Aetna Better Health of Illinois provides comprehensive Medicaid coverage to support the health needs of Illinois residents.
As part of the HealthChoice Illinois program, it offers benefits like doctor visits, dental care, and wellness programs.
This article explains how Aetna Better Health of Illinois works, its benefits, and how to use it effectively.
What Is Aetna Better Health of Illinois?
Aetna Better Health of Illinois is a Medicaid managed care plan under the HealthChoice Illinois program. It serves over 360,000 members across 102 counties, including children, pregnant women, seniors, and people with disabilities. The plan focuses on accessible, high-quality care.
It’s part of Aetna, a CVS Health company, known for its 30+ years of Medicaid expertise. Members get a wide range of services to stay healthy. The plan emphasizes community-based care and health equity.
Who Qualifies for Aetna Better Health of Illinois?
Eligibility depends on Illinois Medicaid requirements. You may qualify if you’re a low-income individual, pregnant, a child, a senior, or have a disability. The plan also covers those newly eligible under the Affordable Care Act.
To confirm eligibility, visit the Illinois Department of Healthcare and Family Services (HFS) website or call 1-866-468-7543. You can apply, choose, or switch to Aetna Better Health of Illinois through the HFS portal.
Core Benefits of the Plan
Aetna Better Health of Illinois offers comprehensive coverage. This includes doctor visits, hospital stays, and prescription drugs. Preventive care, like annual checkups and screenings, is also covered.
The plan provides dental and vision care for all members. Mental health services and substance abuse treatment are included. These benefits help members address both physical and emotional health needs.
Extra Value-Added Benefits
Aetna Better Health of Illinois stands out with unique perks. These extras make healthcare more accessible and affordable. Here are some key benefits:
- $25 monthly allowance for over-the-counter (OTC) products
- Free grocery delivery for eligible members
- $45 monthly diaper stipend for families
- Free gym memberships and weight management programs
- Behavioral health support, like Calming Comfort boxes
These benefits address everyday needs, from nutrition to mental wellness. They’re designed to reduce barriers to healthy living.
How to Enroll in Aetna Better Health of Illinois
Enrollment is straightforward through the HealthChoice Illinois program. You can apply online at the HFS website or call 1-866-468-7543. Open enrollment allows you to choose or switch plans annually.
New members should register for the Aetna Member Portal. This online tool helps you manage benefits, find providers, and track claims. The Aetna Better Health mobile app offers similar features on the go.
Finding Providers and Pharmacies
Aetna Better Health of Illinois has a large network of providers. You can find doctors, specialists, and hospitals using the online provider directory. Call Member Services at 1-866-329-4701 if you need help.
Pharmacies like CVS are in-network for prescription refills. The directory also lists pharmacies for OTC products. Always confirm a provider’s status before scheduling appointments.
Using the OTC Benefit
The $25 monthly OTC allowance lets you buy health products like vitamins, pain relievers, and baby care items. You can shop at CVS or order online through the CVS OTC Health Solutions website. Delivery is free for most orders.
Check the OTC catalog to ensure items are eligible. This benefit helps you save on essentials. Keep track of your spending to maximize the allowance.
Wellness and Preventive Care
Preventive care is a priority with Aetna Better Health of Illinois. The plan covers annual wellness visits, vaccinations, and screenings at no cost. These services catch health issues early.
Programs like Aetna Better Care Rewards offer incentives for completing wellness visits or mammograms. Free gym memberships and weight management programs encourage healthy lifestyles.
Table: Aetna Better Health of Illinois vs. Other Medicaid Plans
| Feature | Aetna Better Health of Illinois | Other Medicaid Plans |
|---|---|---|
| OTC Allowance | $25 monthly | Varies, often none |
| Free Grocery Delivery | Yes, for eligible members | Not always available |
| Diaper Stipend | $45 monthly | Rarely offered |
| Gym Membership | Free, included | Varies by plan |
| Mental Health Support | Calming Comfort boxes | Limited or none |
This table shows how Aetna’s benefits compare to other plans. Always review plan details for specifics.
Maternal and Child Health Support
Aetna Better Health of Illinois offers robust support for pregnant women and families. Prenatal and postpartum care are fully covered. Members can access doula services and maternal health coaching.
Families receive a $45 monthly diaper stipend, plus items like car seats or highchairs. Well-child visits and vaccinations are covered to keep kids healthy. These benefits ease financial burdens for parents.
Mental Health and Behavioral Support
Mental health is a key focus. The plan covers therapy, counseling, and substance abuse treatment. Members can access free Calming Comfort boxes with tools to manage stress.
Aetna partners with Kooth Digital Health to offer teens free mental health support. This includes online counseling and self-guided resources. These services address the growing mental health needs of youth.
Community and Lifestyle Benefits
Aetna Better Health of Illinois invests in community health. In 2025, they introduced free grocery delivery to combat food insecurity. They also fund urban farming and community health councils.
Pop-up farmers’ markets provide free produce in Central Illinois. These efforts improve access to healthy food and promote wellness. Aetna’s local presence strengthens community ties.
Managing Your Benefits
The Aetna Member Portal and mobile app make managing benefits easy. You can view claims, request ID cards, or change your primary care provider (PCP). The app also lists current medications.
For help, call Member Services at 1-866-329-4701, Monday through Friday, 8:30 AM to 5:00 PM. Language assistance is available for non-English speakers. These tools keep you in control of your care.
Value-Based Care Initiatives
Aetna Better Health of Illinois supports providers with value-based care. In 2025, they distributed $20.4 million to community health centers. This funds modern tools and extended clinic hours.
Providers get data analytics to improve patient care. This reduces hospitalizations and enhances outcomes. Members benefit from better access to quality care.
Tips for Maximizing Your Plan
To get the most from Aetna Better Health of Illinois, follow these tips:
- Use the Member Portal to track benefits and claims.
- Take advantage of free preventive care and wellness rewards.
- Shop for OTC products early to use your full allowance.
- Schedule regular checkups to stay healthy.
These steps ensure you fully utilize your benefits. Contact Member Services for any questions.
Challenges and Solutions
Some members face issues finding in-network providers. Use the online directory or call Member Services for assistance. App login problems can occur due to technical glitches.
If the app crashes, reinstall it or contact customer service. For claim issues, keep receipts and follow up with Aetna. These solutions help resolve common problems.
Recent Updates to Aetna Better Health of Illinois
In 2025, Aetna added new lifestyle benefits. Free grocery delivery and behavioral health support were introduced. A $731 yearly stipend supports activities for kids and young adults.
The plan also donated $12.7 million to improve health outcomes. Partnerships with local organizations, like urban farms, enhance community wellness. Check Aetna’s website for the latest updates.
Summary
Aetna Better Health of Illinois offers comprehensive Medicaid coverage through HealthChoice Illinois.
With benefits like OTC allowances, free grocery delivery, and mental health support, it prioritizes member wellness. The plan serves diverse groups, from families to seniors, across 102 counties.
Use the Member Portal or app to manage benefits and find providers. Take advantage of preventive care and community programs. Aetna Better Health of Illinois makes healthcare accessible and affordable.
FAQ
What is Aetna Better Health of Illinois?
Aetna Better Health of Illinois is a Medicaid plan under HealthChoice Illinois. It covers doctor visits, dental, vision, and extras like OTC products. It serves over 360,000 members across 102 counties.
Who can enroll in Aetna Better Health of Illinois?
Low-income individuals, children, pregnant women, seniors, and people with disabilities may qualify. Check eligibility on the HFS website or call 1-866-468-7543. Enrollment is open annually.
How do I use the OTC benefit?
You get a $25 monthly allowance for health products like vitamins or baby care items. Shop at CVS or online via the CVS OTC Health Solutions website. Check the catalog for eligible items.
What mental health services are available?
The plan covers therapy, counseling, and substance abuse treatment. Members can get free Calming Comfort boxes. Teens have access to Kooth’s online mental health platform.
How do I find a provider?
Use the online provider directory on Aetna’s website to find doctors or pharmacies. Call Member Services at 1-866-329-4701 for help. Confirm provider status before appointments.