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Medical

 

Blue Cross Blue Shield

Tulane University currently offers three medical plans –  High Deductible Health Plan (HDHP), Health Reimbursement Account Plan (HRA), and Point of Service Plan (POS) through Blue Cross Blue Shield as of January 1, 2020. Please be aware that all newly hired benefits eligible or new eligible employees are automatically enrolled into the HRA plan. Employees have the option of declining, switching, or staying in this plan within thirty days of new hire/newly eligible status date.

Blue Cross Blue Shield  makes it easy to find answers about your benefits. My Health Toolkit App is a one-stop destination for managing those benefits. Check out the flyer below for details.

My Health Toolkit App Flyer

Eligibility

You are eligible to enroll in medical benefits if the below applies:

  • An employee scheduled in HCM to work 18.75 hours or more per week
  • A full-time employee scheduled to work with the university for no less than 7 months
  • A part-time employee working at least 50% of a full-time schedule and expected to work no less than 7 months

These requirements apply to Faculty, Staff, Administrators, Librarians, Post-Doctoral Fellows, and Expatriates.

Prescription Drug Plan

Optum

All three medical plans include the same prescription drug benefits which is administered through OptumRx Pharmacy. All medical and prescription co-payments, deductibles, and co-insurance payments go towards satisfying your out-of-pocket maximum.

Your copayment and/or coinsurance is determined by the tier to which the drug is assigned to on the Prescription Drug List (PDL). To determine tier status and search for network pharmacies, log on to MyHealthToolkitla.com or call the Customer Care number on your medical ID card.  

To view the Prescription Drug Plan Summary, click here.

 

Prescription Drug Plan
Retail Prescription Drugs

For HDHP See *

Tier 1- $10 copay, Tier 2- $30 copay, Tier 3- $50 copay

Mail Order Prescription Drugs

For HDHP See *

Tier 1- $25 copay, Tier 2- $75 copay, Tier 3- $125 copay

 *The HDHP does not have co-pays, you will pay the full price for prescriptions until the deductible is met. Once the deductible is met you will pay 20% coinsurance.

Alternative Options

To view alternative health insurance options through the Health Insurance Market, click here.

Wellness Incentive

Starting January 1, 2020, all of Tulane's medical plans will be able to earn wellness incentives through the new Rally Rewards Program.

Visit the page for more information on how to earn these rewards now!

How to Enroll

To enroll, visit Employee Self-Service within 30 days of your new hire/newly eligible date:

  1. Go to Employee Self-Service and login with your TU username and password
  2. Make your benefits selections
  3. Print your confirmation statement and keep for your records

For more detailed instructions, CLICK HERE.

Declining Medical Coverage

All benefits eligible employees are required to have medical coverage. Therefore, if you decide to decline medical coverage for yourself because of other medical coverage, you will be required to submit a Medical Waiver Form and send proof of the other medical coverage.

For more information on declining medical coverage, click here.

Resources

Vendor Information

Have questions about your plan?

Call the Benefits Team

Phone:

504-865-HR4U(4748)

Email:

TUBenefits@tulane.edu

Monday-Friday

8:30am - 5:00pm CST