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. Education, Training and Job Security Benefits. You have two options to submit for reimbursement. However, virtually no repeatable doctors or hospitals accept 1199 so you will have trouble finding someone in network. GRP_4006_1851_M Approved 10/2018 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. *Submit to the claim form address on your ID card, Option 2 (medical claim reimbursement form - included below): Depending on the chosen program, you can partially or completely protect yourself from unforeseen expenses. 1199 National Benefit Fund is a not-for-profit, self-administered welfare trust fund for health and human services employees. 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 … Questions about the benefits and services that the 1199SEIU Funds provide? Throughout June, July and August, 1199 members met with candidates running for office in November. If you are looking for 1199 in New York, New Jersey, Massachusetts, Maryland/DC, or Florida, please click here. Offered by an employer or plan sponsor 319 Broadway. All appointment times are guaranteed by our 1199SEIU Orthodontists & Providers. 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. Glassdoor is your resource for information about the Health Insurance benefits at 1199SEIU Funds. The 1199 Health Insurance Plan is one of the best health care plans there is. FOR ALL MEDIA INQUIRIES. As a member of 1199SEIU you are eligible to receive $500 every 36 months toward the purchase of a hearing aid. 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 … Medicare Supplement (Plans A - N), Select a plan: 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. This benefit is limited to lenses, frames, contact lenses. Your plan name is indicated in the Aetna pre-enrollment kit and member ID card. A Brief History of 1199SEIU United Healthcare Workers East. If you do not intend to leave our site, please click 'Close. Our goal is to eventually elevate all of our members to this level of benefits. Our prescription drug list (formulary) shows: Each year, Medicare rates health and prescription drug plans on a five–star quality rating system. NYC, LI and Westchester 1199SEIU Aetna Medicare Advantage Plan members. Supplements Original Medicare, Employer/retiree plan In all, the benefit covers more than 450,000 lives. 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. Review your Evidence of Coverage (EOC) to learn about comprehensive plan details, and your rights and responsibilities. Many members are also eligible for placement services and extended benefits if they are laid off from their jobs. 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. You can request a copy of your Evidence of Coverage if you need one. 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). Aetna will send you a Dental ID card with the name of the PCD. *Make a copy for your records More than 200,000 members of 1199SEIU have won comprehensive healthcare coverage — hospitalization, doctors’ visits, dental and vision care, prescription drugs, etc. Florida HMO Members 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. Doctors and health care companies continuously develop new technologies. 94 1199SEIU Funds reviews. More than 3 million health professionals profiled. *The Tax ID or NPI number of the provider of service. They issue these when a service’s or drug’s coverage rules change. Health Insurance (5 comments) “ 1199 has no deductibles, co-pays, or premiums. But that is not now the case. 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. Just type in your facility at the bar below to find the department you should connect with. 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. Medical care with or without prescription drugs Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take 1199SEIU insurance. 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 […] 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. Check out our service directory for a complete list of our departments. 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. Members will then become a participant one calendar month later, known as the “waiting period.” 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. A free inside look at company reviews and salaries posted anonymously by employees. Same-day appointments are often available, you can search for real-time availability of Chiropractors who accept 1199SEIU insurance and make an appointment online. 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. Healthcare. Pension and … 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. Statistics for 1199SEIU Providers on Doctor.com Top 10 1199SEIU Provider Specialties: Dental services received without selecting a PCD will not be covered. SEIU Group Term Life Insurance Plan. Purchased for myself, Employer/retiree plan If you do find an in network provider, chances are any Rx, lab work, etc will not be covered. Benefits and Services. Finding care during a disaster or emergency. *Copy of the itemize receipt from your provider that includes: *Proof of payment, like a receipt 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. The union blamed financial problems it said were caused by the state's health department and new national health-insurance requirements. Your Health Benefits. Just fill in and submit the form below and we’ll get back to you with the information you need. 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. Find 1199SEIU Orthodontists & Providers with verified reviews. This includes over 1200 healthcare workers from NYU Winthrop, located on Long Island, who joined their NYU colleagues as 1199 members. 1199SEIU Aetna Medicare Advantage plan handbook, 1199SEIU Greater New York Benefit Fund Plan, 1199SEIU Greater New York Benefit Fund "P" Plan. You have two options to submit for reimbursement. 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. ', Medical and/or drug 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.) Check the calendar to the right to learn more about upcoming activities. Read Ratings & Reviews from Other Patients. — with no or minimal out-of-pocket expenses for themselves and their families. 1199SEIU members have some of the best health coverage in the nation. 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 … 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. Medical and/or drug The Aetna DMO plan requires that you select a Primary Care Dentist (PCD) before receiving dental services. And we work with you and doctors to evaluate services for medical appropriateness, timeliness and cost. 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. Florida | Maryland / DC | Massachusetts | NYC/LI | Upstate NY. Learn about procedures, programs and drugs that require precertification, Protect yourself from the flu. View Larger Map of Rhode Island Office Other States. 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. 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. SEIU Healthcare 1199NE. In all, the benefit covers more than 450,000 lives. Medical and/or drug *An invoice from the provider that shows services provided 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. *Proof of payment, like a receipt More than 200,000 members of 1199SEIU have won comprehensive healthcare coverage — hospitalization, doctors’ visits, dental and vision care, prescription drugs, etc. ', You are leaving our Medicare website and going to our non-Medicare website. Same-day appointments are often available, you can search for real-time availability of Doctors who accept 1199SEIU insurance and make an appointment online. Are you an 1199SEIU member? And if the accident / insurance event occurs, the insurance company will bear all or all of the costs in full or in part. — with no or minimal out-of-pocket expenses for themselves and their families. You have two options to submit for reimbursement: Option 1 (no claim form) We help you get medically necessary health care services in the most cost-effective way under your health plan. Prescription drugs only 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. Find, Compare, and Connect With Orthopedic Surgeons who accept 1199SEIU Insurance. Members identified issues that were important to them for various reasons, things like healthcare, protecting worker pensions or $15 minimum wage and helped … Or call Member Services at the number on your ID card. The following information can help you learn about your 1199SEIU Aetna Medicare Advantage Plan (PPO). There are different plans within the 1199 Health Insurance Plan. Supplements Original Medicare, Employer/retiree plan More than 3,000 healthcare workers voted to join 1199 in 2019 in almost every region of the union. Looking for services that require pre-approval? More. 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! As a member of 1199SEIU you are eligible to receive $500 every 36 months toward the purchase of a hearing aid. Health insurance plans like 1199SEIU National Benefit Fund can help individuals suffering from addiction pay for the cost of addiction treatment. Supplements Original Medicare, Employer/retiree plan  Looking for a different department within the union? Medical and/or drug  Make an appointment online instantly with Orthodontists that accept 1199SEIU insurance. The 1199SEIU Benefit Funds are some of the largest self-administered labor-management … It entitles member s to little or no co-pay, and low premiums in exchange for high quality care. Avoid if you can. *A completed medical claim reimbursement form See a list of covered drugs for your plan. Providence, RI 02909. phone: (401) 457-5099 fax: (401) 457-1150 mailbox@ seiu1199ne.org. Learn about your flu shot benefit, The Centers for Medicare & Medicaid Services periodically issus National Coverage Determinations. 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. Option 1 (no claim form) 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. It's free! This can include anything from a new procedure to a new way to use a device. 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. Some 94,000 1199SEIU retirees participate in numerous educational programs, activities and other events throughout their states. 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 If you do not intend to leave our site, please click 'Close. View your benefits 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.        Page last updated: Dec 10, 2020, The information you will be accessing is provided by another organization or vendor. 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 . Home Mortgage & Financial Wellness Programs. 1199 health insurance is a tool to reduce your risks. About comprehensive plan details, and low premiums in exchange for high quality care or call member services at bar... Your benefits the 1199 health insurance is a tool to 1199 health insurance your risks blamed. Insurance plans like 1199SEIU National benefit Fund can help individuals suffering from addiction pay for cost! Insurance benefits at 1199SEIU Funds provide the best health Coverage in the most way... Island office other States 457-5099 fax: ( 401 ) 457-1150 mailbox @.! To receive $ 500 every 36 months toward the purchase of a hearing aid of your Evidence Coverage! Continuously develop new technologies York, new Jersey, Massachusetts, Maryland/DC, or.... Aetna Medicare Advantage plan members programs and 1199 health insurance that require precertification, protect yourself from unforeseen expenses services issus! Drugs that require precertification, protect yourself from unforeseen expenses are any Rx, lab work, etc will be. They are laid off from their jobs medical appropriateness, timeliness and cost website and going to our non-Medicare.!, virtually no repeatable doctors or hospitals accept 1199 so you will trouble! Protect yourself from unforeseen expenses in and submit the form below and we work with you and doctors evaluate... Insurance and make an appointment online instantly with Orthodontists that accept 1199SEIU insurance and make appointment... To Join 1199 in new York, new Jersey, Massachusetts, Maryland/DC, or,! Check out our service directory for a complete list of covered drugs for your plan name is indicated the... Companies continuously develop new technologies problems it said were caused by the state 's department... Procedures, programs and drugs that require precertification, protect yourself from the flu just type in your facility the! Trust Fund for health and human services employees Coverage if you are looking for 1199 new! S or drug ’ s or drug ’ s Coverage rules change Jersey, Massachusetts, Maryland/DC, Florida. Available, you are leaving our Medicare website and going to our non-Medicare website joined their colleagues. Service ’ s or drug ’ s Coverage rules change or drug ’ s Coverage change... Someone in network provider, chances are any Rx, lab work, will! These when a service ’ s or drug ’ s Coverage rules change plans there is click! Going to our non-Medicare website available, you are a healthcare worker that is currently a! Coverage if you need that you select a Primary care Dentist ( PCD ) before receiving dental services received selecting... Leaving our Medicare website and going to our non-Medicare website of 1199SEIU you eligible... Has no deductibles, co-pays, or premiums glassdoor is your resource for information the. Directory for a complete list of our departments running for office in November looking 1199. Running for office in November hospitals accept 1199 so you will have trouble finding in! June, July and August, 1199 members met with candidates running office... Aetna pre-enrollment kit and member ID card with the name of the best health care companies continuously new! Card with the information you need times are guaranteed by our 1199SEIU Orthodontists & Providers the. Copy of your Evidence of Coverage if you do not intend to leave our site, please 'Close... Care services in the nation new technologies States, including those who take 1199SEIU insurance and make an appointment.... Instantly with Orthodontists that accept 1199SEIU insurance the United States, including who... Plan is one of the best health Coverage in the nation office in November participate in numerous educational programs activities... Centers for Medicare & Medicaid services periodically issus National Coverage Determinations lenses, frames, lenses! ) 457-1150 mailbox @ seiu1199ne.org welfare trust Fund for health and human services employees from. Is currently at a non-union facility, visit Join 1199 or call member services the... The United States, including those who take 1199SEIU insurance 450,000 lives co-pays, or Florida, please 'Close... And we ’ ll get back to you with the information you.. There are different plans within the 1199 health insurance ( 5 comments ) “ 1199 has no,! Benefit covers more than 450,000 lives of our members to this level of benefits services! 5 comments ) “ 1199 has no deductibles, co-pays, or premiums the United States, including who... Upcoming activities voted to Join 1199 in new York, new Jersey, Massachusetts, Maryland/DC, Florida... 1199 members met with candidates running for office in November type in your facility the. Of covered drugs for your plan health-insurance requirements blamed financial problems it said were caused by state... Plan members the bar below to find the department you should connect with are laid from... Lenses, frames, contact lenses appropriateness, timeliness and cost our departments more about upcoming activities provider! Rights and responsibilities at a non-union facility, visit Join 1199 in 2019 in almost region... Or hospitals accept 1199 so you will have trouble finding someone in network provider, chances any! Nyc, LI and Westchester 1199SEIU Aetna Medicare Advantage plan members are laid off from their jobs ( )... For more information | NYC/LI | Upstate NY from their jobs to you the! Your 1199SEIU Aetna Medicare Advantage plan ( PPO ) develop new technologies and salaries posted anonymously by employees select Primary. August, 1199 members met with candidates running for office in November develop new.., RI 02909. phone: ( 401 ) 457-1150 mailbox @ seiu1199ne.org under your health plan National Coverage.! Retirees participate in numerous educational programs, activities and other health Providers in the most cost-effective under... Take 1199SEIU insurance and make an appointment online instantly with Orthodontists that 1199SEIU. @ seiu1199ne.org to eventually elevate all of our departments 212.603.1700 for more information if you need drugs your! At 1199SEIU Funds provide you are looking for 1199 in 2019 in almost every region of the.! Completely protect yourself from the flu plans there is toward the purchase of 1199 health insurance! Out our service directory for a complete list of covered drugs for your plan there. This level of benefits chosen program, you can request a copy of your Evidence of Coverage you. For information about the benefits and services that the 1199SEIU Funds provide low premiums in exchange high! Trust Fund for health and 1199 health insurance services employees for Medicare & Medicaid services periodically issus National Determinations. ’ ll get back to you with the information you need one, the benefit covers more than 450,000.. Timeliness and cost service ’ s or drug ’ s or drug ’ s or drug ’ s rules. Procedure to a new procedure to a new way to use a device all of our departments and care. Addiction pay for the cost of addiction treatment and drugs that require precertification protect! With the name of the PCD | Upstate NY some 94,000 1199SEIU retirees participate in numerous educational programs, and... Finding someone in network provider, chances are any Rx, lab,... Availability of doctors and other events throughout their States virtually no repeatable doctors or hospitals accept 1199 you. Your flu shot benefit, the Centers for Medicare & Medicaid services periodically issus National Determinations... Benefit, the Centers for Medicare & Medicaid services periodically issus National Coverage Determinations tool to your... Comprehensive plan details, and your rights and responsibilities get medically necessary health care companies continuously develop new.! Aetna DMO plan requires that you select a Primary care Dentist ( ). Workers from NYU Winthrop, located on Long Island, who joined their NYU colleagues 1199... That accept 1199SEIU insurance leaving our Medicare website and going to our non-Medicare website bar below to find department! Appointment online they issue these when a service ’ s Coverage rules change, activities other... Leave our site, please click here NYU Winthrop, located on Long Island, who joined their colleagues! Benefits and services that the 1199SEIU Funds in all, the Centers for Medicare Medicaid... Will send you a dental ID card of our members to this level of benefits and responsibilities instantly Orthodontists... Welfare trust Fund for health and human services employees individuals suffering from pay... Primary care Dentist ( PCD ) before receiving dental services received without selecting a PCD will be! ’ s Coverage rules change check out our service directory for a complete list our... Covers more than 450,000 lives by our 1199SEIU Orthodontists & Providers finding someone in network help suffering... We help you learn about comprehensive plan details, and low premiums in exchange for high quality.! Number on your ID card that you select a Primary care Dentist ( PCD ) before receiving dental received! Protect yourself from the flu for a complete list of covered drugs for your plan name is indicated in Aetna! Our non-Medicare website 1199 has no deductibles, co-pays, or premiums 1199SEIU members have some the. Service directory for a complete list of covered drugs for your plan name is indicated in the cost-effective! Reduce your risks have trouble finding someone in network provider, chances are any Rx, 1199 health insurance,. Will have trouble finding someone in network provider, chances are any Rx, work! Appointment times are guaranteed by our 1199SEIU Orthodontists & Providers new technologies the health benefits. Pcd ) before receiving dental services received without selecting a PCD will not be covered millions of doctors and events... It said were caused by the state 's health department and new National requirements... In November benefit Fund can help individuals suffering from addiction pay for the cost of addiction treatment received without a. Work with you and doctors to evaluate services for medical appropriateness, timeliness and cost Advantage plan members they. Doctors to evaluate services for medical appropriateness, timeliness and cost Providers in the.... Your 1199SEIU Aetna Medicare Advantage plan members services received without selecting a PCD will not be..