Health Insurance
Loyola University Chicago offers a choice of health, dental, and vision plans as part of a high-quality benefits package that helps you stay well and protect yourself and your family.
- New employees have 31 days from the date of hire to enroll in the medical plan, along with other benefits options.
- Current employees can make changes to their benefit elections during the annual Open Enrollment Period each fall semester or 31 days from the date of a qualifying life event (e.g., birth of a child, loss of coverage, etc.).
Helpful links:
- 2024 Benefits Highlights Booklet
- 2024 Premium Rates
- Talk with ALEX- Your Personalized Benefits Counselor!
- Bookshelf of Benefit Plan Documents
- COVID-19 Changes Affecting Coverage for Testing & Treatment (Effective May 12, 2023)
- Machine Readable File
- Amendment to (AETNA) Plan of Benefits (Effective January 1, 2022)
Contact Human Resources at 312.915.6175 or benefits@luc.edu.
Aetna Contact Information
Access the Aetna portal online and find a provider: www.Aetna.com/Loyola
The plan control number for all medical plan options is 143775
- We encourage medical plan participants to review the Amendment to (AETNA) Plan of Benefits for changes that are effective January 1, 2022.
Find an In-Network Provider
To verify your current medical providers are covered by Aetna’s extensive network, you may visit Aetna’s DocFind tool to search for a network provider at www.Aetna.com/Loyola. Simply enter your ZIP code, select the number of miles you wish to search, and click "Search." Then you will be able to choose from a variety of categories of health care providers and facilities. It should be noted that "Aetna Choice® POS II (Open Access)" is the plan name for all three Loyola medical plans.
How Can I Learn More about Aetna?
Please visit www.Aetna.com/Loyola for more information. Additionally, you may wish to review the Aetna New Member Account Registration Flyer to get accommodated with Aetna health insurance and set up your account once you receive your ID card(s) in the mail. The Aetna Discount Program Flyer is also a great resource to learn more about the health and wellness resources that are available to members.
- If you need a new or additional card(s) at any time, contact Aetna directly at 855.586.6958 or online at Aetna's member website.
- You can access a digital copy of your insurance card anytime if you create an Aetna account online or download the Aetna Health App to your smartphone.
- The group number is 143775.
- Contact the member services number on your current Aetna medical ID card (855.586.6958) and request that a Contraceptive Payment Program ID card be sent to you.
- You may also access the Aetna member portal to print an image of this ID card.
CVS Caremark Prescription Drug Insurance Cards
- If you need a new or additional card(s) at any time, contact CVS Caremark directly at 888.202.1654 or online at www.Caremark.com.
- You can access a digital copy of your insurance card anytime if you create an CVS Caremark account online or download the CVS Caremark App to your smartphone.
- If you do not have your card, you can use the following information to obtain a prescription: Reference RX BIN#: 004336 and GROUP#: RX0804.
- Contact 888.924.8738 to enroll in the Contraceptives Coverage and receive your separate ID card.
- For a list of covered contraceptives, please refer to the Preventive Care Contraceptive Drug List.
- When you see your doctor for a preventive care visit, be sure to specify that your visit is for preventive care or wellness, as covered under the plan.
- If your doctor discusses other preventive care or wellness services not listed below, be sure to ask if the service is covered at no additional cost.
Breastfeeding support, supplies and counseling | Pap Smear* |
Health Counseling for Sexually Transmitted Infections and HIV
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Colonoscopy* | Physical Exam* | Health Education/Counseling Services |
Obesity Screening and Counseling | Prostate Test* | Screening and Counseling for Domestic Violence |
*Routine exams are covered as preventive care services, however, diagnostic exams will apply toward your annual deductible. |
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For the PP0 1 & 2 medical plans, all emergency health services (including at a home hospital) are covered at 90% after deductible.
- For the PP0 3 HSA medical plan, emergency health services are covered at 80% after deductible.
- Locate pharmacies (60,000+)
- Check plan coverage
- Print a temporary card or request new/additional card(s)
- Set up access for family members
- Set up shipping/billing/payment information
- Check medication costs
- A complete list of what drugs are excluded
- For Specialty Medications, visit https://www.cvsspecialty.com/wps/portal/specialty/patients/registration or call 800.237.2767
- List of covered contraceptives
**SPECIAL NOTE ABOUT PPO 3 HSA: If you enroll in PPO 3 HSA, the medical and prescription drug has a combined deductible. Certain preventive generic drugs may be covered before meeting the deductible. Review the Preventive Therapy Drug List for more information.
Review Prescription (Rx) Plan FAQs
- In order to obtain contraceptive prescriptions through CVS Caremark, you will need to obtain and utilize a separate RX bin # and ID #, along with a SEPARATE ID card from CVS. The RX bin # is: 004336 and the Group # is: RX3923.
- Contact 888.924.8738 to enroll in the Contraceptives Coverage and receive your separate ID card.
- For a list of covered contraceptives, please refer to the Women's Health Preventive Services Contraceptives Drug List.
- In order to obtain the contraceptive medical services listed directly above, you will need to request and obtain a Contraceptive Services Payment Program ID card from Aetna.
- Contact the member services number on your current Aetna medical ID card (855.586.6958) and request that a Contraceptive Payment Program ID card be sent to you. You may also access the Aetna member portal to print an image of this ID card.
- Healthy vision (savings on eyewear and exams),
- Hearing exams, hearing aids, and batteries,
- Natural therapy, massage and nutrition services, and
- Fitness (health coaching, gym memberships, and home exercise equipment).
- Aetna will check if a hospital can treat you, or help you transfer to the closest facility that can provide care.
- You must need emergency care that cannot wait until you return to the U.S., and you will have to pay for services at the time of care. Aetna will need an itemized bill and receipt for all services provided.
- Annual Deductible – The amount you have to pay each year before the plan starts paying a portion of expenses. Most covered expenses count toward the annual deductible. Prescription drugs do not count toward PPO 1 or PPO 2 medical deductibles. Prescription drugs do count toward the deductible in PPO 3 only.
- Annual Out-of-Pocket Maximum – Total amount you pay out of pocket each calendar year before the plan pays 100 percent of covered expenses for the rest of the calendar year. Expenses paid to satisfy the annual deductible count toward the annual out-of-pocket maximum. Most covered expenses count toward the out-of-pocket maximum, except prescription drugs if you are covered under PPO 1 or PPO 2 (which have a separate out-of pocket maximum).
- Coinsurance – A percentage of a claim you pay after you meet the annual deductible.
- Copayment (copay) – A fixed dollar amount you pay for emergency room visits and hospital admissions.
- Home Hospital – Loyola University Health System or Gottlieb Hospital.
- PPO (Preferred Provider Organization) – A network of doctors, hospitals and other health care givers. All of Loyola's medical plans use the Aetna network.
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Market Exchange Letter (PDF)
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(PDF)
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Exchange FAQ's (PDF)
Contact Human Resources at 312-915-6175 or benefits@luc.edu should you have questions.