Blake* is an Aetna Better Health® of Illinois member with a progressive neurological diagnosis. His mother was concerned about his recent weight loss. She thought Blake may need parenteral nutrition but wasn’t sure about using a feeding tube. She also worried that the weight loss might indicate Blake’s health condition was progressing.
Karla*, an Aetna care manager, learned from Blake’s mother that he liked Boost, but the cost made it difficult for her to continue purchasing it. Karla worked closely with Blake’s parents and his health care specialists to find a solution. They were able to obtain oral nutritional supplements that Blake was able to take. Karla also worked with his parents and health care specialist’s office to place him on a waiting list for a primary care provider who would help consolidate his care into a cohesive team — making his appointments more manageable for his parents.
This allowed Blake to continue receiving care from his specialists, and to obtain nutritional supplements covered by Aetna. Blake experienced a healthy weight gain — going from 60 to 80 pounds — and has now graduated from care management. Blake’s family expressed gratitude to Karla, saying they would miss her assistance, which had been incredibly helpful throughout the process.
*Member name changed to protect privacy