Medical Plan

HR New Updates on Medical Plans:

Effective January 1, 2019, we will transition our local medical insurance services from “Medicare” to “MetLife” for all AUC eligible staff members. We are also pleased to announce that there will be some enhancements to our international plan with Cigna to include dental coverage at no additional cost to the University or the participants.

This change not only brings to AUC a partnership with respected global providers, but it also brings new more robust practices, checks, and balances in response to feedback received through past satisfaction surveys.

Changes impacting employees’ categories as follows:

  1. Existing Medicare Participants

The following are the major enhancements with the new health care provider MetLife as of January 1, 2019: 

  • Coverage ceiling for all categories is EGP 200,000 per participant per year rather than having different levels of coverages.

  • Participants will pay a flat rate based on the applicable coverage ceiling.

  • AUC will share in the premium up to three children rather than two with Medicare.

  • Medication is covered at 100% up to the overall ceiling of EGP 200,000 for the main participant, spouse, and dependents through the MetLife network of providers.

  • The dental ceiling of EGP 1,500 per participant per year with no co-pay from the employee.

  • Maternity coverage up to a ceiling of EGP 7,000 for normal delivery and EGP 8,000 for cesarean delivery. Maternity complications covered from the overall ceiling. 

Starting Wednesday, December 26, 2018, there will be awareness sessions conducted by MetLife for you to attend over the next few weeks. Make sure to attend at least one session where you will learn about the new benefits, the new network, MetLife services, and you will be able to ask any questions you may have.

Awareness sessions conducted by MetLife scheduled below:

Date

Duration

Location

Wednesday, December 26, 2018

10:00 am – 12:00 pm

 Al Waleed Hall – HUSS

 

12:30 pm – 2:30 pm

Al Waleed Hall – HUSS

Thursday, December 27, 2018

10:00 am – 12:00 pm

 Al Waleed Hall – HUSS

Sunday, December 30, 2018

10:00 am – 12:00 pm

 Al Waleed Hall – HUSS

 

12:30 pm – 2:30 pm

Al Waleed Hall – HUSS

Monday, December 31, 2018

10:00 am – 12:00 pm

 Al Waleed Hall – HUSS

 

12:30 pm – 2:30 pm

Al Waleed Hall – HUSS

Wednesday, January 2, 2019

10:00 am – 12:00 pm

Al Waleed Hall – HUSS

 

12:30 pm – 2:30 pm

Al Waleed Hall – HUSS

Thursday, January 3, 2019

10:00 am – 12:00 pm

Al Waleed Hall – HUSS

Tuesday, January 8, 2019

11:00 am – 1:00 pm

AUC Tahrir Campus

Wednesday, January 9, 2019

10:00 am – 12:00 pm

Al Waleed Hall – HUSS

 

12:30 pm – 2:30 pm

Al Waleed Hall – HUSS

Thursday, January 10, 2019

10:00 am – 12:00 pm

Al Waleed Hall – HUSS

 

12:30 pm – 2:30 pm

Al Waleed Hall – HUSS

 

To find the current corresponding rates click here.

For further details on the plan, check the table of benefits, and MetLife network providers.

 

  1. AUC Staff Fully Covered by AUC Clinic:

Starting January 1, 2019, to align with AUC internal policies and compliance all AUC staff who are currently covered by AUC clinic only will be insured by MetLife including their families up to three children with the following coverage enhancements: 

  • Coverage ceiling for is EGP 50,000 per participant per year
  • AUC pays the full premium for the employee, spouse, and children.
  • Medication is covered at 100% up to the overall ceiling of EGP 50,000 for the main participant, spouse, and dependents through the MetLife network of providers.
  • Full access to MetLife network providers for inpatient and outpatient services. 

Awareness sessions conducted by MetLife scheduled below:

Date

Duration

Location

Thursday, December 27, 2018

12:30 pm – 2:30pm

Al Waleed Hall – HUSS

Thursday, January 3, 2019

12:30 pm – 2:30pm

Al Waleed Hall – HUSS

Tuesday, January 8, 2019

1:00 pm – 3:00 pm

AUC Tahrir campus


For further details check table of benefits, and MetLife network providers.

 

  1. Cigna Insured Members

Effective January 2019 the University is renewing with Cigna health insurance company for an additional year till the end of December 2019 with no change in the current premium including dental coverage (please see below the dental table of benefits):


Dental Plan – Benefit Limit

Maximum per member per insurance year 

USD 750  per person 

Class one: X rays, scale, and polish

80% refund up to an above annual limit

Class two: Basic restorative treatment, periodontal treatment, and treatment of dental injury

80% refund up to an above annual limit

Benefits include: Root canal treatment, extractions, surgical procedures, occasional treatment, anesthetics, periodontal treatment

 

Class three:

50% refund  (up to USD 750  per person per year)

Major restorative and orthodontic treatment. Benefits include: Dentures: acrylic/synthetic, metal and metal/acrylic
Crowns, inlays, mouth guard or occlusal splint

 

Orthodontic treatment for Dependent -  Children under the age of 18

50% refund (up to USD 750 per person per year)

 

In this regard, the same benefits will continue with the set annual limits from January 1, 2019, till June 30, 2019. Annual deductible will be calculated based on the same period at a maximum of $200 per member per year and $ 600 per family till June 30, 2019. For the following six months, and as a gesture, annual limits will be provided in full from July 1, 2019, and till December 31, 2019. For the same period, Cigna will apply half of the full year deductible, like $100 per member and $300 per family.