Benefits at a glance
for Yale faculty, staff and dependents
To see Yale Police Benevolent Association benefits, click here. Yale students click here.
| BENEFITS AND SERVICES | IN NETWORK COVERAGE |
| Routine Physicals | YHP pays 100% |
| Routine Eye Exams | YHP pays 100% |
| Doctor's Office Visits | YHP pays 100% |
| Annual Deductible | None |
| Out-of-pocket Maximum (after deductible) | None |
| Prescription Drugs | Co-pay (up to a 31 day supply): $5 Generic $20 Preferred brand $30 Non-preferred brand Non-YUHS Pharmacies: 20% or copay, whichever is greater |
| Diagnostic X-ray, Laboratory, Complex Imaging1 | YHP pays 100% |
| Inpatient Hospital Services | YHP pays 100% |
| Outpatient Surgical Services | YHP pays 100% |
| Physical Therapy/Chiropractic | Physical Therapy: YHP pays 100% Chiropractic: up to 12 visits per plan year, $50 maximum reimbursement per visit |
| Home Health Care | 120 visits per plan year |
| Infertility Services | YHP pays 100% up to a $20,000 University lifetime maximum |
| In-Vitro Fertilization & ART2 | Four (4) cycles; University lifetime maximum |
| Mental Health and Substance Abuse – Outpatient | After $100 annual deductible, YHP reimburses $60/visit (maximum of 30 visits per plan year/150 visits lifetime) Unsalaried post-doctoral fellows see plan details for more benefit information. |
| Mental Health and Substance Abuse - Inpatient | 60 days per plan year (see plan document for restrictions) |
| Emergency Services at Yale New Haven Hospital and Urgent Care at YUHS | YHP pays 100% |
| Emergency Services & Urgent Care - Out of Area3 | YHP pays 100% |
| Dependent coverage | Plan offers coverage for dependents up to age 25. Proof of student status or financial dependency required. |
1Examples of complex imaging include MRIs, CT scans, and PET scans. 2In-vitro Fertilization & Advanced Reproductive Technology (ART) covers four (4) cycles of ovulation induction and artificial insemination. This is a University lifetime limit per family unit regardless of carrier chosen. 3Refer to the Member Handbook for details. This chart is not intended to be a contract or guarantee of any benefits. Complete details will be available in the YHP Plan document by July 1, 2009. |
|
Click for more details about why to join Yale Health Plan.
