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Blue Cross Blue Shield
Tulane University currently offers three medical plans: the High Deductible Health Plan (HDHP), the Health Reimbursement Account Plan (HRA), and the Point of Service Plan (POS) through Blue Cross Blue Shield. Please be aware that all newly hired benefits-eligible or new-eligible employees are automatically enrolled in the HRA plan. Employees have the option of declining, switching, or staying in this plan within thirty days of the new hire or 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
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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.
All three medical plans include the same prescription drug benefits, which are 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 are determined by the tier to which the drug is assigned 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.
Prescription Drug Plan
*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% in coinsurance.
Alternative Options
To view alternative health insurance options through the Health Insurance Market, click here.
Tulane Wellness & Annual Health Incentive
All of Tulane’s medical plans are able to earn wellness incentives through the new TU Wellness Program through WellRight. Visit the page for more information on how to earn these rewards now!
Additionally, the Department of Campus Recreation, in collaboration with TU Wellness and the Living Well Clinic, is thrilled to provide an opportunity for Tulane University employees to reduce health risk factors and enhance overall well-being through a comprehensive Employee Health Improvement Program (EHIP). This 10-week initiative includes three group training sessions per week, led by a certified personal trainer. Click here to learn more.
Partnership with Tulane Doctors
- Tulane Doctors offers Tulane employees a concierge service to help them get same-day or next-day appointments
- Employees can call 1-504-988-TUMD (8863). The service line is open Monday through Friday, from 9 a.m. to 4 p.m. (CT).
- Office visit copays for both primary care and specialist providers with Tulane Doctors will be reduced by $20 in both the HRA and POS plans.
- For those in the HDHP plan, the coinsurance amount will be reduced to 10% after the deductible is met.
- These lower costs are illustrated under the Medical and Prescription Drug Benefits page.
Meet Some of Your Tulane Doctors
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Tulane Specialty Pharmacy
The Tulane pharmacy dispenses highly specialized medications, including those that are hard to find, very expensive, treat complex medical conditions, or have special storage requirements. The pharmacy will help patients manage the coordination of insurance benefits and prior authorizations, as well as reimbursements and/or financial assistance programs. The Tulane pharmacy is open Monday through Friday, from 9 a.m. to 5 p.m., and is located at 1430 Tulane Ave., Suite 1502, New Orleans, LA 70112. For more information, visit www.tulanepharmacy.com
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