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Auburn University has a self-insured group health insurance program for eligible full-time employees with Blue Cross/Blue Shield of Alabama acting as administrator for the processing of medical claims and American Behavioral providing mental health and substance abuse coverage.
Below is a brief summary of the health insurance benefits.
Active full-time, non-student employees are eligible if the most recent appointment period is continuous for a minimum of one year (nine or twelve months as appropriate to the appointment).
Auburn University also offers health insurance to all employees who work an average of 30 or more hours per week over a measurement period. Student employees and part-time employees who are not benefits eligible, but work an average of 30 hours or more weekly (1,560 hours/year) during a 12-month period, will be ACA-eligible for the Auburn University Health Plan.
In addition, newly-hired part-time employees who are reasonably expected to work 30 hours a week for the first 90 days of part-time employment will be ACA-eligible for the Auburn University Health Plan.
Participation in the program is optional.
There is no waiting period for pre-existing conditions.
New employees must enroll within 30 days of the date of beginning full-time employment.
Other eligible full-time employees may apply for enrollment during the annual open enrollment period in the month of November.
2021 Summary of Health Benefits and Coverage
2021 Health Benefit Booklet (Coming soon)
2021 Autism Handbook (Coming soon)
2021 Employee Assistance Program Handbook (Coming soon)
2021 Health Plan Matrix
2020 Summary of Health Benefits and Coverage
2020 Health Benefit Booklet
2020 Autism Handbook
2020 Employee Assistance Program Handbook
2020 Health Plan Matrix
Self = Employee Only
EE + Sp = Employee plus Spouse (or Sponsored Adult Dependent)
EE + Ch = Employee plus Child(ren) (including Sponsored Child Dependents)
Family = Employee plus Spouse (or Sponsored Adult Dependent) and any enrolled Child(ren) (including Sponsored Child Dependents).
All premium deductions are on a pre-tax basis except where not permitted by State and/or Federal regulations for Sponsored Adult and/or Sponsored Child Dependents.
Mental Health and Substance Abuse Handbook
Summary of Mental Health and Substance Abuse Benefits
All American Behavioral members now have full access to their EAP and Mental Health and Substance Abuse benefit information online.
This newly added feature provides on-demand access to:
View authorizations,
View claims,
View pending requests,
Request EAP authorizations,
Submit claims for reimbursement,
View Explanation of Benefits (EOB’s),
View coverage and benefits,
View benefits in detail,
View out-of-pocket payments,
Find a Behavioral Health Provider,
Change information, and
Track requests.
Register your account for the first time here.
Select American Behavioral as the Medical Group.
Locate your most recent EOB for your Member ID Number, or please contact us to retrieve it by calling 800-925-5325 or by email.
Member Portal Flyer (Download)
INFORMATION VIDEO: "Employee Assistance Program and Behavioral Healthcare Benefit" (Presented by Nadia Wilder, American Behavioral, 11 minutes)
Auburn University's Employee Assistance Program is administered through American Behavioral and is available to all benefit-eligible employees with up to six free visits per year during the COVID-19 pandemic.
An EAP program is a confidential assessment, counseling, and referral service for all regular employees and their eligible dependents who need help with:
Marital and family issues.
Alcohol and other drug dependency.
Stress-related issues.
Financial/legal referrals.
Emotional problems.
An EAP counselor can help identify problems and assist in working through them. The counselor can also determine the best alternatives and, if necessary, make appropriate referrals to other professionals who specialize in particular areas. The program is:
Confidential: All information is kept strictly between the individual and the counselor.
Informal: A simple phone call starts the process.
Free: All counseling offered within the EAP is provided as a benefit by Auburn University.
For additional information, call 1 (800) 925-5EAP (5327).
Mental health and substance abuse treatment are available only to employees, dependents, and retirees covered under the Auburn Medical Plan. For more information, call (800) 925-5EAP (5327)
Inpatient
Number of days determined by medical necessity.
Co-pay same as medical plan.
Outpatient
Number of visits determined by medical necessity.
Effective January 1, 2020
Summary Document #: 559777215382
Important Information: All benefits are based on the appropriate level of care and medical necessity guidelines. Provider/facility licensure by the state to provide covered services and facility accreditation by The Joint Commission or CARF is required.
Calendar Year Deductible: $500 per person per year With a three-member family maximum
Calendar Year Out-of-Pocket Maximum: $8,150 individual/$16.300 aggregate family maximum
Additional information
Printable version and Provider Nomination/Addition Form
For transition of care, American Behavioral offers one to three visits based on the intensity of services and the severity of the patient’s illness for those individuals currently receiving clinical behavioral healthcare treatment. Please assist American Behavioral in easing transition of care for you or your family members by doing the following:
All Auburn University employees who are enrolled in the health insurance plan receive a $20 per month tobacco discount by certifying that they (and their spouse/sponsored adult dependent, if applicable) are not tobacco users.
Employees must certify their tobacco use status to Human Resources to qualify for the discount. (An employee only has to certify once. Re-certification is not required.)
As an alternative, the employee and/or spouse/sponsored adult dependent may complete the Pack It Up program, which is available through the Auburn University Pharmaceutical Care Center, to qualify for the discount. Contact the AUPCC at (334) 844-8348 for more information.
Ages 35 or older.
High blood pressure.
Diabetes.
History of previous premature births.
Multiple births. (twins, triplets, etc.)
Auburn University will waive the $300 inpatient hospital deductible and calendar year deductible (or remainder of deductible at time of admission) through the end of the calendar year for members, spouses, and dependents who enroll in Baby Yourself during the first 16 weeks of pregnancy.
If you are traveling outside of the United States and are a participant in the Auburn University Health Plan, you carry your healthcare benefits with you through Blue Cross and Blue Shield Global. Blue Cross and Blue Shield of Alabama partners with the other Blues to provide this service for you and the covered members of your family at no additional charge.
If you are traveling outside the United States on University business you will need to complete the Banner RAT50 on-line form in AU Access> Employee>self serve> RAT50.
Upon completion of the RAT50, with all approvals, you will be enrolled in the AU International Travel Emergency Plan with CISI/ AXA Assist and will be sent a CISI welcome package via email. Please follow the directions and download the CISI Traveler app. This app will contain your insurance card, benefits and claim info. If you have any questions, please email the insurance coordinators at rat50@auburn.edu. Dependents (spouse, children) who travel with you, can also be enrolled in this insurance by completing the Banner RAT50 dependent form. Additional information .
Standard Insurance, our provider for Group Life Insurance and Optional Voluntary Life and Accidental Death & Dismemberment (AD&D), also provides Travel Assistance to all employees who are covered by the Group Life Insurance. For additional infomation please visit www.standard.com/travel.
Employees approved for leave under the Family Medical Leave Act will be permitted to continue their group health insurance coverage with no change in premium in accordance with the University's policy and procedures.
Upon termination of employment an employee and his/her dependents will be covered for the time period for which his/her last premium was deducted. Coverage shall cease automatically and without notice unless coverage is continued under COBRA.
The coverage of the spouse of an employee shall terminate automatically and without notice as of the date of divorce or other termination of the marriage, and on such date the spouse shall cease to be a member unless coverage is continued under COBRA.
The coverage of a child as a member shall terminate automatically and without notice as of the date such child ceases to be dependent unless coverage is continued under COBRA.
