What is Aetna Better Health of Illinois?
Aetna Better Health of Illinois serves as a crucial healthcare access point for low-income individuals and families across the state. As a managed Medicaid plan, it bridges the gap between eligible residents and quality healthcare services by coordinating care through a carefully selected network of physicians, hospitals, and specialists.
The plan operates under contract with the Illinois Department of Healthcare and Family Services (DHFS), ensuring compliance with state Medicaid requirements and providing members with accessible, affordable healthcare options.
What types of coverage and benefits does Aetna Better Health of Illinois provide?
Aetna Better Health of Illinois provides comprehensive benefits designed to meet diverse healthcare needs. Members receive preventive services at no cost, including annual wellness visits and age-appropriate screenings. The plan covers emergency and urgent care, inpatient and outpatient hospital services, and primary care doctor visits with minimal or no copayments. Prescription drug coverage includes both generic and brand-name medications, while mental health and substance abuse treatment services ensure comprehensive behavioral health support.
Who is eligible to enroll in Aetna Better Health of Illinois?
Eligibility depends on meeting Illinois Medicaid income thresholds and residency requirements. The plan serves children through the Medicaid program, adults under 65 with qualifying income levels, seniors aged 65 and older, and individuals with disabilities. Pregnant women and parents of dependent children may also qualify under expanded Medicaid categories.
How do I enroll in Aetna Better Health of Illinois?
Enrollment begins with applying for Illinois Medicaid through the Department of Healthcare and Family Services. Once approved for Medicaid, you can select Aetna Better Health of Illinois as your managed care plan. The enrollment process is streamlined and available through multiple channels for member convenience.
What is the cost or premium for Aetna Better Health of Illinois plans?
One of the primary advantages of Aetna Better Health of Illinois is its low-cost structure. Most members pay zero monthly premiums, making coverage accessible to low-income households. Copayments, when applicable, are typically minimal—often $0-3 for preventive services and $1-5 for other covered services depending on income level.
How do I find doctors and providers in the Aetna Better Health of Illinois network?
Aetna Better Health of Illinois maintains an extensive provider network across the state. Members can access the online provider directory to search by specialty, location, and language preferences. Virtual doctor visits and telehealth options are increasingly available, expanding access beyond traditional in-person appointments.
How does Aetna Better Health of Illinois compare to other Illinois Medicaid plans?
Illinois residents have multiple Medicaid managed care options. Aetna Better Health of Illinois differentiates itself through network breadth, member services quality, and care coordination programs. Comparing plans requires evaluating your preferred providers, specialty coverage needs, and service area availability.
Frequently Asked Questions
Is mental health coverage included in Aetna Better Health of Illinois?
Mental health parity ensures members receive equal coverage for behavioral health as physical health services.
Can I use Aetna Better Health of Illinois outside of Illinois?
Members should verify coverage before seeking care outside Illinois.
How do I change my primary care doctor with Aetna Better Health of Illinois?
Changes typically take effect within 1-2 business days.