Attention: The February 21, 2024, cyberattack on Change Healthcare disrupted the Benefit Funds’ and providers’ claims submission and reimbursement processes. The Benefit Funds have now fully restored most of our claims operations and are able to receive claims and issue payments through our partnerships with ABILITY and Zelis.

For now, the Benefit Funds are not issuing electronic payments. All payments are being issued via paper check, along with a paper remittance advice. While this solution allows us to continue fulfilling our payment obligations, we understand the inconvenience it may cause and are working to resume processing electronic payments as soon as possible.

Eligibility Verification

NaviNet's online provider portal

For customer support, including registration and technical assistance, please contact NaviNet directly at (888) 482-8057 or the 1199SEIU Interactive Voice Response system at (888) 819-1199.

Claims Submission

ABILITY (Inovalon) Help Center

The Funds Provider Relations Call Center is currently experiencing higher than normal call volumes, and you may have to wait longer than usual to reach a Representative. The Funds have many self-service options to support you. To check 1199SEIU patient eligibility, benefit and claim status information, please visit our provider portal at www.NaviNet.net, or call (888) 819-1199 to be connected to our 24-hour automated claims and eligibility system. You can also email us at [email protected].

Get Help Finding Alternative Child-care Services »

The physical offices of the 1199SEIU Training and Employment Funds (TEF) are closed to walk-in services, classes and intake sessions. TEF staff continues to work remotely and will update you via this website on issues of member payments and other services. See our Member Bulletin and Schedule Changes for important contact information and changes.

Stay Up to Date on the Coronavirus (COVID-19)

Ask Dr. Dunn a Question about the Coronavirus (COVID-19)

If You Think You Have COVID-19, call Teladoc

Notice to 1199SEIU Providers and Hospitals: Coverage of Telehealth Services Made Permanent

We will continue to cover telehealth services for your 1199SEIU patients. This includes visits via phone, video and other virtual means for all eligible medical and mental health services, including COVID-19 related services. Please note: Effective October 15, 2021, the Benefit Funds no longer covers telehealth services provided by an urgent care center and will deny any claims with telehealth procedure codes or modifiers where the place of service is 20.
During the Public Health Emergency, the Benefit Funds covered all codes with a telehealth modifier of 95 or GT, or place of service code 02. Effective 05/12/2023, coverage determination will be made based on the Benefit Funds’ telehealth policy.
WELLNESS/MAP
KEEPING YOUR COVERAGE

Disability for Home Care Employees

Disability benefits are provided through the state.

While you are receiving disability benefits, you are still eligible for the same coverage you had before your disability. This coverage may continue for up to a maximum of 26 weeks within a 52-week period. You must notify the Fund when you begin to receive disability benefits through the state and submit copies of your disability payment stubs to the Fund’s Eligibility Department as proof of your continued disability.

Follow the same procedure if you are receiving Workers’ Compensation. If you need help or advice in filing a Workers’ Compensation claim, call the Fund at (646) 473-9200.

Who Is Eligible?

Member-only Coverage

For More Information

Call (646) 473-9200.

Home Care For Your Benefit

Home Care For Your Benefit, your member magazine, is now available to view online.
Find support to live your best life.
Access free or reduced-cost community services and programs close to where you live or work with findhelp.1199SEIUBenefits.org.
Search for support in your community, including housing assistance, emotional well-being resources, child care, legal help and more.
Find Support
Search