Health Coverage

Medical Plan Overview

2019 Medical Insurance Premiums

Medical Plan Comparison Charts

 

Saint Joseph's University offers a choice of two medical insurance plans: Consumer Driven High Deductible Health Plan (Personal Choice HDHP), and Keystone HMO. Details on these plans are available in the Office of Human Resources.

The University and the employee share the cost of the medical premiums. The University’s share will be announced each plan year prior to the open enrollment period in September.

Coverage may begin as soon as the first of the month coincident with or following the date of employment. An employee may enroll during the first 30 days after the date of employment. Once enrolled, an employee may transfer from one medical plan to another only during the open enrollment period held in November of each year with coverage effective the following January 1st.

A cash option in lieu of medical insurance is available and cannot be revoked or amended during the plan year unless there is a change in family status.

If you are declining enrollment for yourself or your dependents (including your spouse) because of other health insurance coverage, you may in the future be able to enroll yourself or your dependents in this plan, provided that you request enrollment within 30 days after your other coverage ends. In addition, if you have a new dependent as a result of marriage, birth, adoption or placement for adoption, you may be able to enroll yourself and your dependents, provided that you request enrollment within 30 days after the marriage, birth, adoption, or placement for adoption.

Summary of Benefits and Coverage (SBC)

Consumer Driven Health Plan (Personal Choice HDHP)

Keystone HMO

Miscellaneous

Medicare Part D - Creditable Coverage Disclosure Notice

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Dental Plan Overview

 2019 Dental Premiums

Group dental insurance, through Delta Dental PPO + Premier or DeltaCare Dental HMO, is available on the first of the month following 90 days of employment. Thereafter, enrollment is allowed only during the open enrollment period in November of each year with coverage effective January 1. Once enrolled, employees may transfer from one dental plan to another only during the open enrollment period. The employee and the University share the cost of the premium. Details about these plans are available in the Office of Human Resources.

General Claims, Benefit or Dentist Questions: PPO Plan: 800-932-0783

DeltaCare Questions: 800-422-4234 - Customer Relations Department

NJ DMO Questions: 800-722-3524 if calling from NJ, 800-848-3524 if calling from outside of NJ

To check any Delta Network:

www.deltadental.com

www.deltadentalpa.org

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Vision Plan Overview

2019 Vision Premiums and Plan Overview

A vision care program, Davis Vision, is available on the first of the month following 90 days of employment. Thereafter, enrollment is allowed only during the open enrollment period in November of each year with coverage effective January 1. The University and the employee share the cost of the vision premium. Details about this plan are available in the Office of Human Resources.

Member Services: 1-800-999-5431 or www.ibxpress.com