Benefits & Services

A summary of all the benefits and services provided can be found in your member handbook.

Quest Diagnostic and Labcorp are our lab vendors for all your lab services. For locations, information and appointments please visit:

Covered services include inpatient and outpatient care for psychological or psychiatric conditions.

You do not need a referral from your child’s doctor to receive covered outpatient behavioral health services. Call Beacon Health Options, a company that contracts with Aetna Better Health to provide these services at 1-844-513-4954.

All calls are confidential. A trained professional will help plan the care that is needed.

Routine dental services are not covered by Aetna Better Health but are available through the Healthy Kids program offered by a separately contracted dental vendor. If you need any information about dental services, call Florida Healthy Kids toll-free at 1-888-540-5437 Monday through Friday from 7:30 a.m. to 7:30 p.m. Eastern.

Covered services include visits to an emergency room or other licensed facility needed right away due to an injury or sudden illness when delay could lead to permanent damage to the child’s health.

Limitations:

  • Must use an Aetna Better Health facility or provider for emergency care unless the time to reach such facility or provider would mean the risk of damage to the child’s health.

Covered services provided for the medical care and treatment of a child when admitted as an inpatient to a hospital.

Limitations:

  • All admissions must be authorized by Aetna Better Health.
  • The length of stay shall be based on medical needs.
  • Room and board may be limited to semi-private rooms, unless a private room is medically necessary or semi-private rooms are not available.
  • Private duty nursing only if medically necessary.
  • Admissions for inpatient rehabilitation and physical therapy are limited to 15 days per Contract Year.

Check-ups, testing, treatment, comfort care, and other services provided in the outpatient portion of a health facility.

Limitations:

Services must be provided by Aetna Better Health participating providers or upon authorization and referral.

Covered services include care for mother and newborn. The services include prenatal and postnatal care of the mother, nursery charges, and examination of the baby.

Limitations:

  • Infant is covered for up to three (3) days following birth.

At Aetna Better Health of Florida, we strive to provide the care and attention you deserve.  We are committed to helping you improve your health and well-being through great services and benefits.

We offer these added benefits to our members at no cost (limitations apply).

  • Transportation to specialists and dentists between forty (40) and seventy (70) miles away from the member’s home
  • CVS Health discount card for a twenty percent (20%) discount on CVS brand over-the-counter (OTC) health-related items
  • After-school programs - Reimbursement of up to $35 a year towards the membership fees to join the YMCA, 4-H, Boys & Girls Clubs of America, Boy Scouts, Girl Scouts of America or a team sport
  • Swim lessons/Drowning Prevention - Reimbursement up to $50 for swimming lessons with drowning prevention by a certified swimming school or organization
  • Weight management program – Members receive a wearable Bluetooth® fitness tracker; nutritional counseling; gift cards
  • Tobacco/Vaping Cessation program - members who want to reduce or stop use can receive up to 2 gift cards
  • Prenatal and Post-partum program – member can receive home diaper delivery
  • Substance Use program – members can receive gift cards worth $40
  • Asthma Program – members receive $60 for hypoallergenic bedding and an additional peak flow meter and spacer
  • Health Risk Assessment completion – member receive a $15 gift card

For any questions call Member Services, Monday through Friday, 7:30 a.m. – 7:30 p.m. Eastern Time, TTY 711.