Medical Benefit for National Benefit Fund Members
Your medical benefit gives you access to more than 30,000 Benefit Fund providers throughout New York City, Westchester and Long Island, 21,000 of whom are affiliated with our network hospitals. Your medical benefit also includes behavioral and mental health coverage.
If you live outside New York City, Westchester and Long Island, you can choose your providers from the Benefit Fund or Aetna Choice POS II network. All of the Aetna Choice POS II providers accept the Benefit Fund’s payment for most services, and there are no referrals and no out-of-pocket costs or deductibles for covered 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.
For lab and radiology services, make sure you use a participating provider.
Who Is Eligible?
Family Coverage — Wage Class I and II
Not sure what Wage Class you are?
Check the front of your Health Benefits ID Card, or click here for an explanation.
Find a Doctor
For Care in New York City, Long Island and Westchester
For Care Outside New York City
Access Care from the Comfort of Your Home
If you are a National Benefit Fund, Greater New York Benefit Fund or Home Care Benefit Fund member, you can schedule a virtual visit with any hospital or provider in our 1199SEIU Benefit Fund network, wherever you may be. This is in addition to your Teladoc benefit.
Your Benefits
Medical Benefit
Access to more than 30,000 Benefit Fund providers throughout New York City, Westchester and Long Island.
Mental and Behavioral Health
Comprehensive support through talk therapy, inpatient and outpatient treatment programs and coordinated care.
Prescription Benefit
Full prescription coverage with no co-payments when you use preferred drugs where available.
Dental Benefit
A choice of two plans—EmblemHealth or Aetna DMO—providing basic care, including cleanings, exams and restorative services.
Vision Benefit
Eye exams and glasses or contact lenses every two years.
Life Insurance
Life insurance benefit based on Wage Class.
Keeping Your Coverage
COBRA Continuation Coverage
COBRA allows you to extend your health benefits when your Benefit Fund coverage ends due to a “qualifying event.”
Disability
This benefit provides a financial cushion if you are temporarily unable to work due to non-work-related accidents, injury or illness.
Paid Family Leave
New York State’s Paid Family Leave (PFL) benefit is administered at no cost to NBF members.
Workers' Compensation
Provided through your employer, this benefit provides health and wage benefits if you are injured or become ill at work.