Jesyon Swen Sante
Aetna Better Health bay chak manm yon manadjè swen enfimyè ak yon ekip jesyon swen sante. Manadjè swen enfimyè a alatèt ekip la. Manadjè swen enfimyè ou se yon enfimyè diplome (RN). Ekip jesyon swen sante a gen ladan tou yon travayè sosyal (SW) ak yon asosye jesyon swen sante (CMA) pou ede ou avèk bezwen chak jou ou. Y ap travay avèk ou pou asire ou resevwa swen sante ak sèvis ou bezwen yo.
Once you agree to become a member of Aetna Better Health, you will be assigned to a care manager. Aetna Better Health nurses are bi-lingual, and we will work to assign a care manager who speak your language . This care manager will know all the information that you communicated to the nurse who made your home visit. Your care manager will contact you to talk with you to better understand your needs. Together, you will develop your plan of care.
Your plan of care is based on your health status and health care needs. Your primary care provider may give us information, talk with you and your care manager, and help develop your care plan. With your permission, we also get input from your family, caregivers, and others who you think are important for us to talk with.
The care plan will describe the personal care hours you need. It also will list other services you will get from Aetna Better Health. In addition, it will describe the services that Aetna Better Health will cover and the schedule for delivering the services.
After your care plan is developed, your care team will help you get all the care and services you need. The team will work with you to make appointments for care. They also will also set up transportation if you need it for your medical appointments.
Your care manager will call you at least once a month to check on you. You will always have your care management team's phone number and you can call to talk to your care team for help at any time.
Si ou bezwen èd apre lè biwo fèmen oswa nan jou wikenn, n ap transfere koutfil ou ba yon moun ki kapab ede ou touswit. Pa egzanp, si ou bezwen konnen kote pou ale pou jwenn yon famasi oswa pou jwenn swen ijan, n ap transfere koutfil ou ba ekip ki desèvis la. Si sa rive, manadjè swen sante ou ap resevwa enfòmasyon yo sou koutfil ou a yon fason pou yon moun ki nan ekip jesyon swen sante ou kapab asire ou te resevwa sa ou te bezwen an.
Sèvis yo ap kòmanse premye jou mwa apre nou apwouve aplikasyon ou pou antre nan plan an.
Your care management team will help to coordinate your care with other health providers such as physician visits, eye doctor appointments, dental appointments, and hearing evaluations. You can participate in your care by sharing with your team your needs and concerns so that you may continue to live independently in your community.
Menmsi ou se yon manm Aetna Better Health, w ap resevwa yon vizit Enfimyè Evalyasyon an lakay ou omwen de fwa chak ane. Tankou lè ou fèk antre nan Aetna Better Health, Enfimyè Evalyasyon an ap fè kèk evalyasyon pou wè si sante ou chanje. Apre vizit lakay ou, Enfimyè Evalyasyon an ap fè ekip jesyon swen sante ou konnen pou revize plan sante ou. Enfimyè Evalyasyon an ak ekip sante ou ap revize plan swen sante ou tou si eta sante ou chanje pou asire ou resevwa sèvis ou bezwen yo.
Aetna Better Health members must use providers who are part of our network to get covered long-term care services unless approved by the care management staff ahead of time. If we don't have the type of provider you need, your care management team will find a provider who is out of network. If you need a provider who is not in our network, please call your care management team and they will explore your options with you.