Aetna Better Health of West Virginia is a Medicaid managed care organization that provides comprehensive healthcare services to eligible individuals and families in the state of West Virginia. As a leading healthcare provider, Aetna Better Health of West Virginia is committed to improving the health and well-being of its members through innovative and personalized care solutions. With a strong focus on community-based care, the organization works closely with local healthcare providers, community organizations, and government agencies to address the unique healthcare needs of West Virginians.
Established in 2017, Aetna Better Health of West Virginia has rapidly expanded its services to cover over 100,000 members across the state. The organization's Medicaid program is designed to provide affordable and accessible healthcare services to low-income individuals and families, including children, pregnant women, and people with disabilities. Aetna Better Health of West Virginia's comprehensive benefits package includes medical, dental, and vision care, as well as pharmacy services, transportation, and long-term care support.
Key Points
- Aetna Better Health of West Virginia is a Medicaid managed care organization that provides comprehensive healthcare services to eligible individuals and families.
- The organization has over 100,000 members across the state and offers a range of benefits, including medical, dental, and vision care, as well as pharmacy services and transportation.
- Aetna Better Health of West Virginia is committed to community-based care and works closely with local healthcare providers, community organizations, and government agencies to address the unique healthcare needs of West Virginians.
- The organization's Medicaid program is designed to provide affordable and accessible healthcare services to low-income individuals and families, including children, pregnant women, and people with disabilities.
- Aetna Better Health of West Virginia has a strong focus on preventive care and offers a range of programs and services to promote healthy behaviors and improve health outcomes.
Benefits and Services
Aetna Better Health of West Virginia offers a comprehensive range of benefits and services to its members, including:
- Medical care: Aetna Better Health of West Virginia provides access to a network of primary care physicians, specialists, and hospitals, as well as coverage for routine check-ups, vaccinations, and preventive care services.
- Dental care: The organization offers comprehensive dental coverage, including routine cleanings, fillings, and extractions, as well as orthodontic services for children and adults.
- Vision care: Aetna Better Health of West Virginia provides coverage for routine eye exams, glasses, and contact lenses, as well as treatment for eye conditions such as cataracts and glaucoma.
- Pharmacy services: The organization offers a comprehensive pharmacy program, including coverage for prescription medications, over-the-counter medications, and medical equipment.
- Transportation: Aetna Better Health of West Virginia provides transportation services to and from medical appointments, including non-emergency medical transportation and transportation to specialty care services.
Community-Based Care
Aetna Better Health of West Virginia is committed to community-based care and works closely with local healthcare providers, community organizations, and government agencies to address the unique healthcare needs of West Virginians. The organization’s community-based care approach includes:
- Case management: Aetna Better Health of West Virginia provides case management services to help members navigate the healthcare system and access the services they need.
- Home-based care: The organization offers home-based care services, including home health care, hospice care, and personal care services, to help members receive the care they need in the comfort of their own homes.
- Community outreach: Aetna Better Health of West Virginia conducts outreach and education efforts to promote healthy behaviors and improve health outcomes, including health fairs, community events, and educational programs.
| Service Category | Service Description |
|---|---|
| Medical Care | Comprehensive medical coverage, including primary care, specialist care, and hospital services |
| Dental Care | Comprehensive dental coverage, including routine cleanings, fillings, and extractions |
| Vision Care | Coverage for routine eye exams, glasses, and contact lenses, as well as treatment for eye conditions |
| Pharmacy Services | Comprehensive pharmacy program, including coverage for prescription medications and medical equipment |
| Transportation | Transportation services to and from medical appointments, including non-emergency medical transportation |
Programs and Services
Aetna Better Health of West Virginia offers a range of programs and services to promote healthy behaviors and improve health outcomes, including:
- Preventive care: The organization provides coverage for routine check-ups, vaccinations, and preventive care services, as well as programs to promote healthy behaviors, such as smoking cessation and weight management.
- Chronic disease management: Aetna Better Health of West Virginia offers programs and services to help members manage chronic conditions, such as diabetes, heart disease, and asthma.
- Mental health and substance abuse services: The organization provides coverage for mental health and substance abuse services, including counseling, therapy, and treatment programs.
- Maternal and child health services: Aetna Better Health of West Virginia offers programs and services to support maternal and child health, including prenatal care, postpartum care, and pediatric care.
Quality Improvement
Aetna Better Health of West Virginia is committed to quality improvement and works to ensure that members receive high-quality, patient-centered care. The organization’s quality improvement efforts include:
- Quality metrics: Aetna Better Health of West Virginia tracks and reports on quality metrics, such as patient satisfaction, readmission rates, and disease management outcomes.
- Quality improvement initiatives: The organization implements quality improvement initiatives, such as care coordination programs, disease management programs, and patient education programs, to improve health outcomes and reduce healthcare costs.
- Provider engagement: Aetna Better Health of West Virginia works closely with healthcare providers to promote quality improvement and ensure that members receive high-quality, patient-centered care.
What is Aetna Better Health of West Virginia's mission?
+Aetna Better Health of West Virginia's mission is to improve the health and well-being of its members through innovative and personalized care solutions.
What services does Aetna Better Health of West Virginia offer?
+Aetna Better Health of West Virginia offers a comprehensive range of benefits and services, including medical care, dental care, vision care, pharmacy services, and transportation.
How does Aetna Better Health of West Virginia promote quality improvement?
+Aetna Better Health of West Virginia promotes quality improvement through quality metrics, quality improvement initiatives, and provider engagement.
What is Aetna Better Health of West Virginia's approach to community-based care?
+Aetna Better Health of West Virginia's approach to community-based care includes case management, home-based care, and community outreach efforts to promote healthy behaviors and improve health outcomes.
How can I become a member of Aetna Better Health of West Virginia?
+To become a member of Aetna Better Health of West Virginia, you must meet the eligibility requirements for the Medicaid program and enroll through the West Virginia Medicaid program.
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