Medical

Cigna Premier Plan & Advantage Plan

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 the Summary of Benefits and Coverage (SBC) provided by AllBetter Health and Edison Health Solutions.

Gianna Family Care – For Members Covered by the Health Plan
The Archdiocese Health Plan provides coverage at Gianna Family Care, which is a membership and faith-based medical practice located in Shawnee, Kansas. Charges from the Gianna Family Care medical practice will be treated as follows:

  • Membership and other physician fees will be subject to applicable benefits under the plan.
  • Any other fees, such as labs or medications, if billed by Gianna, will be covered as out of network.
  • A claim form and itemized receipt must be submitted to Edison Health Solutions for reimbursement and can be found on the benefits portal at archkckbenefits.com. For more information on this practice, visit: www.giannafamilycare.com.

For more information on this practice, visit: www.giannafamilycare.com

Medicare

If you’d like to learn more about Medicare, you have the opportunity to connect with a Medicare expert. Their advice comes at no cost to you.

Please Click Here to complete a quick survey & schedule an appointment with one of our Medicare experts.

Cigna Network - Premier Plan

Premier Plan
In-Network
Calendar Year Deductible
(Individual/Family)
$750/$1,500
Calendar Year Out-of-Pocket Max
(Individual/Family)
$6,500/$13,000
Coinsurance20%
Routine Preventive Care100% Covered
Physician Office Visit$25 Copay
Specialist Office Visit $35 Copay
Rehabilitation (PT, OT, ST)$25 Copay
Mental Health$25 Copay
Urgent Care$75 Copay
Emergency Room$250 Copay, then Ded + Coinsurance (ded & coins waived if admitted)
MaternityDeductible + Coinsurance
Inpatient Hospital CareDeductible + Coinsurance
Outpatient Hospital CareDeductible + Coinsurance
Chiropractic Care (20 visit limit per year)$25 Copay
Lab Services$0 at Independent Facility, Deductible & Coinsurance at Other Facilities
Imaging$0 at Independent Facility, Deductible & Coinsurance at Other Facilities

Prescription Drugs - Premier Plan

Prescription DrugsCigna Network
Premier Plan
Calendar Year Deductible (30 day Supply)Not Applicable
Retail (30 day Supply)
Tier 1Lesser of $5 Copay or Actual Cost
Tier 225% of Cost Up to $50
Tier 340% of Cost
Mail Order Drugs (90 day Supply)
Tier 1Lesser of $15 Copay or Actual Cost
Tier 225% of Cost Up to $50
Tier 340% of Cost
Specialty (30 day Supply)25% of Cost Up to $300

Cigna Network - Advantage Plan

Advantage Plan
In-Network
Calendar Year Deductible
(Individual/Family)
$3,200/$6,400
Calendar Year Out-of-Pocket Max
(Individual/Family)
$6,500/$13,000
Coinsurance10%
Routine Preventive Care100% Covered
Physician Office Visit$40 Copay
Specialist Office Visit$50 Copay
Rehabilitation (PT, OT, ST)$40 Copay
Mental Health$40 Copay
Urgent Care$100 Copay
Emergency Room$500 Copay, then Ded + Coinsurance (ded & coins waived if admitted)
MaternityDeductible + Coinsurance
Inpatient Hospital CareDeductible + Coinsurance
Outpatient Hospital CareDeductible + Coinsurance
Chiropractic Care (20 visit limit per year)$40 Copay
Lab Services
$0 at Independent Facility, Deductible & Coinsurance at Other Facilites
Imaging
$0 at Independent Facility, Deductible & Coinsurance at Other Facilites

Prescription Drugs - Advantage Plan

Prescription DrugsAdvantage Plan
In-Network
Calendar Year Deductible (30 day Supply)Not Applicable
Retail (30 day Supply)
Tier 1Lesser of $15 Copay or Actual Cost
Tier 225% of Cost Up To $75
Tier 340% of Cost
Mail Order Drugs (90 day Supply)
Tier 1Lesser of $15 Copay or Actual Cost
Tier 225% of Cost Up To $75
Tier 340% of Cost
Specialty (30 day Supply)25% of Cost Up To $350

Downloads

Claim Reimbursement Form

Nextera Healthcare

Cigna Online Tools

Find a Provider

My Cigna

Getting Started with Edison - Online Portal & App

Concierge Nurse Navigators

Medicare Creditable Coverage-Important Notice

Optum Rx

Optum Rx 2025 Premium Formulary

Medicare Creditable Coverage-Important Notice

ABCD's of Understanding Medicare

Continuation of Medical PPO

Preventive Care

2023 Medicare Part D Memorandum

Natural Family Planning For Members Covered by the Medical Plan

This benefit includes education and counseling visits (in-person or virtual) to learn Natural Family Planning, and office visits, 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.

MyCatholicDoctor

MyCatholicDoctor is a nationwide organization that brings a network of faithful medical professionals to you through video appointment (telehealth). We offer rapid access urgent care 24/7/365, as well as appointment-based visits. Appointment-based visits will generally have a lower co-pay and include both primary care and specialty care.

We can initiate your medical care virtually, order any necessary labs or imaging, and send prescriptions to
any pharmacy of your choice. We practice evidence-based scientific medicine from a Catholic perspective
and integrate Catholic spirituality into our care as appropriate to the situation.

When can I use MyCatholicDoctor?
Choose our rapid access urgent care when:

  • You need care now
  • If you are considering the ER or urgent care center for a non-emergency issue
  • You are traveling
  • You need care during non-business hours
  • Fertility Care
  • $0 for all members
  • Counseling

Smartphone access appointments by video or phone.
Confidential visits are available during evenings, weekends, and holidays.

To Get Started Visit
https://mycatholicdoctor.com/archkck/
No Password Required
No Special App

Downloads

My Catholic Doctor Flyer