Aetna Member Story

Supporting A High-Risk Pregnancy

Melissa*, a registered nurse care manager at Aetna Better Health® of Illinois, received a referral for a member who was 29 weeks pregnant. Kathy* was experiencing her first pregnancy but was facing complications related to epilepsy/seizure disorder, hyperemesis, baby growth issues, and significant weight loss.

Kathy is a single parent who couldn’t work due to her health. She had lost 40 pounds since the beginning of her pregnancy. The baby's father was involved but provided minimal financial support. Kathy didn’t have reliable transportation and was not able to obtain essential baby supplies due to her financial situation.

Melissa knew that Kathy was feeling overwhelmed by her health and financial challenges She provided Kathy with information on transportation benefits and community resources for baby supplies. Melissa also reviewed the value-added benefits Kathy could receive as an Aetna Better Health member, including a car seat and diaper bag. Melissa helped verify Kathy’s eligibility, resulting in the approval for a car seat and diaper bag. Kathy expressed her gratitude for the assistance. During the next follow-up, Kathy confirmed receiving both items and had also obtained other supplies for her baby through the resources Melissa shared.

Kathy delivered a healthy baby boy, and both she and the baby are doing well. Kathy continues to be engaged in case management, with Melissa providing ongoing follow-up.

*Member name changed to protect privacy