Aetna Better Health ® of Kentucky Treasure today Fall 2018 Manage your health on your phone Members with smartphones (both iPhones and Androids) can download our Aetna Better Health mobile app. By using this app, you can: • Find or change your Primary Care Provider • View or request a new ID card • Find a specialty provider • View your medical and pharmacy claims (if covered beneft) • Send a message to Member Services • View your benefts Medically frail attestation Some members can be identifed as medically frail by the state. These members will not have to pay premiums. Also, they will continue to receive vision and benefts. You may fall into this group if you: • Are homeless • Have a serious medical problem (including substance use disorder) • Have a serious impairment in your ability to perform activities of daily living You may receive a phone call to let you know you could qualify for this group. You may also receive a text message or letter. This is an important Medicaid beneft group. If you meet the requirements for — Continued on next page Aetna Better Health ® of Kentucky 9900 Corporate Campus Drive, Suite 1000 Louisville, KY 40223 Standard U.S. Postage PAID Cofey Communications
Transcript
Aetna Better Health® of Kentucky
Treasure today Fall 2018
Manage your health on your phone
Members with smartphones (both iPhones and Androids) can download our Aetna Better Health mobile app. By using this app, you can: • Find or change your Primary
Care Provider • View or request a new ID card • Find a specialty provider • View your medical and
pharmacy claims (if covered benefit) • Send a message to Member Services • View your benefits
Medically frail attestation Some members can be identified as medically frail by the state. These members will not have to pay premiums. Also, they will continue to receive vision and benefits. You may fall into this group if you: • Are homeless • Have a serious medical problem (including substance use disorder) • Have a serious impairment in
your ability to perform activities of daily living
You may receive a phone call to let you know you could qualify for this group. You may also receive a text message or letter. This is an important Medicaid benefit group.
If you meet the requirements for
— Continued on next page
Aetna Better Health® of Kentucky 9900 Corporate Campus Drive, Suite 1000 Louisville, KY 40223
Standard U.S.Postage
PAID Coffey
Communications
aetnabetterhealth.com/kentucky
Medically frail attestation — Continued from front page
this group, you will be notified when the state starts Kentucky HEALTH. This is the name of the new health and well-being program. Work with your doctor to get this form completed. If you do this before the start of the program, you can avoid paying monthly premiums.
Please call Member Services at 1-855-300-5528 and ask for the medically frail team in case management.
Hepatitis C Chronic hepatitis C (HCV) continues to be a serious public health problem. Recent reports from the Kentucky Department of Health show that Kentucky now leads the nation with the highest number of persons identified with hepatitis C.
Many people do not even know they have hepatitis C because they have no symptoms or very mild symptoms.
Testing for hepatitis C is not always done routinely. Please talk to your doctor about getting tested for hepatitis C if you: • Are a current or former injection drug user • Were born between 1945 and 1965 • Were treated for a
blood clotting problem before 1987 • Are a long-term
hemodialysis patient • Received a blood
transfusion and/or an organ transplant before 1992 • Were born to an HCV-infected mother • Work in healthcare/
public safety and had a known HCV exposure • Have had sexual
contact with an HCV-infected partner • Diagnosed with HIV or hepatitis B • Received tattoos/ body piercings anywhere other than a licensed setting • Served prison time
Here are just a few of the things the Aetna Better Health of Kentucky case managers can provide to assist you: • Work with you to help you
understand how you can best manage hepatitis C • Help you find a provider for hepatitis C treatment • Work with you and your
provider to help you get the treatment to cure your disease
• Offer support and medication reminders if needed while undergoing treatment • Teach you about hepatitis C, liver health and how to prevent the spread of the virus • Offer drug and alcohol
recovery support if needed • Connect you to other
resources and services as needed
Treatment (with prior authorization) is available f or Aetna Better Health of Kentucky
members who have hepatitis C. Treatment can cure hepatitis C, prevent the spread of the virus to others, and stop future liver damage.
Please contact the hepatitis C program here at Aetna Better Health of Kentucky and connect with one of our nurse case managers to get started today!
Call Member Services at 1-855-300-5528 (TTY: 711; TDD: 1-800-627-4702), Monday through Friday, 7 a.m. to 7 p.m. Eastern Time. Ask to speak to a case manager. Or you can email us at [email protected].
After 20 minutes Blood pressure and heart rate drop.
After 12 hours The balance of carbon monoxide and oxygen in the bloodstream has returned to normal.
After 2 weeks to 3 months The risk of heart attack decreases. Lungs are working better.
After 1 to 9 months Respiratory problems have started to decrease.
After 1 year 50 percent excess risk of heart disease decreases to half that of a current smoker.
Sources: American Cancer Society; American Lung Association; Centers for Disease Control and Prevention
We care about the homeless Helping the homeless is an important part of our job. We reach out to help these members in many ways. Our staff goes to meet these members at shelters, soup kitchens, and other common places. We want to meet these members where they are. We can help them find community programs to meet their needs. If they need social services, we can help with that too. Case managers try to understand the needs of the member and help accordingly. We want to develop positive relationships with these members and to help them move forward with their lives.
Thinking about e-cigs? Think again Vaping, or using e-cigarettes, may seem harmless. But it’s far from it. A few things you should know before you try it out: • E-cigs contain nicotine.
That’s the addictive chemical that hooks people onto smoking. • The high amount
of nicotine in e-cig cartridges poses a poisoning hazard. That’s something to think about if you spend time around kids. • Teens who try e-cigs
may be more likely to use tobacco later. In fact, e-cigs are now the most commonly used form of tobacco among youth in the U.S.
• Some research suggests that e-cigs may be less harmful for smokers than traditional cigarettes when used as a complete replacement. But other studies have found that both e-cig vapor and e-cig devices can contain harmful chemicals. Talk to your doctor if you want to quit smoking. He or she can steer you to products that have been proven to help.
E-cigs remain a risky habit—and not the best way to stop smoking, if that’s your goal.
Sources: American Lung Association; National Institute on Drug Abuse; U.S. Food and Drug Administration
Get the pneumococcal vaccine What do asthma and chronic obstructive pulmonary disease (COPD) have to do with pneumonia?
Plenty, it turns out.
When you have asthma or COPD, they raise your risk for pneumococcal disease. That’s a bacterial infection that can cause pneumonia (a lung infection). That’s not all. Pneumococcal disease can lead to infections of the: • Brain • Spinal cord • Blood • Ears
These infections can be quite serious. They can put you in the hospital. They can even be deadly.
Avoid the disease The germs that cause pneumococcal disease can spread from person to person. So anyone can
get it. For instance, you could get sick if someone coughs or sneezes close to you. Even people who look healthy can spread these germs to you.
All of this is why people with asthma or COPD should get the pneumococcal vaccine. You don’t need a shot each year. In fact, you may only need to get it once. But there are two different types of the vaccine. And you may need both of them.
So be sure to ask your provider what’s best for you. Remember: Having asthma or COPD makes asking about the pneumococcal vaccine extra important.
Sources: Asthma and Allergy Foundation of America; Centers for Disease Control and Prevention
Don’t let the flu get you down Flu facts
Germs can travel as far as 6 feet when a person coughs or talks.
Flu viruses can survive on some surfaces for 24 hours.
During the 2016–2017 flu season,
vaccines prevented an estimated 5.29 million illnesses in the U.S.
Your best protection: a yearly flu vaccine.
Nearly everyone older than 6 months should get one.
Source: Centers for Disease Control and Prevention
Do you need case management or disease management?If you have a past history of health problems or problems getting health care, we want to work with you and your doctor to meet your health care needs. Our case managers will work with you to develop a plan of care that will focus on helping you with your health problems or any barriers you may have to reaching your ideal goal for health.
Aetna Better Health of Kentucky has a disease management program for our members with asthma, diabetes, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), chronic kidney disease
and depression. These programs help you care for yourself through education.
If you think you need case or disease management help or have any questions about these services, call Member Services at 1-855-300-5528 (TTY: 711; TDD: 1-800-627-4702) and ask to speak to a case manager. Our offi ce is open Monday through Friday, 7 a.m. to 7 p.m. Eastern Time. If you call after hours, you can leave a message and someone will call you the next business day. If you don’t want these services you can opt out at any time.
Cell service at no cost to you! See if you’re eligible for Assurance Wireless Lifeline cell service plus an Android™ Smartphone We know how important it is to stay connected to healthcare, jobs, emergency services and family. That’s why Aetna Better Health of Kentucky is partnering with Assurance Wireless Lifeline service.
Each month eligible Assurance Wireless customers receive, at no cost: • Data • Unlimited Texts • Voice Minutes
Plus an Android smartphone You may qualify for Assurance Wireless Lifeline service if you are on certain public assistance programs, like Medicaid or Supplemental Nutrition Assistance Program (SNAP).
To apply now or learn more visit aetnabetterhealth.com/kentucky.
When you apply, you’ll be able to receive health extras from Aetna: • Health tips and reminders by texts • One-on-one texting with your health care team • Unlimited calls with our member services team
Already have Lifeline? It’s easy to switch to Assurance Wireless and receive Aetna health extras at no cost.
To learn more go to aetnabetterhealth.com/ kentucky.
Android is a trademark of Google LLC.
Member Services is here for you Member Services is here to help you with your health care questions. You can call us with questions about: • Benefits • Where to go if you need care after hours
• Complaints you have about the care you received or our service in general • Questions regarding ID cards
We are here Monday through Friday, from 7 a.m. to 7 p.m. Eastern Time. Call us at 1-855-300-5528 (TTY: 711; TDD: 1-800-627-4701). Our Member Services department is here to
make sure each member is treated fairly and is able to exercise their rights.
You can also find information regarding your benefits by logging into the secure member portal located at aetnabetterhealth .com/kentucky/members and choose the “secure member portal” link.
AETNA BETTER HEALTH® OF KENTUCKY Nondiscrimination Notice
Aetna complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Aetna does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.
Aetna:
• Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronic
formats, other formats) • Provides free language services to people whose primary language is not English, such as:
o Qualified interpreters o Information written in other languages
If you need a qualified interpreter, written information in other formats, translation or other services, call the number on your ID card or 1-800-385-4104.
If you believe that Aetna has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with our Civil Rights Coordinator at:
Address: Attn: Civil Rights Coordinator 4500 East Cotton Center BoulevardPhoenix, AZ 85040
You can file a grievance in person or by mail or email. If you need help filing a grievance, our Civil Rights Coordinator is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue, SW Room 509F, HHH Building, Washington, D.C. 20201, 1-800-368-1019, 1-800-537-7697 (TDD).
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company, and its affiliates.
ENGLISH: ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call the number on the back of your ID card or 1-800-385-4104 (TTY: 711).
SPANISH: ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al número que aparece en el reverso de su tarjeta de identificación o al 1-800-385-4104 (TTY: 711).
CHINESE:注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電您的 ID 卡背面的電話號碼或 1-800-385-4104 (TTY: 711)。
GERMAN: ACHTUNG: Wenn Sie deutschen sprechen, können Sie unseren kostenlosen Sprachservice nutzen. Rufen Sie die Nummer auf der Rückseite Ihrer ID-Karte oder 1-800-385-4104 (TTY: 711) an.
VIETNAMESE: CHÚ Ý: nếu bạn nói tiếng việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Hãy gọi số có ở mặt sau thẻ id của bạn hoặc 1-800-385-4104 (TTY: 711).
SERBO-CROATIAN: OBAVEŠTENJE: Ako govorite srpski, usluge jezičke pomoći dostupne su vam besplatno. Pozovite broj na poleđini vaše identifikacione kartice ili broj 1-800-385-4104 (TTY – telefon za osobe sa oštećenim govorom ili sluhom: 711).
FRENCH: ATTENTION: si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le numéro indiqué au verso de votre carte d’identité ou le 1-800-385-4104 (ATS: 711).
KOREAN: 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 귀하의 ID 카드 뒷면에 있는 번호로나 1-800-385-4104 (TTY: 711) 번으로 연락해 주십시오.
PENN DUTCH: Geb Acht: Wann du Deitsch Pennsilfaanisch Deitsch schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf die Nummer uff, ass hinne uff dei ID card iss, odder ruf 1-800-385-4104 (TTY: 711).
RUSSIAN: ВНИМАНИЕ: если вы говорите на русском языке, вам могут предоставить бесплатные услуги перевода. Позвоните по номеру, указанному на обратной стороне вашей идентификационной карточки, или по номеру 1-800-385-4104 (TTY: 711).
TAGALOG: PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Tumawag sa numero na nasa likod ng iyong ID card o sa 1-800-385-4104 (TTY: 711).
KIRUNDI (BANTU): ICITONDERWA: Namba uvuga Ikirundi, serivisi zigufasha kugusigurira ururimi, ku buntu, ziraboneka ushobora kuzironswa. Hamagara inomero iri inyuma ku gakarata k’akarangamuntu kawe canke iyi nomero 1-800-385-4104 (Ufise ubumuga bwo kutumva neza ifashishe (TTY): 711).
Benefits of exercise We all can find many reasons not to exercise. It takes too much time; it costs too much; or, it is no fun. Studies show that as little as 30 minutes of exercise two or three times a week is good for your body and your mind.
To start an exercise program, you do not need any extras. All you need is your body. A great place to start is
to put one foot in front of the other and walk. Start slow, maybe even 10 minutes a day to begin and build up from there. Don’t expect miracles overnight. You may never achieve the perfect body, but you will feel better. You will have more stamina. You will be on the path to being healthier.
We cover medicines on our preferred drug list Aetna Better Health of Kentucky covers the medicines included on our formulary drug list. This is the list of drugs that we cover when they’re medically necessary. We update this list on a regular basis. We will send you a notice about any change that affects you. This list and any updates can be found online at aetnabetterhealth .com/kentucky/ members/pharmacy; and in the Member Handbook, which is also on our website. Aetna Better Health doesn’t pay for drugs that haven’t been approved by the U.S. Food and Drug Administration (FDA).
Contact us
For additional details or if you have questions, please call Member Services at 1-855-300-5528 (TTY: 711 or TDD: 1-800-627-4702).
This newsletter is published as a community service for the friends and members of Aetna Better Health of Kentucky. This is general health information and should not replace the advice or care you get from your
provider. Always ask your provider about your own health care needs. Models may be used in photos and illustrations.
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