Medical

You have the flexibility to seek care from an in-network or out-of-network provider. It is important to note that you receive the maximum benefits from the plan when you seek services from in-network providers.

The Cigna network offers national access to providers. To find out if your physician is in network, please visit their website at: Cigna.com and click “Find a Doctor, Dentist or Facility.” Be sure to select PPO.**  You may also direct your questions to the Customer Service number located on the back of your medical identification card.

Below is a brief summary of the medical plans available to you and your family. For more detailed information, please refer to your 2026 Employee Benefit Guide.

Premier Plan, Medical/Rx

Individual Employee: $638.00 per month

Nurse Navigation Available to All Enrolled Members of the Medical Plan

• Choosing facilities that deliver proven high-quality care
• Choosing doctors and facilities that gladly accept your health plan
• Help maximizing your benefits and reducing your out of pocket
• Understanding your diagnosis and treatment options
• When is a second opinion appropriate?

Call BEFORE you schedule care to eliminate your deductible and coinsurance.

What qualifies for waived deductible & coinsurance under the Concierge Nurse Navigator program?

• Imaging – CT Scan, MRI, Ultrasound, Echocardiogram, etc.
• Scheduled Inpatient/Outpatient Surgeries – Hip Replacement, Heart Bypass Surgery, Knee Replacement, etc.
• Scheduled Outpatient Procedures – Colonoscopy, Heart Catheterization, etc.
• Second Opinions – with a highly qualified physician or Center of Excellence (i.e. cancer diagnosis or treatment, spine surgery or fusion, complex surgeries)

Direct Primary Care services for adults only: covered with KerixHealth affiliation at NO COST to members

Fertility/Hormonal Care services: $60/month Covered with KerixHealth Affiliation, $80/month billed to patient & reimbursable at the out-of-network benefit level by submitting a claim to Sage (12 month lifetime maximum)

Prenatal/Obstetric Care: $60/month Covered with Nextera Affiliation, $80/month billed to patient & reimbursable at the out-of-network benefit level by submitting a claim to Sage

Additional Services (Newborn Hospitalization Care, Delivery Fees, Circumcision): Billed to patient & reimbursable at the out-of-network benefit level by submitting a claim to Sage.

Reimbursements will be submitted as out-of-network claims and will be processed the same way as the rest of your out-of-network benefit, meaning that, after you have satisfied your out-of-network deductible, you will be reimbursed at 60% on both the Premier and Advantage plans.

This benefit includes education and counseling visits (in-person or virtual) to learn Natural Family Planning, office visits, and testing materials, at no cost to you through MyCatholicDoctor.com.

Any medically necessary additional care (such as labs, ultrasounds, surgery, etc) ordered by a MyCatholicDoctor.com provider will also be available at no cost to you, provided that such care is facilitated through your Nurse Navigator.
The Archdiocese will cover 100% of costs up to a maximum of $400 per calendar year for the insured employee or their spouse. The benefit is limited to $400 total per family. Please submit copies of receipts to the archdiocese Human Resources office by January 31 of the following year.

Please note: Some items such as the Oura ring, or electives such as a charting application, are not reimbursable