2024 Archdiocese of Atlanta / Lay Employee Quick Guide - Flipbook - Page 5
Your Roman Catholic Archdiocese of Atlanta
Summary of Benefits and Coverage (SBC) Can Be
Found Online
Availability of Summary Health Information
As an employee, the health benefits available to you represent a significant component of your compensation
package. They also provide important protection for you and your family in the case of illness or injury.
Your plan offers a choice of two health coverage options. Choosing a health coverage option is an important
decision. To help you make an informed choice, your plan makes available a Summary of Benefits and
Coverage (SBC), which summarizes important information about any health coverage option in a standard
format, to help you compare across options.
The SBC for both the Value and Premier plan can be found at the Archdiocese of Atlanta’s website.
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Go to www.archatl.com
Click on Offices at the top menu
Scroll down and select Human Resources
Click on Benefits Information on the left of the screen
You can also go directly to the documents with this link:
http://www.archatl.com/offices/human-resources/insurance-information/
If you would like to request a hard copy of the Summary of Benefits and Coverage and Glossary of Health
Coverage and Medical Terms, please submit your request in writing to: The Roman Catholic Archdiocese of
Atlanta Attn: Employee Benefit Office, 2401 Lake Park Drive SE Smyrna, Georgia 30080, or email your
request to rmontano-parker@archatl.com
Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services
The Roman Catholic Archdiocese of Atlanta: Premier Plan
Coverage Dates: 01/01/2024-12/31/2024
Coverage for: Single + Family | Plan Type: POS
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would
share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This
is only a summary. For more information about your coverage, or to get a copy of the complete terms of coverage, go to www.mertiain.com, or by
calling (404) 920-7486. For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or
other underlined terms see the Glossary. You can view the Glossary at https://www.healthcare.gov/sbc-glossary or call Meritain Health, Inc. at (866) 303-2689
to request a copy.
Important Questions
What is the overall deductible?
Answers
Why This Matters:
For participating providers: $400 person /
$1,200 family;
For non-participating providers:
$400 person / $1,200 family
Generally, you must pay all of the costs from providers up to the
deductible amount before this plan begins to pay. If you have other
family members on the plan, each family member must meet their own
individual deductible until the total amount of deductible expenses paid by
all family members meets the overall family deductible.
Are there services covered before
you meet your deductible?
Yes. For participating providers: Preventive
care, urgent care and office visits are covered
before you meet your deductible.
This plan covers some items and services even if you haven’t yet met the
deductible amount. But a copayment or coinsurance may apply.
Are there other deductibles for
specific services?
No.
You don’t have to meet deductibles for specific services.
What is the out-of-pocket limit for this
plan?
For participating providers: $1,750 individual /
$3,500 family; For non-participating providers:
$2,900 individual / $5,800 family
The out-of-pocket limit is the most you could pay in a year for covered
services. If you have other family members in this plan, they have to
meet their own out-of-pocket limits until the overall family out-of-pocket
limit has been met.
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