Medical Benefits Summary
Care Coordination Through Quantum Health
Quantum plays an integral role in delivering health benefits, serving as the single point of contact for plans that use the Anthem and Cigna networks.
Learn more about Quantum Health.
Medical Benefits
The Medical Trust makes three types of plans1 available to Episcopal institutions that they, in turn, can offer to eligible individuals and their eligible dependents:
- Preferred Provider Organization (PPO)
- Consumer-Directed Health Plans (CDHPs)2 designed to work with a Health Savings Account (HSA)
- Exclusive Provider Organization (EPO)
- Medicare Secondary Payer (MSP) Small Employer Exception (SEE) plans
These plans provide medical, prescription, vision, behavioral health, and hearing benefits plus additional services like telehealth, travel assistance, and an employee assistance program (EAP).
Details About Your Existing Health Plans
Members should log in to MyCPG Accounts to find:
- Summary of Benefits and Coverage (SBC)
- Plan Document Handbook
- Covered individuals
All Medical Trust plan documents are available in our Forms & Publications library.
Pharmacy Benefits
The prescription benefits included in our health plans provide significant savings.
Anthem and Cigna Network Plans
Members enrolled in a medical plan that uses the Anthem or Cigna network can fill medications at retail pharmacies that participate in the Express Scripts network and through Express Scripts’ home delivery service, which allows 90-day refills of maintenance medications.
To learn more, consult the Anthem and Cigna Plan Document Handbooks. For pricing information, to access the formulary, and to find a participating retail pharmacy, call Quantum at (866) 871-0629.
Kaiser Network Plans
Kaiser provides Rx benefits to members enrolled in Kaiser health plans. Details are available at kp.org.
Behavioral Health
Our health plans also include benefits for behavioral health and substance use disorder plus an Employee Assistance Program (EAP) for members in plans that use the Anthem, Cigna, and Kaiser plans.
The EAP is a free and confidential 24/7 service that provides immediate assistance, referrals, and online resources for a range of emotional, family, financial, and legal issues.
It also offers access to Talkspace, a platform that connects individuals 13 and older with licensed therapists and psychiatrists via video or text.
Access These Services
Members in the Anthem and Cigna networks should call Quantum at (866) 871-0629, Monday to Friday, 8:30 AM to 10:00 PM ET. After hours, they should call (866) 395-7794.
Members in Kaiser’s network can call (866) 395-7794, 24 hours a day, 7 days a week.
1 Some plans may not be available in all locations or to all groups. Consult your Benefits Relationship Manager with any questions.
Administrator Education – Health and Wellness
Try this eLearning course, or visit the Administrators' Resource Center (ARC) to find more information, guides, and resources to help you do your work.
Healthcare Benefits
About This Course
As a benefits administrator, your responsibilities include assisting employees with health benefits, recognizing and processing events that affect these benefits, and performing administrative duties like completing annual plan selection. You will learn:
- Types of health benefits offered through the Medical Trust
- How to find which plans are available to your employees
- Your key responsibilities related to these benefits
- Sources of information and resources available to address employee questions and needs
Duration
Approximately 30 minutes
You will be redirected to a new tab for live remote support. Please confirm you're on a call with a Client Services team member to continue.