Medical Insurance
We offer comprehensive medical coverage to keep you and your family feeling healthy.
Full-Time Employee Medical Plan Options
Full-time employees have the option to enroll in their desired level of coverage, or waive coverage.
- Network: Aetna Choice® POS II (Open Access)
- Digital ID Cards: Access digital insurance cards via the Aetna website or the Aetna Health app. Learn how to access your digital ID card.
- Pharmacies: Broad national network including CVS, Walgreens, Costco, Duane Reade and others.
- Laboratories: In-network options include Quest Diagnostics and LabCorp.
- HSA Contributions:
- Eligibility: Must be enrolled in HDHP, not enrolled in Medicare, and not claimed as a dependent on another’s tax return.
- Adelphi Contributions: $875 for single enrollees, $1,750 for family enrollees. (50% deposited in January and 50% in July)
- Employee Contributions: Up to $3,525 for singles, $7,000 for families, plus an additional $1,000 for employees aged 55 or older.
- Deductibles and Coverage: $1,700 for single enrollees, $3,400 for families. Preventive care at no cost.
- Special Note: Public Safety employees are not eligible for Adelphi-funded HSA but may contribute their own pre-tax dollars.
Learn more about your Health Savings Account (HSA) benefits at Adelphi University.
Call Aetna’s Concierge Service Line at 866.304.7844 with any questions. You can access your online account.
- Network: Aetna Choice® POS II (Open Access)
- Digital ID Cards: Access digital insurance cards via the Aetna website or the Aetna Health app. Learn how to access your digital ID card.
- Pharmacies: Broad national network including CVS, Walgreens, Costco, Duane Reade and others.
- Laboratories: In-network options include Quest Diagnostics and LabCorp.
- Health Reimbursement Account (HRA):
- Availability: For 2024, Public Safety employees (refer to your collective bargaining agreement (CBA) for details).
- Usage: Can be used for medical expenses, prescriptions, over-the-counter medications, doctor co-pays, deductibles, coinsurance, dental, and vision expenses.
- Coordination: Unused Health FSA elections from the prior year will be used first, followed by new plan year FSA elections, then the remaining HRA balance.
- OPTUM Claims: For questions or more information regarding OPTUM claims, visit Optum Financial or call 888.339.3685.
Call Aetna’s Concierge Service Line at 866.304.7844 with any questions. You can access your online account.
- Primary Care Physician (PCP): Must choose an in-network PCP for primary and preventive care, specialist referrals, and hospital admissions.
- Network: HIP Prime HMO Network.
- ID Cards: Register, View and Access account and ID cards online at Emblemhealth.com
- Costs: Lower co-pays, no deductible, no co-insurance.
- Coverage: Out-of-pocket (OOP) maximums are $6,350 for individuals, $12,700 for families. Once reached, no further OOP costs for the year.
- Dependents: Coverage until the end of the calendar month they turn 26, regardless of student and marital status.
For more information or any questions regarding claims, please visit the EmblemHealth website or call 800.447.8255. For specific contact information, please choose your plan on the EmblemHealth contact page.
Aetna Wraparound Plan
Employees who were enrolled in the indemnity plan (Wraparound) prior to October 1, 1995, and are still enrolled, have the option of remaining in that plan. The indemnity plan (Wraparound) is not available to new employees, rehired employees and employees who are no longer enrolled in that plan.
The University pays a portion of the premium and the employees pay a portion. The amount of the premium paid by the University depends upon the plan option selected by the employee.
Part-Time/Hourly Employee Eligibility for Medical
Adelphi University complies with the Affordable Care Act (ACA) by offering group health plan coverage to part-time and hourly employees who meet the ACA’s definition of a “Full-Time Employee.” Under the ACA, a Full-Time Employee is generally defined as an employee who works an average of at least 30 hours per week.
This full-time status applies solely to medical benefit eligibility.
- Eligibility Criteria: To qualify as a Full-Time Employee for medical benefits, part-time and hourly employees must complete 1,560 hours of service by October 31. This makes them eligible for coverage for the 12-month period beginning January 1 of the following year.
- Determining Full-Time Status: To determine which part-time and hourly employees qualify as Full-Time Employees for medical benefit eligibility, please refer to the Part-time/Hourly Eligibility for Medical (PDF).
Open Enrollment Presentations
Additional Resources
Aetna Resources
EmblemHealth Resources
All possible care has been taken in preparing this statement. If any information appears to be inaccurate, please let us know at mybenefits@adelphi.edu. Any errors or omissions will not affect or change the actual benefits to which you are entitled. All benefits will be determined in accordance with the official plan, agreement, contract, or regulations under which the benefits are provided.
Nothing in this summary of benefits may be construed as a contract with any employee, which can occur only by a specific written agreement between Adelphi University and the employee. The University reserves the right to change, modify or eliminate any benefit in this summary at any time, with or without notice, according to the terms of the applicable Collective Bargaining Agreement.
Each November, Annual Enrollment period is offered during which employees may elect to change plans, with the change effective on the subsequent January 1.
Benefit Specialists
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Contact
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Levermore Hall 203
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Contact
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516.877.4970
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Levermore Hall 203H
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Contact
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Levermore Hall 203 AA