Medical
You have three plan options and expert guidance from Quantum Health
Learn how the three options compare in costs and coverage. One of the options includes a health savings account (HSA) which we contribute to.
All Medical Options Feature
- 100%-paid in-network preventive care
- Doctors and facilities from the same UnitedHealthcare Choice Plus network (when you choose a Premium Provider, you could save even more money)
- Prescription benefits through CVS Caremark
- Expert guidance and advocacy from Quantum Health
Find a Network Doctor, Facility, or Retail Pharmacy
Search the UnitedHealthcare Choice Plus or CVS Caremark networks on the Quantum Health app (App Store or Google Play). Also, use the app to look up lower cost alternatives for your medications even while at the doctor’s office.
CVS Caremark
CVS Caremark manages your prescription benefits.
Occasionally you may receive letters in the mail regarding your prescription coverage. Please read those letters carefully. Starting January 1, 2024, generic preventive medications will be covered at 100%.
Visit caremark.com/startnow or contact Quantum Health for more information.
Are you age 65 or above?
Talk with ALEX Medicare about your options! Visit medicare.myalex.com/national-church-residences.
PREVENTIVE CARE
In-network preventive care is 100% free for medical plan members.
You won’t have to pay anything out of your pocket when you receive in-network preventive care. Practice preventive care and reap the rewards of a healthier future.
Some services are generally not considered preventive if you get them as part of a visit to diagnose, monitor, or treat an illness or injury. Please be aware that you will be responsible for the cost of any non-preventive care services you receive at your preventive care exam based on your plan design.
Learn more about preventive care by reaching out to Quantum Health.
Did you know?
You can receive $50 wellness benefit annually for completed an annual wellness exams if you are enrolled in accident insurance. You can also receive up to $300 for participating in the Wellness Your Way program!
What is preventive care?
Preventive health care is meant to detect issues at an early stage when treatment is likely to work best and prevent future health problems.
Why is preventive care important?
It’s important that you have a preventive health exam each year—even if you feel healthy and are symptom free—to identify future health risks.
What’s covered?
Covered preventive services vary by age and gender. Talk with your provider to determine which screenings, tests, and vaccines will be covered and that are right for you.
KEY TERMS TO KNOW
HOW THE PLANS WORK
Are You Covering Your Spouse and/or Children?
If you elect employee + spouse, employee + child(ren), or family coverage, the individual deductible and out-of-pocket maximum apply to each covered member of the family (capped at family amount).
COMPARE THE PLANS
This is a summary of in-network coverage. You will pay less for your care when you visit a Premium Designated Provider (PDP).
(1) If you take a maintenance medication, such as for cholesterol or blood pressure, you are allowed two fills at a local pharmacy. You then must switch to CVS Caremark Home Delivery or a Retail 90 pharmacy. If you want to continue at your local pharmacy, call CVS Caremark first, otherwise you will pay 100% of the medication cost. (2) The cost for a 30-day supply of insulin will be capped at $35.
New for 2024—Generic Preventive Medications Covered at 100%!
Save Money on Your Prescriptions with Home Delivery or Retail 90
Get a 90-day supply for 2 1/2 copays. A Tier 1 drug will cost you only $25 for a three-month supply. CVS Caremark Home Delivery offers convenience with auto refills so you'll never miss a dose.
Sign up for home delivery on the Quantum Health app (App Store or Google Play).
Choose a Premium Designated Provider for Your Care
When you choose a Premium Designated Provider for your in-network care, you pay less and maximize your benefits.
Find a Premium Designated Provider by reaching out to Quantum Health.
Are You Covering Your Spouse and/or Children?
If you elect employee + spouse, employee + child(ren), or family coverage, the individual deductible and out-of-pocket maximum apply to each covered member of the family (capped at family amount).
MANAGING YOUR HEALTH CARE COSTS
When facing an unexpected medical condition, you may think of going to the emergency room first. But this may not be your best choice. At the emergency room (ER), true emergencies are treated first, and other cases must wait— sometimes for hours. And it will cost you more to get care at the ER than at your physician’s office or urgent care center.
If you are not sure where you should receive treatment, start by calling Quantum Health at 877-498-1385. In the case of a true medical emergency, call 911.
(1) Know before you go: Please be sure to determine whether the facility you are visiting for your care is considered an Urgent Care center or an Emergency Room (ER)—many freestanding facilities are now considered ERs and you will pay a much higher cost at these facilities.
Please note: This list is a sample of services and is not intended to be all inclusive. Costs are not tied to specific conditions or treatments, and out-of-pocket costs may vary.
Value of Your Benefits
Your benefits at a glance
To keep health care coverage affordable, National Church Residences pays the majority of the medical, dental, and vision premiums for you and your dependents. Your biweekly deductions per paycheck for medical, dental, and vision coverage are shown in the table below:
Tobacco User Surcharge
If you and/or your spouse use tobacco and enroll in a medical plan, a monthly surcharge of $50 per person will apply to your medical premium. To avoid the surcharge, you must certify that you and/or your spouse have not used tobacco in the past six (6) months or that you and/or your spouse are a tobacco user enrolled in a tobacco cessation program.
Tobacco-Free Me Program
Complete a tobacco-free course or the coach-guided program today. It's never too late to start!
Throughout this course, you will be guided through discussion topics that can help you start your cessation journey:
- Tobacco Exposure and Health
- Nicotine Dependence
- Create a Quit Plan
- Tools to Aid in the Quit Process
- Quit Day!
- Coping During your Quit Journey Staying Smoke Free – Plan a Healthy Lifestyle
Log into Wellness Your Way to learn more!
OPEN ENROLLMENT HAS ENDED.
NEW HIRES, YOU HAVE THREE WAYS TO ENROLL AS SHOWN BELOW.
ALL EMPLOYEES – IF YOU HAVE QUESTIONS ABOUT YOUR BENEFITS, FEEL FREE TO CALL THE NUMBER BELOW OR SCHEDULE AN APPOINTMENT WITH A BENEFITS COUNSELOR.
- Self-Enroll on Workday:
- Need to add a dependent or beneficiary? Navigate to the Benefits app on the Home Page, click on Dependents and/or Beneficiaries under "Change", and enter the required information. Complete this step before completing Open Enrollment.
- Navigate to your Inbox and find the Open Enrollment task. Click on "Let's Get Started".
- Click on each "Card" within the enrollment to review your plan options, add/change dependents, add/change beneficiaries, and make your elections.
- Once you've made all your selections, click "Review and Sign". Review the summary, then scroll to the bottom, check "I Accept" and then "Submit". Be sure to PRINT or SAVE your Confirmation Statement for your records.
First Time Enrolling?
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- If you have a National Church Residences email address:
Navigate to: https://ncr.okta.com. Or access by QR code here: - Username = characters before the @ sign in your email address (For example, email address jsmith2@nationalchurchresidences.org = username jsmith2)
- Password = current password used to login to your email/computer
- If you have a National Church Residences email address:
- Call 833-226-8355 (Monday - Friday from 8 a.m. to 8 p.m. EST) Benefits counselors are ready to assist you!
- Schedule an appointment with a benefits counselor below during the enrollment period.