Premium Plan - Retirement Before July 2013
The costs of the Premium Plan for participants who have retired, or are eligible to retire1 prior to July 1, 2013 are detailed below.
If you retire on or after July 1, 2013 and are not eligible to retire prior to July 1, 2013, see Premium Plan for the updated schedule of costs for the Premium Plan.
Your Monthly Cost - 2019
The monthly cost, per person, for the Premium Plan is shown below. These costs represent the cost to you after any Medicare Supplement Health Plan subsidy2 from CPF has been applied:
|Years of Credited Service||Monthly Cost per Person|
|1-4||You are not eligible to participate in a Medicare Supplement Health Plan.|
|20 or more||$215.00|
Your Costs for Healthcare - 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 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.