It is important to us that you receive quality health care and customer service. Your satisfaction matters to us. The Quality Management (QM) program ensures our services meet high standards of quality and safety. We want to make sure you have:
- The right kind of care
- Easy access to quality medical and behavioral health care
- Help with any chronic conditions or illnesses
- Support when you need it most
- High satisfaction with your doctors and with us
If you have a problem, please call Member Services at 1-855-364-0974 (TTY: 711) 24 hours a day, seven days a week.
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Aetna Better Health of Ohio’s Quality Management Program works to ensure that all of our services meet high standards of quality and safety. We have quality programs so that you can get the care you need. Some of our quality programs are:
- Surveying members and providers to measure satisfaction
- Calling members to remind them to get their care
- Educating members by sending postcards or newsletters
- Reviewing the type, amount and quality of services given to members
- Working with members who have serious health issues through case management
- Reminding providers and members about preventive health care
- Measuring standards like how long it takes for a member to get an appointment
- Monitoring phone calls to make sure your call is answered as quickly as possible and that you get correct information
- Reviewing calls and complaints from members
- Reviewing all aspects of the health plan with health plan staff, providers and members through committees
This list is just some of our quality programs. Call us at 1-855-364-0974 (TTY: 711) to find out more about our quality programs. You can also ask for a written description of our Quality Management Program.
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OH MMP Member Incentive Plan
Did you know you can earn rewards for preventative screenings?
Introducing the Member Rewards Program:
What is it?
- It is a gift card program that rewards members for getting routine care.
Who is eligible?
- Actively enrolled members who receive one or more of the following services during the 2024 calendar year:
- Mammogram (52-74 years of age)
- A1C Test (18-75 years of age)
- Diabetic Retinal Eye Exam (18-75 years of age)
- Flu Shot (19 years and over)
How much can you earn?
- Mammogram = One $25.00 gift card per calendar year
- A1C = Two $25.00 gift cards per calendar year (one card per test)
- Diabetic Eye Exam = One $25.00 gift card per calendar year
- Flu Shot = One $25.00 gift card per calendar year
Where can I use the gift cards?
- AMC
- American Eagle
- Apple
- Banana Republic
- Barnes & Noble Booksellers
- Bath & Body Works
- Belk
- Best Buy
- Express
- Foot Locker
- Gap
- Home Depot
- JCPenney
- Kohls
- L.L. Bean
- Lowes
- Macy's
- Target
- TJX
- Walmart
- Nike
- Old Navy
- Pottery Barn®
- Staples®
Contact your Care Manager or Member Services for more information! Call Member Services at <1-855-364-0974 (TTY: 711), 24 hours a day, 7 days a week>
Aetna Better Health of Ohio is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.
