Page 5 - Acadia 2022 Benefits Guide | DBI
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Discover My Acadia Health
Health Care Coverage
You have three plan options through BlueCross BlueShield of TN:
1) EPO Plan PhysicianNow Services
The EPO plan provides comprehensive coverage under the PhysicianNow services are available with any BCBST medical
BCBS PPO Network. This plan offers a co-pay, co-insurance, and option selected. PhysicianNow (Telehealth) is not intended to
lower deductible. This is an in-network plan only but consists of replace your primary care physician (PCP) for treating common
the broad BCBS PPO network. or chronic conditions. However, a virtual doctor’s consultation
can be an acceptable alternative for visiting the doctor’s
2) PPO Plan ofice or urgent care center for non-emergency situations (for
The PPO plan provides comprehensive coverage utilizing the example: allergies, fever, sinus infections, respiratory issues, sore
BCBS PPO Network as well, but with out of network coverage. throat, rashes).
This plan offers a co-pay, co-insurance, and a higher annual
deductible. These amounts will vary based on the Network you y You must register before using services.
select for your covered services. y You can register by logging into your BlueAccess account
at bcbst.com/log-in/member and clicking “Talk with a
3) High Deductible Health Plan (HDHP) Doctor Now.”
This plan provides coverage under the BCBS PPO network after y You can also call 888.283.6691 or download the
a deductible, coinsurance and other out-of-pocket expenses PhysicianNow mobile app.
are met. The HDHP has a higher deductible than other types
of health plans, which equates to a lower premium rate.
You will pay 100 percent of the cost of prescriptions, doctor Virtual Visits with BCBST
visits, emergency room visits as well as the cost of surgeries BCBST medical plans now offer coverage for virtual visits
and out-patient procedures until you reach your deductible. with participating providers including your primary care
However, this plan may cover certain low-cost maintenance physician, specialists, and behavioral health providers.
medications at 100% whether or not you’ve met your The same copays, deductibles, and coinsurance will
deductible. Contact BCBST for coverage conirmation. apply as a face-to-face visit with your doctor. To access
this service, simply call your provider and see if they are
allowing virtual visits, then book your appointment.
Nurseline
Answers to your health questions are only a phone call away.
800.818.8581 | 800.848.0298 (TTY).
2022 Employee Beneits Guide | 5
Health Care Coverage
You have three plan options through BlueCross BlueShield of TN:
1) EPO Plan PhysicianNow Services
The EPO plan provides comprehensive coverage under the PhysicianNow services are available with any BCBST medical
BCBS PPO Network. This plan offers a co-pay, co-insurance, and option selected. PhysicianNow (Telehealth) is not intended to
lower deductible. This is an in-network plan only but consists of replace your primary care physician (PCP) for treating common
the broad BCBS PPO network. or chronic conditions. However, a virtual doctor’s consultation
can be an acceptable alternative for visiting the doctor’s
2) PPO Plan ofice or urgent care center for non-emergency situations (for
The PPO plan provides comprehensive coverage utilizing the example: allergies, fever, sinus infections, respiratory issues, sore
BCBS PPO Network as well, but with out of network coverage. throat, rashes).
This plan offers a co-pay, co-insurance, and a higher annual
deductible. These amounts will vary based on the Network you y You must register before using services.
select for your covered services. y You can register by logging into your BlueAccess account
at bcbst.com/log-in/member and clicking “Talk with a
3) High Deductible Health Plan (HDHP) Doctor Now.”
This plan provides coverage under the BCBS PPO network after y You can also call 888.283.6691 or download the
a deductible, coinsurance and other out-of-pocket expenses PhysicianNow mobile app.
are met. The HDHP has a higher deductible than other types
of health plans, which equates to a lower premium rate.
You will pay 100 percent of the cost of prescriptions, doctor Virtual Visits with BCBST
visits, emergency room visits as well as the cost of surgeries BCBST medical plans now offer coverage for virtual visits
and out-patient procedures until you reach your deductible. with participating providers including your primary care
However, this plan may cover certain low-cost maintenance physician, specialists, and behavioral health providers.
medications at 100% whether or not you’ve met your The same copays, deductibles, and coinsurance will
deductible. Contact BCBST for coverage conirmation. apply as a face-to-face visit with your doctor. To access
this service, simply call your provider and see if they are
allowing virtual visits, then book your appointment.
Nurseline
Answers to your health questions are only a phone call away.
800.818.8581 | 800.848.0298 (TTY).
2022 Employee Beneits Guide | 5
