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Provider Directory Directorio de ProveedoresAetna Better Health (Texas)

Bexar Service Area March 2011 rea de servicio de Bexar Marzo de 2011

Member Services, call 1-800-248-7767.Aetna Better Health covers Medicaid recipients in the following counties: Bexar, Atascosa, Comal, Guadalupe, Kendall, Medina and Wilson.

Servicios al Miembro, llame al 1-800-248-7767.Aetna Better Health cubre a miembros de Medicaid en los siguientes condados: Bexar, Atascosa, Comal, Guadalupe, Kendall, Medina y Wilson.

TX-11-01-05

BE43-0311

This Medicaid Provider Directory Belongs to: Este directorio de Medicaid proveedores pertenece a:

Table of Contents /Tabla de contenidoWelcome to Aetna Better Health! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Bienvenido a Aetna Better Health! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 How to Join in Aetna Better Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Cmo inscribirse en Aetna Better Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Picking your Primary Care Provider (PCP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 Cmo escoger un proveedor de cuidado primario (PCP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Finding an After Hours Provider . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 El encontrar proveedor despus del horario normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Picking an Obstetrician/Gynecologist (OB/GYN) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Cmo escoger un obstetricia/ginecologa (OB/GYN) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Using a Specialist, Behavioral Health, Vision, or Ancillary Provider . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Cmo usar a un especialista, a un proveedor de salud del comportamiento, oftalmolgico o auxiliar . . . . . .5 Where to Call . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Dnde llamar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5 Primary Care Providers Proveedores de cuidado primario . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 After Hours Providers Proveedores despus del horario normal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24

OB/GYN Providers Proveedores de obstetricia/ginecologa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26 Specialists Especialistas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35 Behavioral Health Providers Proveedores de salud del comportamiento . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Hospital Directory Directorio de hospitales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 Primary Care Providers Index ndice de proveedores de cuidado primario . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45 Hospital/Behavioral Health Facilities Index ndice de hospitales/Facilidades de salud del comportamiento . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47

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Aetna Better Health

The Health Plan You Need to KnowWelcome to Aetna Better Health! Aetna Better Health is a health plan that provides health care for Medicaid members in the Bexar Service Area. Aetna Better Health contracts with many doctors, clinics, and hospitals to bring you the medical care you need. You will find the doctors, clinics, and hospitals that are part of the Aetna Better Health Provider Network in this directory, as well as their office hours and location. If you have a problem making an appointment, call Member Services at 1-800-248-7767 and we will help you.

How to Join in Aetna Better Health After you have become eligible with Medicaid Managed Care by the Texas Health and Human Services Commission (HHSC), you will receive an enrollment packet from the Enrollment Broker. This packet will have information on Aetna Better Health. You will need to review the information including this provider directory, which is a listing of doctors, hospitals, and clinics and other detailed information about Aetna Better Health. When you pick your Primary Care Provider, call the Enrollment Broker at 1-800-964-2777 and give them the following information:I I I

Your name and Medicaid Number Tell them that you have picked Aetna Better Health Tell them the name of your doctor that you picked

Picking your Primary Care Provider (PCP) To pick your personal doctor, who is called a Primary Care Provider (PCP), you will use this Aetna Better Health Provider Directory. Your Primary Care Provider will help take care of all your health care needs and make referrals to a specialist when you need it. You will need to pick a Primary Care Provider for each eligible family member from our list of doctors. You can pick from: Pediatricians (doctor for children) General/Family Practice (doctor for families) Internal Medicine (doctor for adults) OB/GYNs (doctor for females) Please note, if you are a female, you can see an Obstetrician/Gynecologist (OB/GYN) without a referral.

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You can pick different Primary Care Providers for each eligible family member with Aetna Better Health. You can change your Primary Care Provider four times a year by calling Aetna Member Services at 1-800-248-7767.

Finding an After Hours Provider You have a new way to get care after 5 p.m. and before 8 a.m. and on weekends or holidays. You can see any After Hours Providers without a referral from your Primary Care Provider.

Picking an Obstetrician/Gynecologist (OB/GYN) If you are a female, you can pick any OB/GYN from the Aetna Better Health Provider Network to take care of your female health needs. An OB/GYN can help you with your pregnancy care, yearly checkups or if you have female problems. You do not need a referral from your Primary Care Provider for these services. If you choose to see an OB/GYN, you should go to the same OB/GYN for each visit so they will get to know your health care needs.

Using a Specialist, Behavioral Health, Vision, or Ancillary Provider Aetna Better Health has different providers who will work with your Primary Care Provider to care for your special health care needs. Your Primary Care Provider may want you to see a specialist. Your Primary Care Provider will give you information about a specialist who can treat your health needs. Your Primary Care Provider will arrange for you to see the specialist. This is called a referral. You do not need a referral for family planning services, behavioral health care, OB/GYN, or Texas Health Steps (THSteps) Medical Checkups. To pick a behavioral health provider, please call Magellan Behavioral Health at 1-800-327-9807. To pick a vision provider, please call Block Vision at 1-800-879-6901. To get a list of Ancillary Providers, call Member Services at 1-800-248-7767.

Where to Call If you have any questions or want to know if your doctor is on our list, please call: Member Services at 1-800-248-7767 Additional providers not listed in this directory may be available in counties outside the Service Area. Please log on to www.aetnamedicaid.com or call the member services phone number on your ID card to learn more.

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Aetna Better Health

El plan de salud que necesita conocerBienvenido a Aetna Better Health! Aetna Better Health es un plan de salud que proporciona cuidados de salud para miembros de Medicaid en el rea de servicios de Bexar. Aetna Better Health contrata un gran nmero de mdicos, clnicas y hospitales para ofrecerle la atencin mdica que necesita. En este directorio, encontrar los mdicos, las clnicas y los hospitales que pertenecen a la red de proveedores de Aetna Better Health as como sus horas laborables y ubicacin. Si tiene algn problema para pedir una cita y necesita nuestra ayuda, comunquese por telfono con Servicios al miembro al 1-800-248-7767.

Cmo inscribirse en Aetna Better Health Si usted reune los requisitos para la atencin mdica administrada de Medicaid por medio de la Health and Human Services Commission (HHSC, Comisin de Salud y Servicios Humanos) de Texas, usted recibir un paquete de inscripcin de su agente de inscripcin. Este paquete tendr informacin sobre Aetna Better Health. Usted necesita revisar la informacin, incluyendo este directorio de proveedores, que es un listado de mdicos, hospitales y clnicas, y otro tipo de informacin detallada sobre Aetna Better Health. Cuando escoge su proveedor de cuidado primario, llame por telfono con su agente de inscripcin al 1-800-964-2777 y brndele la siguiente informacin:I I I

Su nombre y nmero de Medicaid Comunquele que ha escogido Aetna Better Health Dgale el nombre del mdico que usted ha escogido

Cmo escoger un proveedor de cuidado primario (PCP) Usted usar este directorio de proveedores de Aetna Better Health para escoger a su mdico personal, llamado proveedor de cuidado primario (PCP). Su proveedor de cuidado primario lo ayudar a cuidar sus necesidades de atencin de salud y lo remitir a un especialista cuando sea necesario. Usted debe escoger de nuestro listado de mdicos un proveedor de cuidado primario para cada miembro elegible

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