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What’s covered?
This is Kentucky Medicaid coverage. As a member, you’ll enjoy benefits and services that can help you reach your health goals. To learn more, check your member handbook.
The Aetna Better Health® difference
You deserve to be as healthy as you can be. That’s why we offer the support and tools you need to be your healthiest, bringing together what matters most to your health. It’s care you can trust. And experience you can count on — with extra benefits that go beyond your standard health coverage.
Kids’ $15 for over-the-counter (OTC) products
Your child should have everything they need to help them feel their best. That’s why we’re working with CVS Health® to give you $15 of OTC health supplies and products. And we'll send it to you every month at no extra cost.
GED® certification and job skills training
We can help you get your GED. This is equal to a high school diploma. We’ll help you study for your GED test with online classes. And when you’re ready to take the test, you’ll get a GED test voucher.
You can also get online training for a job. We'll help you show off your skills to employers.
Extra benefits
You can learn more about the extra benefits you can get as a member.
Benefits in your plan
Learn about all your plan benefits, from vision and dental care to telehealth, pregnancy care and help stopping nicotine use. You can learn more about all these topics in your member handbook.
We take care of the whole you. That means you’re covered if you need to see a specialist, have an emergency or plan to start a family. You can also get a wide range of preventive care and vaccines. Start by finding a provider today.
We make it easy to get the medicines you need to feel better. You may have a copay for those on our statewide preferred drug list (PDL) or the supplemental formulary. These are lists of medicines we cover. Don’t see yours on the lists? Ask your provider to find a similar medicine. And you can fill your prescription at any pharmacy in our network.
You deserve to be healthy in body and mind. Your plan covers health for you as a whole person. That includes a variety of mental and behavioral health services, like:
- Community mental health center services
- Inpatient and outpatient mental health services
- Psychiatric residential treatment facilities
- A court-ordered commitment for inpatient psychiatric services for members who are under 21 and over 65
You or your child can go to any behavioral health provider in our network.
Mental health emergencies
No matter what time of day, you’re not alone. We have resources in place to help you in a crisis or mental health emergency. This includes thoughts of harming yourself or others. Here are some options for help:
- Call or text the 988 Suicide & Crisis Lifeline at 988. Trained counselors can help you 24 hours a day, 7 days a week. Chat online with a counselor through their Lifeline Chat service.
- Call our behavioral health hotline anytime at 1-888-604-6106 (TTY: 711).
- Find other local resources and services in your own community.
Routine eye exams are an easy way to keep your eyes healthy. You don’t need a referral to see a provider in the network. Just be sure to show your member ID card at every visit.
A healthy smile goes a long way. Dental care is part of your overall health. That’s why you should see your dentist every six months.
We cover adults and children (under age 21) for dental care. Your child must get a dental exam before they start kindergarten. Your dental care is covered by Avesis providers in our network.
Need to learn more? Check your member ID card from your dental plan. Then, call your plan for answers to questions about care and coverage.
We’ll help you get birth control counseling and supplies. You can see any in-network or out-of-network provider. Any family planning care that you get is private. You can call us at 1-855-300-5528 (TTY: 711) to choose a family planning provider.
It’s important to stay in contact with your health care team. And to be able to receive health tips and reminders by text. Need a smartphone? You can get one through Assurance Wireless® Lifeline at no cost to you. Your smartphone will include services, like:
- Unlimited texts
- 1,000 talk minutes
- 4.5 GB of data each month, all on the T-Mobile Network
To see if you’re eligible for Assurance Wireless, go to Apply for your smartphone.
Do you need help getting care? Our care management team is here for you. Care managers are nurses and social workers who understand your health conditions and help connect you to the right care. A care manager can help you learn more about your health, find a ride to your health care visits and more.
Disease management
Some health issues need more care. Our care managers can help you manage chronic conditions like asthma, diabetes, chronic obstructive pulmonary disease (COPD) and more.
We can help you and your baby be as healthy as possible. When you take part in our program, here are some benefits you’ll enjoy:
- Info about healthy pregnancies and baby care
- Help from a care manager
- Local community programs and resources
- Info about family planning
- Coverage of long-acting birth control
- Coverage of circumcision for newborn boys
Stopping nicotine use is hard, whether you smoke, chew, vape or use another method. Most people need help to quit, and we’re here for you. You can get help quitting through services and supplies, like:
- Patches
- Gum
- Medicines
Ready to start? You can call:
- Quit Now Kentucky at 1-800-784-8669
- Us at 1-855-300-5528 (TTY: 711)
We contract with eviCore for nonemergency tests, including:
Magnetic resonance imaging (MRI) scans
Positron emission tomography (PET) scans
Computed tomography (CT) scans
Coronary computed tomography angiography (CCTA) scans
Stress echocardiography
Nuclear cardiology
Multiple-gated acquisition (MUGA) scans
Supporting Kentucky Youth (SKY) program
Supporting Kentucky Youth (SKY) program
We're proud to serve all children in Kentucky’s out-of-home care system. This includes children who are or have been in foster care. And children in the juvenile justice system. Those who qualify can learn more about how to get these extra benefits.
Other language and format needs
Need language help? Just call us at 1-855-300-5528 (TTY: 711). We’re here for you Monday through Friday, 7 AM to 7 PM. You can get:
Interpreter services at no cost during any service or complaint process, including American Sign Language and real-time oral interpretation
Interpreter services for your health care visit (be sure to call 48 hours before your visit)
Info in another format, like audio, large print and braille
Materials in other languages if your primary language isn’t English
Legal notices
Aetna is part of the CVS Health® family of companies.
All trademarks are the property of their respective owners.