Health insurance is available to all full-time employees, faculty members and their eligible dependents. Eligible dependents include the employee’s spouse and biological, adopted and/or step children under the age of 26. Coverage of dependent children is through the end of the month in which they reach the age of 26 under the medical and prescription coverages. For dental and vision coverages, they are covered through the end of the year in which they reach age 23.
Plan copayments are based on the employee’s job classification and collective bargaining agreements. For specific plan details, refer to detailed summaries and additional information in TUportal.
Plan changes are allowed during the annual open enrollment period (June and December), or as a result of an approved qualifying status change.
Medical Insurance Coverage
Medical insurance covers all full-time employees, faculty members and their eligible dependents. The plan may vary by job classification and whether the position is represented and covered by a collective bargaining agreement.
As a benefit to Temple University employees, Temple Health, Temple University Physicians and Temple Physicians Inc. will waive applicable copayments for current employees and their dependents with medical insurance coverage under the Temple University benefit program.
Medical Plan Types
As a convenience to our employees, Temple also provides the following services irrespective of medical plan type.
Full-time employees and faculty who are enrolled in one of the university’s medical insurance plans are also enrolled in prescription drug coverage with CVS Caremark. Although there is one plan, employee and faculty copayments can vary by employee type and bargaining agreement.
If you have specific questions about your prescription, call CVS customer service at 1-800-966-5772 or visit caremark.com. You may create your own user account by registering on Caremark’s site.
Some or all of these provisions may not apply to select bargaining groups.
Prescription Coverage Provisions
Prescription Prior Authorization
For prescription prior authorization, contact CVS Caremark.
- Nonspecialty medications—Call the authorization line at 1-800-294-5979
- Specialty medication—Call the authorization line at 1-866-814-5506
Dental Insurance Coverage
Dental insurance is available to eligible full-time employees, faculty members and their eligible dependents. The plan may vary by job classification and whether the position is represented and covered by a collective bargaining agreement.
Temple University Kornberg School of Dentistry
Temple University Kornberg School of Dentistry extends an invitation to the Temple community of faculty, staff and students to receive dental care at their community clinic. The goal is to provide fast, efficient care in a friendly and convenient environment.
Vision Care Coverage
Vision care covers all full-time employees, faculty members and their eligible dependents. The plan may vary by job classification and whether the position is represented and covered by a collective bargaining agreement.
The plan provides vision evaluation and provision of eyeglasses once every two years. Employees and their eligible dependents must have their eye exam performed by the Temple University Department of Ophthalmology in order to receive benefit coverage for the exam. Employees then have the option to choose a standard pair of frames and lenses for free, or different frames and specialty lenses and pay the additional cost. In lieu of eyeglasses, some employees may elect to receive a $25 allowance for the purchase of contact lenses.
A vision care exam consists of an evaluation of refractive error (glasses) and an exam of the eye that includes an exam of the anterior part of the eye, the optic nerve and the central retina. Such an exam is designed to detect cornea problems, cataracts, glaucoma and macular degeneration. Advances in examination techniques often permit these exams to be done without dilating the pupil. If necessary, a dilated exam for a peripheral retinal exam or for diabetes may be done during the vision care appointment, but a follow-up medical exam may be required.
If you wish to have an exam for contact lenses, there is an additional charge for this type of exam.
The university Department of Ophthalmology provides eye exams and eyeglasses at the following locations.
Health Sciences Center
Temple Hospital, Parkinson Pavilion
6th floor, Suite 630
3401 N. Broad St.
Philadelphia, PA 19140
Physicians’ Office Building
7500 Central Ave.
Philadelphia, PA 19111
Temple Health Ft. Washington
515 Pennsylvania Ave.
Fort Washington, PA 19034
Employees calling to make an appointment for themselves or a dependent will need the employee’s TUid number for verification of eligibility. Contact Temple Ophthamology.