Maternal, Child and Parental Health Resources

Welcoming a child is a life-changing experience filled with joy, love and new responsibilities. As you prepare for sleepless nights and sweet firsts, it’s also a good time to think about how to protect and support your growing family. Taking these steps early can give you peace of mind and help secure a stable foundation for your new family member.

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How your Partners for Health medical plan covers pregnancy care 

  • If you need a health care provider, your medical carrier BlueCross BlueShield or Cigna, can help you find one in your network.
  • You will pay for the first office visit to confirm a pregnancy. After that, routine visits are covered under what is called “global billing,” and these charges are included in the labor and delivery costs.
  • If there are complications that require extra care from a specialist, additional charges will apply.

 

High-risk pregnancies and neonates

  • BlueCross BlueShield of Tennessee members: Case management is available for those with high-risk pregnancies or with babies in the neonatal intensive care unit. For more information, call BCBST at 800.818.8581 and select the Case Management option.
  • Cigna members: Specialty Case management is available for those with high-risk pregnancies or with babies in the neonatal intensive care unit. Women identified as high risk are automatically transitioned to this program, where their pregnancy is monitored via nurse case managers. For more information, call Cigna at 800.997.1617.

Adding children to coverage within the required window

Partners for Health offers family coverage. There are important deadlines to meet to ensure your child is covered.

  • Newborns: Review this flyer for information about ensuring coverage for your newborn
  • • Application: Find applications on the forms page of the Partners for Health website.
  • Retroactive Coverage: Employees should enroll their newly acquired child within 30 days to avoid a coverage gap. Employees have 30 days from the date of birth, adoption or placement for adoption to apply for coverage that will allow them to have retroactive coverage back to the date of birth, adoption or placement for adoption.
  • Prospective Coverage: If an employee misses the 30-day deadline, he or she can still enroll within the 31–60-day window to avoid the new child being without coverage until the next annual enrollment period. Coverage will begin at the start of the month following the receipt of the appropriate application listed above.

Breastfeeding support

 

Cigna Healthy Babies® program (for Cigna members only)

 

Pediatric visits and vaccinations

Review your plan’s member handbook for specific coverage. Find it on the Partners for Health publications webpage

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Emotional Wellbeing Support resources

Here4TN can help with daily challenges and more serious issues that come with major life changes, like a new child. From assistance with finding childcare resources in your area to articles about raising children — and anything in between — we’re here for you.

To learn more about resources available through your Emotional Wellbeing Support and behavioral health benefits, contact Optum 24/7 at 855-Here4TN (855-437-3486) or go to Here4TN.com. Here’s a sample of a few available offerings:

  • Receive five EWS counseling visits with an in-network provider at no cost to you.
  • Need a financial advisor or legal expert? Your first meeting is free to you, and you’ll receive a 25% discount on services after your initial meeting.
  • Convenient virtual visits may be available in your area. Virtual visits allow you to speak with a licensed clinician securely through video or on the phone using your five EWS counseling visits, which are available at no cost to you. Or you can use your behavioral health benefit at Here4TN.com by scrolling down, selecting provider search and filtering results by virtual visits to find a provider licensed in Tennessee or you may call 855-Here4TN for help. Your medical carrier may also offer telehealth for some medical services. Contact BCBST or Cigna for more information.
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Medical and dependent care flex spending accounts for tax savings 

Explore benefits like flexible spending accounts or dependent care FSAs to pay for eligible childcare or health care expenses while saving on your taxes.

  • State & higher education employees:
    For information about the various flexible spending accounts, including how to enroll, visit the Partners for Health Flexible Benefits webpage.
  • Local education and local government employees:
    You may have access to flexible benefits through your employer. Check with your human resources office for more information.
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Educational materials

(for BlueCross BlueShield members only) 

Educational materials can be found on the BCBST member portal, my.bcbst.com, in the Health Library. Resources include videos and articles to support you on your journey with information such as choosing a doctor or midwife, first trimester exams and tests and anxiety during and after pregnancy.

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Life insurance 

Consider adding life insurance or increasing your existing coverage. Qualified state government and state higher education employees are eligible for life insurance options. Some options for dependent coverage are below.

  • Voluntary term life coverage:
    • Children are eligible from live birth until age 26. First eligible newborn child is automatically covered for $5,000 for 31 days from the child’s live birth.
    • To continue coverage on the first child, child term rider coverage must be elected within 60 calendar days of the child’s birth.
    • The employee or spouse must have voluntary term life coverage for the voluntary child term life rider to be elected.
  • Voluntary accidental death and dismemberment coverage:
    • The employee must have voluntary AD&D coverage to elect dependent coverage.
    • The first eligible newborn child is automatically covered for 10% of the employee’s AD&D coverage for 31 days from the child’s live birth.
    • To continue coverage on the first child, dependent coverage must be elected within 60 calendar days of the child’s birth.

To learn more, go to securian.com/tn-insurance.

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Dental Resources

  • Cigna DHMO members:

The Cigna Dental Oral Health Integration Program, for people with certain medical conditions such as maternity, reimburses member out-of-pocket costs for preventive dental treatments to combat dental issues such as gum disease and tooth decay.

The first step is to enroll. Log in to myCigna.com and select “Coverage” then “Dental”, and fill out the online registration form, or call 800.997.1617 and ask for a mailed form.

What is the reimbursement process?
Go to your dentist and pay for the covered treatment. If your dentist is in the Cigna network, the dentist sends Cigna a claim for reimbursement. If your dentist isn’t in the Cigna network, you might need to submit the claim. The claim is reviewed and reimbursements for eligible dental services are mailed in about 30 days.

  • MetLife DPPO members:

If dentally necessary, members may be eligible for additional dental treatments if diagnosed with one or more specified medical conditions, including maternity.

Eligibility, reimbursement and coverage for the eligible services are subject to individual yearly maximums. For more information contact MetLife Dental Claims at 855-700-8001.