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Aetna better health

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Aetna Better Health: What You Need to Know About Medicaid and Managed Care Plans

Discover everything you need to know about Aetna Better Health. Learn how it works, who it’s for, what it covers, and how to enroll in this top Medicaid-managed care plan.

Aetna better health



Introduction

Navigating the world of healthcare can feel overwhelming, especially when you're looking for coverage that fits both your needs and your budget. That’s where Aetna Better Health comes in—a trusted name in Medicaid-managed care that offers comprehensive healthcare services for individuals and families who qualify for Medicaid or other government-sponsored health programs.

In this guide, we’ll break down what Aetna Better Health is, what it covers, who qualifies, how to enroll, and what sets it apart from other Medicaid plans. Whether you’re new to Medicaid or exploring your options for better care, this article gives you the full picture.


What Is Aetna Better Health?

Aetna Better Health is a division of Aetna, a CVS Health company, focused on providing healthcare coverage for Medicaid-eligible individuals. It delivers Medicaid managed care plans, Medicare-Medicaid plans (MMPs), and Children’s Health Insurance Program (CHIP) coverage in various states across the U.S.

As one of the country’s most recognized Medicaid providers, Aetna Better Health is committed to helping members lead healthier lives through preventive care, coordinated services, and access to a strong provider network.


Where Is Aetna Better Health Available?

Aetna Better Health operates in several states under different Medicaid programs. As of 2025, some of the states offering plans include:

·         Florida

·         Illinois

·         Michigan

·         New Jersey

·         Pennsylvania

·         Texas

·         Virginia

·         Kentucky

·         Louisiana

·         California (Medi-Cal program)

Note: Availability and benefits vary by state, so it’s important to check the local Aetna Better Health website for specific plan details in your region.


Who Is Eligible for Aetna Better Health?

Eligibility depends on your state’s Medicaid guidelines, but typically includes:

·         Low-income individuals andfamilies

·         Pregnant women

·         Children and teens

·         People with disabilities

·         Seniors

·         Dual-eligible individuals (qualifying for both Medicaid and Medicare)

Each state has specific income thresholds and other requirements, which you can check through your state’s Medicaid website or by contacting Aetna Better Health directly.


Key Benefits of Aetna Better Health

Aetna Better Health offers a wide range of benefits designed to support physical, emotional, and social well-being. These may include:

 Doctor Visits and Preventive Care

·         Primary care

·         Annual checkups

·         Immunizations

·         Wellness screenings

 Prescription Drug Coverage

·         Most Medicaid-approved medications

·         Pharmacy management services

·         Mail-order options (in select plans)

 Hospital and Emergency Care

·         Emergency room visits

·         Urgent care centers

·         Hospital stays and surgeries

 Mental Health and Behavioral Services

·         Therapy and counseling

·         Substance use treatment

·         Psychiatric care

 Vision and Dental Benefits

·         Eye exams, glasses

·         Routine dental exams and cleanings

·         Orthodontics (for children, in some states)

Transportation Services

·         Free rides to medical appointments

·         Mileage reimbursement (in some states)

 Telehealth Services

·         Access to doctors and specialists via phone or video

·         24/7 nurse helplines


Value-Added Services (Extra Perks)

Depending on the state, AetnaBetter Health plans may offer additional value-added benefits, such as:

·         Gym memberships or fitness classes

·         Healthy food card programs

·         Free cell phones for health-related communication

·         Rewards for completing health goals (e.g., screenings, prenatal care)

·         Care coordination for chronic conditions

These extra services can be a huge help for families and individuals trying to improve their quality of life.


How to Enroll in Aetna Better Health

Enrolling is easy if you're eligible for Medicaid. Here’s how:

1.      Check Your Eligibility
Visit your state’s Medicaid website to determine if you qualify.

2.      Apply for Medicaid
Submit an application online, by phone, by mail, or in person at your local Medicaid office.

3.      Choose Aetna Better Health as Your Plan
Once approved, select Aetna Better Health during the health plan selection phase. In some states, Aetna may be auto-assigned if it's the default or preferred plan.

4.      Receive Your Member ID Card
Once enrolled, you’ll get your member packet and ID card in the mail.


Aetna Better Health vs. Other Medicaid Plans

What sets Aetna Better Health apart from other providers like UnitedHealthcare Community Plan or Molina Healthcare?

Feature

Aetna Better Health

Other Medicaid Plans

CVS Health backing

(depends on provider)

Telehealth integration

(via Teladoc & CVS MinuteClinic)

(varies)

Wellness incentives

Points and gift card rewards

(varies by state)

Care coordination

Strong focus on chronic care

Varies

App and online portal

Easy to use, CVS-integrated

Mixed reviews

Aetna’s integration with CVS Pharmacy and MinuteClinic also adds convenience that many competitors can’t match.


Member Testimonials

“Aetna Better Health helped me manage my diabetes with personalized care. I’ve never felt more supported.” — Veronica T., Michigan

“The dental and vision coverage for my kids is a lifesaver. Plus, they love the reward points for getting checkups.” — Danielle M., Florida


Aetna Better Health App Features

The Aetna Better Health mobile app helps members manage their health in one place. Features include:

·         Digital ID card

·         Find a doctor or clinic nearby

·         View benefits and coverage

·         Track prescriptions and appointments

·         Access health tips and alerts

It’s available on both Android and iOS platforms.



Final Thoughts

Aetna Better Health is more than just a Medicaid provider — it’s a wellness partner for millions of Americans seeking accessible, affordable, and quality care. From preventive services and mental health support to prescription drug coverage and telehealth, Aetna Better Health provides a comprehensive solution designed for real-life needs.

If you're eligible for Medicaid or exploring better health coverage options, Aetna Better Health could be the right fit. With strong member support, a focus on community health, and seamless access to care through CVS Health, it’s a top contender in the world of managed Medicaid care.


 

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