Aetna Disease Management

Aetna’s online condition programs are meant to add to nurse coaching, not replace it.

Aetna describes online disease management programs that members can take to boost their nurse coaching sessions. The source is a general Aetna document and is not specific to Michigan.

Ask What Your Carrier Offers

What It Is

What the program is and what members do.

What the programs are

Aetna describes online wellness programs that a member can take to boost nurse coaching sessions. They sit inside the Disease Management Program and are presented as a way to manage a condition online.

What topics are named

The document names general condition management, low back pain, diabetes, pain management, high blood pressure and high cholesterol as program topics. We would ask Aetna whether the list is the same today, since the document is not dated in what we read.

How members use them

Aetna says members can interact with the program online, by email or by phone, and find helpful online and community resources. The document ties the online programs to the nurse coaching relationship and does not describe them as a stand alone product.

Who Can Use It

Eligibility, funding and plan design.

Who can use it

The document speaks to members who have a condition or think they are at risk. It is a general Aetna document, not Michigan specific, and it does not name a line of business. It lists several Aetna legal entities, so we would confirm that the group’s plan is covered.

How it is funded or sold

The document does not state a price or how an employer buys the online programs. It says the employer can let members know if these programs are offered at the workplace, so availability appears to depend on the group.

Where it fits in plan design

The online programs fit as a low-friction option for members who prefer self-paced tools alongside a coach. They do not change plan benefits on this evidence. They are best positioned as a communication item at enrollment and during the year.

What To Ask

What to settle before relying on it.

Which online programs are live for our group?

We would ask Aetna for the current list of online programs and a confirmation that each is available to members on this group’s plan in Michigan.

How do members sign in and find them?

Aetna points members to the secure Aetna Navigator member website. We would ask how a new member finds the programs, what the sign-in steps are and whether there is a mobile option.

What does Aetna report to the employer?

The document does not say what employers receive. We would ask what participation or engagement reporting is available, at what level of detail, and what privacy limits apply.

Questions We Get

Common questions about this program.

Do the online programs work without a nurse?

Aetna describes them as a way to boost nurse coaching sessions. The document does not say whether they can be used on their own.

Which conditions do the online programs cover?

The document names general condition management, low back pain, diabetes, pain management, high blood pressure and high cholesterol. Ask Aetna for the current list.

Is the document written for Michigan employers?

No. It is a general Aetna document. Employers should confirm availability and details for their 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 →

Let’s Get to Work

Send us your renewal.

We’ll tell you whether it looks competitive, where we see opportunity, and the five questions we’d put to your carrier. No cost, and no obligation to move anything.

What to send

The renewal letter
Your current plan summary
Contribution split by tier
Enrolled counts by tier

Four documents — two more if your group is 50 or more. Nothing else; every extra one is a reason to postpone.

CFH Insurance Consultants

An independent employee benefits consulting firm. We look at the entire benefits program: cost, plan performance, risk and administration.

Switch to CFH. Unhappy with your broker? Your employees won’t notice. You will. →

Michigan41000 Woodward Avenue, Suite 350 East
Bloomfield Hills, MI 48304
248.370.8853
Colorado13540 Northgate Estates, Suite 100
Colorado Springs, CO 80921
719.425.2649
Texas16365 Park Ten Place, Suite 182
Houston, TX 77084
281.404.5670


Book a 30-minute call