GRP_4006_1851_M Approved 10/2018 Finding care during a disaster or emergency. Learn about your flu shot benefit, The Centers for Medicare & Medicaid Services periodically issus National Coverage Determinations. You have two options to submit for reimbursement: Option 1 (no claim form) Supplements Original Medicare, Employer/retiree plan But that is not now the case. 1199SEIU Aetna Medicare Advantage plan handbook, 1199SEIU Greater New York Benefit Fund Plan, 1199SEIU Greater New York Benefit Fund "P" Plan. View Larger Map of Rhode Island Office Other States. Dental services received without selecting a PCD will not be covered. Supplements Original Medicare, Employer/retiree plan As a member of 1199SEIU you are eligible to receive $500 every 36 months toward the purchase of a hearing aid. Avoid if you can. More than 3,000 healthcare workers voted to join 1199 in 2019 in almost every region of the union. Prescription drugs only Medical and/or drug  If you are a healthcare worker that is currently at a non-union facility, visit Join 1199 or call 212.603.1700 for more information. Check the calendar to the right to learn more about upcoming activities. *Make a copy for your records Read Ratings & Reviews from Other Patients. They issue these when a service’s or drug’s coverage rules change. Phone Visits Now Temporarily Covered with 1199SEIU Providers If you are a National Benefit Fund, Greater New York Benefit Fund or Home Care Benefit Fund member who receives health coverage through the Fund and you need medical attention, you can now access more providers by telephone and avoid transportation and waiting rooms by using any hospital or provider in our 1199SEIU Benefit Fund … We are able to forward inquires to licensed health insurance agencies and their agents who are qualified to discuss the health coverage options available in your state. And if the accident / insurance event occurs, the insurance company will bear all or all of the costs in full or in part. Many members are also eligible for placement services and extended benefits if they are laid off from their jobs. Statistics for 1199SEIU Providers on Doctor.com Top 10 1199SEIU Provider Specialties: Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take 1199SEIU insurance. A New York Psychiatrist who accepts Allaince, may be in network with 1199SEIU, or you can make a claim on your 1199SEIU insurance as an out of network 1199SEIU provider. 319 Broadway. Our prescription drug list (formulary) shows: Each year, Medicare rates health and prescription drug plans on a five–star quality rating system. Learn about 1199SEIU Funds Health Insurance, including a description from the employer, and comments and ratings provided anonymously by current and former 1199SEIU Funds employees. More than 3 million health professionals profiled. Over 80 years on the frontlines for quality care, good jobs & social justice, Local 1199 was founded in 1932 by Leon Davis and a group of New York City pharmacy workers who were pioneers in the struggle for living wages and against racial segregation during the 1930s. 1199SEIU Home Care Benefit Fund Members are eligible for health benefits once they have been working for a contributing employer for 100 hours or more per month for two consecutive months. The Aetna DMO plan requires that you select a Primary Care Dentist (PCD) before receiving dental services. Doctors and health care companies continuously develop new technologies. If you do find an in network provider, chances are any Rx, lab work, etc will not be covered. Your Health Benefits. As a member of 1199SEIU you are eligible to receive of $200 every 12 months toward the purchase of any eyewear for the purpose of vision correction. Covered Lives The 1199SEIU Funds are among the strongest and largest labor-management funds in the nation, providing a range of comprehensive benefits to 400,000 working and retired healthcare industry workers and their families. Throughout June, July and August, 1199 members met with candidates running for office in November. The SEIU Accident & Injury Insurance Plan, an Accident coverage issued by The Prudential Insurance Company of America, helps defray out-of-pocket medical and non-medical costs that arise from an unexpected accident. Members will then become a participant one calendar month later, known as the “waiting period.” See a list of covered drugs for your plan. New York Health Plans is a privately operated, independent marketing website, and is not part of or directly associated with any health insurance company or provider . While Florida has been a hot spot of the COVID-19 pandemic that has ravaged our communities and economy for nine months, the hardworking members of 1199SEIU United Healthcare Workers East have served on the front lines, bravely fighting to save lives despite the dangers of contracting the disease and endangering themselves and their loved ones. *An invoice from the provider that shows services provided You can request a copy of your Evidence of Coverage if you need one. Medical and/or drug The following information can help you learn about your 1199SEIU Aetna Medicare Advantage Plan (PPO). *A completed medical claim reimbursement form Medicare Supplement (Plans A - N), Select a plan: Check out our service directory for a complete list of our departments.        Page last updated: Dec 10, 2020, The information you will be accessing is provided by another organization or vendor. Looking for a different department within the union? And we work with you and doctors to evaluate services for medical appropriateness, timeliness and cost. When we learn about a new technology, we: Call a plan specialist dedicated to 1199SEIU retirees at 1-866-429-3585 (TTY: 711), Monday to Friday, 8 AM to 9 PM ET. Find, Compare, and Connect With Orthopedic Surgeons who accept 1199SEIU Insurance. New England Health Care Employees Union, District 1199, SEIU, as the exclusive representative of Employees whose classifications are included in the unit certified by the State Board of … Aetna will send you a Dental ID card with the name of the PCD. Make an appointment online instantly with Orthodontists that accept 1199SEIU insurance. Providence, RI 02909. phone: (401) 457-5099 fax: (401) 457-1150 mailbox@ seiu1199ne.org. While a majority of workers in the U.S. have health coverage through their employers, almost all of them have co-pays, co-insurance, deductibles and premiums that can add up to thousands of dollars in … ', You are leaving our Medicare website and going to our non-Medicare website. *Submit to the claim form address on your ID card, Option 2 (medical claim reimbursement form - included below): 94 1199SEIU Funds reviews. More than 200,000 members of 1199SEIU have won comprehensive healthcare coverage — hospitalization, doctors’ visits, dental and vision care, prescription drugs, etc. This benefit is a unique program that helps thousands of union families by offering a broad menu of programs for our children from birth through college — for day care and after school care, mentoring, camps, holiday programs and other activities. Just type in your facility at the bar below to find the department you should connect with. This includes over 1200 healthcare workers from NYU Winthrop, located on Long Island, who joined their NYU colleagues as 1199 members. Florida | Maryland / DC | Massachusetts | NYC/LI | Upstate NY. Home Mortgage & Financial Wellness Programs. Just fill in and submit the form below and we’ll get back to you with the information you need. If you are looking for 1199 in New York, New Jersey, Massachusetts, Maryland/DC, or Florida, please click here. This benefit is limited to lenses, frames, contact lenses. Health insurance plans like 1199SEIU National Benefit Fund can help individuals suffering from addiction pay for the cost of addiction treatment. The Star Ratings measure Medicare Advantage plans based on five areas: If you're enrolled in the 1199SEIU Aetna Medicare Advantage with Prescription Drug plan, your plan is rated 4 out of 5 overall stars! In all, the benefit covers more than 450,000 lives. It entitles member s to little or no co-pay, and low premiums in exchange for high quality care. These master contracts have provided a level of healthcare, pension and other benefits that surpass those of most healthcare workers in our country through our 1199SEIU National Benefit and Pension Funds (NBF). If you have health insurance coverage with 1199SEIU, or you're looking for 1199SEIU Nutritionists and Dietitians in New York (or New York Nutritionists and Dietitians who accept 1199SEIU), please contact these Nutritionists and Dietitians and confirm that they are either in-network with 1199SEIU are or can help you with your 1199SEIU coverage. View a list of coverage determinations, We want to make sure you can access your benefits even during urgent situations - like a public health emergency or state of disaster. On average, patients who use Zocdoc can search for a Chiropractor who takes 1199SEIU insurance, book an appointment, and see the Chiropractor within 24 hours. The 1199 Health Insurance Plan is one of the best health care plans there is. You have two options to submit for reimbursement. ', Medical and/or drug Offered by an employer or plan sponsor You have two options to submit for reimbursement. Benefits and Services. On average, patients who use Zocdoc can search for a Dermatologist in New York who takes 1199SEIU insurance, book an appointment, and see the Dermatologist within 24 hours. 1199 health insurance is a tool to reduce your risks. Healthcare. Retiree Health Benefits Life Insurance Other Services National Benefit Fund for Rochester Members Medical Benefit Prescription Benefit Dental Benefit Vision Benefit Urgent Care ... 1199SEIU Funds 498 Seventh Avenue New York, NY 10018 (646) 473-9200. On average, patients who use Zocdoc can search for a Primary Care Doctor who takes 1199SEIU insurance, book an appointment, and see the Primary Care Doctor within 24 hours. If you are looking for information about your pension or benefits, please contact the Retirees Division at 646.473.8761 or at retirees@1199.org Your plan name is indicated in the Aetna pre-enrollment kit and member ID card. *Copy of the itemize receipt from your provider that includes: *Proof of payment, like a receipt Learn about procedures, programs and drugs that require precertification, Protect yourself from the flu. The organization, which is funded by employer contributions, provides health care, life insurance, and disability benefits to more than 150,000 members of New York’s 1199 union for workers in voluntary hospitals, nursing homes, mental health clinics, pharmacies, and […] If you do not intend to leave our site, please click 'Close. In New York City, Long Island and the northern suburbs, tens of thousands of 1199SEIU members-about half our union members-work at institutions that belong to the League of Voluntary Hospitals and Homes or the Greater New York Nursing Home Association, or at institutions whose contracts are patterned on them. The union blamed financial problems it said were caused by the state's health department and new national health-insurance requirements. More than 200,000 members of 1199SEIU have won comprehensive healthcare coverage — hospitalization, doctors’ visits, dental and vision care, prescription drugs, etc. Glassdoor is your resource for information about the Health Insurance benefits at 1199SEIU Funds. and/or procedure codes, Member's ID, name, DOB, address and phone number, Base our decisions on appropriateness of care, service and plan coverage, Use nationally recognized guidelines and resources to make changes, Don’t pay or reward providers, employees or others for denying coverage or care, Focus on reviewing the risks of members who aren’t fully using certain services, Carefully review the latest information and ask experts for their opinions, Compare the information with well-known standards, Base all of our decisions on making sure you have the right care and services. Looking for services that require pre-approval? There are different plans within the 1199 Health Insurance Plan. SEIU Group Term Life Insurance Plan. *The Tax ID or NPI number of the provider of service. All appointment times are guaranteed by our 1199SEIU Orthodontists & Providers. Education, Training and Job Security Benefits. A Brief History of 1199SEIU United Healthcare Workers East. As a member of 1199SEIU you are eligible to receive $500 every 36 months toward the purchase of a hearing aid. Find 1199SEIU Orthodontists & Providers with verified reviews. 1199 National Benefit Fund is a not-for-profit, self-administered welfare trust fund for health and human services employees. Members identified issues that were important to them for various reasons, things like healthcare, protecting worker pensions or $15 minimum wage and helped … The 1199SEIU pension funds serve over 200,000 members — primarily in New York City and its Long Island and northern suburbs — and remains the model for what we want to achieve for every 1199SEIU member. However, virtually no repeatable doctors or hospitals accept 1199 so you will have trouble finding someone in network. View your benefits Questions about the benefits and services that the 1199SEIU Funds provide? Supplements Original Medicare, Finding care during a disaster or emergency, Medical care with or without prescription drugs, Any limits or requirements before we cover the drug, The Tax ID or NPI number of the provider of service, Brief description of services or items for which member is requesting reimbursement (e.g., frames, lenses, etc.) Medical care with or without prescription drugs It's free! The 1199SEIU Benefit Funds are some of the largest self-administered labor-management … Review your Evidence of Coverage (EOC) to learn about comprehensive plan details, and your rights and responsibilities. 1199SEIU members have some of the best health coverage in the nation. A free inside look at company reviews and salaries posted anonymously by employees. 1199SEIU members in Florida, Maryland/DC, New Jersey, Massachusetts and those parts of New York that do not belong to the NBF should refer questions about their benefits to their organizers. Florida HMO Members Option 1 (no claim form) *Proof of payment, like a receipt If you do not intend to leave our site, please click 'Close. Some 94,000 1199SEIU retirees participate in numerous educational programs, activities and other events throughout their states. For Media inquiries or to arrange interviews with workers and/or 1199SEIU spokespersons in NYC, please contact our Press Secretary, Stuart Marques at stuart.marques@1199.org. These benefits are aimed at helping our members earn high school, college and advanced education degrees, as well as train them for upgraded skills in a constantly changing work environment. NYC, LI and Westchester 1199SEIU Aetna Medicare Advantage Plan members. — with no or minimal out-of-pocket expenses for themselves and their families. Our goal is to eventually elevate all of our members to this level of benefits. Same-day appointments are often available, you can search for real-time availability of Dermatologists in New York who accept 1199SEIU insurance and make an appointment online. This can include anything from a new procedure to a new way to use a device. Once you have selected your PCD, call the Aetna Dental Member Services at 1-888-905-7348 (TTY: 711), Monday through Friday, 8 AM to 6 PM EST with your selection. Or call Member Services at the number on your ID card. SEIU Healthcare 1199NE. Health Insurance (5 comments) “ 1199 has no deductibles, co-pays, or premiums. Depending on the chosen program, you can partially or completely protect yourself from unforeseen expenses. In all, the benefit covers more than 450,000 lives. — with no or minimal out-of-pocket expenses for themselves and their families. Pension and … We help you get medically necessary health care services in the most cost-effective way under your health plan. Same-day appointments are often available, you can search for real-time availability of Doctors who accept 1199SEIU insurance and make an appointment online. A New York Therapist who accepts Allaince, may be in network with 1199SEIU, or you can make a claim on your 1199SEIU insurance as an out of network 1199SEIU provider. Same-day appointments are often available, you can search for real-time availability of Chiropractors who accept 1199SEIU insurance and make an appointment online. More. Purchased for myself, Employer/retiree plan Medical and/or drug Are you an 1199SEIU member? Supplements Original Medicare, Employer/retiree plan  FOR ALL MEDIA INQUIRIES. 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