
» Member Choice Program
» Panel Providers
Member Choice gives you access to a hospital network and a primary care provider within it who will coordinate your care. There are no referrals and no out-of-pocket costs or deductibles for covered services. You can choose a different doctor and hospital network for yourself and each of your covered family members from 14,000 physicians affiliated with more than 70 Member Choice hospitals!
In Member Choice, your lifetime maximum benefit is $1,000,000 and you enjoy an enhanced dental benefit up to $3,000 per year.
To locate a hospital network and provider near you, please refer to our Member Choice Directory.
Besides Member Choice providers, you can use any participating provider on the Benefit Fund’s panel. These 6,000 healthcare professionals across New York City, Westchester and Long Island accept the Benefit Fund’s payment for most services. Remember — if you are referred to non-participating providers, including physicians or services such as anesthesiology, radiology or lab procedures — you could face high out-of-pocket costs. Always check to make sure your provider is in the Benefit Fund’s network. You can search the Panel Provider Directory here.
Need Care Outside of New York City?
For care outside of New York City, click here. For care outside of New York and New Jersey states, click here.
For lab and radiology services, make sure you use a participating provider.
Who is Eligible?
Family Coverage — Wage Class 1 and 2
Member-only Coverage — Wage Class 3
Not sure what wage class you are?
Check the front of your Health Benefits ID Card, or click here for an explanation.
Click here for a full overview of your health benefits.
