Hidden Jewel finds Ruby searching for a new life for her children, desperate to protect her beloved daughter from their family's dark secrets. Raised amidst the privileged of New Orleans, Pearl (Laporte) aspires to become a doctor, but when one of her twin brothers has a serious unfortunate accident, Pearl's dreams are threatened and Ruby runs once again to the bayou; and when the other brother becomes dangerously ill, Pearl must journey to the backwaters to find her mother and uncover the mysterious secrets of her past.