Health Care Management
In addition to your health benefits, Aetna offers several other services that you may use to manage your health and the health of your family.
Informed Health® Line
You can contact Informed Health® Line at 1-800-556-1555.
You may talk to a registered nurse 24 hours a day to get information on a variety of health and wellness topics.
You may also listen to Aetna's Audio Health Library, a recorded collection of more than 2,000 health topics in English and Spanish, and transfer to a registered nurse at any time during the call.
In addition, you may access Healthwise®Knowledgebase, Aetna's database of health information, through Aetna Navigator™ at the KingCare SM member Web site: www.kingcare.com.
AexcelSM Specialty Network
AexcelSM specialty network providers meet certain standards for effectiveness and cost-efficiency in the following medical disciplines:
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cardiology;
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cardiothoracic surgery;
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gastroenterology;
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general surgery;
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obstetrics/gynecology;
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orthopedic surgery
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otolaryngology
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neurology;
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neurosurgery;
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plastic surgery;
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urology; and
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vascular surgery.
You may locate Aexcel SM physicians by calling Aetna or by using Aetna Navigator™ DocFind® at the KingCare SM member Web site— www.kingcare.com—where Aexcel SM physicians are identified with a blue star. (See Contact Information.)
Disease Management
If you're a patient with coronary artery disease, chronic heart failure or diabetes, you may receive:
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information on and education about your disease;
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access to a case management nurse;
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help following your physician's treatment plan;
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help managing illness-related depression;
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assistance getting some medical equipment; and
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tools, programs and resources to improve your quality of life.
You may enroll for disease management services by calling Aetna or using Aetna Navigator™ at the KingCare SM member Web site: www.kingcare.com. You may also enroll by being referred by a physician or an Enhanced Member Outreach nurse. Aetna has a contract with LifeMasters to provide disease management services. (See Contact Information.)
Enhanced Member Outreach
You may receive additional support for health conditions through Aetna's Enhanced Member Outreach. An Enhanced Member Outreach nurse will contact you to:
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discuss the details of an upcoming hospital stay so you know more about what to expect during your stay and after you get home;
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answer questions and provide guidance before or after a surgical procedure;
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direct you to care and disease management programs to ensure that you have access to up-to-date treatment;
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help you follow your treatment plan;
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address emerging health issues early and effectively; and
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provide coaching and education about your benefit plan, available programs and tools.
MedQuery®
MedQuery® keeps your physician informed of the best practice treatments for a wide variety of conditions such as diabetes, coronary artery disease and influenza. As a result, your physician may update your treatment to ensure that you're getting the best care.
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