Page 4 - Acadia 2021 Benefits Guide Harbor Oaks
P. 4
Health Care Coverage
You have three plan options through BlueCross BlueShield of TN: Healthy Maternity Program
The Healthy Maternity program connects mothers-to-be
1) EPO Plan with personalized health advice and emotional support from
The EPO plan provides comprehensive coverage under the BCBS experienced maternity nurses. They can help ind complications
PPO network. This plan offers a co-pay, co-insurance and lower early, set up doctor and specialist visits, offer breastfeeding
deductible. This is an in-network plan only. support by connecting you with a lactation counselor, help
you make healthy lifestyle choices, and even provide additional
2) PPO Plan support to high risk mothers. If you enroll within the irst 20
The PPO plan provides comprehensive coverage utilizing the weeks of your pregnancy and intend to breast feed, you may be
BCBS PPO Network as well, but with out of network coverage. eligible to receive a free electric breast pump. Beneits include
This plan offers a co-pay, co-insurance and a higher annual the following:
deductible. These amounts will vary based on the Network you • One-on-one support from a maternity nurse
select for your covered services.
• Weekly emails for each stage of pregnancy and online
3) High Deductible Health Plan (HDHP) pregnancy resources
This plan provides coverage under the BCBS PPO network after • Emotional support during and after your pregnancy
a deductible, coinsurance and other out-of-pocket expenses
are met. The HDHP has a higher deductible than other types • Help from a high-risk maternity nurse or a -certiied lactation
of health plans, which equates to a lower premium rate. Under counselor if you need it
this option, you will pay 100 percent of the cost of prescriptions, • Support from a neonatal nurse care manager if your baby
doctor visits, emergency room visits as well as the cost of surgeries is in the NICU
and out-patient procedures until you reach your deductible.
Enrolling is easy. Log in or register at www.bcbst.com/
PhysicianNow Services myhealthymaternity, or call (800) 818-8581, Monday through
PhysicianNow services are available with any BCBST medical Friday, 8 a.m. to 7 p.m. ET.
option selected. PhysicianNow (Telehealth) is not intended to
replace your primary care physician (PCP) for treating common or
chronic conditions. However, a virtual doctor’s consultation can be
an acceptable alternative for visiting the doctor’s ofice or urgent
care center for non-emergency situations (for example: allergies, I had the best maternity experience thanks to
fever, sinus infections, respiratory issues, sore throat, rashes). my Acadia beneits. I recently signed up for the
• You must register before using services. Healthy Maternity Program and was so impressed
• You can register by logging into your BlueAccess account at when my assigned nurse came prepared to
bcbst.com/member and clicking “Talk with a Doctor Now.” our irst call with such in-depth knowledge of
my medical history. She signed me up for their
• You can also call (888) 283-6691 or download the PhysicianNow weekly informational emails, and then gave me
mobile app. her phone number and let me know I can call
Virtual Visits with BCBST with questions anytime Monday through Friday.
BCBST medical plans now offer coverage for virtual visits with As a new mom, knowing I have an expert I can
participating providers including your primary care physician, reach out to is so reassuring—especially knowing
specialists, and behavioral health providers. she’ll be there for me post-birth for postpartum
support if needed.
The same copays, deductibles, and coinsurance will apply as a
face-to-face visit with your doctor. To access this service, simply —Acadia Employee
call your provider and see if they are allowing virtual visits, then
book your appointment.
4 | Harbor Oaks Hospital
You have three plan options through BlueCross BlueShield of TN: Healthy Maternity Program
The Healthy Maternity program connects mothers-to-be
1) EPO Plan with personalized health advice and emotional support from
The EPO plan provides comprehensive coverage under the BCBS experienced maternity nurses. They can help ind complications
PPO network. This plan offers a co-pay, co-insurance and lower early, set up doctor and specialist visits, offer breastfeeding
deductible. This is an in-network plan only. support by connecting you with a lactation counselor, help
you make healthy lifestyle choices, and even provide additional
2) PPO Plan support to high risk mothers. If you enroll within the irst 20
The PPO plan provides comprehensive coverage utilizing the weeks of your pregnancy and intend to breast feed, you may be
BCBS PPO Network as well, but with out of network coverage. eligible to receive a free electric breast pump. Beneits include
This plan offers a co-pay, co-insurance and a higher annual the following:
deductible. These amounts will vary based on the Network you • One-on-one support from a maternity nurse
select for your covered services.
• Weekly emails for each stage of pregnancy and online
3) High Deductible Health Plan (HDHP) pregnancy resources
This plan provides coverage under the BCBS PPO network after • Emotional support during and after your pregnancy
a deductible, coinsurance and other out-of-pocket expenses
are met. The HDHP has a higher deductible than other types • Help from a high-risk maternity nurse or a -certiied lactation
of health plans, which equates to a lower premium rate. Under counselor if you need it
this option, you will pay 100 percent of the cost of prescriptions, • Support from a neonatal nurse care manager if your baby
doctor visits, emergency room visits as well as the cost of surgeries is in the NICU
and out-patient procedures until you reach your deductible.
Enrolling is easy. Log in or register at www.bcbst.com/
PhysicianNow Services myhealthymaternity, or call (800) 818-8581, Monday through
PhysicianNow services are available with any BCBST medical Friday, 8 a.m. to 7 p.m. ET.
option selected. PhysicianNow (Telehealth) is not intended to
replace your primary care physician (PCP) for treating common or
chronic conditions. However, a virtual doctor’s consultation can be
an acceptable alternative for visiting the doctor’s ofice or urgent
care center for non-emergency situations (for example: allergies, I had the best maternity experience thanks to
fever, sinus infections, respiratory issues, sore throat, rashes). my Acadia beneits. I recently signed up for the
• You must register before using services. Healthy Maternity Program and was so impressed
• You can register by logging into your BlueAccess account at when my assigned nurse came prepared to
bcbst.com/member and clicking “Talk with a Doctor Now.” our irst call with such in-depth knowledge of
my medical history. She signed me up for their
• You can also call (888) 283-6691 or download the PhysicianNow weekly informational emails, and then gave me
mobile app. her phone number and let me know I can call
Virtual Visits with BCBST with questions anytime Monday through Friday.
BCBST medical plans now offer coverage for virtual visits with As a new mom, knowing I have an expert I can
participating providers including your primary care physician, reach out to is so reassuring—especially knowing
specialists, and behavioral health providers. she’ll be there for me post-birth for postpartum
support if needed.
The same copays, deductibles, and coinsurance will apply as a
face-to-face visit with your doctor. To access this service, simply —Acadia Employee
call your provider and see if they are allowing virtual visits, then
book your appointment.
4 | Harbor Oaks Hospital
