The federal COVID-19 emergency is over.
Customized care – it’s personal.
To meet and support members with ongoing, chronic or emergent conditions and the unique health needs they create, we offer Aetna’s Multidisciplinary Care Team (MDCT).
Aetna MDCT: coordinated condition management with you at heart.
Composed of nurses, social workers, diabetes health educators and pharmacists, the professionals on our Multi-disciplinary Care Teams specialize and focus on members who live with intense, complex and chronic conditions and have a particularly high level of need, ensuring you get the care you need and deserve.
Features of the program include:
- An individual care manager to coordinate and communicate with your doctor, hospital and specialists, answer questions, monitor your condition, simplify how the system works for you.
- Help in finding in-network providers such as local doctors, specialists, mental health providers, clinics, and diagnostic testing and imaging locations.
- Help with appointments, prescriptions, scheduling hospital visits, follow-ups, routine screening reminders and referrals, therapy – even claims.
- Regular check-ins with your care manager by phone, virtual chat and home visits.
- Connecting you with convenient care options such as Anytime-MD, House Calls via DispatchHealth, CVS MinuteClinic® and HealthHubTM locations plus referrals to community resources.
- Education on chronic disease and condition management and regular assistance via automated text-message reminders.
Please take the call: it’s for you!
If your doctor recommends you, we’ll reach out directly. So, if you receive a call or text from Texas Health Aetna, please take it: it’s our Care Team calling to see how they can help.
The Care Team can also tell you more about specific programs relevant to you and your family such as Case Management, Disease Management, Compassionate Care, Behavioral Health, Healthy Lifestyle Coaching (1-866-213-0153) and the 24-hour nurse line free to all members where you can speak to a registered nurse on a range of health topics (1-800-556-1555).
TH+A Member Navigation – Care Guardian Services to End
For those members that are familiar with the Care Guardian Program, its services will end on September 22nd. Members will continue to have navigation and healthcare resources through MDCT, Aetna Care Management, primary care physicians, and specialists. For routine medical assistance, please call your primary care provider or for information regarding your insurance coverage, call the number on the back of your plan ID card.
*Health information programs provide general health information and are not a substitute for diagnosis or treatment by a health care professional.
Health benefits and health insurance plans are offered and/or underwritten by Texas Health + Aetna Health Plan Inc. and Texas Health + Aetna Health Insurance Company (Texas Health Aetna). Each insurer has sole financial responsibility for its own products. Texas Health Aetna are affiliates of Texas Health Resources and of Aetna Life Insurance Company and its affiliates (Aetna). Aetna provides certain management services to Texas Health Aetna.
Self-funded plans are administered by Texas Health + Aetna Health Insurance Company.
This material is for information only and is not an offer or invitation to contract. An application must be completed to obtain coverage. Health benefits and health insurance plans contain exclusions and limitations. Providers are independent contractors and not our agents. Provider participation may change without notice. We do not provide care or guarantee access to health services. Not all health services are covered. See plan documents for a complete description of benefits, exclusions, limitations and conditions of coverage. Plan features and availability are subject to change and may vary by location. If you are in a plan that requires the selection of a primary care physician and your primary care physician is part of an integrated delivery system or physician group, your primary care physician will generally refer you to specialists and hospitals that are part of the delivery system or physician group. Information is believed to be accurate as of the production date; however, it is subject to change.
Aetna, CVS Pharmacy® and MinuteClinic, LLC (which either operates or provides certain management support services to MinuteClinic-branded walk-in clinics) are part of the CVS Health® family of companies. For a complete list of other participating pharmacies, log in to texashealthaetna.com
Physicians on the medical staff practice independently and are not agents or employees of the hospital or Texas Health Resources.
©2023 Texas Health + Aetna Health Plan Inc. & Texas Health + Aetna Health Insurance Company