Medical Plan
The Medical Plan provides high-quality coverage for enrolled employees and their eligible family members. It includes comprehensive benefits, including preventive care; hospital, medical/surgical, and mental health benefits; prescription drug coverage; and special features to improve your health and well-being. The following information is intended to help plan members understand and use their medical benefits.
Connect with Quantum Health
For members enrolled in the PPO, EPO, and HDHP, care navigation through Quantum Health provides a personal support team to guide you on your healthcare journey.
Medical options
Depending on the benefits offered by your employer, you may elect one of three medical options. All three options cover the same types of medical care and treatment except where otherwise noted.
Exclusive provider organization (EPO)
High deductible health plan (HDHP), which may be offered with a health savings account (HSA)
Here's a
comparison of all three options.
Medical Plan special features
In addition to providing benefits when you’re sick or injured, the Medical Plan through the Board of Pensions includes many features and resources to help you maintain and improve your health and well-being:
Teladoc
Call to Health
Using medical coverage
You can get the most from your medical coverage by choosing network providers, using the emergency room only when appropriate, and getting advance approval, when required, for nonurgent hospital admissions and certain tests.
How to enroll in the Medical Plan
You and your eligible family members may enroll in the Medical Plan when you first become eligible or during Annual Enrollment in the fall.
Continuing coverage after eligibility is lost
If your coverage under the Medical Plan is ending, you and/or your eligible family members may be able to extend your coverage for a limited time.
Ministers Bridge Coverage