Medical
Wake Forest University offers two medical plan options:
- Low Plan: Lower premiums, larger deductible and out-of-pocket maximum.
- High Plan: Higher premiums, lower deductible and out-of pocket maximum.
Both plans offer Prescription and Behavioral health coverage.
Call 336-702-DEAC to find an Atrium Health Wake Forest Baptist provider
Faculty and staff enrolled in the University’s Aetna medical plan may now call 336-702-3322 (DEAC) for personalized assistance finding in-network Atrium Health Wake Forest Baptist providers and/or providers with shorter wait times.
Provider
Aetna’s Health Concierge Team: 855-586-6961
Wake Forest University’s Dedicated Inbox: WFU@aetna.com
*Members enrolled in the Aetna Whole Health Network are eligible to take advantage of Maximum Savings Tier when using Atrium Providers
Low / High Plan Deductible
Maximum Savings*
Individual: $850 / $500
Family: $2,125 / $1,250
Standard Savings
Individual: $1,500 / $1,000
Family: $3,750 / $2,500
Low / High Plan Out-Of-Pocket Max
Maximum Savings*
Individual: $2,750 / $1,450
Family: $6,875 /$3,625
Standard Savings
Individual: $4,250 / $3,250
Family: $10,625 / $8,125
Telehealth Services
Wake Forest University offers a telehealth option with Teladoc through Aetna for both medical plans. These secure video consults are available at a $10 copay for plan members and are a good option for minor health issues and behavioral health when you cannot see your regular doctor. An additional Teladoc Caregiver option is now available for $49 per visit. You can add a loved one you care for to your Teladoc account and have two or three-way visits with a doctor. You can register online or call 1-800-Teladoc, (1-800-835-2362). Learn more about Teladoc by reviewing this flyer.
Enrolling or Making Changes
New Hires
- Enrollment is completed in Workday during the onboarding process.
- If adding a spouse and/or dependent child, submit the required dependent verification documentation.
- You will receive an ID card from Aetna.
Throughout the Year
- Log into Workday to elect coverage throughout the year following a qualifying event.
- Provide supplemental documentation for the event.
- If adding a spouse and/or dependent child, submit the required dependent verification documentation via Workday within 30 days of the event or by the Annual Benefits Enrollment deadline.
- If you need a replacement ID card, call Aetna at (855) 586-6961.
Resources
- Premiums
- Machine Readable Files
- Spousal Surcharge
- Aetna Health App
- 24-Hour Nurse Line
- Transform Oncology Flyer
- Hinge Health Flyer
- Medical Claim Form
Aetna Whole Health
- Aetna Whole Health (High and Low Plans) – Plan Document
- Aetna Whole Health (High Plan) – Schedule of Benefits
- Aetna Whole Health (Low Plan) – Schedule of Benefits
- Aetna Whole Health Choice POS II Summary of Benefits and Coverage – High
- Aetna Whole Health Choice POS II Summary of Benefits and Coverage – Low
- Schedule of Benefits Amendment
Aetna Choice POS II
Prescription
If you have elected medical coverage through Wake Forest, you are automatically enrolled in the prescription drug plan. The Low and High Plans offer the following in-network copayments for prescription drugs:
- Generic brand: $15
- Preferred brand: $30
- Non-preferred brand: $60
- Specialty: 10%, minimum of $50, maximum of $100
Provider
Aetna / CVS Caremark®
(888) 792-3862
Specialty Medications (CVS Specialty® Pharmacy; 800.237.2767)
Mail Order
- Cost savings
- Convenient ordering
- Expedited shipping
- Delivery tracking
- Flexible payment options
- Refill reminders
- Mobile app
Preferred Network
Maintenance Medications
Aetna members can fill their mandatory maintenance medications at CVS Caremark® Mail Service Pharmacy, CVS Pharmacy®, Costco (new addition), Harris Teeter (new addition), or Kroger (new addition). Please note that members must fill a 90-day supply. To verify what pharmacies can fill maintenance medications, call RX Member Services at 888-792-3862. Members can use non-CVS pharmacies for non-maintenance medications.
Enrolling
- If you have elected Wake Forest medical coverage, you are automatically enrolled in the prescription drug plan at no additional cost.
Behavioral
If you have elected medical coverage through Wake Forest, you are automatically enrolled in the behavioral health plan. Licensed clinical case managers will connect you or your covered family members with in-network providers, specializing in mental health and substance abuse issues. The behavioral health plan includes coverage for Adaptive Behavioral Treatment (ABT).
Visit the Behavioral Health Hub to learn more.
Provider
Aetna’s Health Concierge Team: 855-586-6961
Wake Forest University’s Dedicated Inbox: WFU@aetna.com
Inpatient Care
Low Plan:
100% covered in-network, 60% covered out-of-network
High Plan:
100% covered in-network, 70% covered out-of-network
Outpatient Care
Low Plan:
$15 copayment in-network, 60% covered out-of-network
High Plan:
$15 copayment in-network, 70% covered out-of-network
Enrolling
- If you have elected Wake Forest University medical coverage, you are automatically enrolled in the behavioral health plan at no additional cost.
- You will not receive a separate ID card.
- You can access Adaptive Behavioral Treatment services by calling Aetna at (855) 586-6961. A clinician will help determine the services needed, the diagnosis, treatment planning, or therapy, and will direct you to an in-network provider.
Resources
- Charlie Health (teens/young adults w/behavioral & substance use)
- Equip Health (eating disorders)
- Meru Health (depression & anxiety)
- Talkiatry (behavioral/wellbeing counseling & medication mgmt)
- Maxim Healthcare Services (ABA therapy)
- Behavioral Health Hub
2025 Benefits Guidebook
The 2025 Benefits Guidebook for Faculty and Staff outlines benefits specific to the Jan. 1 through Dec. 31, 2025, plan year. The information included in the guidebook is intended as a benefit summary only.
The above information is intended as a benefit summary only. It does not include all of the benefit provisions, limitations, and qualifications. If this information conflicts in any way with the contract, the contract will prevail. Any services rendered under the CBHA benefit do not apply towards the BCBS annual deductible or co-insurance.
Wake Forest University Human Resources
P.O. Box 7424, Winston-Salem, NC 27109
askHR@wfu.edu | P 336.758.4700 | F 336.758.6127