Medical Coverage

POS Plan

The POS Plan is a conventional medical plan where you will pay copays and coinsurance for services. The deductible is a set amount that typically you must pay before coinsurance starts.

Networks

The POS plan has three network options:

• Tier 1: The Tier 1 Network includes the Emory Healthcare Network (EHN) along with Emory facilities: Emory Decatur, Emory Hillandale and Emory Long Term Acute Care facilities. Tier 1 also includes all EHN and DeKalb Physician Hospital Organization (DPHO) providers. This network’s facilities and providers offer the lowest copays, coinsurance and deductibles.
• Tier 2: The Tier 2 Network includes providers and facilities contracted through Aetna’s national network. Copays, coinsurance and deductibles are higher than Tier 1 providers.
• Tier 3: This network includes providers and facilities not participating in Aetna and has the highest costs associated with it.

To locate a physician or facility in the Tier 1 or Tier 2 or Network, use Aetna's DocFind:

Eligibility

• Regular full-time or part-time employees scheduled to work 20 hours or more per week are eligible. Eligible employees scheduled to work less than 30 hours per week will pay different medical plan contributions than those scheduled to work 30 hours or more.
• Full-time temporary positions on a six-month or longer assignment are eligible.
• If you elect coverage, your eligible dependents are also eligible for medical coverage.

Coverage begins on an employee's date of hire. If you are benefits-eligible, you must enroll during your first 31 days of employment with Emory.

How to Enroll

New Hires

Eligible employees can enroll through Self-Service anytime during the first 31 days of employment. View Step-by-Step Enrollment Instructions

Current Employees

Employees are provided an opportunity to make changes to their benefits each year during annual enrollment (typically held in June of each year for the upcoming academic year July-June).

Waiver of Medical Coverage

Emory offers comprehensive medical coverage to help protect you and your family from catastrophic medical costs.

Medical residents and fellows must be enrolled in medical insurance coverage while completing their training at Emory University. However, coverage may be waived if you are covered for medical insurance outside of Emory. If you wish to waive coverage, you must complete the Waiver of Medical Insurance Coverage Form and return it to the Benefits and Work Life Department.

If you have questions, contact the Benefits Department and Work Life Department at 404-727-7613 or send an email to: hrbenef@emory.edu.