Eligibility

To purchase a Group Medicare Advantage plan, you must be enrolled in Medicare Part A and Part B1 and satisfy the eligibility requirements listed below.

If you are a member of the clergy, you must:

  • Be a former employee of an Episcopal employer;
  • Be age 65 or older; and
  • Have earned a minimum of five years of Credited Service under the Clergy Pension Plan.

If you were a lay employee, you must:

  • Be a former employee of an Episcopal employer;
  • At the time of your separation from active employment, have been an employee normally scheduled to work, and compensated for, 1,000 or more hours per year;
  • Be age 65 or older; and
  • Either:
    • Have participated in a pension plan sponsored by The Church Pension Fund for a minimum of five years, or
    • Be a former employee of a group that participated in a health plan offered through The Episcopal Church Medical Trust (Medical Trust) for a minimum of five years.

If you are a member of a religious order, you must:

  • Be age 65 or older; and
  • Either:
    • Meet the eligibility criteria for former members of the clergy described above, or
    • Be a former member of a religious order that participated in a health plan offered by the Medical Trust.

If you are in Early Retirement, or are under age 65 and disabled, please call us at (800) 480-9967 Monday – Friday, 8:30 AM – 8:00 PM ET about your eligibility for Medical Trust health plans.

Your Dependents

To enroll in a Group Medicare Advantage plan, dependents must also be enrolled in Medicare Part A and Part B. Eligible dependents generally include your:

  • Spouse
    • If you are an active employee and you elect coverage for a spouse over the age of 65, your spouse will be covered by your active medical benefits
  • Surviving spouse
  • Former spouse, provided the eligibility requirements are met
  • Domestic partner
  • Surviving domestic partner
  • Disabled2 dependent child, if the disability began before age 25
  • Surviving disabled dependent child, if the disability began before age 25

Additional eligibility criteria apply. If you have questions, please call us at (800) 480-9967 Monday – Friday, 8:30 AM – 8:00 PM ET.

 

1 Enrollment in Medicare Parts A and B is required for participation in the Group Medicare Advantage plan, but is not required for the dental plans.

2 You are considered disabled if you have a medically determinable physical or mental condition which prevents you from engaging in substantial gainful activity and which can be of long-continued or indefinite duration.

 

The Episcopal Church Medical Trust Disclaimer