Aetna Better Health of Texas provides comprehensive healthcare coverage for Texans. It focuses on Medicaid and CHIP programs, serving diverse communities. This plan ensures access to quality care close to home.
As part of the CVS Health family, Aetna Better Health prioritizes member wellness. It supports children, adults, and those with disabilities or special needs. The program is designed to meet Texas-specific healthcare needs.
Understanding how to access these services is essential for members and providers. From finding doctors to using telehealth, Aetna Better Health simplifies healthcare. This article explores its offerings, contacts, and benefits in detail.
Overview of Aetna Better Health of Texas
Aetna Better Health of Texas is a state-contracted health plan. It offers Medicaid (STAR and STAR Kids) and CHIP services. These programs cover low-income families, children, and individuals with disabilities.
The plan operates in regions like Bexar, Tarrant, and Dallas. It emphasizes preventive care and community-based support. Members get access to a wide network of providers and services.
Key Benefits for Members
Aetna Better Health of Texas offers extensive benefits. These include doctor visits, hospital care, prescriptions, and dental services. Vision care and behavioral health support are also covered.
Members can access extra perks like wellness programs. The plan provides transportation to medical appointments for those in need. These benefits ensure comprehensive care for all members.
Aetna Better Health of Texas
The main contact for Aetna Better Health of Texas varies by region and plan. For STAR in Bexar, call 1-800-248-7767 (TTY: 711). For Tarrant, use 1-800-306-8612 (TTY: 711).
CHIP members in Bexar can call 1-866-818-0959 (TTY: 711). Tarrant CHIP members should dial 1-800-245-5380 (TTY: 711). These lines are available Monday to Friday, 8 AM to 5 PM.
Provider Network and Access to Care
Aetna Better Health of Texas has a robust provider network. Members can find doctors, dentists, and specialists using the online directory. No referrals are needed for most services.
The plan partners with MDLIVE for telehealth consultations. Members can connect with doctors via smartphone or computer. This makes healthcare accessible, especially for busy or homebound individuals.
Services for Special Populations
Aetna Better Health of Texas supports STAR Kids for children with disabilities. It offers service coordination and long-term care. This ensures tailored support for complex health needs.
Pregnant women can access CHIP Perinatal for prenatal care. The plan also covers seniors and those with chronic conditions. Specialized services promote better health outcomes.
Non-Emergency Medical Transportation (NEMT)
Members without transportation can use NEMT services. These cover rides to doctors, dentists, or pharmacies. Ambulance trips are not included.
To arrange a ride, call the number on your member ID card. Schedule at least 48 hours in advance. This service ensures members never miss critical appointments.
Contact Information for Providers
Providers can contact Aetna Better Health for support. For STAR in Bexar, call 1-800-248-7767; for Tarrant, use 1-800-306-8612. Dallas providers can dial 1-844-787-5437.
These lines assist with claims, credentialing, and prior authorizations. Hours are Monday to Friday, 8 AM to 5 PM. After-hours messages are returned the next business day.
Key Contact Numbers by Region and Plan
Below is a table summarizing contact numbers for Aetna Better Health of Texas:
| Plan | Region | Phone Number |
|---|---|---|
| STAR (Medicaid) | Bexar | 1-800-248-7767 (TTY: 711) |
| STAR (Medicaid) | Tarrant | 1-800-306-8612 (TTY: 711) |
| CHIP/CHIP Perinatal | Bexar | 1-866-818-0959 (TTY: 711) |
These numbers connect members and providers to dedicated support. Always verify the number on your ID card or provider agreement. This ensures you reach the correct team.
Behavioral Health and 24-Hour Nurse Line
Behavioral health services are available 24/7. Call 1-800-248-7767 and press 1 for mental health or substance use support. No referral is needed.
The 24-Hour Nurse Line at 1-800-556-1555 (TTY: 711) offers health advice. Nurses help with medical questions or care decisions. This service is free and accessible anytime.
Language and Accessibility Services
Aetna Better Health of Texas supports diverse communities. Free interpreter services are available for non-English speakers. Call 1-800-385-4104 (TTY: 711) to request assistance.
Materials are offered in formats like braille, large print, or audio. These ensure accessibility for members with visual or hearing impairments. Contact the number on your ID card for help.
How to Join Aetna Better Health of Texas
To enroll, contact your enrollment broker at 1-800-385-4104. They assist Monday to Friday, 8 AM to 6 PM. Leave a message after hours for a callback.
Complete an application to determine eligibility. The process is straightforward, and support is available. Ensure your address is updated to maintain coverage.
Provider Resources and Support
Providers can access tools through the Aetna Better Health website. These include manuals, forms, and training materials. The site also offers cultural competency education.
Join the Provider Advisory Group to give feedback. Contact your Provider Relations consultant for personalized support. These resources help providers deliver quality care.
Texas Health Steps and Preventive Care
Aetna Better Health promotes preventive care through Texas Health Steps. This program offers free checkups for children and teens. It includes screenings, vaccines, and developmental assessments.
Members can schedule appointments with network providers. Early detection improves health outcomes. The program is a cornerstone of Aetna’s commitment to wellness.
Pharmacy and Prescription Benefits
The plan covers a wide range of prescriptions. Access the Medicaid formulary or preferred drug list online. Pharmacies like CVS are part of the network.
For questions, call 1-800-238-6279 (TTY: 711). Ensure prescriptions are filled at participating locations. This avoids out-of-pocket costs for members.
Avoiding Common Issues
Always use the correct contact number for your plan and region. Check your member ID card or provider agreement for accuracy. Incorrect numbers can cause delays.
Update your address with Aetna to maintain coverage. For technical issues with the app or portal, contact Member Services. They’ll guide you through troubleshooting steps.
Aetna Better Health Mobile App
The Aetna Better Health app simplifies access to services. Members can view claims, find providers, or change doctors. It uses Face ID or a PIN for quick login.
Download the app from the App Store or Google Play. It’s user-friendly but may have occasional glitches. Contact Member Services for app-related issues.
Community Engagement and Support
Aetna Better Health of Texas partners with local organizations. They offer resources like fentanyl awareness programs. These initiatives promote community health and safety.
Members can access social services through aetna-tx.findhelp.com. This connects you to local support like food or housing assistance. It’s a valuable tool for holistic care.
Summary
Aetna Better Health of Texas delivers vital Medicaid and CHIP services to Texans. With a focus on accessibility, it offers doctor visits, telehealth, and transportation. Contact numbers like 1-800-248-7767 for Bexar STAR ensure quick support. The plan supports diverse needs with interpreter services and a robust provider network. Preventive care through Texas Health Steps and the mobile app enhances member experience. Aetna’s commitment to quality care makes it a trusted choice for Texas families.
FAQ
What is Aetna Better Health of Texas?
It’s a state-contracted health plan offering Medicaid and CHIP services. It covers doctor visits, prescriptions, and more for eligible Texans. Contact 1-800-385-4104 to enroll.
How do I find a provider with Aetna Better Health?
Use the online provider directory at aetnabetterhealth.com. It lists doctors, dentists, and specialists in your area. No referrals are needed for most services.
What is the contact number for STAR in Bexar?
Call 1-800-248-7767 (TTY: 711) for STAR in Bexar. The line is open Monday to Friday, 8 AM to 5 PM. Leave a message for after-hours support.
How can I access telehealth services?
Use MDLIVE through the Aetna Better Health app or website. Connect with doctors via smartphone or computer. Call your member services number to set it up.
What is Texas Health Steps?
It’s a program for free checkups for children and teens. It includes screenings, vaccines, and developmental assessments. Schedule with a network provider for access.