To support your health and financial wellness, Green Dot Public Schools provides valuable benefits that help you and your family stay healthy and pay for care in the event of illness or injury.
Learn about your Tennessee Green Dot benefits:
Enroll on Workday.
Green Dot Public Schools offers a choice of medical plans with a range of coverage levels and costs, so you have the flexibility to select the option that’s best for you.
2020 - 2021 medical plan options for TN employees:
Compare the plans below and see your contribution rates for coverage.
You can receive a $75.00 per pay period payment if you waive Green Dot medical coverage because you and your covered tax dependents have other coverage that is not through the individual market — for example:
To receive the payment, you must actively log in to Workday, elect “decline medical plan,” and complete the Opt-Out Payment Attestation Form to certify that you meet the above requirements. You will not receive the payment if you miss the enrollment deadline and default to “no coverage.”
Please note: If a family member is a Green Dot employee covered under any Green Dot medical plans and you are covered as a dependent under their plan, the waive incentive does not apply.
For a PDF of the Summary of Benefits and Coverage (SBC) for each of your benefit plans, click on the plan names below:
For more information about the dental and vision plans, see the Dental and Vision pages or the documents posted on the left side of the page.
All three TN medical plans offer:
The following chart provides an overview of coverage under the TN medical plans. For complete details, please review the plan documents in the left menu.
Plan Details | Aetna HMO Plan In-Network |
Aetna EPO Plan In-Network |
Aetna EPO Plan Out-of-Network* |
Aetna PPO Plan In-Network |
Aetna PPO Plan Out-of-Network* |
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Annual Deductible (Individual/Family) |
$100 Individual/$200 Family | $750 Individual/$1,500 Family | $5,000/$10,000 | $750/$1,500 | $1,000/$2,000 |
Out-of-Pocket Maximum (Individual/Family) |
$3,000/$9,000 |
$3,000/$9,000 | $8,000/$24,000 | $3,500/$7,000 | $7,000/$14,000 |
PCP Required | Yes | No | No | ||
Preventive Care | Covered in full | Covered in full | 50% after deductible | Covered in full | 40% after deductible |
Office Visits Primary Care/ Specialist | $20 copay/$40 copay | $20 copay/$40 copay | 50% after deductible | $20 copay/$20 copay | 40% after deductible |
Urgent Care | $25 copay | $25 copay | 50% after deductible | $25 copay | 40% after deductible |
Emergency Room | $200 copay (waived if admitted) | $200 copay (waived if admitted) | $200 copay (waived if admitted) | $150 copay (waived if admitted) | $150 copay (waived if admitted) |
Maternity Care (Inpatient) | $100 per day for first 3 days, then covered 100% after deductible | $200 per day for first 3 days, then covered 100% after deductible | 50% after deductible | 20% after $250 copay, after deductible | 40% after deductible |
Inpatient Hospital | $100 per day for first 3 days, then covered 100% after deductible | $200 per day for first 3 days, then covered 100% after deductible | 50% after deductible | 20% after $250 copay, after deductible | 40% after deductible |
Outpatient Surgery | $150 copay after deductible | $200 copay after deductible | 50% after deductible | 20% after $150 copay, after deductible | 40% after deductible |
Prescription Drugs | |||||
Retail (30-day supply)
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Mail Order (90-day supply)
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*Out-of-network coverage is based on the negotiated rate. If your provider's rate is higher, you will be responsible for paying the difference.
When you enroll in an Aetna medical or dental plan, you have many tools and resources available to you through Aetna Navigator. By logging in through Aetna, you can access a personalized, secure account where you can:
Here are ways to make the most of your Aetna HMO all year long.
Here are ways to make the most of your Aetna EPO or PPO all year long.
All of the medical plans include retail and mail order prescription drug coverage through Aetna. See how drugs are covered by Aetna.
There is no annual deductible for prescription drugs, so you begin paying copays with your first prescription purchase. The category, or tier, your drug is in determines the amount you pay. See the Medical Plan Comparison Chart for coverage amounts.
The cost of prescription drugs is rising faster than many other healthcare services and supplies. But, there are ways for you to save:
Healthy teeth and gums are important to your overall health. That’s why it’s important to have regular dental checkups and maintain good oral hygiene. Green Dot Public Schools offers a choice of dental plans through Aetna so you can select the level of coverage that best fits your needs.
2020 - 2021 dental plan options for TN employees:
Compare the plans below and see your contribution rates for coverage.
Under the DMO plan, you choose a primary care dentist and receive all of your care within the plan’s network — there is no out-of-network coverage. There is also no deductible or annual maximum benefit under the DMO plan.
Under both the High and Low plans, you can see any dentist you want, but you must first meet a deductible before coverage begins. These plans also include an annual maximum benefit. The difference between the two is in the deductibles, out-of-network coverage, and orthodontic lifetime maximums.
All the dental plans include:
You’ll generally pay less when you use a dentist in Aetna’s network. Visit Aetna’s website to locate in-network providers:
The following chart provides an overview of coverage under the TN dental plans. For complete details, please review the plan documents in the left menu.
Plan Details | Aetna DMO Plan In-Network |
Aetna Low Plan In-Network |
Aetna Low Plan Out-of-Network |
Aetna High Plan In-Network |
Aetna High Plan Out-of-Network |
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Primary Care Dentist | Yes | No | No | No | No |
Annual Deductible (Individual/Family) |
None | $50/$150 | $75/$225 | $25/$75 | $50/$150 |
Annual Maximum Benefit | None | $1,500 | $1,000 | $1,500 | $1,500 |
Diagnostic and Preventive Care Services | Fee schedule | Covered in full | You pay 20%, no deductible | Covered in full | Covered in full |
Basic Services | Fee schedule | 20% after deductible | 50% after deductible | 20% after deductible | 20% after deductible |
Major Services | Fee schedule | 50% after deductible | 50% after deductible | 50% after deductible | 50% after deductible |
Orthodontics (adults and children) |
Fee schedule | 40% after deductible | 40% after deductible | 40% after deductible | 40% after deductible |
Orthodontic Lifetime Benefits (adults and children) |
Fee schedule | $1,000 | $1,000 | $2,500 | $2,500 |
Here’s how to make the most of your dental benefits:
Having an annual eye exam is one of the best ways to make sure you’re keeping your eyes healthy. Green Dot Public Schools offers vision coverage through VSP to save you money on expenses such as eye exams, glasses, and contact lenses.
You’ll get the best value by using a provider in the VSP network.
The following chart provides an overview of coverage under the VSP Vision Plan. For complete details, please review the plan documents in the left menu.
Plan Details | In-Network | Out-of-Network |
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WellVision Eye Exam (every 12 months) |
$10 copay | Reimbursed up to $45 |
Prescription Glasses | $25 materials copay for frame and lenses combined (lens enhancements have separate copays) | See frames, lenses, and lens enhancements |
Frames (every 12 months) |
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Reimbursed up to $70 |
Lenses (every 12 months) |
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Single vision: Reimbursed up to $30 Lined bifocal: Reimbursed up to $50 Lined trifocal: Reimbursed up to $65 |
Lens Enhancements (every 12 months) |
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Progressive: Reimbursed up to $50 |
Contact Lenses (instead of glasses) (every 12 months) |
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Reimbursed up to $105 |
Diabetic Eyecare Plus Program | $20 copay for services related to diabetic eye disease, glaucoma, and age-related macular degeneration (AMD); retinal screening for eligible members with diabetes. Limitations and coordination with medical coverage may apply. Ask your VSP doctor for details. | N/A |
Extra Savings | ||
Glasses and Sunglasses |
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N/A |
Retinal Screening | No more than a $39 copay on routine retinal screening as an enhancement to a WellVision exam | N/A |
Laser Vision Correction | Average 15% off regular price or 5% off promotional price; discounts only available from contracted facilities | N/A |
Click on the Contribution Rates Sheet below to view the TN employee contribution amounts by plan and coverage level for the 2020 - 2021 plan year.
Green Dot Public Schools pays 100% of the premium if you elect Employee Only coverage for:
With our convenient Teladoc benefit, you and your covered family members can see the doctor without leaving the house! It’s an affordable, easy alternative to urgent care and ER visits when you need non-emergency medical care.
Teladoc gives you 24/7/365 access to board-certified physicians who will consult with you by phone or via live video on your mobile phone or computer. Teladoc physicians can provide fast, convenient diagnosis and treatment for many common conditions.
Teladoc: 24/7 virtual doctor visits | |
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Use it for: | Use it when: |
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To get started, simply set up an account on the Teladoc website and you’ll be ready the next time you need care in a hurry!