Page 6 - Acadia | 2024 Benefits Guide | California
P. 6
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). Please be aware:
y You must register before using services.
3) High Deductible Health Plan (HDHP)
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. Until y You can also call 888.283.6691 or download the Teladoc
you reach your deductible, you will pay 100 percent of the cost mobile app.
of prescriptions, doctor visits, emergency room visits, surgeries,
and out-patient procedures. However, this plan may cover
certain low-cost maintenance medications at 100% whether Virtual Visits with BCBST
or not you’ve met your deductible. BCBST medical plans offer coverage for virtual visits
with participating providers including your primary care
4) Kaiser HMO Plan physician, specialists, and behavioral health providers.
This plan is offered to employees in California through Kaiser The same copays, deductibles, and coinsurance will apply
Permanente. Kaiser Permanente provides services directly as a face-to-face visit with your doctor. To access this
to members through an integrated medical care program. service, simply call your provider and conirm if they are
This program gives you access to all of the covered services allowing virtual visits, before booking your appointment.
you may need, such as routine care with your own personal
plan physician, hospital care, urgent care, and other covered
beneits. Plus, the HMO prescription plan is administered by Nurseline
Kaiser Permanente’s pharmacy program. Answers to your health questions are only a phone call away at:
800.818.8581 | 800.848.0298 (TTY).
6 | California
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). Please be aware:
y You must register before using services.
3) High Deductible Health Plan (HDHP)
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. Until y You can also call 888.283.6691 or download the Teladoc
you reach your deductible, you will pay 100 percent of the cost mobile app.
of prescriptions, doctor visits, emergency room visits, surgeries,
and out-patient procedures. However, this plan may cover
certain low-cost maintenance medications at 100% whether Virtual Visits with BCBST
or not you’ve met your deductible. BCBST medical plans offer coverage for virtual visits
with participating providers including your primary care
4) Kaiser HMO Plan physician, specialists, and behavioral health providers.
This plan is offered to employees in California through Kaiser The same copays, deductibles, and coinsurance will apply
Permanente. Kaiser Permanente provides services directly as a face-to-face visit with your doctor. To access this
to members through an integrated medical care program. service, simply call your provider and conirm if they are
This program gives you access to all of the covered services allowing virtual visits, before booking your appointment.
you may need, such as routine care with your own personal
plan physician, hospital care, urgent care, and other covered
beneits. Plus, the HMO prescription plan is administered by Nurseline
Kaiser Permanente’s pharmacy program. Answers to your health questions are only a phone call away at:
800.818.8581 | 800.848.0298 (TTY).
6 | California
