Health Plans

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.

The Medical Trust can also provide an SBC in Spanish, Chinese, Tagalog, and Navaho. Call Client Services for more information.

 

To request a copy by mail, check the box next to the title and click 

Active Clergy & Lay Employee Health Plan Information

  Title What is This For? Pgs
Aetna HMO Summary 2016 Summary of benefits

8

Aetna HMO handbook 2016 Handbook of plan details

111

Aetna POS II Summary - 2016 Summary of benefits

8

Aetna POS II Handbook - 2016 Handbook of plan details

110

Aetna Select EPO Summary - 2016 Summary of benefits

8

Aetna Select EPO Handbook - 2016 Handbook of plan details

110

Anthem BCBS EPO 80 Summary - 2016 Summary of benefits

8

Anthem BCBS EPO 80 Handbook - 2016 Handbook of plan details

117

Anthem BCBS EPO 90 Summary - 2016 Summary of benefits

8

Anthem BCBS EPO 90 Handbook - 2016 Handbook of plan details

117

Anthem BCBS HDP 15 Summary - 2016 Summary of benefits

8

Anthem BCBS HDP 40 Summary - 2016 Summary of benefits

8

Anthem BCBS HDP 40 Handbook - 2016 Handbook of plan details

119

Anthem BCBS HDHP/HSA Summary - 2016 Summary of benefits

8

Anthem BCBS HDHP/HSA Handbook - 2016 Handbook of plan details

119

Anthem BCBS High Option Summary - 2016 Summary of benefits

8

Anthem BCBS High Option Handbook - 2016 Handbook of plan details

116

Anthem PPO 70 SLV Summary - 2016 Summary of benefits

8

Anthem PPO 70 SLV Handbook - 2016 Handbook of plan details

116

Anthem BCBS PPO 75/50 Summary – 2016 Summary of benefits

8

BCBS PPO 75/50 Handbook – 2016 Handbook of plan details

116

Anthem BCBS PPO 80/60 Summary – 2016 Summary of benefits

8

Anthem BCBS PPO 80/60 Handbook – 2016 Handbook of plan details

116

Anthem BCBS PPO 90/70 Summary - 2016 Summary of benefits

9

Anthem BCBS PPO 90/70 Handbook – 2016 Handbook of plan details

117

Cigna Open Access Plus Summary - 2016 Summary of benefits

8

Cigna OAP Handbook - 2016 Handbook of plan details

106

Cigna Open Access Plus In-Network Summary - 2016 Summary of benefits

8

Cigna OAP In Network Handbook - 2016 Handbook of plan details

106

Cigna HDHP/HSA Summary 2016 Summary of benefits

8

Cigna HDHP-HSA Handbook - 2016 Handbook of plan details

112

Kaiser EPO 80 Summary – 2016 Summary of benefits

8

Kaiser EPO 80 Handbook – 2016 Handbook of plan details

114

Kaiser High Option Summary - 2016 Summary of benefits

7

Kaiser High Option Handbook – 2016 Handbook of plan details

114

Kaiser Mid Option Summary - 2016 Summary of benefits

7

Kaiser Mid Option Handbook – 2016 Handbook of plan details

114

UnitedHealthcare Choice Summary – 2016 Summary of benefits

8

UnitedHealthcare Choice Handbook – 2016 Handbook of plan details

113

UnitedHealthcare Choice Plus Summary – 2016 Summary of benefits

8

UnitedHealthcare Choice Plus Handbook – 2016 Handbook of plan details

113

UnitedHealthcare Choice Plus PPO 80/60 Summary – 2016 Summary of benefits

8

UnitedHealthcare Choice Plus PPO 80/60 Handbook – 2016 Handbook of plan details

113

N/A HDHP/HSA Fact Sheet for Members - 2015/2016 HDHP/HSA Fact Sheet for Members 2015/2016

6

N/A HSA Fact Sheet for Administrators 2015/2016 HSA Fact Sheet for Administrators 2015/2016

7

N/A HealthEquity FAQs Health Equity FAQ

3

N/A Investing your HSA Brochure Investing your HSA

8

N/A Pharmacy Benefit FAQs The Medical Trust Pharmacy Benefit FAQs

2

Open Enrollment Guide - 2016 To help inform you about 2016 plan choices

32

N/A Plan Comparison Chart 2016 Healthcare plan comparisons for 2016

4

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To request a copy by mail, check the box next to the title and click 

Retired Clergy Health Plan Information

  Title What is This For? Pgs
N/A Network Access Instructions for Active and Retired members Accessing provider networks and benefits information online

2

N/A Medicare Supplement Fact Sheet - After July 1 2013 Retirement Medicare Supplement Fact Sheet - Retirement After July 1, 2013

3

N/A Medicare Supplement Fact Sheet - Before July 1 2013 Retirement Medicare Supplement Fact Sheet - Retirement Before July 1, 2013

3

Medicare Supplement Handbook 2016 2016 Health Plan Details for Retirees

127

Medicare & You 2016 Description of Medicare Coverage

160

N/A Prescription Drug Benefit Fact Sheet For Retirees 2016 Prescription Drug Benefit Fact Sheet For Retirees 2016

4

N/A Your Healthy Retirement 2016 Non-Subsidy OE Retiree Newsletter (Nonsub) 2016

6

N/A Your Healthy Retirement 2016 Subsidy OE Retiree Newsletter 2016

8

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To request a copy by mail, check the box next to the title and click 

Retired Lay Employee Health Plan Information

  Title What is This For? Pgs
Medicare Supplement Handbook 2016 2016 Health Plan Details for Retirees

127

N/A Prescription Drug Benefit Fact Sheet For Retirees 2016 Prescription Drug Benefit Fact Sheet For Retirees 2016

4

N/A Your Healthy Retirement 2016 Non-Subsidy OE Retiree Newsletter (Nonsub) 2016

6

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To request a copy by mail, check the box next to the title and click 

Seminarians Health Plan Information – 2015-16

  Title What is This For? Pgs
N/A Network Access Directions (Seminarians) Seminarians: Accessing provider networks and benefits information online

1

2015-16 Open Enrollment Guide (Seminarians) Open Enrollment Guide for Seminarians

10

Anthem BCBS Summary (Seminarian) 2015-16 Summary of Benefits

9

Anthem PPO 75/50 Seminarian Handbook 2015-16 Anthem PPO 75/50 Seminarian Handbook

112

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To request a copy by mail, check the box next to the title and click 

Dental Plan Information

  Title What is This For? Pgs
Cigna Dental Handbook - 2016 Cigna Dental Handbook - 2016

75

Cigna Dental Preventive Summary - 2016 Summary of benefits

2

Cigna Dental Basic Summary - 2016 Summary of benefits

2

Cigna Dental Orthodontia Summary - 2016 Summary of benefits

2

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To request a copy by mail, check the box next to the title and click 

Medicare Secondary Payer (SEE) Forms

Title What is This For? Contact Information
Medicare Secondary Payer Eligibility Certification Form Eligibility for the Episcopal Health Plan for Qualified Small Employer Exception Members (the SEE Plan)

The Episcopal Church Medical Trust
19 East 34th Street,
New York, NY, 10016
or fax to (212) 251-8891

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Medicare Secondary Payer  (SEE) Publications

Title What is This For? Pgs
Medicare Secondary Payer SEE Member Fact Sheet 2015 Medicare Secondary Payer - Small Employer Exception

5

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Denominational Health Plan

  Title What is This For? Pgs
N/A DHP Annual Report 2015 - English 2015 DHP Annual Report (English)

3

N/A DHP Annual Report 2015 - Spanish 2015 DHP Annual Report (Spanish)

4

N/A DHP Annual Report (English) 2014 DHP Annual Report (English)

8

N/A DHP Annual Report (Spanish) 2014 DHP Annual Report (Spanish)

7

DHP Canon, Resolutions A177 and B026 and Model Denominational Health Plan

6

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To request a copy by mail, check the box next to the title and click 

Additional Benefits

  Title What is This For? Pgs
N/A 100 Reasons to Call the Employee Assistance Program 100 Reasons to call EAP

4

N/A Employee Assistance Program (EAP) 24/7 help with behavioral health, family, and personal issues

2

United Healthcare Global Assistance Brochure Emergency assistance available when traveling

6

N/A Health Advocate Brochure A personal health advocate service to help you with healthcare and insurance issues

6

N/A Amplifon Hearing Health Care Flyer About the Amplifon Hearing Health Care provider network

1

EyeMed Vision Care Summary - 2016 Summary of vision benefits

1

U.S. Medical Glossary Understand common healthcare terms

4

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To request a copy by mail, check the box next to the title and click 

Regulatory Notices

  Title What is This For? Pgs
Children’s Health Insurance Program (CHIP) Information Children's Health Insurance Program

3

HIPAA Notice of Special Enrollment Rights HIPAA Notice of Special Enrollment Rights

1

HIPAA Privacy Notice HIPAA Notice of Privacy Practices

4

Women’s Health and Cancer Rights Act (WHCRA) Notice Women’s Health and Cancer Rights Act Notice

1

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To request a copy by mail, check the box next to the title and click 

Health News

  Title What is This For? Pgs
N/A Health News, Summer 2015 Health & Wellness News - Summer 2015

3

N/A Health News, Spring 2015 Health & Wellness News - Spring 2015

3

N/A Health News, Winter 2015 Setting Up for Success in 2015

3

N/A Health News, Summer 2014 Health and Wellness Spotlight

3

N/A Health News, Fall 2014 Fall edition of Health & Wellness News

3

Health News, November 2013 Member Stories

1

Health News, July/August 2013 Healthy Living

3

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