Page 4 - Acadia 2021 Benefits Guide DBI Wellplace
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 but consists of the support by connecting you with a lactation counselor, help
broad BCBS PPO network. you make healthy lifestyle choices, and even provide additional
support to high risk mothers. If you enroll within the irst 20
2) PPO Plan weeks of your pregnancy and intend to breast feed, you may
The PPO plan provides comprehensive coverage utilizing the be eligible to receive a free electric breast pump. Beneits
BCBS PPO Network as well, but with out of network coverage. include the following:
This plan offers a co-pay, co-insurance and a higher annual • One-on-one support from a maternity nurse
deductible. These amounts will vary based on the Network you
select for your covered services. • Weekly emails for each stage of pregnancy and online
pregnancy resources
3) High Deductible Health Plan (HDHP)
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 • Help from a high-risk maternity nurse or a -certiied lactation
are met. The HDHP has a higher deductible than other types counselor if you need it
of health plans, which equates to a lower premium rate. Under
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/
myhealthymaternity, or call (800) 818-8581, Monday through
PhysicianNow Services Friday, 8 a.m. to 7 p.m. ET.
PhysicianNow services are available with any BCBST medical
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
when my assigned nurse came prepared to
• You can register by logging into your BlueAccess account at our irst call with such in-depth knowledge of
bcbst.com/member and clicking “Talk with a Doctor Now.” 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
with questions anytime Monday through Friday.
Virtual Visits with BCBST As a new mom, knowing I have an expert I can
BCBST medical plans now offer coverage for virtual visits with reach out to is so reassuring—especially knowing
participating providers including your primary care physician, she’ll be there for me post-birth for postpartum
specialists, and behavioral health providers.
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 | DBI-Wellplace Michigan
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 but consists of the support by connecting you with a lactation counselor, help
broad BCBS PPO network. you make healthy lifestyle choices, and even provide additional
support to high risk mothers. If you enroll within the irst 20
2) PPO Plan weeks of your pregnancy and intend to breast feed, you may
The PPO plan provides comprehensive coverage utilizing the be eligible to receive a free electric breast pump. Beneits
BCBS PPO Network as well, but with out of network coverage. include the following:
This plan offers a co-pay, co-insurance and a higher annual • One-on-one support from a maternity nurse
deductible. These amounts will vary based on the Network you
select for your covered services. • Weekly emails for each stage of pregnancy and online
pregnancy resources
3) High Deductible Health Plan (HDHP)
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 • Help from a high-risk maternity nurse or a -certiied lactation
are met. The HDHP has a higher deductible than other types counselor if you need it
of health plans, which equates to a lower premium rate. Under
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/
myhealthymaternity, or call (800) 818-8581, Monday through
PhysicianNow Services Friday, 8 a.m. to 7 p.m. ET.
PhysicianNow services are available with any BCBST medical
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
when my assigned nurse came prepared to
• You can register by logging into your BlueAccess account at our irst call with such in-depth knowledge of
bcbst.com/member and clicking “Talk with a Doctor Now.” 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
with questions anytime Monday through Friday.
Virtual Visits with BCBST As a new mom, knowing I have an expert I can
BCBST medical plans now offer coverage for virtual visits with reach out to is so reassuring—especially knowing
participating providers including your primary care physician, she’ll be there for me post-birth for postpartum
specialists, and behavioral health providers.
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 | DBI-Wellplace Michigan
