Medical Insurance
We offer comprehensive medical coverage with Cigna and EmblemHealth 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: Cigna’s Open Access Plus (OAP) plan.
- Digital ID Cards: Access digital insurance cards via myCigna.com or the myCigna App. Learn how to access your digital ID card.
- Pharmacies: Broad national network including CVS, Walgreens, Costco, Duane Reade, and others. Maintenance prescriptions (90 days) can be purchased at select retail pharmacies.
- 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.
- Employee Contributions: Up to $3,275 for singles, $6,550 for families, plus an additional $1,000 for employees aged 55 or older.
- Deductibles and Coverage: $1,600 for single enrollees, $3,200 for families. Preventive care at no cost.
- Claims: Cigna Medical Claim Form
- Special Note: APPWLU and Public Safety employees are not eligible for Adelphi-funded HSA but may contribute their own pre-tax dollars.
Call the Cigna One Guide phone line at 888.339.3685 with any questions. You can access your online account at Cigna.
- Network: Cigna’s Open Access Plus (OAP) plan.
- Digital ID Cards: Access via myCigna.com or the myCigna App. Learn how to access your digital ID card.
- Pharmacies: Broad national network including CVS, Walgreens, Costco, Duane Reade, and others. Maintenance prescriptions (90 days) are available at select retail pharmacies.
- Laboratories: In-network options include Quest Diagnostics and LabCorp.
- Medical Claims: Cigna Medical Claim Form
- Health Reimbursement Account (HRA):
- Availability: For 2024, APPWLU and 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 the Cigna One Guide phone line at 888.339.3685 with any questions. You can access your online account at Cigna.
- Primary Care Physician (PCP): Must choose an in-network PCP for primary and preventive care, specialist referrals, and hospital admissions.
- 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.
Cigna 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
If you are unable to attend one of the annual enrollment information sessions, please feel free to view the presentations.
Additional Resources
Cigna Resources
EmblemHealth Resources
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 year, Annual Enrollment is provided in November during which time employees may elect to change plans with the change being effective on the subsequent January 1.
Benefit Specialists
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Contact
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Levermore Hall 203H
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Contact
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516.877.4970
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Levermore Hall 203A