Medical Coverage Resources

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. Visit our enrollment webpage for detailed instructions on how to enroll.

Use the My Health Toolkit App to view claims, find providers, access your ID card, and more. See this flyer to get started.

Not sure which plan to choose? Use Blue Cross Blue Shield’s Plan Comparison Tool to estimate annual costs. Results are estimates; actual costs can vary by network status and usage.

Choose the tool for your salary band:

• Less than $52,500
• $52,500–$84,699
• $84,700–$109,999
• $110,000 and above

Find in-network providers easily using BCBS’s search tool.

BCBS Providers

• Prescription Drug List Formulary Search

All three medical plans include the same prescription drug benefits, administered by OptumRx Pharmacy. Medical and prescription copays, deductibles, and coinsurance all apply toward your out-of-pocket maximum.

Your copay/coinsurance depends on the drug’s tier. To check tier status or find network pharmacies, visit MyHealthToolkitLA.com or call the number on your medical ID card.

*HDHP: No copays. You pay the full cost until the deductible is met, then 20% coinsurance.

To explore health insurance options through the Health Insurance Marketplace, click here.

• Health Insurance Marketplace Coverage

All benefits-eligible employees must have medical coverage. If you have other coverage and choose to decline Tulane coverage, complete a Medical Waiver Form and provide proof of coverage within 30 calendar days, or you’ll be automatically enrolled in HRA single coverage.

Steps to Decline Medical Coverage

1. Log in to Gibson Online
2. Access HCM Self-Service
   • Under “Staff” or “Faculty,” click “HCM Self-Service.”
3. Navigate to Benefits
   • Select “Tulane Employee Self-Service” → “Benefits.” Accept the Legal Disclaimer and click “Next.”
4. Review/Update Dependents & Beneficiaries
   • Update if needed (see instructions), then click “Next.”
5. Decline Coverage
   • Go to “Benefits Enrollment” → “Update Benefits,” select decline options for each plan, and click “Next.”
6. Designate Beneficiaries (if applicable)
7. Review & Confirm
   • Review selections, print/save your confirmation, then click “Finish.”
8. Sign Out of HCM and Gibson Online.

Submit Required Documents

1. Complete the Medical Waiver Form.
2. Provide proof of other coverage (e.g., front and back of current medical ID cards).
3. Email both to TUBenefits@tulane.edu.

You’ll receive a confirmation email once processed.

Tulane Pharmacy specializes in medications for complex conditions, helps with prior authorizations and reimbursements, and can mail prescriptions to your home.

Hours: Mon–Fri, 9:00 a.m.–5:00 p.m.
Address: 1430 Tulane Avenue, Suite 1502, New Orleans, LA 70112
Phone: (504) 577-2278
Web: tulanepharmacy.com

Note: Cards typically mail 7–14 business days after enrollment. You only receive new cards if you are new to, or changed, plans. Otherwise, continue using your existing cards. Download the preview image here.

Insurance Card Previews:

Delta Dental:

EyeMed:

Health Equity:

Learn about eligibility, timing, and how to maximize your benefits.

Watch the latest webinar and review the presentation.

• medicare.gov
• ssa.gov
• ssa.gov/myaccount

• Comparison of Plans
• Rates
• Medical Claims Form
• OptumRx Mail Order Form
• Glossary of Health Coverage & Medical Terms
• Print/Replace/Order an ID Card
• Transparency in Coverage – Machine Readable Files
• HSA FAQs