Requirements for eligibility include:
Employee: Must be an Academic or Medical Center salaried employee of UVA, full- or part-time, and regularly scheduled to work at least 20 hours/week
J1 visa holders are only eligible for the UVA J1 Visa Health Plan option. Federal government regulations prohibit J1 visa holders from enrolling in the Basic, Value or Choice Health options.
For the UVA Health Plan: Must be legally recognized as spouses in the Commonwealth of Virginia and have no access to Affordable Healthcare Coverage of minimum value (as defined by the Affordable Care Act) through their non-UVA employers
For UVA Dental and Davis Vision: Must be legally recognized as spouses in the Commonwealth of Virginia
Children: Must be your biological, step, adopted, or foster child, or any child declared a dependent on your federal tax return for whom you are the legal guardian with permanent custody. Children are eligible to the end of the birth month in which they turn 26.
Children With Disabilities: Must be incapable of self-support due to a mental or physical disability. Children with disabilities may continue as dependents beyond age 26, as long as:
- Required documentation is approved in advance by the Aetna Claims Administrator prior to the dependent’s 26th birthday
- They are unmarried
- They live with you 100% of the time
They are declared a dependent on your federal tax return
For further details and additional assistance, contact Aetna Member Services at 1.800.987.9072 and the UVA Health Plan Ombudsman.
Qualified Life Events: You can make changes to benefit elections during the plan year if you have a qualified life event. Qualified life events and new hire enrollments will need to be completed within 30 days of the event or hire date.
Requirements for eligibility for Basic Health
- You are not a wage employee
- You do not hold a J-1 visa
- You are not enrolled in Medicare or Medicaid, or are listed as a dependent on someone else’s tax return
- You, or your spouse, do not have a balance in a healthcare FSA, are part of a FSA grace period, or your plan year is not over
- You have not received healthcare benefits from the Veterans Administration (TRICARE) within the last 3 months
- You do not have a spouse or parent enrolled in a healthcare plan (including a Health Reimbursement Account) that provides you benefits before meeting the annual IRS minimum deductible
- You have not already contributed the annual federal limit to another HSA, Medical Savings Account (MSA), or HRA in the same calendar year
The difference between a dependent and a beneficiary
A dependent is a person who is eligible to be covered by you under the health, dental and vision plans. A beneficiary can be a person or a legal entity that is designated by you to receive a benefit, such as life insurance.
A spouse included in your medical coverage and designated as a recipient of your life insurance is both a dependent and a beneficiary.
For another example, a parent is not an eligible dependent for medical coverage but could be designated as a beneficiary.