Page 5 - Acadia 2023 Benefits Guide | Cascade
P. 5
Your Path to Health
Health Care Coverage
You have three plan options through BlueCross BlueShield of TN and one plan option through Kaiser Permanente:
1) Buy Up PPO Plan Teladoc Health
This plan offers a lower deductible, copay, and out-of-pocket Teladoc services are available with any BCBST medical option
maximum. The semi-monthly premium that you pay for this selected. Teladoc (Telehealth) is not intended to replace your
plan will be at a higher rate. primary care physician (PCP) for treating common or chronic
conditions. However, a virtual doctor’s consultation can be
2) Base PPO Plan an acceptable alternative for visiting the doctor’s ofice or
This plan offers a higher deductible, copay, and out-of-pocket urgent care center for non-emergency situations (for example:
maximum. The semi-monthly premium that you pay for this allergies, fever, sinus infections, respiratory issues, sore throat,
plan will be at a lower rate. rashes).
3) High Deductible Health Plan (HDHP) y You must register before using services.
This plan provides coverage under the BCBS PPO network after y You can register by logging into your BlueAccess account
a deductible, coinsurance, and other out-of-pocket expenses at bcbst.com/log-in/member and clicking “Talk with a
are met. The HDHP has a higher deductible than other types Doctor Now.”
of health plans, which equates to a lower premium rate. y You can also call 888.283.6691 or download the Teladoc
You will pay 100 percent of the cost of prescriptions, doctor mobile app.
visits, emergency room visits as well as the cost of surgeries
and out-patient procedures until you reach your deductible.
However, this plan may cover certain low-cost maintenance Virtual Visits with BCBST
medications at 100% whether or not you’ve met your BCBST medical plans now offer coverage for virtual visits
deductible. Contact BCBST for coverage conirmation. with participating providers including your primary care
physician, specialists, and behavioral health providers.
4) Kaiser HMO Plan The same copays, deductibles, and coinsurance will
Acadia also offers an HMO plan option to its employees at apply as a face-to-face visit with your doctor. To access
Cascade through Kaiser Permanente. Kaiser Permanente this service, simply call your provider and see if they are
provides services directly to the members through an allowing virtual visits, then book your appointment.
integrated medical care program. This program gives you
access to all of the covered services you may need, such as
routine care with your own personal plan physician, hospital Nurseline
care, urgent care, and other covered beneits. Plus, the Answers to your health questions are only a phone call away.
health education programs offer you great ways to protect 800.818.8581 | 800.848.0298 (TTY).
and improve your health. The HMO prescription plan is
administered by Kaiser Permanente’s pharmacy program. Visit
www.kp.org.wa to review the drug formulary.
2023 Employee Beneits Guide | 5
Health Care Coverage
You have three plan options through BlueCross BlueShield of TN and one plan option through Kaiser Permanente:
1) Buy Up PPO Plan Teladoc Health
This plan offers a lower deductible, copay, and out-of-pocket Teladoc services are available with any BCBST medical option
maximum. The semi-monthly premium that you pay for this selected. Teladoc (Telehealth) is not intended to replace your
plan will be at a higher rate. primary care physician (PCP) for treating common or chronic
conditions. However, a virtual doctor’s consultation can be
2) Base PPO Plan an acceptable alternative for visiting the doctor’s ofice or
This plan offers a higher deductible, copay, and out-of-pocket urgent care center for non-emergency situations (for example:
maximum. The semi-monthly premium that you pay for this allergies, fever, sinus infections, respiratory issues, sore throat,
plan will be at a lower rate. rashes).
3) High Deductible Health Plan (HDHP) y You must register before using services.
This plan provides coverage under the BCBS PPO network after y You can register by logging into your BlueAccess account
a deductible, coinsurance, and other out-of-pocket expenses at bcbst.com/log-in/member and clicking “Talk with a
are met. The HDHP has a higher deductible than other types Doctor Now.”
of health plans, which equates to a lower premium rate. y You can also call 888.283.6691 or download the Teladoc
You will pay 100 percent of the cost of prescriptions, doctor mobile app.
visits, emergency room visits as well as the cost of surgeries
and out-patient procedures until you reach your deductible.
However, this plan may cover certain low-cost maintenance Virtual Visits with BCBST
medications at 100% whether or not you’ve met your BCBST medical plans now offer coverage for virtual visits
deductible. Contact BCBST for coverage conirmation. with participating providers including your primary care
physician, specialists, and behavioral health providers.
4) Kaiser HMO Plan The same copays, deductibles, and coinsurance will
Acadia also offers an HMO plan option to its employees at apply as a face-to-face visit with your doctor. To access
Cascade through Kaiser Permanente. Kaiser Permanente this service, simply call your provider and see if they are
provides services directly to the members through an allowing virtual visits, then book your appointment.
integrated medical care program. This program gives you
access to all of the covered services you may need, such as
routine care with your own personal plan physician, hospital Nurseline
care, urgent care, and other covered beneits. Plus, the Answers to your health questions are only a phone call away.
health education programs offer you great ways to protect 800.818.8581 | 800.848.0298 (TTY).
and improve your health. The HMO prescription plan is
administered by Kaiser Permanente’s pharmacy program. Visit
www.kp.org.wa to review the drug formulary.
2023 Employee Beneits Guide | 5
