Aetna Care Management

Aetna’s Community Care program is described for Medicare members, so employers should confirm fit.

Aetna describes Community Care as goal-based health management with flexible support and coaching for chronic conditions. The source labels it for Medicare, so this page is not a statement about commercial group coverage.

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What It Is

What the program is and what members do.

What the program is

Aetna says the Community Care program offers goal-based health management with flexible support and coaching for chronic conditions. It appears in an Aetna insights article on care management.

How members use it

The article does not say how members reach the program or what a coaching session looks like. We would ask Aetna for the enrollment path and the contact method.

What the article does not say

It gives no price, no funding arrangement and no results. It lists Community Care next to separate offerings for commercial, Medicaid and behavioral health members, which tells us it is a distinct program.

Who Can Use It

Eligibility, funding and plan design.

Who can use it

The article places Community Care under Medicare. It is a general Aetna article, not specific to Michigan or to employer group coverage. Carriers often offer similar programs to Medicare members and to traditional group members, but employers should confirm for their group.

How it is funded or sold

The article does not say how Community Care is sold or funded. Because it is labeled for Medicare, we would not assume it is part of a commercial group proposal.

Where it fits in plan design

For an employer with retirees or Medicare-eligible members, it may be relevant. For an active-employee group it likely is not the starting point. We would ask Aetna which care management programs apply to the group’s population.

What To Ask

What to settle before relying on it.

Does this apply to our group at all?

We would ask Aetna whether Community Care or an equivalent program is available to any members in our group, and which one applies to active employees versus retirees.

What does the coaching involve?

The article says flexible support and coaching. We would ask how often members are contacted, who the coach is and how goals are set.

How is it priced and reported?

We would ask whether there is a fee, how it is billed, and what reporting the employer receives, with privacy limits made clear.

Questions We Get

Common questions about this program.

Is Community Care for active employees?

Aetna’s article labels it for Medicare members. Employers should confirm what applies to their group.

What does Community Care offer?

Aetna describes goal-based health management with flexible support and coaching for chronic conditions.

Is the article specific to Michigan?

No. It is a general Aetna article. Confirm details for a Michigan group.

Sources

Where these details come from.

This page summarizes what Aetna publishes. Programs change, so confirm current details with the carrier before relying on them.

aetna.com →

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