Physical Health Support
Benefits for Reproductive Services and Mental Health/Substance Use Disorders (including Gender Dysphoria)
The university covers travel benefits that are primarily for and essential to medical care for covered services that cannot be legally rendered in the state of the member’s residence through our medical insurance plans with Medical Mutual of Ohio (MMO). To receive these benefits, members must travel at least 100 miles from their residence for such medical care.
The medical care for covered services must be lawfully obtained in the location where the services are provided. Reimbursement of up to $1,000 per occurrence is limited to: mileage reimbursement based on current Internal Revenue Service (IRS) mileage reimbursement standards for medical travel (currently at $0.22/mile); reasonable rate or fare for bus, taxi, ride service, train or subway; reasonable rate for economy airfare; lodging of $50 per night per person up to $100 per night (any lodging for a companion is covered if the companion’s presence is necessary to enable the patient to receive medical care).
Travel benefits are subject to any cost-sharing requirements, such as deductible, coinsurance and copayments. PPO and High Deductible plan members must use a network provider. HMO plan members—e.g., those enrolled in CLE-Care must obtain prior authorization for care outside the network if no in-network provider can perform the services.
To apply for travel reimbursement, fill out MMO's Travel and Lodging Reimbursement Form.
The university’s health plans continue to prioritize your reproductive health in part by covering related preventative services without application of a Deductible, Copayment or Coinsurance,--when the services are provided by in-network providers. These services include well-woman visits; screenings for gestational diabetes, human papillomavirus (HPV), human immunodeficiency virus (HIV) and sexually transmitted disease; contraceptives and counseling for contraceptives for women with reproductive capacity; sterilization procedures; breastfeeding; and domestic violence. In addition, other services covered by our PPO and High Deductible health plans include invitro fertilization and artificial insemination. All plans include medically necessary gender dysphoria treatment subject to accepted medical clinical guidelines and Medical Mutual medical policies
MedImpact, the university’s pharmacy benefit manager for the PPO and High Deductible health plans includes in its standard formulary listing multiple covered contraceptive options selected by physician and pharmacist subject matter experts who collaboratively support MedImpacts Pharmacy and Therapeutics (P&T) Committee. The plan will cover drugs listed in the formulary as long as the drug is indicated for the clinical condition, is prescribed in the appropriate manner, is filled at a participating network pharmacy, and follows other plan rules. HMO members’ coverage also provides benefits for Food and Drug Administration-approved contraceptive methods including, but not limited to, barrier methods, hormonal methods, and implanted devices. Exclusions to available contraceptives include, but are not limited to, male contraceptives and over-the-counter birth control without a prescription.
Mental Health Support
IMPACT Solutions (now part of AllOne Health), the CWRU employee assistance program, is available to assist you in coping with family, parenting, legal, financial concerns, and much more. Its representatives also can provide referrals to appropriate resources and work to match you with a counselor within your health insurance network, upon request.
This employer-sponsored benefit is CONFIDENTIAL and is available to benefits-eligible employees (full-time and part-time), their spouses/partners, household members, dependents (26 and younger) living in and away from home, parents, and parents-in-law. Please feel free to contact them 24 hours per day, 365 days per year at 800.227.6007. CWRU employees can have up to five counseling sessions per person, per occurrence.
Paid Parental Leave
Both benefits eligible faculty and staff have paid parental leave available at 100% of the their salary. Paid parental leave is administered in conjunction with and will run concurrently to leave that is part of the federal Family and Medical Leave Act (FMLA). All paid parental leave, including adoption and foster care leave, must be completed within twelve (12) months of the date of birth, adoption, or foster placement of a child. An eligible employee receiving paid parental leave remains in their Benelect program according to the Benelect Plan provisions and their benefits are maintained during such leave. They will also continue to accrue service time towards benefits based on active service.
Child Care Programs
Case Western Reserve University partners with KinderCare so that members of the campus community can enjoy 10 percent tuition savings with the largest network of early childhood education programs in the United States. Choices of care include a proven curriculum, hands-on learning, trained teachers, convenient locations and back up care when you need it most at more than 2,000 full-time and before- and after-school childcare locations across the country.
The university also provides a $1,000 subsidy for each child of Case Western Reserve faculty, staff or students enrolled in The Music Settlement’s full-day or half-day preschool programs or kindergarten for the 2022-23 school year. The subsidy can be used at the University Circle and Ohio City locations.