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Premium Plan

The costs of the Premium Plan for participants who retire on or after July 1, 2013  and are not eligible to retire prior to July 1, 20131 are detailed below.

If you retired, or are eligible to retire1, prior to July 1, 2013 see If You Retired Before July  2013 for the schedule of costs for the Plus Plan.

Your Monthly Cost - 2018 & 2019

The Church Pension Fund (CPF) provides financial assistance for the purchase of post-retirement health benefits for eligible clergy, their eligible spouses and surviving spouses. The calculation of the amount of the CPF Medicare Supplement Health Plan subsidy for clergy eligible to retire on or after July 1, 2013 is show below.

The monthly cost, per person, for the Premium Plan is shown below. These costs represent the cost to you after the Medicare Supplement Health Plan subsidy2 from CPF has been applied.

Years of Credited Service Monthly Cost per Person 
  2018 2019
1-4 You are not eligible to participate in a Medicare Supplement Health Plan.
5-9 $570.00 $585.00
10 $392.50 $400.00
11 $374.75 $381.50
12 $357.00 $363.00
13 $339.25 $344.50
14 $321.50 $326.00
15 $303.75 $307.50
16 $286.00 $289.00
17 $268.25 $270.50
18 $250.50 $252.00
19 $232.75 $233.50
20 or more $215.00 $215.00

Your Costs for Healthcare - 2018 & 2019

  • For Medicare Parts A and B benefits, the annual out-of-pocket limit is $1,500 per individual. If your medical costs exceed the annual or lifetime Medicare Supplement Health Plan Part A benefit maximums ($50,000 and $200,000, respectively, per individual), your out-of-pocket costs will exceed the annual maximum.
  • Inpatient hospital copayment: no cost
  • Medicare Part B physician copay up to $15 per visit
  • Routine physical exam costs in excess of $200

Additionally, the Premium Plan has richer benefits for speech, physical, and occupational therapies, paying 100%, and continues to pay even after Medicare’s benefit maximum is reach; as well as having enhanced benefits for hearing aids.

See a detailed comparison of the different plans.

See the 2019 Medicare Supplements Comparison Chart (or the 2018 Medicare Supplements Comparison Chart) for additional plan information.

1 To be eligible to retire prior to July 1, 2013, a cleric must have met the requirements of a 55/30, 60/5, 65/5 or disability retirement under The Church Pension Fund Clergy Pension Plan on or prior to June 30, 2013.

2 The Church Pension Fund (CPF) plans to continue to provide the Medicare Supplement Health Plan Subsidy. However, CPF must maintain sufficient liquidity and assets to pay its pension and other benefit plan obligations. Given uncertain financial markets and their impact on assets, CPF has reserved the right, in its discretion, to change or discontinue providing a Medicare Supplement Health Plan Subsidy.

 

Health benefits are offered through plans maintained by Church Pension Group Services Corporation (doing business as The Episcopal Church Medical Trust), 19 East 34th Street, New York, NY 10016.

The Episcopal Church Medical Trust Disclaimer

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