[Wesleyan University]

Health Benefits

Plan Options:

Rates:

  CIGNA - HMO  

 HEALTH PLAN PREMIUMS

  CIGNA - POS    
  CIGNA - HSA

Other Information

  VISION CARE   PRE-TAX PREMIUM PAYMENTS PLAN
  PRESCRIPTION PLAN   WHEN BENEFIT CHANGES CAN BE MADE
  DENTAL    

 

  DISCLAIMERS  --  ERISA Statement -- HIPAA Statement
       
Eligibility
       
CIGNA - HealthCare*
  Open Access Plus - In Network (HMO)
    CIGNA Open Access Plus plans offer choice and convenience - access to a broad national provider network, while allowing members to make their own health care choices. Members must use a Cigna in-network provider while participating in this plan. During an emergency or urgent care situation, members may go to any emergency facility or receive approval to use out-of-network services.
     
        Coverage Summary    
        Summary Plan Description (SPD)  
        Summary of Benefit Coverage (SBC)  
           
  Open Access Plus (POS)
    CIGNA Open Access Plus plans offer choice and convenience - access to a broad national provider network, while allowing members to make their own health care choices. Members have the choice to use providers participating in the Open Access Plus network or the option to use providers out of network. When care is received from a doctor or facility that is not in the CIGNA HealthCare network, out-of-pocket costs will be higher. The member must pay the entire cost of any care received until the annual deductible is met. Once the deductible is paid, your coverage begins and the member pays a percentage of the cost (coinsurance) of subsequent care.
       
        Coverage Summary    
        Summary Plan Description (SPD)  
        Summary of Benefit Coverage (SBC)  
           
  Open Access Plus High Deductible Plan (HSA)
    CIGNA Choice Fund Open Access Plus plans offer choice and convenience - access to a broad national provider network, while allowing members to make their own health care choices. Members have the choice to use providers participating in the Open Access Plus network or the option to use providers out of network. The applicable deductible must be met before claims are covered by Cigna.  Members can contribute to a Health Savings Account plan through payroll deduction and Wesleyan will match dollar for dollar up to $500 annually.
           
        Coverage Summary   
Summary Plan Description (SPD)
        Summary of Benefit Coverage (SBC)  
           
   
Vision Benefits
   
CIGNA Vision Care Plan
    The Vision benefit provides coverage for vision exams only.  In-network routine exams are covered at no cost to you.  Out-of-Network routine exams will be covered up to a $75 reimbursement level.
    Cigna Vision Care
           
Voluntary Vision Plan
  In addition to the vision coverage offered by the medical plans, Wesleyan University offers a voluntary vision plan to assist in additional costs with eyewear.  The service is provided through EyeMed.  For more information please refer to the Plan Summary.
           
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CIGNA Prescription Plan
  Wesleyan's prescription drug program is now managed by CIGNA.  Faculty and staff will continue to pay one unified premium for the medical and prescription drug programs.  For more information please review the prescription section of the benefit summaries for each medical plan listed above.
           
           
           
           
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Delta Dental Premier - Group # 6507 
  Delta Dental has over 2,500+ participating dental offices in Connecticut and 145,000+ participating offices nationwide. You may use any fully licensed dentist under this plan. Participating dentists will be paid directly by Delta for covered services. Non-participating dentists will bill you directly, and Delta may make claim payment directly to you. You will maximize benefits and reduce paperwork by using a Delta participating dentist.
           
  If you do not have a dentist, you may obtain a current listing of participating dentists in any area, by calling 1-800 DELTA OK (1-800-335-8265). Provide your zip code to the representative and a directory for that area will be mailed to your home. If you have Internet access, you may also visit our website at deltadentalnj.com to locate participating dentists.
           
  At the time of your first appointment, tell the dentist that you are covered under this program and provide your group number and Wesleyan ID number. Your dependents, if covered, should provide the employee’s Wesleyan ID number.
           
  Claim questions and other information needs should be directed to Delta’s benefits services department at 1-800-452-9310.
           
  Delta Dental Coverage Summary
    This overview contains a general description of your dental care program for your use as a convenient reference. Complete details of your program appear in the group contract between your plan sponsor and Delta Dental Plan of New Jersey, Inc. which governs the benefits and operation of your program. The group contract would control if there should be any inconsistency or difference between its provisions and the information in this overview.
           
  Delta Dental Plan Description
           
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*THESE MATERIALS ARE MADE AVAILABLE ELECTRONICALLY FOR YOUR CONVENIENCE BY YOUR EMPLOYER. AFTER CONSULTATION WITH YOUR EMPLOYER AND YOUR EMPLOYER’S REVIEW OF THE DOCUMENT, CIGNA HEALTHCARE PROVIDED ORIGINAL FINAL VERSIONS OF THE DOCUMENT TO YOUR EMPLOYER. IF THERE ARE ANY MODIFICATIONS TO THE ORIGINAL DOCUMENT, CIGNA HEALTHCARE IS NOT RESPONSIBLE FOR THESE MODIFICATIONS OR REVISIONS AND THEREAFTER, CIGNA HEALTHCARE MAKES NO REPRESENTATIONS OF THE DOCUMENT’S ACCURACY.