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  6. 2019 Benefits for ACA-eligible Employees

2019 Benefits for ACA-eligible Employees

Check your benefits eligibility.

Go to eServe to review your benefits.

1. Open Enrollment

You can only enroll in or change these benefits during Open Enrollment or within 31 days of a qualifying life event.

Benefit Description 2019 Employee Monthly Cost Changes in 2019

Tufts Health Plan (THP)
Quality Tiered Plan

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Tiered preferred providers with lower copayments

Value-Based Pharmacy Benefit

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Employee: $207.34

Two-person: $638.68

Family: $801.12

2019 Benefit Rates

2.5% rate increase

No copayment for high-cost imaging services (CAT, PET, MRI)

New: Telehealth services
$15 copayment for Teladoc consult

THP Traditional Plan

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No tiered preferred providers

Higher copayments

Standard Pharmacy Benefit

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Employee: $227.06

Two-person: $699.43

Family: $877.33

2019 Benefit Rates
 

4.0% rate increase

$50 copayment for high-cost imaging services (CAT, PET, MRI)

New: Telehealth services
$15 copayment for Teladoc consult

THP Value Plan

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No tiered preferred providers

Higher copayments and deductible

Value-Based Pharmacy Benefit

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Employee:
$99.75

Two-person: $527.71

Family: $661.93

2019 Benefit Rates
 

Employee rate is set to meet the Federal Safe Harbor definition for affordability. 0% rate increase for two-person and family coverage.

No copayment for high-cost imaging services (CAT, PET, MRI)

New: Telehealth services
$15 copayment for Teladoc consult

2. Additional Benefits You Can Select Year Round

You can sign up for the following benefits throughout the year.

Benefit Description 2019 Employee Monthly Cost Changes in 2019
Fitness and Weight Watchers Reimbursement Reimbursement for qualifying health club memberships and qualifying Weight Watchers programs
 
No cost to eligible faculty and staff who are enrolled in a Tufts Health Plan $150 maximum per person/$300 per family per year for Fitness and Weight Watchers reimbursements
Best Doctors Care Management Access to medical advice from leading physicians No cost to eligible Tufts faculty, staff, or their dependents who are enrolled in a Tufts Health Plan
 
No change

 

For questions regarding your Tufts University benefits, contact Tufts Support Services at tss@tufts.edu or 617-627-7000.