For people eligible for both Medicaid and Medicare, Aetna Whole Health Medicaid is an all-inclusive coordinated care program that seeks to improve members’ health by providing them with all the healthcare services they require, ranging from medical to behavioral health. By addressing members’ needs comprehensively, Aetna Whole Health Medicaid aims to improve their overall well-being and quality of life while reducing healthcare costs through effective care management. This initiative strives to offer members a seamless and coordinated healthcare experience, enhancing their access to necessary services and promoting positive health outcomes.
Aetna Whole Health: A Managed Care Program
Aetna Whole Health is an integrated care program that combines physical, mental health, and social services into a single plan. It is a managed care program, which means that Aetna contracts with a network of providers to deliver care to its members. Aetna Whole Health is available to Medicaid members in select states.
Benefits of Aetna Whole Health
- Coordinated care: Aetna Whole Health members have a single care team that coordinates all of their care, including physical, mental health, and social services. This can help to ensure that members receive the right care at the right time.
- Access to a wide range of services: Aetna Whole Health members have access to a wide range of services, including primary care, specialty care, mental health care, substance abuse treatment, and social services. This can help to ensure that members get the care they need to stay healthy.
- Lower costs: Aetna Whole Health can help to lower costs for members by coordinating care and reducing the need for hospitalizations and emergency room visits.
Eligibility for Aetna Whole Health
To be eligible for Aetna Whole Health, you must be a Medicaid member in one of the states where the program is available. You must also meet certain other eligibility criteria, such as having a chronic condition or being at risk for developing a chronic condition.
How to Enroll in Aetna Whole Health
To enroll in Aetna Whole Health, you can contact your state Medicaid office or visit the Aetna Whole Health website. You will need to provide your Medicaid ID number and other information.
Services Covered by Aetna Whole Health
Aetna Whole Health covers a wide range of services, including:
| Service | Covered |
|---|---|
| Primary care | Yes |
| Specialty care | Yes |
| Mental health care | Yes |
| Substance abuse treatment | Yes |
| Social services | Yes |
Medicaid: A Government-Sponsored Health Insurance Program
Medicaid is a government-sponsored health insurance program that provides coverage to low-income individuals and families. The program is administered by the Centers for Medicare & Medicaid Services (CMS) and is funded jointly by the federal government and the states. Medicaid provides coverage for a wide range of medical services, including doctor visits, hospital stays, prescription drugs, and long-term care. The program also provides coverage for mental health services and substance abuse treatment.
To be eligible for Medicaid, individuals must meet certain income and asset requirements. The income and asset limits vary from state to state, but they are generally set at or below the federal poverty level. Individuals who are eligible for Medicaid may also be eligible for other government programs, such as Supplemental Nutrition Assistance Program (SNAP) and Temporary Assistance for Needy Families (TANF).
Medicaid Coverage
- Doctor visits
- Hospital stays
- Prescription drugs
- Long-term care
- Mental health services
- Substance abuse treatment
Medicaid coverage varies from state to state. Some states provide more comprehensive coverage than others. For example, some states cover dental and vision care, while others do not. To find out what Medicaid coverage is available in your state, you can contact your state Medicaid office.
Applying for Medicaid
To apply for Medicaid, you can contact your state Medicaid office. You can also apply online through the CMS website. When you apply for Medicaid, you will need to provide information about your income, assets, and household size. You may also need to provide proof of your identity and citizenship.
Medicaid Eligibility
Medicaid eligibility is based on income and asset limits. The income and asset limits vary from state to state, but they are generally set at or below the federal poverty level. To find out if you are eligible for Medicaid, you can contact your state Medicaid office or apply online through the CMS website.
| State | Income Limit | Asset Limit |
|---|---|---|
| California | $17,609 for a family of four | $2,250 for an individual |
| Texas | $16,753 for a family of four | $2,000 for an individual |
| New York | $21,956 for a family of four | $3,500 for an individual |
Eligibility for Aetna Whole Health Medicaid
Eligibility for Aetna Whole Health Medicaid varies by state, but there are some general guidelines that apply in most cases.
Age
- Under 19 years old
- Pregnant women
- Parents/caretakers of children under 19
- Adults 65 years of age or older
- People with disabilities
Income
- Income must be below a certain level, which varies by state
- Income limits are based on the federal poverty level (FPL)
- For example, in California, the income limit for a family of four is $3,056 per month
Citizenship/Immigration Status
- U.S. citizens
- Lawful permanent residents
- Certain non-citizens who meet specific criteria
Other Factors
- Disability status
- Employment status
- Veteran status
- Homelessness
To determine if you are eligible for Aetna Whole Health Medicaid, you can:
- Contact your state’s Medicaid office
- Visit the Aetna Whole Health Medicaid website
- Call the Aetna Whole Health Medicaid customer service number
| Family Size | Monthly Income Limit |
|---|---|
| 1 | $1,768 |
| 2 | $2,356 |
| 3 | $2,944 |
| 4 | $3,532 |
| 5 | $4,120 |
| 6 | $4,708 |
───