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