can help you find the right care and services. Your case manager will contact you soon after you are enrolled with Aetna Better Health Premier Plan MMAI.

A case manager will work  with you, your doctors, and other providers to make sure you receive the right care and services with your needs in mind. The goal is to build a care plan just for you to help you live a healthier life. Your case manager will meet with you by phone or where you live as often as needed.

Each of our members is on their own personal health care journey.  We can guide you in managing and improving your health.  To learn more about how we can help you with your health care, call Member Services at 1-866-600-2139 (TTY: 711), 24 hours a day, 7 days a week. Below are some of the programs we offer to help you stay healthy:

Case Management

A case manager will work with you, your doctors and other providers to make sure you receive the right care and services with your needs in mind.  Your case manager will help you if:

  • You are going to the Emergency Room a lot
  • You are having trouble getting things your doctor has ordered
  • You need information about a disease or treatment
  • You need help with activities of daily living
  • Have been recently hospitalized and need help getting all your discharge needs met
  • And so much more!

Diabetes Management and Hypertension (high blood pressure)

If you have diabetes or high blood pressure, we will teach you how to take care of yourself.  You will learn:

  • How to take care of your diabetes or high blood pressure conditions
  • How to watch your blood sugar or blood pressure
  • Healthy habits so you feel better

Medication Safety

We want you to be informed about the different medicines you may need to take.  We can help you with questions you should always ask your provider like:

  • Why am I taking this medicine?
  • How should the medicine be taken?
  • Are there any side effects or possible allergic reactions to this medicine? 

Healthy Adults

Along with your doctor, we will partner with you to get you the best care and help you feel your best.  We want you to get tests or vaccines that will help you stay healthy like:

  • Breast cancer screenings
  • Colorectal cancer screenings
  • Flu shots
  • Eye exam 

Health Homes

Some providers use Health Homes which focus on working with you and your healthcare team to plan and coordinate your care. 

 

Aetna Better Health Premier Plan MMAI is working with the State of Illinois to stop new HIV cases. The Illinois Department of Public Health is sharing HIV data they have with IL Medicaid and IL Medicaid Managed Care Organizations to have better care for people living with HIV. Name, date of birth, SSN, HIV status and other information is being shared safely and securely for all Medicaid members.

At times, you may not need much assistance from a case manager, however, conditions can change and can be overwhelming.  To offer you support, your doctor, hospital discharge planner or other provider may refer you to Case Management. Or a nurse on our health information line may refer you. However, don’t wait for a referral if you need help. You can self-refer by calling us at 1-866-600-2139 (TTY: 711) and asking for Case Management.

We want to help you stay healthy and make sure that you are getting the care and service you deserve.  Call Member Services at 1-866-600-2139 (TTY: 711), 24 hours a day, 7 days a week to learn more about how we can help you.