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1-50: Free In-Home Health Assessments for Aetna Members

Jul 17, 2015

On and off exchange Aetna members can take advantage of free in-home health assessments.

As part of the Affordable Care Act (ACA), Aetna is required to submit diagnosis and claims information to the government for their insured population (individual and Small Group on and off exchange) in conjunction with risk management. This program supports Aetna's National strategy for risk adjustment as it relates to the ACA laws and provisions.

Aetna offers free in-home health assessments to Small Group members (2-50 in 2015 and 2-100 in 2016). Some members may not be aware of their current health needs or how their health plan can help them manage their care. Health assessment data helps Aetna get a more complete picture of a member’s health and identify if a member may be eligible for any of Aetna's care management or wellness programs.

Aetna has contracted with MedXM and Your Home Advantage (YHA) to conduct the health assessments, and they may reach out to members via letter or email. Members with questions about the health assessments can also call the vendor directly at:

MedXM  1-888-306-0615
YHA       1-888-998-9880      

These contact numbers are also on the member letters.

Please take some time to review the ​frequently asked questions (FAQs) that will help you answer your clients’ most common questions about this program.

If you still have questions, please ​contact a member of your b&p Sales Team - 888.722.3373.

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