Aetna Better Health® of Kentucky

Share joy Winter 2019

Manage your health on your  phone

Members with smartphones (both iPhones and Androids) can download our Aetna Better Health mobile app. By using this app, you can: • Find or change your Primary

Care Provider • View or request a new ID card • Find a specialty provider • View your medical and

pharmacy claims (if covered benefit) • Send a message to Member Services • View your benefits

Find Help Now KentuckyDo you know someone that is struggling with an addiction to pain medicine, heroin, methamphetamine, alcohol, cocaine or any other substance? Are you wondering where to turn for help?

Kentucky has launched a new website called findhelpnowky.org. On this site, you can find substance abuse treatment resources, programs or facilities

that can help your loved one find help.

Please remember: Aetna Better Health of Kentucky covers providers or programs in our network. Our Member Services team is always here to help you understand which program is in our network. They are available Monday through Friday from 7 a.m. to 7 p.m. Eastern time at 1-855-300-5528.

Aetna Better Health® of Kentucky 9900 Corporate Campus Drive,

Suite 1000 Louisville, KY 40223

Standard U.S.Postage

PAID Coffey

Communications

Do you need case management or disease management? If you have a past history of health problems or problems getting health care, we want to work with you and your doctor to meet your health care needs. Our case managers will work with you to develop a plan of care that will focus on helping you with your health problems or any barriers you may have to reaching your ideal goal for health.

Aetna Better Health of Kentucky has a disease management program for our members with asthma, diabetes, congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), chronic kidney disease and depression. These programs help you care for yourself through education.

If you think you need case or disease management help or have any questions about these services, call Member Services at 1-855-300-5528 and ask to speak to a case manager.

Our office is open Monday through Friday, 7 a.m. to 7 p.m. Eastern time (TTY users dial 711; TDD users dial 1-800-627-4702). If you call after hours, you can leave a message, and someone will call you the next business day. If you don’t want these services, you can opt out at any time.

Screenings for men

Age Blood pressure Get screened at least every 2 years. 20 Cholesterol Get screened every 5 years.

30 Diabetes Ask your doctor about screening.

45Diabetes Get screened at least every3 years.

50

Colorectal cancer Get your first screening at age 50. Ask your doctor aboutscreening options. Prostate cancer* Ask your doctor about screening.

65 Abdominal aortic aneurysm Get screened at least every 2 years through age 75.

70 Osteoporosis Start screening, depending on your risk factors.

These recommendations are for most men. Talk with your doctor about what’s right for you.

*African American men should talk with their doctor a t age 45 regarding prostate cancer screening.

Helpful tip: Make sure all of your doctors send copies of test results to your Primary Care Provider. That way, your medical records are all in one place.

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Antibiotics When they help and when they don’t It’s important not to overuse antibiotics. Using them too much helps bacteria grow resistant to them. That means germs can make you sick with infections that some medicine can no longer help.

That’s why it’s so crucial to only use antibiotics when they’re necessary. When’s that? When you have an infection caused by bacteria, like strep throat or a urinary tract infection. Antibiotics only work against bacteria.

They won’t help anything caused by a virus. This includes: • Colds• The flu• Most sore throats (other

than strep)

• Most coughs and casesof bronchitis• Many sinus infections

So don’t insist on antibiotics when you don’t need them. They won’t help you get better. And you could wind up with an illness that’s hard to treat.

Now, two final tips:

•  If a doctor prescribesantibiotics, take the fullcourse as directed —even if you feel betterbefore you’re done.

• Wash your hands often.That’s one of the bestways not to get sick inthe first place.

Sources: American College of Physicians; Centers for Disease Control and Prevention

Cold or flu? Colds and the flu share some symptoms, but they are two unique conditions.

Symptoms Cold Flu

Aches/pains Flu

Cough Cold Flu

Chest discomfort Cold Flu Exhaustion Flu

Fatigue Flu Fever Flu

Headache Flu Sneezing Cold

Sore throat Cold Flu

Stuffy/runny nose Cold Flu

Vomiting/diarrhea Flu

Sources: Centers for Disease Control and Prevention; National Institute of Allergy and Infectious Diseases

It’s never too late to get your flu shot. You can go to any pharmacy

or your Primary Care Provider’s office to get vaccinated. Call Member Services with any questions at 1-855-300-5528.

Pharmacy updates Each month Aetna Better Health of Kentucky updates its pharmacy formulary. This information is located on our member website, aetnabetterhealth.com/kentucky. Go to the “For Members” tab and then select the “Pharmacy” tab. You will find the updates under the “Formulary Updates” section. Please call Member Services with any questions: 1-855-300-5528.

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Staying well5 ways to prevent a return trip to the hospital Having to stay in the hospital is probably not your idea of a good time. And when you’re discharged, chances are you don’t want to return. Staying healthy — and avoiding a return trip to the hospital — is everyone’s preference, and it’s what we want for you too.

When you leave the hospital, we recommend that you do the following:

1. Make sure you understandyour condition. Ask: What you should do to help yourself get better. What — if any — limitations you now have. What problems you should watch for. What to do if problems occur.

Will you be handling certain medical tasks on your own or with the help of a family caregiver — things like changing a dressing, for instance? Ask a member of the hospital staff to go over the procedure with you until you’re comfortable with it.

2. Review your medications.Ask if you should continue taking everything you were taking before you were admitted. And ask if

any new medications have been prescribed. If you do need to take some new ones, be sure you know when and how to take them, how much to take, and for how long.

Preventing readmissions is a

goal we take seriously. But it’s a goal we need your help to achieve.

Also be sure you understand why you’re taking the new medicines.

3. Keep your medicalappointments. Often follow-up tests or doctor visits are scheduled before you leave the hospital. It’s essential that you keep them. They’re necessary for monitoring your progress and keeping you well.

4. Speak up if you need help.Can you bathe and dress yourself and cook your meals? If you have concerns about your ability to handle these and other tasks, don’t hesitate to say so. We can arrange to get you some help.

If you’re worried about things like paying for your medications or getting transportation to your doctor visits, mention that as well.

5. Get a name and number. You may have questions or concerns after leaving the hospital. Be sure you’re clear about whom to call for answers.

We’re confident that by working together, we can help keep you healthy and out of the hospital as much as possible. And that will help lower health care costs for everyone.

Members’ rights and responsibilities As an Aetna Better Health member, you have certain rights and duties. You can get a complete copy of your rights and responsibilities at any time. Here’s how:

• Call Member Services at 1-855-300-5528.

•Go to aetnabetterhealth.com/kentucky andlook under the “Members” tab.

• Look in your Member Handbook.

Is your child growing up? If you have a child turning 18, we can help your child find an adult Primary Care Provider or specialist.

Aetna Better Health of Kentucky can help your child find the continued care they need. We can refer you to community resources, which will help your child get continued care after becoming an adult.

We want to make sure your child has a healthy transition into adulthood. Just call us at 1-855-300-5528, Monday through Friday, 7 a.m. to 7 p.m. Eastern time.

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Keeping our children on the right path with their weight Did you know your child is considered obese if their body mass index (BMI) is at or above the 95th percentile? A BMI number is used to estimate how fat or lean a person is. For example, a 12-year-old female child who is 5 feet tall and weighs 150 pounds is overweight.

In Kentucky, the obesity rate for high school students is close to 20%, which is currently the third highest rate in the country. This means that your child is at risk for diabetes, asthma, depression and heart disease due to their weight. There are three main factors contributing to childhood obesity: genetics, physical inactivity and poor nutrition.

To help fight this problem, the following suggestions are quick and easy ways to help your child stay on the right path to good health: • Be more physically active throughout the day. Help childrento play games outside or help find ways for them to be active indoors. • Limit computer games and TV time at home to one hour or less.• Limit sodas and juice to one or two per week.• Have planned meals with vegetables and lean proteins instead of

fried or processed foods.• Stay on schedule with annual well child visits with their provider.

Ask about any changes that can be made to stay on top of healthissues that may pop up.

January is Cervical Health Awareness Month

Screening helps prevent cervical cancer You don’t usually think of cancer as something you can catch. But cervical cancer is nearly always caused by a virus.

Here’s what happens: The human papillomavirus (HPV) is passed from person to person during sex. HPV causes cells on the cervix to change. They usually go back to normal on their own. But sometimes these cells turn into  cancer.

That can take many years. In the meantime, women can protect themselves. Though there are no early symptoms of cervical cancer, these tests can find problems early: • An HPV test checks for the virus. Your

doctor may suggest this if you are over age 30. • A Pap test checks for abnormal cells.

You should begin having Pap tests at age 21.

HPV and abnormal Pap test results are common. But simple treatments can kill or remove the abnormal cells. This can put a stop to cancer before it starts.

Source: Centers for Disease Control and Prevention

New options for behavioral health care Is it hard for you to get to your appointments with your behavioral health provider? A new law passed in April 2018 may be the answer. This new law allows for providers to set up a secure telehealth site. Call your provider to discuss this option and the possible solutions.

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AETNA BETTER HEALTH® OF KENTUCKY Nondiscrimination Notice

Aetna complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Aetna does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.

Aetna:

• Provides free aids and services to people with disabilities to communicate effectively with us, such as:

o Qualified sign language interpreterso Written information in other formats (large print, audio, accessible electronic

formats, other formats)• Provides free language services to people whose primary language is not English, such as:

o Qualified interpreterso Information written in other languages

If you need a qualified interpreter, written information in other formats, translation or other services, call the number on your ID card or 1-800-385-4104.

If you believe that Aetna has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability or sex, you can file a grievance with our Civil Rights Coordinator at:

Address: Attn: Civil Rights Coordinator 4500 East Cotton Center BoulevardPhoenix, AZ 85040

Telephone: 1-888-234-7358 (TTY 711) Email: MedicaidCRCoordinator@aetna.com

You can file a grievance in person or by mail or email. If you need help filing a grievance, our Civil Rights Coordinator is available to help you.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue, SW Room 509F, HHH Building, Washington, D.C. 20201, 1-800-368-1019, 1-800-537-7697 (TDD).

Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

Aetna is the brand name used for products and services provided by one or more of the Aetna group of subsidiary companies, including Aetna Life Insurance Company, and its affiliates.

86.03.316.1-KY

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Multi-language Interpreter Services

ENGLISH: ATTENTION: If you speak English, language assistance services, free of charge, are available to you.  Call the number on the back of your ID card or 1-800-385-4104 (TTY: 711).

SPANISH: ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al número que aparece en el reverso de su tarjeta de identificación o al 1-800-385-4104 (TTY: 711).

CHINESE:注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電您的 ID 卡背面的電話號碼或 1-800-385-4104 (TTY: 711)。

GERMAN: ACHTUNG: Wenn Sie deutschen sprechen, können Sie unseren kostenlosen Sprachservice nutzen. Rufen Sie die Nummer auf der Rückseite Ihrer ID-Karte oder 1-800-385-4104 (TTY: 711) an.

VIETNAMESE: CHÚ Ý: nếu bạn nói tiếng việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Hãy gọi số có ở mặt sau thẻ id của bạn hoặc 1-800-385-4104 (TTY: 711).

ARABIC:

SERBO-CROATIAN: OBAVEŠTENJE: Ako govorite srpski, usluge jezičke pomoći dostupne su vam besplatno. Pozovite broj na poleđini vaše identifikacione kartice ili broj 1-800-385-4104 (TTY – telefon za osobe sa oštećenim govorom ili sluhom: 711).

JAPANESE:注意事項:日本語をお話になる方は、無料で言語サポートのサービスをご利用いただけます。 IDカード裏面の電話番号、または 1-800-385-4104 (TTY: 711)までご連絡ください。

FRENCH: ATTENTION: si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le numéro indiqué au verso de votre carte d’identité ou le 1-800-385-4104 (ATS: 711).

KOREAN: 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 귀하의 ID 카드 뒷면에 있는 번호로나 1-800-385-4104 (TTY: 711) 번으로 연락해 주십시오.

PENN DUTCH: Geb Acht: Wann du Deitsch Pennsilfaanisch Deitsch schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf die Nummer uff, ass hinne uff dei ID card iss, odder ruf 1-800-385-4104 (TTY: 711).

OROMO (CUSHITE): Hubadhu: yoo Oromoo dubbatta ta’ee, gargaarsa tajaajiiloota afaanii, kaffaalttii bilisaa ni jiraa siif. Lakkoofsa bilbiilaa ID kee duuba irraa jiruun yookiin 1-800-385-4104 (TTY: 711).

RUSSIAN: ВНИМАНИЕ: если вы говорите на русском языке, вам могут предоставить бесплатные услуги перевода. Позвоните по номеру, указанному на обратной стороне вашей идентификационной карточки, или по номеру 1-800-385-4104 (TTY: 711).

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TAGALOG: PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Tumawag sa numero na nasa likod ng iyong ID card o sa 1-800-385-4104 (TTY: 711).

KIRUNDI (BANTU): ICITONDERWA: Namba uvuga Ikirundi, serivisi zigufasha kugusigurira ururimi, ku buntu, ziraboneka ushobora kuzironswa. Hamagara inomero iri inyuma ku gakarata k’akarangamuntu kawe canke iyi nomero 1-800-385-4104 (Ufise ubumuga bwo kutumva neza ifashishe (TTY): 711).

Dental health Don’t skip brushing or checkups Regular dental visits are important for people of all ages. Plaque forms from food and causes cavities. But brushing and flossing doesn’t get rid of all of it. Having your teeth cleaned will remove what’s left behind.

When to see a dentist Follow your dentist’s lead on how often to go. Here’s what experts usually recommend: • Babies. Take your baby to the dentist after the first tooth sprouts.

The American Dental Association says babies should see a dentist before turning 1. • Children. Most kids should see the dentist every 6 months.• Adults. Most adults should go every 6 months. Your dentist may

suggest going more often if you’re at higher risk for gum disease.

Tell your dentist if you’ve had a change in your health. Medical conditions may affect your teeth, especially if you have: • Diabetes, heart disease, an eating disorder or HIV• A history of smoking or tobacco use• Tooth sensitivity or pain in your mouth

How to talk to your doc Do you and your doctor discuss ways to prevent illness? When your doctor provides healthy lifestyle recommendations, do you just nod your head “yes” and think “There’s no way I can do that” or “Why did he recommend that?” To get the most out of your doctor appointments:

Speak up! If your doctor tells you to walk 30 minutes daily, but you don’t feel safe doing that in your neighborhood, ask about alternatives.

Ask questions! If your doctor provides a health recommendation you don’t understand, take the time to ask more questions.

Bring notes! It’s easy to forget some aches and pains that happened a week or a month prior to your appointment.

Be honest! Tell your doctor about every supplement, drug or medication you might be taking.

Contact us

For additional details or if you have questions, please call Member Services at 1-855-300-5528 (TTY: 711 or TDD: 1-800-627-4702).

This newsletter is published as a community service for the friends and members of Aetna Better Health of Kentucky. This is general health information and should not replace the advice or care you get from your

provider. Always ask your provider about your own health care needs. Models may be used in photos and illustrations.

2018 © Coffey Communications, Inc. All rights reserved. KY-18-11-01

AEMC00153 FK5.7

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