Aetna Better Health Texas

Aetna Better Health Texas

At Aetna Higher Well being of Texas, we imagine in enhancing each life we contact nearly as good stewards to these we serve.

For Members:
Welcome to Aetna Higher Well being of Texas!  If you’re eligible for Medicaid, we can assist. We provide these program providers: – The Medicaid (STAR and STAR Children) packages – The Youngsters’s Well being Insurance coverage Program (CHIP/CHIP Perinate). Aetna Higher Well being has proudly served the folks of Texas for ten years. You’ll really feel snug figuring out that 1000’s of Texans get well being care advantages by our plans.

Once you take part Aetna Higher Well being of Texas, you may:
–  Select your personal physician, near residence
–  Name to talk to a nurse anytime, 24/7
–  Get additional advantages  – particular packages to fulfill your well being care objectives

To affix in Aetna Higher Well being of Texas, please name your enrollment dealer. 1-800-964-2777 (TTY/Listening to impaired: 7-1-1). Monday – Friday eight:00am – 6:00pm
We are able to reply your questions on advantages, assist with discovering or selecting a health care provider, and remedy issues in getting well being care providers.

To be taught extra about Aetna Higher Well being of Texas, or how one can entry our providers, name our Member Companies group:  Monday – Friday, from eight a.m. to five p.m.
Medicaid STAR 1-800-248-7767 (Bexar), 1-800-306-8612 (Tarrant) CHIP or CHIP Perinate 1-866-818-0959(Bexar), 1-800-245-5380 (Tarrant)
Or for STAR Children members:  24 hours a day, 7 days every week
Medicaid STAR Children 1-844-STRKIDS (1-844-787-5437)
For members who’re deaf or exhausting of listening to, you may name us toll-free at 1-800-735-2989.

It’s also possible to ask for the Member Handbook in audio, different languages, Braille or bigger print. For those who want an audiocassette or CD, we’ll mail it to you.

STAR Children Service Coordination:
Service Coordination is a particular service carried out by a service coordinator that will help you make a plan to handle your well being and behavioral well being care wants. Once you enroll with Aetna Higher Well being of Texas, you might be assigned to a Service Coordinator. For those who should not have a Service Coordinator, you may ask for one. The Service Coordinator’s job is that will help you with all your well being care wants.

24-Hour Nurse Line:
As a member of Aetna Higher Well being, you may speak to a nurse when you might have well being questions. You’ll be able to name the nurse line 24 hours a day, 7 days every week. Even higher, this service is offered without charge to you.
The nurse can reply your questions and enable you make well being choices. You’ll be able to name the nurse line at:
Medicaid STAR 1-800-248-7767 (Bexar), 1-800-306-8612 (Tarrant) STAR Children 1-844 STRKIDS (1-844-787-5437) CHIP or CHIP Perinate  1-866-818-0959 (Bexar), 1-800-245-5380 (Tarrant)
TTY/TDD – 1-800-735-2989
When you’ve got an emergency, please name 911.
For members who’re deaf or exhausting of listening to, you may name us toll-free at 1-800-735-2989.

Behavioral Well being:
We would like you and your youngsters to be wholesome in physique and in thoughts Our well being plan covers well being for our members as an entire individual.  That features assist for psychological well being issues like despair or substance abuse.
You don’t want a referral You or your youngster could go to any psychological well being supplier in our community.  You don’t have to ask your physician for a referral.
You will get assist anytime, day or evening For those who need assistance for you or your youngster straight away, name our hotline. It’s open 24 hours a day, 7 days every week. For emergencies, go to the closest hospital or name 911 straight away.
Medicaid STAR (Tarrant): Name 1-800-306-8612; then press 9. Medicaid STAR (Bexar): Name 1-800-248-7767; then press 9.
STAR Children (Tarrant): Name 1-844-STRKIDS (1-844-787-5437); then press 9.
CHIP (Tarrant): Name 1-800-245-5380; then press 9. CHIP (Bexar): Name 1-866-818-0959; then press 9.
1-800-735-2989 (TTY/TDD)

Supplier Relations Contact Info:
Contact our Supplier Relations group for necessary particulars about our medical packages and pointers in addition to sources to help you with coding, billing practices, formularies and enhancing affected person care high quality.
E mail: TXProviderEnrollment@aetna.com
Medicaid STAR: Bexar: 1-800-248-7767 Tarrant: 1-800-306-8612
CHIP: Bexar: 1-866-818-0959 Tarrant: 1-800-245-5380
Medicaid STAR Children: Tarrant: 1-844-787-5437

Vital cellphone numbers  for Pharmacy and Vison and different Aetna Contact Numbers

8am-5pm Monday-Friday

2777 Stemmons Fwy • Dallas, TX 75207  

Honest Hearings:
For those who, as a member of the well being plan, disagree with the well being plan’s determination, you might have the appropriate to ask for a State Honest Listening to. You might identify somebody to symbolize you by writing a letter to the well being plan telling them the identify of the individual you need to symbolize you. A physician or different medical supplier could also be your consultant. If you wish to problem a choice made by your well being plan, you or your consultant should ask for the honest listening to inside 120 days of the date on the well being plan’s letter with determination. If you don’t ask for the honest listening to inside 120 days, you might lose your proper to a good listening to.

To ask for a good listening to you or your consultant ought to both ship a letter to the well being plan at: Aetna Higher Well being Consideration: Member Advocate P.O. Field 569150 Dallas, TX 75356‑9150
or name:
STAR Medicaid  – 1-800-248-7767 (Bexar) or 1-800-306-8612 (Tarrant)
STAR Children  – 1-844-STRKIDS (1-844-787-5437)

Aetna complies with relevant federal civil rights legal guidelines and doesn’t discriminate on the idea of race, coloration, nationwide origin, age, incapacity or intercourse. Aetna doesn’t exclude folks or deal with them in a different way due to race, coloration, nationwide origin, age, incapacity or intercourse.
Aetna:

  • Supplies free aids and providers to folks with disabilities to speak successfully with us, akin to:
    • Certified signal language interpreters
    • Written info in different codecs (giant print, audio, accessible digital codecs, different codecs)
  • Supplies free language providers to folks whose main language just isn’t English, akin to:
    • Certified interpreters
    • Info written in different languages

For those who want a certified interpreter, written info in different codecs, translation or different providers, name the quantity in your ID card or 1-800-385-4104.

See Also : aetna better health texas claims address , aetna better health texas provider phone number , aetna better health texas prior authorization form

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