Page 28 - Demo

Lauren is having a baby. She has nine months of prenatal care, including specialist visits, diagnostic tests, ultrasounds, blood work and other lab tests. She has an uncomplicated hospital delivery that includes professional services, facility services, and anesthesia.How can Lauren make the most of her benefits?%u2022 get a referral from her doctor before she sees any specialists (required for TRS-ActiveCare Primary and TRS-ActiveCare Primary+)%u2022 get her lab work in her doctor%u2019s office, where she pays nothing (recommended for TRS-ActiveCare Primary and TRS-ActiveCare Primary+)%u2022 download the Ovia HealthTM apps for free information and coaching for a healthy pregnancy%u2022 take self-guided healthy pregnancy courses through Well onTarget%u00ae and earn Blue PointsSM%u2022 see a lactation specialist, which all plans cover at 100%%u2022 get an electric breast pump, which all plans cover at 100%, or rent a hospital grade breast pump, where she%u2019s covered for up to $150 of the allowed amountLauren will get bills for maternity care after her baby is born. This is called global billing. Global billing includes prenatal care, delivery and postpartum care. Her first visit with her doctor isn%u2019t included in global billing, so she has a copay or coinsurance after she meets her deductible, depending on her plan. During her pregnancy, she may need specific tests or procedures outside routine prenatal care. She gets separate bills for that, so copays or coinsurance may apply. TRS-ACTIVECARE COST EXAMPLESLet%u2019s look at three health conditions each TRS-ActiveCare plan covers and how costs compare. These examples show how each plan may cover medical care. Actual costs depend on prices providers and facilities charge and treatment they provide.Lauren28 www.bcbstx.com/trsactivecare