Special programs

This program helps pregnant moms stay healthy and have healthy babies. Moms who are pregnant are automatically enrolled for the program services. To opt-out, call Member Services or contact your care manager.

Are you expecting a child? We’ll help you get the care you need through pregnancy and after birth by: 

• Providing screenings 
• Offering proven treatments  
• Working closely with your providers  

Did you know that you can earn rewards for pregnancy and birth care? Check it out.

Earn rewards

• Learn more about pregnancy care
• Get tips on staying healthy while pregnant

Members with special health care needs, or health concerns such as autism, high-risk pregnancy, neonatal intensive care (NICU) for babies, treatment of substance use for women and their babies, or children of seasonal farm workers are eligible for this program. Care managers can help you connect to the right care. To opt-in, call Member services.

Some members have special health care needs and medical conditions. Our care managers include nurses who can:

• Work with different providers, agencies and groups to help you get the care you need
• Help you make appointments
• Talk about your care with your doctor

Care managers can also help members with:

• High-risk pregnancy
• Neonatal intensive care (NICU) for babies after birth
• Care and treatment of substance use for women and their babies after birth
• Autism spectrum disorder

If you think you need help from a care manager, contact us. Call the number for your health plan. Then, ask for a care manager.

Your doctor or caregiver can also call to get you started with care management. And you can choose to stop taking part anytime. Just contact us.

Learn more about care management 

This program offers extra support to members with long-term health conditions like diabetes, asthma, mental health, and heart or lung disease. Members at high risk will be automatically enrolled. You may also choose to opt-in by calling Member Services.

We help our members with chronic conditions be as healthy as they can. We’ll mail you health info to help you manage your condition. You may also get a call from a care manager, who can help you or your child manage chronic conditions like:

• Asthma
• Diabetes
• COPD (chronic obstructive pulmonary disease)
• CAD (coronary artery disease)
• CHF (congestive heart failure)
• Mental health/depression

Your doctor or caregiver can also call to get you started with chronic condition management. And you can choose to stop taking part anytime. Just contact us.

Learn more about chronic condition management

Want to learn more about managing your condition? Just register for MyActiveHealth℠. You can get healthy living tips, watch videos about wellness, learn about a healthy lifestyle and more.

Members that had an ER visit for non-emergency issues, or those that had a recent hospital stay are automatically enrolled for this outreach.

It can be hard to figure out the type of care you or your family members may need. We can help you decide whether to go to the ER or urgent care. 

24-Hour Nurse Line

This doesn’t take the place of your PCP. But if it’s late at night or you can’t reach your PCP, a nurse can help you decide what to do.

Telehealth options

MDLIVE lets you talk to a doctor or specialist from the comfort of your home or work. Skip the waiting room and get the help you need.

Behavioral health crisis

Mental and behavioral health are part of your whole health. Call 911 or go to the nearest hospital if:

• You’re thinking about hurting yourself or someone else
• You have an urgent behavioral health emergency

You can use any hospital for emergency care, even if it’s not in our network. Just show your member ID card.

24-Hour Nurse Line and behavioral health hotline: choose options for nurse line or mental health crisis

• 1-800-248-7767 (TTY: 711) for STAR members in the Bexar service area
• 1-800-306-8612 (TTY: 711) for STAR members in the Tarrant service area
• 1-844-STRKIDS (1-844-787-5437) (TTY: 711) for STAR Kids members in Tarrant or Dallas service areas
• 1-866-818-0959 (TTY: 711) for CHIP members in the Bexar service area
• 1-800-245-5380 (TTY: 711) for CHIP members in the Tarrant service area

Care management after acute care

Have you or your child had a hospital stay recently? If so, you may get a call from our care management team. They’ll ask if you:

• Scheduled a follow-up appointment with a PCP or specialist
• Were able to get any prescribed medicine
• Understood the discharge instructions
• Have any other needs, so they can refer you to one of our care managers

Check out some of these articles to learn more about getting the right care at the right time:

• Is it an emergency?
• Where to go for quick medical care

Members become eligible based on age and vaccine status. As eligible members of ABHTX they may schedule well-visits with their provider, and complete vaccines that are due. Parent, legal guardian, or members ages 18 and up may choose to opt-out of recommended vaccines.

Flu

Most members 6 months and older can get a flu shot every year. Studies show which flu viruses may be the most common during the upcoming season. Seasonal flu shots protect against those three or four flu viruses. Just ask your doctor about getting the shot.

Protect yourself from the flu

COVID-19

Members 12 years and older can get the vaccine for the coronavirus (COVID-19). You can ask your doctor about getting this shot. Or check this COVID-19 vaccine information from Texas Health and Human Services.

Autism spectrum disorder is a developmental disorder. Symptoms generally appear in the first two years of life. Autism may not be recognized or diagnosed until much later. It can be diagnosed at any age. A person with autism has a brain that works differently. The way they respond to things may be different. It can affect the way a person gets along and communicates with others. It can affect how a person behaves. It can make it difficult for a person to do the things that others do easily. People with autism can be very sensitive to certain things.

Autism can affect someone a little, a lot, or somewhere in between. The term ‘high functioning’ means mild challenges. ‘Low functioning’ means a person has severe challenges. That’s why it’s called a ‘spectrum’ disorder. The challenges of autism affect people in different ways.

If you have any questions about ASD, or what Aetna Better Health of Texas can do to help you or your child, call the Member Services phone number on your child’s ID card and ask to speak with a Case Manager. We want to walk through this journey with you.

Learn more about autism English | Spanish

Autism Spectrum Disorder Booklet English | Spanish