Aetna Better Health of Louisiana
Aetna Better Health of Louisiana covers behavioral health services. The services include specialized behavioral health services provided by psychiatrists, psychologists, licensed clinical social workers, licensed professional counselors, mental health clinics, and mental health rehabilitation service providers (public or private). Aetna Better Health of Louisiana also covers inpatient hospital services for acute medical detoxification.
If you would like to join our Behavioral Health provider network, contact our provider relations department at 1-855-242-0802. You may also send an email directly to our network contracting department.
Aetna Better Health of Louisiana is committed to having an integrated care model that looks at all that affects a person – physical, emotional, lifestyle, beliefs and values. We treat behavioral and physical health together.
Since December 1, 2015, Aetna Better Health of Louisiana covers specialized behavioral health services which include mental health and substance use treatment. Different members may be covered for different services.
They have 4 groups of members:
- Members who receive all their physical and behavioral health services from us
- Members who are eligible to receive only their behavioral health services and non-emergency ambulance transportation from us
- Members who receive behavioral health and non-emergency medical transportation from us
- CSoC (Coordinated System of Care ) members who receive only physical health services from us
Members should contact the enrollment broker, Healthy Louisiana, to discuss their eligibility and learn about all their plan options.
Making a difference every day
At Aetna Better Health of Louisiana, we’re dedicated to our members. We want you to get quality health care that treats you as a whole person.
We work within your community to get you the care you need
You’ll benefit from our national experience, combined with our knowledge of your community. Aetna Better Health of Louisiana have many resources to help our members with their health care needs. They work directly with health care providers and the community to coordinate services and assistance.
You can have confidence in an industry leader
We are part of Aetna Medicaid. Our company is a national leader in managing care and services for people with special needs. We bring over 30 years’ experience helping people manage complex illnesses.
Aetna Better Health® of Louisiana will use an integrated approach to the administration of benefits. They will empower you, and your family, by giving you tools to live a healthy life.
Our approach focuses on not just part of you, but all of you. Everything around you affects your health: Where you live. What you eat. Your family and friends. Your activities. Your age. Your emotions.
That’s why it’s so important to treat behavioral and physical health together.
Connecting you to care
We want to know your goals, use your strengths and understand your needs. You deserve quality health care. We’re here to help you get the care you need.
We work with your family, caregivers, providers, advocates, peer and family organizations and community groups to help you reach better health outcomes. We integrate physical and behavioral health. We help you connect to resources and provide vital services to get you access to the services you need.
It’s important you get the right care, at the right time, in the right place. By collaborating with a large network of providers, you’re able to get this.
We work with members and providers to focus on prevention and wellness:
- Screening for issues that could lead to illness and treating them early with whole-person approach
- Providing classes and services with providers and others to help members learn to better manage their own care
Basic Behavioral Health Services are provided in medical clinics, such as primary care or ob/gyn clinics, by medical professionals or behavioral health consultants. Common services that may be offered in medical clinic settings include screening for common mental health conditions, screening for alcohol or substance use issues, medication management and coordination of referrals to specialized behavioral health services.
Specialized Behavioral Health Services are provided by licensed mental health or addiction professionals in a setting that is most suitable to the individual and family members’ need. Non-emergent services may be provided in outpatient clinics or in intensive treatment programs. Some members may also be eligible for Home and Community Based Services. Crisis intervention services are available to all members, including inpatient hospital treatment for the most serious cases.
The Covered Services Matrix shows what services Aetna Better Health of Louisiana covers. Look at your benefits closely. It’ll help you understand what is covered by your plan, what is not and how you can get the right care when you need it.
You have access to services like doctor’s visits, lab testing, X-rays and much more. These benefits and programs help you live a healthier life. Your benefits also include preventive care and help for serious health concerns. These may be chronic diseases or mental health issues. We also can connect you with resources in your community for extra help.
Some services need prior approval before you can get them, this is called prior authorization. All decisions are based on:
- whether the service is needed (medical necessity)
- whether the service is likely to be helpful (clinical appropriateness)
- if you have coverage
Check with your Primary Care Provider (PCP) or you can call Member Services at 1-855-242-0802, TTY 711.
We do not reward providers for denying, limiting or delaying coverage of health care services. We also do not give monetary incentives to our staff to make medical necessity decisions that provide less health care coverage or services.
As an Aetna Better Health member you do not have any copays. You do not pay anything to get services we cover. If a provider bills you, do not pay it and call us right away.
You have rights and responsibilities as an Aetna Better Health of Louisiana member
As a Plan member, you have rights and responsibilities. If you need help understanding your rights and responsibilities, call Member Services at 1-855-242-0802, TTY 711.
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