Medical

The following plan information applies to the current medical insurance plans -- effective July 1, 2011 through June 30, 2012:

• 2012-2013 Medical Plan Rates

 Summary of the benefit plans: 

• RiceCare HMO Summary of Benefits
• RiceCare Flexplan (POS) Summary of Benefits
• RiceCare PPO Summary of Benefits 
• RiceCare Catastrophic Plan Summary of Benefits
• KelseyCare Advantage (only available to Rice retirees and their dependents age 65+)

The HMO and POS plans are for residents of Texas only -- the PPO and Catastrophic plans are available nation-wide; however, your dependents may reside outside of Texas and may choose a PCP in the Aetna network in their area, or may enroll in the out-of-area PPO plan.

The RiceCare PPO and Catastrophic plans are available to faculty and staff who reside anywhere.

For information on your coverage while traveling outside of the United States, please visit our travel services website.

For information about how you may qualify for a subsidy of your Rice medical premiums through state Medicaid or CHIP programs, please review this document, or go to http://www.gethipptexas.com/ for information about Texas subsidy programs.

Other Components of your Medical Plan

Below is more information about different aspects of the medical program and Aetna:

• Network - find out more about which doctors are in the different plans.

• Emergent and urgent care - where should you go in an urgent situation?

• Out-of-area PPO - for dependents in an area outside of Texas or where Aetna does not have an HMO or POS network.

• Prescription drug information 

• Vision benefits 

• Aetna Navigator - Aetna's online tool for viewing claims, printing out temporary ID cards, and lots of other great resources!

• Medical plan documents 

• Aetna coverage bulletins 

• Claims forms 

• ID cards 

• Discount programs 

• Health Insurance Dictionary - confused by all of the health insurance jargon? Let this dictionary help you sort it out.

• How to contact Aetna 

• Wondering about health care reform?