Announced on 03/25/2020 via Penn State Today (Click to read full article): Last week, President Trump signed into law the Families First Coronavirus Response Act. Under the law, group health plan -- including self-insured group health plans, like Penn State's -- are required to provide first-dollar coverage for COVID-19 testing and related medical office, urgent care, and emergency room costs, effective immediately. All non-COVID services and visits will still have member cost share. Questions regarding coverage for COVID-19 tests under the Penn State health care plans should be directed to Aetna at 855-878-4197.
Penn State Health has also announced it is now offering free virtual screenings for COVID-19 through its telehealth service, Penn State Health OnDemand. Anyone with concerns that they may have COVID-19 may use Penn State Health OnDemand to interact directly with a provider who can evaluate their symptoms and make care recommendations. Aetna also offers Teladoc, a service provided that is accessible from your home. Teladoc allows you to speak to a licensed doctor by phone or video in mintues. You can access more information on both screenings being offered to our employees via the HR COVID-19 web page.
Penn State Health Plans are administered by Aetna. There are two health plan options for eligible employees to choose from; the PPO Plan and the PPO Savings Plan. Please see this Aetna website for a list of in-network providers for the Penn State Health Plans. For additional information, you can contact Aetna at 855-878-4197.
Regular full-time faculty and staff members are eligible to enroll in Penn State’s Health Care Plan. For information about spouse and dependent children eligibility, please see Dependent Eligibility.
Part-time faculty and staff members can become eligible for medical coverage under the Affordable Care Act (ACA) regulations. There is a small group of part-time employee grandfathered under a former policy, for which additional details regarding this plan can be found within the health care premium comparison below. The same dependent eligibility outlined for full-time faculty and staff also applies for part-time faculty and staff.
Postdoctoral appointees: As per postdoctoral eligibility, the per-pay contribution rates follow the same salary-based premium schedule as for faculty and staff. For additional information regarding the benefits available to postdoctoral appointees, please contact or visit the Office of Postdoctoral Affairs. Please note that if you are a Postdoctoral Fellow, or a J1 Visa holder, you are only eligible for the PPO Plan. Additionally, Postdoctoral SCHOLARS are ELIGIBLE for the Health Care and Dependent Care Flexible Spending Account (FSA). Postdoctoral FELLOWS are NOT ELIGIBLE for either Flexible Spending Account (FSA).
If you or your dependents are no longer eligible for the health plans, information will be mailed from Lifetime Benefit Solutions regarding continuing coverage under COBRA. Additional information regarding COBRA benefits can be found on our COBRA website.
Becoming Medicare eligible (turning age 65) as an active employee:
As an active employee, your Penn State medical plan is considered primary for you and your eligible dependents; so as an active employee, there is no need to sign up for Medicare Parts A or B. Employees need to make the determination if it makes fiscal sense to enroll in Medicare as a secondary insurance.
Part A is provided at no cost, so you can either enroll or decline Part A, but only if you are not currently enrolled or want to be enrolled in the future in the PPO Savings Plan.
Since there is a premium associated with Part B and it is secondary coverage, it may not make financial sense to pay for Part B. Please contact your local Social Security Office with any questions regarding Part B.
Upon leaving employment/retirement, if you and/or your spouse are 65 plus, you will want to visit your local Social Security office three months prior to sign up for Medicare upon retirement.
Please be aware that if you are enrolled in the PPO Savings plan, you must decline Parts A and B. Per IRS regulations, you, the employee, cannot be enrolled in Medicare Part A or B and be contributing to a Health Savings Account, which is automatically included with the PPO Savings Plan; however you CAN insure your Medicare eligible dependent under the PPO Savings Plan. It is important to note, upon turning 65, you are automatically enrolled in Part A if you are receiving Social Security benefits.
Payroll contributions are determined based on an employee's annual base salary (Faculty and Staff, as of October 31, 2020; Technical Service as of September 30, 2020). Your 2021 premium contribution amount is effective January 1, 2021, and will remain constant for the entire year, regardless of salary increases, decreases, position changes, or job transfers throughout the year. Also, appointments of irregular duration will be adjusted as deemed appropriate when the appointment is updated.
Additionally, brand new hires to the University will have benefit elections pro-rated based upon their hire date. If you are a current employee experiencing a job change, or an IRS qualifying life event that causes your existing coverage to change in the middle of a pay period, the regular per pay benefit deductions will occur for the full pay period in which benefit elections or changes were made.
Payroll contributions are deducted based on the year of payroll issuance. For example, the first January bi-weekly payroll will be for hours worked in the prior year, but the deductions will be taken at the new rate since the paycheck is processed in the new year.
If both spouses are employed by Penn State, medical coverage must be carried by the higher-paid employee. For Technical Service employees, this only applies if both employee and spouse are Teamsters members.
Visit health care premium comparison for sample rates.
Dually-Employed at Penn State
In the past, the University permitted employees to both be covered under the same health care plan of the employee with the lower salary. In 2018, this practice changed. When dually-employed Penn State employees would like to be covered under one medical plan (dental and vision plans are not affected). The following changes took effect on January 1, 2018.
Faculty/Staff or Postdoc: If you and your spouse are both employed at Penn State and are currently covered under one spouse’s medical plan, your coverage election must be made by the higher-paid spouse. It is important to note that while you may remain covered under one medical plan of the higher-paid spouse, you do have the option to move to separate plans if you wish.
Technical Service Employees: This applies if BOTH spouses are Technical Service employees; does not apply if the spouse is faculty or staff. It is important to note that while you may remain covered under one medical care plan of the higher-paid spouse, you do have the option to move to separate plan if you wish.
For reference, here are the possible combinations for employees choosing to be covered under one medical plan based on the above changes:
- Faculty/Staff/Postdoc + Faculty/Staff/Postdoc = Must be covered under the spouse with the higher salary
- Technical Service Employee + Technical Service Employee = Must be covered under the spouse with the higher salary
- Technical Service Employee + Faculty/Staff/Postdoc = Employees can choose which spouse will carry the policy
If you experience the following qualifying event changes:
- Spouse becomes a new employee at Penn State and is the higher-paid spouse.
- You and your spouse are both Penn State employees and a change of position for one of you changes the higher-paid spouse to the one not carrying coverage.
In either of these instances, you will NOT be required to change coverage to the higher-paid spouse mid-year. During the next annual benefits open enrollment period, you will need to make the appropriate changes for the higher-paid spouse to carry coverage if choosing to maintain coverage under only one spouse.
Health Care Spending Accounts
Penn Staters have the following options for putting aside pre-tax dollars to help pay for medical expenses:
Health Savings Accounts - For PPO Savings Plan members
Flexible Spending Accounts - For Plan members and for Penn State employees who are not in a Penn State health plan