Medical Benefit for Greater New York Members
Reinstating Member Cost Share for COVID-19-Related Services
During the federal COVID-19 public health emergency (PHE), the Benefit Funds temporarily waived certain cost sharing for COVID-19-related visits and diagnostic services to help ensure that you had access to medical services during this challenging time.
Effective January 1, 2024, the Benefit Funds are reinstating this previously waived member co-pay for COVID-19 related visits and diagnostic service:
- $75 co-pay for emergency room visits
Please remember to show your Health Benefits ID card to your doctor for applicable co-pays.
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.
Find a Doctor
For Care in New York City, Long Island and Westchester
For Care Outside New York City
Who Is Eligible?
Eligibility Class I and II — Family Coverage
Eligibility Class III — Not covered for this benefit
Not sure what wage class you are?
Check the front of your Health Benefits ID Card, or read a further explanation.
Greater New York members employed by New Jersey employers receive healthcare benefits through Aetna. Call (646) 473-9200 for questions about your benefits.
Additional Resources
- Summary Plan Description (SPD)
- Overview of Your Benefits:
- Eligibility Class I & II (As of January 2019)
- Eligibility Class I & II in Spanish (As of January 2019)
- Summary of Benefits and Coverage (SBC)
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.
