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Sunshine Health strives to provide quality healthcare to our members as measured through HEDIS quality metrics. We created this HEDIS Quick Reference Guide to help you increase your practice's HEDIS rates. Please always follow state and/or CMS billing guidance and ensure the HEDIS codes are covered prior to submission.

These plans require a referral to see specialists. Ambetter Select is an HMO Plan underwritten by Sunshine State Health Plan. Health Maintenance Organization plans, often have lower premiums and deductibles. Ambetter Select has a selective network of health care providers and hospitals. View 2023 Plan Brochures & Summaries of Benefits & Coverage.Sunshine Health's providers, call Member Services at 1-866-796-0530 (TTY 1-800-955-8770), Monday through Friday, 8:00 A.M. through 8:00 P.M., Eastern Standard Time, or visit us on the web at www.sunshinehealth.com. BEHAVIORAL HEALTH Behavioral Health refers to mental health, alcohol and drug abuse services. Sunshine HealthPhoto Album. Recipes. More. Use tab to navigate through the menu items. Subscribe Form. Submit. (907) 456-5433. ©2019 by Sunshine Health Foods. Proudly created with Wix.com.We would like to show you a description here but the site won't allow us.Help setting up your device for telehealth visits. Medication management*. * Brave Health does not prescribe stimulants or psychotropics. Text or call Brave Health at 1-305-902-6347, Monday through Friday, 8 a.m. to 6 p.m. Eastern. You can also email [email protected] or visit bebravehealth.com to get started.Member Resources. Sunshine Health is committed to providing our Members with the resources they need to ensure the best possible care. In this section, we provide information and resources. This includes the member handbook, forms, and more. If you need help understanding any of the information, please call us at 1-855-463-4100 (TTY 1-800-955 ...

Order by phone at 1-888-262-6298, Monday through Friday, 9 a.m. to 8 p.m. Eastern to have items shipped to your home. Shop in person at select CVS stores. Check the store locator. or call OTC Health Solutions at 1-888-628-2770 (TTY: 711) to find a store nearby. Use your child's $25 a month to get items like baby wipes, allergy products, pain ...Call us today at 1-877-687-1169 (Relay FL: 1-800-955-8770) or visit us. sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations. at Ambetter.SunshineHealth.com.Up to twenty dollars ($20) per meal up to 3 meals per day; up to two hundred dollars ($200) per day; up to one thousand dollars ($1,000) per year for trips greater than 100 miles. Yes. Mental Health Targeted Case Management. Services to help get medical and behavioral health care for people with mental illnesses. Ages 21 years and older ...Sunshine Health's providers, call Member Services at 1-866-796-0530 (TTY 1-800-955-8770), Monday through Friday, 8:00 A.M. through 8:00 P.M., Eastern Standard Time, or visit us on the web at www.sunshinehealth.com. BEHAVIORAL HEALTH Behavioral Health refers to mental health, alcohol and drug abuse services. Sunshine HealthThe Physician Payments Sunshine Act (PDF) is designed to increase transparency around the financial relationships (PDF) between physicians, teaching hospitals and manufacturers of drugs, medical devices and biologics. The Centers for Medicare & Medicaid Services (CMS) fulfills the law’s mandate via the Open Payments Program.

Community Connections Grants are a key strategy for strengthening Florida communities. Sunshine Health awarded 54 grants totaling $200,000 to community groups across the state in 2021. The grants went to Healthy Start coalitions, homeless groups, food banks, youth organizations and more.Sunshine Health and Wellness, Berkeley, California. 126 likes. Family owned and operated since 1990 Sunshine Health And Wellness has now taken our...We would like to show you a description here but the site won't allow us.Please fill out the below form or contact us at 1-866-796-0530 . Your inquiry will be reviewed. A Sunshine Health representative may contact you regarding your inquiry. If you have an urgent medical situation please contact your doctor. If you have a life threatening emergency, please contact 911. Required fields are marked with an asterisk (*)HEALTH PLAN INFORMATION. Ambetter from Sunshine Health . Ambetter from Ambetter from Sunshine Health PO Box 459089 Fort Lauderdale, FL 33345-9089 Phone: 1-877-687-1169 (Relay Florida 1-800-955-8770) Ambetter.sunshinehealth.com . DepartmentThere may be some services that we do not cover, but might still be covered by Medicaid. To find out about these benefits, call the state Medicaid Help Line at 1-877-254-1055. If you need a ride to any of these services, we can help you. You can call 1-877-659-8420 to schedule a ride. If there are changes in covered services or other changes ...

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Get covered with Sunshine Health today. Skip to Main Content. On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months.Don't Forget to Renew Each Year. Recertify your Medicaid coverage every 12 months to keep your benefits. Visit the Florida Department of Children and Families to sign up for email reminders. Sunshine Health has contracted with the Florida Agency for Health Care Administration (AHCA) to serve Medicaid, Long-Term Care, and other program members. $25 Over-The-Counter Benefit: $25 provided per household per month to buy products like cough, cold and allergy medications, first aid supplies and vitamins. Healthy Rewards Program: Offering the opportunity to earn reward dollars for completing certain preventive health activities, such as a well-child visit and an annual dental checkup. There may be some services that we do not cover, but might still be covered by Medicaid. To find out about these benefits, call the state Medicaid Help Line at 1-877-254-1055. If you need a ride to any of these services, we can help you. You can call 1-877-659-8420 to schedule a ride. If there are changes in covered services or other changes ...$25 Over-The-Counter Benefit: $25 provided per household per month to buy products like cough, cold and allergy medications, first aid supplies and vitamins. Healthy Rewards Program: Offering the opportunity to earn reward dollars for completing certain preventive health activities, such as a well-child visit and an annual dental checkup.

5 River Park Place East, Suite 210 | Fresno, CA 93720. Pharmacy Services will respond via fax or phone within 24 hours of receipt of all necessary information, expect during weekends and holidays. For immediate response on weekends and holidays, NurseWise will answer your call. HEPATITIS C AGENTS. Note: Form must be completed in full. To find out about these benefits, call the Agency Medicaid Help Line at 1-877-254-1055. If you need a ride to any of these services, we can help you. You can call 1-877-659-8420 to schedule a ride. If there are changes in covered services or other changes that will affect you, we will notify you in writing at least 30 days before the effective ... Bill Sunshine Health telehealth without the telemedicine modifiers GT, 95 or CR. Claim submissions for members who transitioned to Sunshine Health or CMS Health Plan with dates of service after October 1, 2021, must be billed to Sunshine Health. For questions or concerns, please contact Sunshine Health Provider Services at 1-844-477-8313.Please call MTM at 1-844-399-9469 to schedule a ride at no cost to you. If there are changes in covered services or other changes that will affect you, we will notify you in writing at least 30 days before the effective date of the change. If you have questions about any of the covered medical services, please call your child’s care manager ...The Interoperability and Patient Access rule (CMS-9115-F) makes it easier for members to get their health records when they need it most. You now have full access to your health records on your mobile device. This allows you to manage your health better and know what resources are available to you. The Payer-to-Payer Data Exchange portion of ...Specialties: Sunshine Health Spa. Call 775-276-1025 Our traditional full body massage in Reno, NV includes a combination of different massage therapies like Swedish Massage, Deep Tissue, Sports Massage, Hot Oil Massage at Call 775-276-1025, reasonable prices. Established in 2016.Our case managers can help get your medical records transferred to your new doctor. Call our Member Services department toll-free at 1-866-796-0530 ( TDD/TTY 1-800-955-8770) if you have questions about transitioning your care. Sunshine Health is committed to providing the best possible care.Up to twenty dollars ($20) per meal up to 3 meals per day; up to two hundred dollars ($200) per day; up to one thousand dollars ($1,000) per year for trips greater than 100 miles. ... Up to $25 per household, per month. ... Sunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief ...SGD 25.00. Shop all products. Blog latest from our blog. 10 Jan. S-Health Operating Guide. Read More . 16 Aug. Sunshine Health Mart. For more than 20 years, Sunshine Health Mart specializes in pain and health management to suit the changing needs of customers. We are able to provide comprehensive solutions to build a healthy lifestyle for your ...Call us today at 1-877-687-1169 (Relay FL: 1-800-955-8770) or visit us. sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations. at Ambetter.SunshineHealth.com. Balanced Care 94 Plans. (silver level)

Order by phone at 1-888-262-6298, Monday through Friday, 9 a.m. to 8 p.m. Eastern to have items shipped to your home. Shop in person at select CVS stores. Check the store locator. or call OTC Health Solutions at 1-888-628-2770 (TTY: 711) to find a store nearby. Use your child’s $25 a month to get items like baby wipes, allergy products, pain ...

Up to twenty dollars ($20) per meal up to 3 meals per day; up to two hundred dollars ($200) per day; up to one thousand dollars ($1,000) per year for trips greater than 100 miles. ... Up to $25 per household, per month. ... Sunshine Health is a managed care plan with a Florida Medicaid contract. The benefit information provided is a brief ...Medicaid Managed Long Term Care for Medicaid enrollees 18 years and older. You also have to meet Nursing Facility level of care. Sunshine Health has the expertise to work with Medicaid and Long Term Care members to improve their health status and quality of life. This is done through the provision of quality services to meet the care needs of ...Enter keyword for site search. Search Contrast On Off. a a aENROLLING AND CHOOSING SUNSHINE HEALTH IS EASY. 1. Apply for Medicaid. If you are eligible for Florida Medicaid, the Agency for Health Care Administration (AHCA) will send you a letter asking you to choose a plan. Visit the Florida Department of Children and Families website to apply for Florida Medicaid. 2. Receive a letter to choose a plan. 3.Sunshine Health's providers, call Member Services at 1-866-796-0530 (TTY 1-800-955-8770), Monday through Friday, 8:00 A.M. through 8:00 P.M., Eastern Standard Time, or visit us on the web at www.sunshinehealth.com. BEHAVIORAL HEALTH Behavioral Health refers to mental health, alcohol and drug abuse services. Sunshine HealthEstablished in 1979, Sunshine Minting has become a trusted name in the precious metals industry, known for its high-quality silver and gold products. Sunshine Mint Silver Rounds are typically minted in 1 ounce sizes and contain .999 fine silver, which means they are composed of 99.9% pure silver. The rounds feature intricate designs and are ...Our Benefits. Better Coverage. Better Perks. Ambetter Health is on a Mission for Better, and that means better coverage and better perks for you. Beyond great everyday benefits like Virtual 24/7 Care*, members have access to exclusive programs like My Health Pays®** and Ambetter Perks. We’re adding value to your affordable health insurance plan.Over-the-counter/mail order - A $25 per family benefit to purchase health related items such as vitamins, aspirin and first aid supplies. Medically-related lodging and food - For family members when a member's approved specialized hospital stay is 150 miles or more from home up to $100 per day for up to 21 days.410 Trainor Gate Road Fairbanks AK United States 99701. [email protected]. (907) 456-5433. Sunshine Health Foods. Jan 9, 2020. 1 min.

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SGD 25.00. Shop all products. Blog latest from our blog. 10 Jan. S-Health Operating Guide. Read More . 16 Aug. Sunshine Health Mart. For more than 20 years, Sunshine Health Mart specializes in pain and health management to suit the changing needs of customers. We are able to provide comprehensive solutions to build a healthy lifestyle for your ...ICD-10-PCS is for use in U.S. inpatient hospital settings only. ICD-10-PCS uses 7 alphanumeric digits instead of the 3 or 4 numeric digits used under ICD-9-CM procedure coding. Coding under ICD-10-PCS is much more specific and substantially different from ICD-9-CM procedure coding. Sunshine Health will be ICD-10 compliant by 10/1/2015.Sunshine Health 2020 - 2021 Healthy Behaviors Program Evaluation Reporting Year July 1st, 2020 to June 30th, 2021 10.1.21Exposing skin to the ultraviolet radiation in sunlight has both positive and negative health effects. On the positive side, exposure allows for the synthesis of vitamin D 3. Vitamin D has been suggested as having a wide range of positive health effects, which include strengthening bones [1] and possibly inhibiting the growth of some cancers.Sunshine Health is offering Community Connections Grants to 501 (c)(3) organizations that assist their communities with food insecurity, housing and other Social Determinants of Health. We will award 34 Level 1 Grants of $3,000 to qualifying nonprofit organizations across Florida's 11 Medicaid regions.We would like to show you a description here but the site won't allow us.Phone: 1-877-254-1055 (toll-free) Fax: 1-239-338-2642. [email protected]. If a fair hearing is requested in writing, please include the following information: Your name. Your child's member number. Your child's Medicaid ID number. A phone number where you or your representative can be reached.There may be some services that we do not cover, but might still be covered by Medicaid. To find out about these benefits, call the state Medicaid Help Line at 1-877-254-1055. If you need a ride to any of these services, we can help you. You can call 1-877-659-8420 to schedule a ride. If there are changes in covered services or other changes ...Sunshine Health at 1-844-877-8313 to update your address in our systems. 1-844-477-8313 . SunshineHealth.com : Provider Services : Case Management : Our Case Management team can be reached Monday to Friday from 8 a.m. to 8 p.m. at the phone numbers below. For after hours or weekend assistance, use option 7. ...Sunshine Health Member Services Department: 1-866-796-0530 (TDD/TTY 1-800-955-8770) Page 2 | Member Handbook | sunshinehealth.com Table of Contents ….

Call us to ask for more time to solve your grievance if you think more time will help. You can contact us at: Sunshine Health. PO Box 459087. Fort Lauderdale FL 33345-9087. Phone: 1-855-463-4100 (TTY 1-800-955-8770) Fax: 1-866-534-5972. Email: [email protected] Rides to Medical Appointments - At No Cost to You. To help you get healthy and stay healthy, we can provide rides to your medical appointments at no cost to you. ModivCare provides transportation for Sunshine Health Medicaid members. There are no limits to the number of trips during the year between medical appointments, healthcare ...1-844-477-8313 SunshineHealth.com Provider Services Provider Changes Adding Providers to Existing Group or Practice • A contracted medical or behavioral health practice that would like to add a practitioner should email all relevant documentation to [email protected] and include the following:He chose his path and took pride in appreciating each one of those 300 days. As we continued to play the course my mind wandered often -- as did my ball for different reasons -- to the decisions I made in my life and the road I ultimately chose for myself. Part of the key to happiness, I believe, is when we take an active part in our destiny.Please fill out the below form or contact us at 1-866-796-0530 . Your inquiry will be reviewed. A Sunshine Health representative may contact you regarding your inquiry. If you have an urgent medical situation please contact your doctor. If you have a life threatening emergency, please contact 911. Required fields are marked with an asterisk (*)Call us today at 1-877-687-1169 (Relay FL: 1-800-955-8770) or visit us. sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations. at Ambetter.SunshineHealth.com. Balanced Care 94 Plans. (silver level)If you need help finding an in-network provider, please call Member Services at the number on the back of your ID card. We will help you. Sunshine Health exists to improve the health of its beneficiaries through focused, compassionate and coordinated care. Find a provider today.A simple place to find Quest Referrals -- Plan on purchasing an Oculus Quest and are looking for a bump in Oculus Store credits, then activate a referral prior to activating your Quest.The PDF document lists drugs by medical condition and alphabetically within the index. To search for your drug in the PDF, hold down the “Control” (Ctrl) and “F” keys. When the search box appears, type the name of your drug. Press the “Enter” key. You also have the option to print the PDF drug list.Sunshine Health is a Florida Medicaid health plan and a wholly-owned subsidiary of Centene Corporation, a leading multi-line healthcare enterprise offering both core Medicaid and specialty services. Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives. The Company takes a local approach ... Sunshine health 25 dollars, Sunshine Health offers affordable Florida Medicaid, Medicare Plans and our Health Insurance Marketplace product, Ambetter. Get covered with Sunshine Health today., Now that you’re ready to use your Ambetter Health benefits, take a few first steps to get started. Use your member account to download your ID card, activate your My Health Pays® Rewards account and more., 2023 Edition A Reference For Compliance with Florida’s Public Records and Open Meetings Laws GOVERNMENT-IN-THE-SUNSHINE MANUAL Volume 45 Florida Office of the Attorney General, Centene performs prepayment clinical claim review on all services billed with modifier -25. A clinician reviews the information on the claim and the member and provider's claim history to determine whether it is likely that the modifier was used correctly for the clinical circumstances. CPT and CMS guidelines are used to determine whether the ..., During the credentialing and re-credentialing process, Sunshine Health will obtain information from various sources to evaluate applications. Providers and practitioners have the right to review any primary source information that Sunshine Health collects during this process such as the National Practitioner Data Bank (NPDB), Licensing and ..., Sunshine Health provides affordable health insurance plans and is one of the largest Florida Medicaid providers. Login, enroll or find a doctor today., Get medical insurance in Florida through Sunshine Health. We offer plans for low cost health insurance, Medicaid and Medicare., The changes outlined below will reduce the administrative burden on you and your office, making it easier for you to work with Sunshine Health. REVISED policies, effective January 1, 2022, for Medicaid, Marketplace (Ambetter), and Medicare (Wellcare by Allwell) lines of business: RETIRED policies, effective January 1, 2022 for Medicaid ..., This is Sunshine Health Foods Monthly Sales Flyer. Watch the flyer dates for product sale prices and availability. Skip to content. Sunshine Health Foods (318) 746-9788; [email protected]; Mon - Sat: 9:00 - 6:00; Facebook-f Instagram. Home; Monthly Flyer; About Us; Contact Us; Health Links; Home; Monthly Flyer; About Us; Contact Us; Health Links;, Sunshine Health is offering Community Connections Grants to 501 (c)(3) organizations that assist their communities with food insecurity, housing and other Social Determinants of Health. We will award 34 Level 1 Grants of $3,000 to qualifying nonprofit organizations across Florida's 11 Medicaid regions., $25: Comprehensive Diabetes Care. ... My Health Pays reward dollars are added to the rewards card after we process the claim for each activity your child completes. ... Sunshine Health. P.O. Box 459089 Fort Lauderdale, FL 33345-9089. Phone: 1-866-796-0530 TTY: 1-800-955-8770, Day Spa offers Acupressure, Chair Massage, Foot Reflexology, Deep Tissue, Cupping, and Swedish Massage. Facials. Walk-ins welcome!, Call us today at 1-877-687-1169 (Relay FL: 1-800-955-8770) or visit us. sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations. at Ambetter.SunshineHealth.com., NGN – Nigerian Naira. 1.00 US Dollar =. 1,235.95 05 Nigerian Nairas. 1 NGN = 0.000809094 USD. We use the mid-market rate for our Converter. This is for informational purposes only. You won’t receive this rate when sending money. Login to view send rates., $25 Per household. KEEP THIS CATALOG! You will need it to look up the health and wellness products you want to order every month. How to order online . You can now order your over-the-counter health and wellness products through the secure portal . on . SunshineHealth.com. 1., Call 1-800-950-6264. Monday through Friday, 10 a.m. to 10 p.m. ET. Sunshine Health’s 24-hour Behavioral Health Crisis Line offers trained professionals to help you or a loved one cope with mental health challenges. Call 1-855-463-4100 (TTY 1-800-955-8770) We are here 24/7, including weekends and holidays., Other Methods to Verify Benefits, Eligibility and Cost Shares ----- 25 Importance of Verifying Benefits, Eligibility, and Cost Shares ----- 26 MEDICAL MANAGEMENT ----- 27 ... Ambetter from Sunshine Health Ambetter from Sunshine Health 1301 International Parkway Suite 400 Sunrise, FL 33323 1-877-687-1169 Relay: 1-800-955-8770, Sunshine Health offers many convenient and secure tools to assist you. You also have access to your healthcare information. To enter our secure portal, click on the login button. A new window will open. You can login or register. Creating an account is free and easy. By creating a Sunshine Health account, you can: Change your Primary Care Doctor, How to Enroll. If you or a family member have Florida Medicaid and would like to choose or change your plan to Sunshine Health, you may do so by one of the following options: OPTION 1: Call a Choice Counselor. Toll-free at 1-877-711-3662. (TDD/TTY: 1-866-467- 4970) OPTION 2: Enroll online. To enroll, you must have the Florida Medicaid number or ..., Florida Healthy Kids: 844-405-4298 (TTY 711) Long-Term Care: 877-440-3738 (TTY 711) Already a member? Log in to your account and send us a message. Simply Healthcare Plans, Inc. is a Managed Care Plan with a Florida Medicaid Contract. For more information, contact the Managed Care Plan. Limitations, copayments, and/or restrictions may apply., GET $25 A MONTH FOR OVER-THE-COUNTER (OTC) MEDICATIONS AND SUPPLIES. Sunshine Health plan members can receive a $25 monthly allowance per household for over-the-counter items and supplies. These include: This OTC benefit is in addition to the pharmacy benefit you will have as a Sunshine Health plan member. For a complete list of OTC approved ..., A caregiver’s job can include: Personal care. Home chores. Emotional support. Medical care. Help with finances. If you are a caregiver and would like to learn more about the Caregiving Collaborations ® program, please call Member Services at 1-866-796-0530 (TTY 1-800-955-8770) and ask to be transferred to your loved one’s care coordinator., OTC Benefit | Sunshine Health. As of January 1, 2023, CVS will manage your Over-the-Counter (OTC) benefit. It’s easy to use your $25 a month benefit. Order items via the online OTC booklet. . Order by phone. Shipping is free. Call 1-888-262-6298 Monday through Friday from 9 a.m. to 8 p.m. local time. Shop in person for items at select CVS stores., 120 Charles Rollins Rd, 105, Henderson, NC 27536. 25+ years of experience. Aetna, Cigna, Medicare. see more. Adrian Ogle, MD is an Urologist in Henderson, NC. Adrian Ogle completed their Residency at Wayne St Univ-Detroit M C. Following their education, Adrian Ogle was board certified by the American Board of Urology., Florida Medicaid & Health Insurance | Sunshine Health, Our free 24/7 nurse advice line makes it easy to get answers to your health questions. You don't even have to leave home! Staffed by licensed nurses, our nurse advice line runs 24 hours a day, 7 days a week. Call 1-877-687-1169 ( Relay Florida 1-800-955-8770 ) if you have questions about:, The Sunshine Act is a 2010 health care law that was passed along with the Affordable Care Act. It was enacted for transparency between healthcare providers and the pharmaceutical industry. The goal of the regulation is to make sure doctors' recommendations aren't swayed by payments they receive. And that includes food-related expenses., Healthy Activities in Pregnancy Eligible for Rewards. $20 Notification of Pregnancy Form (first trimester): Complete and sign a Notification of Pregnancy form within first trimester. $10 Notification of Pregnancy Form (second trimester): Complete and sign a Notification of Pregnancy within second trimester. $50 Substance Use Treatment for ..., $25: Comprehensive Diabetes Care. Ages 13-20 years. Complete HbA1c test and dilated eye exam once in the calendar year ... Known as My Health Pays, the program lets members earn dollar rewards by completing healthy activities. ... Sunshine Health's Healthy Behaviors program aims to help members improve their health and wellness. The program ..., To support a smooth transition to the OneTouch Verio® meter, LifeScan is providing our members with a new meter at no cost to them. Call 1-833-239-0650 or visit OneTouch.orderpoints.com. Read more details (PDF) Visit Sunshine Health today to learn what Medicaid pharmacy benefits in Florida are covered, which drugs are covered, how to get ..., Earn $25. Weight Loss Health Coaching Sessions: For members age 10 and older. Must submit a consent form, verbally pledge to lose weight within 30 days and complete six sessions within six months. Earn $20. Free And Low-Cost Resources ... Sunshine Health. P.O. Box 459089 Fort Lauderdale, FL 33345-9089. Phone: 1-866-796-0530 TTY: 1-800-955-8770, $25 Per household. KEEP THIS CATALOG! You will need it to look up the health and wellness products you want to order every month. How to order online . You can now order your over-the-counter health and wellness products through the secure portal . on . SunshineHealth.com. 1. , Select your plan below to access your OTC Health Solutions site. A. AbsoluteTotalCare. Aetna Better Health KY Kids. Aetna Better Health KY Period Promise. Aetna Better Health Kids (PA) Aetna Better Health Premier Plan (MMAI) Aetna Better Health Virginia - New Moms. Aetna Better Health of Florida.