Page 4 - Acadia 2021 Benefits Guide Cascade
P. 4
Health Care Coverage






You have three medical plan options through BlueCross BlueShield Virtual Visits with BCBST
of TN and one plan option through Kaiser Permanente: BCBST medical plans now offer coverage for virtual visits with
participating providers including your primary care physician,
1) Buy Up PPO Plan specialists, and behavioral health providers.
This plan offers a lower deductible, copay and out-of-pocket
maximum. The semi-monthly premium that you pay for this The same copays, deductibles, and coinsurance will apply as
plan will be at a higher rate. a face-to-face visit with your doctor. To access this service,
simply call your provider and see if they are allowing virtual
2) Base PPO Plan visits, then book your appointment.
This plan offers a higher deductible, copay and out-of-pocket
maximum. The semi-monthly premium that you pay for this Healthy Maternity Program
plan will be at a lower rate. The Healthy Maternity program connects mothers-to-be

3) High Deductible Health Plan (HDHP) with personalized health advice and emotional support from
experienced maternity nurses. They can help ind complications
This plan provides coverage under the BCBS PPO network after early, set up doctor and specialist visits, offer breastfeeding
a deductible, coinsurance and other out-of-pocket expenses support by connecting you with a lactation counselor, help
are met. The HDHP has a higher deductible than other types you make healthy lifestyle choices, and even provide additional
of health plans, which equates to a lower premium rate. You support to high risk mothers. If you enroll within the irst 20
will pay 100 percent of the cost of prescriptions, doctor visits, weeks of your pregnancy and intend to breast feed, you may
emergency room visits as well as the cost of surgeries and out- be eligible to receive a free electric breast pump. Beneits
patient procedures until you reach your deductible. include the following:

4) Kaiser HMO Plan • One-on-one support from a maternity nurse
Acadia also offers an HMO plan option to its employees at
Cascade through Kaiser Permanente. Kaiser Permanente • Weekly emails for each stage of pregnancy and online
provides services directly to the members through an integrated pregnancy resources
medical care program. This program gives you access to all • Emotional support during and after your pregnancy
of the covered services you may need, such as routine care • Help from a high-risk maternity nurse or a -certiied lactation
with your own personal plan physician, hospital care, urgent counselor if you need it
care, and other covered beneits. Plus, the health education
programs offer you great ways to protect and improve your • Support from a neonatal nurse care manager if your baby
health. The HMO prescription plan is administered by Kaiser is in the NICU
Permanente’s pharmacy program. Visit www.kp.org.wa to Enrolling is easy. Log in or register at www.bcbst.com/
review the drug formulary. myhealthymaternity, or call (800) 818-8581, Monday through
PhysicianNow Services Friday, 8 a.m. to 7 p.m. ET.
PhysicianNow services are available with any BCBST medical
option selected. PhysicianNow (Telehealth) is not intended to
replace your primary care physician (PCP) for treating common or I had the best maternity experience thanks to my Acadia
chronic conditions. However, a virtual doctor’s consultation can be beneits. I recently signed up for the Healthy Maternity
an acceptable alternative for visiting the doctor’s ofice or urgent Program and was so impressed when my assigned
care center for non-emergency situations (for example: allergies, nurse came prepared to our irst call with such in-depth
fever, sinus infections, respiratory issues, sore throat, rashes). knowledge of my medical history. She signed me up for their
• You must register before using services. weekly informational emails, and then gave me her phone
• You can register by logging into your BlueAccess account at number and let me know I can call with questions anytime
bcbst.com/member and clicking “Talk with a Doctor Now.” Monday through Friday. As a new mom, knowing I have
an expert I can reach out to is so reassuring—especially
• You can also call (888) 283-6691 or download the knowing she’ll be there for me post-birth for postpartum
PhysicianNow mobile app. support if needed.

—Acadia Employee
4 | Cascade Behavioral Health
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