Father Milovan is the Heath Care Administrator for the SOC Central Council's Clergy Health Coverage Plans. The information provided on this page is only basic plan coverage information.
The Orthodox HealthPlan provides benefits for the clergy and lay employees of:
- The Serbian Orthodox Church of the United States
- The Greek Orthodox Archdiocese of America
- The Antiochian Orthodox Christian Archdiocese
- The Orthodox Church in America
- The Diocese of The Armenian Church
By joining this large group we are able to secure equal or greater benefits than our previous plan, with lower, more stable premiums.
Medical and Dental Benefits are provided by Aetna, Inc. Both the Medical and Dental Plan coverages are PPOs (Preferred Provider Plan), allowing members to use any provider of their choice, with higher reimbursement for using providers who are members of the appropriate networks.
Both the Medical Network and Dental networks are Aetna Networks. The Retiree Medical Plan benefits are provided by Monumental General for Medical coverage and Express Scripts for prescription drugs. Retiree medical coverage is only available to those age 65 and older with Medicare as their primary coverage.
ENROLLMENT is open to all clergy and (at least half-time) employees of any Serbian Orthodox Church in America, within our five dioceses. Under the Church Constitution, parishes are required to provide healthcare to their priests and their dependants with the plans selected by the Central Council, or plans with equal or better coverages. A major advantage our plans is that they accept pre-existing conditions, with no waiting periods, in most cases.
Enrollment and other general administration questions should be directed to
Fr. Milovan. Payment and premium questions should be directed to Central Church Council Treasurer, Brian Gerich.
PREMIUMS with the new plan are now the same for all participants and no longer based on zip code. The monthly premium for a single person is $785 and $1656 for a family.
If you are interested in joining any of the Clergy Health Care Plans, please contact Fr. Milovan to provide you with and the appropriate application form(s). The more members we have in the group, the more affordable the coverage stays for all members.
In order to keep monthly premiums as low as possible, we have selected a plan that includes a deductible and coinsurance. If you are not familiar with these terms, here is a brief explanation.
- A deductible is a pre-determined dollar amount that is the responsibility of the member. The insurance company’s responsibility begins after the member pays their deductible.
- Coinsurance refers to a sharing of costs between the member and the insurance company.
The annual member deductible is now only $300 for single coverage and only $600 for family coverage (in-network). It is important to note that most services are covered without being subject to this deductible. The deductible applies to services such as:
- A hospital admission
- Outpatient surgery
- An inpatient stay at a Skilled Nursing Facility
- Home Health Care
- Inpatient Hospice Care
Some services are also subject to Coinsurance, meaning that the member is responsible for 10% of charges. However, the maximum out-of-pocket exposure for our members, including the deductible is $3,000 for a member with single coverage and $6,000 for someone with family coverage.
It's important to remember that in a typical year, many people will not utilize any of the services that are subject to the deductible and coinsurance. It is also important to remember that once the full deductible has been paid, there is no further obligation to pay a deductible for that benefit year. Likewise if a member incurs the out-of-pocket maximum, then the plan pays at 100% for any other services that would have been subject to the deductible or coinsurance.
PLEASE NOTE: STATE REGULATIONS IN NEW YORK AND CALIFORNIA DO NOT PERMIT DEDUCTIBLES FOR IN-NETWORK SERVICES. ALSO, NEW YORK MEMBERS ARE NOT SUBJECT TO INPATIENT COINSURANCE.
SPECIFIC HEALTH CARE COVERAGE/BENEFIT INFORMATION QUESTIONS SHOULD BE DIRECTED TO THE CUSTOMER SERVICE CENTER OF THE PERTINENT PLAN LISTED BELOW.
