See the Annual Enrollment Guide for an overview of how PPO, EPO and CDHP/HSA plans work. For details about eligibility, what's covered and not covered, claims and appeals, and more, see the plan handbooks for each health plan carrier below.
ANTHEM BLUE CROSS AND BLUE SHIELD (BCBS) PLANS
KAISER PERMANENTE PLANS
* Also available as Medicare Secondary Payer (MSP)—Small Employer Exception (SEE)
How to Access Telehealth
Use a computer or mobile device to have a virtual visit with board-certified doctors and pediatricians who can diagnose, treat and prescribe most medications for minor medical conditions and common health concerns.
Telehealthine is available for members participating in Anthem, Cigna, and Kaiser plans.
For plan specific details see:
- Anthem BCBS LiveHealth Online Brochure
- Anthem BCBS LiveHealth Online FAQs
- Cigna Virtual Care Brochure
- Cigna Behvaioral Health Virtual Counseling FAQs
- HSA/CDHP Fact Sheet for Administrators 2022-2023
- HSA/CDHP Fact Sheet for Members 2022-2023
- Investing Your HSA Brochure
Health Plan Options for Active Employees Age 65+
For employees 65 and older who continue to work in The Episcopal Church or those who return to work after retirement, determining health plan eligibility and options may require several considerations.
Refer to the Bulletin for Group Benefit Administrators: Understanding Health Plan Options for Employees Age 65+ for details.
Medicare Secondary Payer Small Employer Exception Plan
The Medical Trust offers the option for eligible employers to offer the Medicare Secondary Payer (MSP) Small Employer Exception (SEE) Plan for eligible employees.
To Request Copies of Plan Summaries
You can ask for a paper copy of your Summary of Benefits and Coverage (SBC) at any time, free of charge. Go to Forms and Publications. Check the box next to the Summary you want and then click on Mail It to Me. You can also call Client Services at (800) 480-9967 Monday - Friday 8:30AM to 8:00PM ET (excluding holidays) to request a copy.