Benefits Choices

Your choices depend on whether you are classified as a full-time, regular part-time, part-time or flex-time employee. Please see the confirmation letter that you received from your recruiter to determine your position's category. You will have 31 days from the date of your hire date or date of qualifying event to enroll in or make changes to your benefits.

We understand choosing your benefits is an important decision. That’s why ALEX®, our interactive online tool, is available to help you select the best benefit plans for you and your family!

When you talk to ALEX, he'll ask you a few questions about life events, crunch some numbers and point out what makes the most sense for you. And anything you tell ALEX remains anonymous. Review your benefits choices below and meet ALEX at  to enroll in your benefits.

Visit the Virtual Benefits Fair at your convenience. Stop by vendor booths to learn more about each benefit and review downloadable resources. The fair can be accessed any time of year.

Your Benefits Choices

  • Medical benefits: Our medical plan is administered by Aetna. It provides comprehensive healthcare benefits, including prescription drug coverage and basic vision care. Carilion absorbs a percentage of the medical benefits costs for you and your family. The medical plan is available to full-time and regular part-time employees.
  • Dental benefits: We offer both basic and comprehensive dental coverage. These plans are administered by Delta Dental of Virginia. They are available to full-time and regular part-time employees.
  • Comprehensive vision benefits: This plan, administered by Aetna, provides additional vision benefits beyond what is provided in the medical plan. This plan is available to full-time and regular part-time employees.
  • Aetna Hospital Indemnity Plan:  The Aetna Hospital Indemnity Plan pays cash benefits to you for inpatient hospital admission and daily stays. There are also benefits for inpatient rehabilitation, substance abuse and mental disorder stays, as well as a well-baby nursery benefit. Benefits can help pay towards your medical plan's deductible, coinsurance, or other everyday expenses. Benefits are payable once per member during a plan year unless otherwise specified.
  • Critical Illness Plan: Pays benefits when a doctor diagnoses you with a covered serious illness or condition, like heart attack, stroke, cancer and more.
  • Accident Plan: Pays benefits when you get treatment for an accidental injury. The plan pays for a long list of covered minor and serious injuries.
  • Life insurance: If you are a full-time or regular part-time employee, we provide basic life insurance and accidental death and dismemberment insurance for you. You also can purchase additional coverage for yourself, your spouse/domestic partner and your dependent children. These plans are administered by New York Life.
  • Disability benefits: Full-time and regular part-time employees also may purchase short-term and long-term disability insurance. These plans are administered by New York Life and replace a portion of your earnings if you are not able to work due to accident, illness or injury.
  • Paid Time Off (PTO): Full-time, regular part-time and part-time employees are eligible to accrue PTO. The rate you accrue PTO depends on the number of years you have worked for Carilion in a PTO-eligible status. You can use PTO for holidays, sick time and vacations.
  • Healthcare and Dependent Care Flexible Spending Accounts (FSAs): These accounts help you save money on your taxes by allowing you to pay for eligible healthcare and childcare expenses with money deducted from your paycheck before taxes are taken out. If you participate in the dependent care FSA and contribute at least $10 per pay period, Carilion will contribute an additional $10 per pay period to your account. All employees are eligible for these benefits.
  • Retirement savings plan: All employees are eligible for our retirement savings plan, which can help you save for retirement. We offer a 403(b) plan for our not-for-profit companies and a 401(k) plan for our for-profit companies. You can contribute from 1 percent to 75 percent of your pay, up to Internal Revenue Service limits, in whole percent increments.
    • You will be enrolled automatically in the savings plan at 3 percent, with your savings rate increased by one percentage point each year, beginning the year after you are hired, until it reaches 10 percent. You can choose to opt-out of this benefit.
  • Pension plan: If you work for an eligible company, you also are eligible for our pension plan. This plan pays you a fixed benefit when you retire, based on factors such as age, earnings and years of service. Carilion makes all contributions to this plan--you don't have to contribute any of your own money.
  • Additional benefits: Some of the other benefits we offer to all our employees include educational benefits, subsidized childcare through HoneyTree Early Learning Centers, discounts to the Roanoke and Botetourt Carilion Wellness Centers, fitness facilities at some locations and an Employee Assistance Program that provides confidential counseling services.

Whom May I Enroll in My Benefits?

Your eligible dependents are your spouse/domestic partner and your children under age 26. You may cover your eligible dependents in your medical, dental and supplemental life insurance plans. You will be required to provide documentation confirming their eligibility. You have 31 days to provide the required documentation supporting the event. The required documentation may be submitted to Human Resources via fax at 540-857-5209 or inter-office mail to Benefits- CASB Suite 1400. Changes will not be entered until the required documentation is received.

Resources and Tools to Help You Choose

Regulatory Information

There are many complex laws and regulations surrounding the administration of our benefit plans. Our Regulatory Information Page provides information on these laws and regulations.


Contact the HR Service Center at or 800-599-2537.

What's Next

Learn how to enroll in your benefits choices.