Aetna Member Story

Coordinating Behavioral Health Care For A Young Member

Blake* is 12 years old and was recently admitted to a hospital for behavioral health concerns. When he was released from the hospital, Blake needed to have a follow-up visit. His primary care provider deferred to a psychiatrist to adjust Blake’s medication, but there was a 2-3 month wait before he could see a specialist. Unfortunately, Blake seemed to have no options other than to wait.

Realizing Blake needed care sooner rather than later, an Aetna Better Health® of Illinois care manager reached out to a mental health care provider that offered therapy and medication management for ages 13 and older. The care manager asked if an exception could be possible since Blake’s 13th birthday was coming up later this year. The provider agreed to this plan and Blake was cleared to receive psychiatry services. The provider has already reached out to start Blake’s care.

*Member name changed to protect privacy