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.

Quality Management Program

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.

Member Incentive Program

OH MMP Member Incentive Plan

Did you know you can earn rewards for preventative screenings?

Introducing the Member Rewards Program:

What is it?

It is a gift card program that rewards members for getting routine care.

Who is eligible?

Actively enrolled members who receive one or more of the following services during the 2024 calendar year:
- Mammogram (52-74 years of age)
- A1C Test (18-75 years of age)
- Diabetic Retinal Eye Exam (18-75 years of age)
- Flu Shot (19 years and over)

How much can you earn?

Mammogram = One $25.00 gift card per calendar year
A1C = Two $25.00 gift cards per calendar year (one card per test)
Diabetic Eye Exam = One $25.00 gift card per calendar year
Flu Shot = One $25.00 gift card per calendar year

Where can I use the gift cards?

Contact your Care Manager or Member Services for more information! Call Member Services at <1-855-364-0974 (TTY: 711), 24 hours a day, 7 days a week>

Aetna Better Health of Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.