Useful Resources:
»
Preferred Drug List (PDL)
»
List of Participating Pharmacies
»
Medco by Mail Order Form
»
Medications Requiring Prior Authorization
Think Generics First!
Always ask your doctor to prescribe generic drugs from the Fund's PDL where possible. The generic drugs listed on the Fund's PDL have the same effectiveness as the name brands, but they cost much less.
Remember, if your doctor prescribes a brand-name that is not on the PDL, or a non-covered medication, you will have out-of-pocket costs.
For more information, call (646) 473-8666.
For a full overview of your retiree health benefits, click here.
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Retirement Due to Permanent Disability With 10 Years of Service
There's no cost to you for your prescriptions when you follow the Benefit Fund's prescription program:
Make sure your doctor prescribes generic drugs and brand name drugs that are on the 1199SEIU Preferred Drug List (PDL). You can share this list with your doctor and work together to find the best covered option for you.
If your doctor prescribes a drug in a category covered by the Benefit Fund, but you don't see it on the Preferred Drug List, just ask your doctor to prescribe any generic medication or a brand-name if there are no generics available. Remember, some drugs like cosmetics are not covered. Check your Summary Plan Description for details.
Fill your short-term prescriptions at
participating pharmacies
.
Long-term medications must be filled through The 90-Day Rx Solution, the Benefit Fund's maintenance drug access program. Just ask your doctor to write your prescription for a three-month supply with three refills (a year's supply in total). Then fill it through Medco by Mail, or order and pick up your prescription at a Rite Aid or Pathmark Pharmacy in New York or New Jersey. Click here for a Medco by Mail order form.
Some medications require prior authorization. If your doctor thinks you need a medication that is not on the Preferred Drug List, call the Fund at (646) 473-8666.
Think Generics First!
Always ask your doctor to prescribe generic drugs from the Fund's PDL where possible. The generic drugs listed on the Fund's PDL have the same effectiveness as the name brands, but they cost much less.
Remember, if your doctor prescribes a brand-name that is not on the PDL, or a non-covered medication, you will have out-of-pocket costs.
For more information, call (646) 473-8666.
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Greater New York Retirees
Age 65 With 25 Years of Service — in New York City and Nassau County
Eligible retirees living in New York City must enroll in the 1199SEIU HIP VIP Medicare Program. Through the 1199SEIU HIP VIP program, you are covered for up to $2,500 of prescription medications each year. You’ll have no co-pay for generic and preferred brand drugs, and pay a differential for non-preferred brands.
You can pick up your short-term prescriptions at any participating HIP pharmacy. Use HIP's Mail Order program or designated HIP pharmacies for 90-day supplies of maintenance medications.
For a full overview of your retiree health benefits, click here.
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Age 65 With 25 Years of Service — outside New York City and Nassau County
There's no cost to you for your prescriptions when you follow the Benefit Fund's prescription program:
Make sure your doctor prescribes generic drugs and brand name drugs that are on the 1199SEIU Preferred Drug List (PDL). You can share this list with your doctor and work together to find the best covered option for you.
If your doctor prescribes a drug in a category covered by the Benefit Fund, but you don't see it on the Preferred Drug List, just ask your doctor to prescribe any generic medication or a brand-name if there are no generics available. Remember, some drugs like cosmetics are not covered. Check your Summary Plan Description for details.
Fill your short-term prescriptions at
participating pharmacies
.
Long-term medications must be filled through The 90-Day Rx Solution, the Benefit Fund's maintenance drug access program. Just ask your doctor to write your prescription for a three-month supply with three refills (a year's supply in total). Then fill it through Medco by Mail, or order and pick up your prescription at a Rite Aid or Pathmark Pharmacy in New York or New Jersey. Click here for a Medco by Mail order form.
Some medications require prior authorization. If your doctor thinks you need a medication that is not on the Preferred Drug List, call the Fund at (646) 473-8666.
Think Generics First!
Always ask your doctor to prescribe generic drugs from the Fund's PDL where possible. The generic drugs listed on the Fund's PDL have the same effectiveness as the name brands, but they cost much less.
Remember, if your doctor prescribes a brand-name that is not on the PDL, or a non-covered medication, you will have out-of-pocket costs.
For more information, call (646) 473-8666.
For a full overview of your retiree health benefits, click here.
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Age 62 Through 64 With 25 Years of Service
There's no cost to you for your prescriptions when you follow the Benefit Fund's prescription program:
Make sure your doctor prescribes generic drugs and brand name drugs that are on the 1199SEIU Preferred Drug List (PDL). You can share this list with your doctor and work together to find the best covered option for you.
If your doctor prescribes a drug in a category covered by the Benefit Fund, but you don't see it on the Preferred Drug List, just ask your doctor to prescribe any generic medication or a brand-name if there are no generics available. Remember, some drugs like cosmetics are not covered. Check your Summary Plan Description for details.
Fill your short-term prescriptions at
participating pharmacies
.
Long-term medications must be filled through The 90-Day Rx Solution, the Benefit Fund's maintenance drug access program. Just ask your doctor to write your prescription for a three-month supply with three refills (a year's supply in total). Then fill it through Medco by Mail, or order and pick up your prescription at a Rite Aid or Pathmark Pharmacy in New York or New Jersey. Click here for a Medco by Mail order form.
Some medications require prior authorization. If your doctor thinks you need a medication that is not on the Preferred Drug List, call the Fund at (646) 473-8666.
Think Generics First!
Always ask your doctor to prescribe generic drugs from the Fund's PDL where possible. The generic drugs listed on the Fund's PDL have the same effectiveness as the name brands, but they cost much less.
Remember, if your doctor prescribes a brand-name that is not on the PDL, or a non-covered medication, you will have out-of-pocket costs.
For more information, call (646) 473-8666.
For a full overview of your retiree health benefits, click here.
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Retirement at any age with a Disability Pension
There's no cost to you for your prescriptions when you follow the Benefit Fund's prescription program:
-
Make sure your doctor prescribes generic drugs and brand name drugs that are on the 1199SEIU Preferred Drug List (PDL). You can share this list with your doctor and work together to find the best covered option for you.
-
If your doctor prescribes a drug in a category covered by the Benefit Fund, but you don't see it on the Preferred Drug List, just ask your doctor to prescribe any generic medication or a brand-name if there are no generics available. Remember, some drugs like cosmetics are not covered. Check your Summary Plan Description for details.
-
Fill your short-term prescriptions at
participating pharmacies
.
-
Long-term medications must be filled through The 90-Day Rx Solution, the Benefit Fund's maintenance drug access program. Just ask your doctor to write your prescription for a three-month supply with three refills (a year's supply in total). Then fill it through Medco by Mail, or order and pick up your prescription at a Rite Aid or Pathmark Pharmacy in New York or New Jersey. Click here for a Medco by Mail order form.
-
Some medications require prior authorization. If your doctor thinks you need a medication that is not on the Preferred Drug List, call the Fund at (646) 473-8666.
Think Generics First!
Always ask your doctor to prescribe generic drugs from the Fund's PDL where possible. The generic drugs listed on the Fund's PDL have the same effectiveness as the name brands, but they cost much less.
Remember, if your doctor prescribes a brand-name that is not on the PDL, or a non-covered medication, you will have out-of-pocket costs.
For more information, call (646) 473-8666.
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The Fund does not provide retiree health benefits for Home Care members. However, if you live in New York City and are eligible for Medicare, you may be able to enroll in the 1199SEIU HIP VIP Medicare Advantage Plan and receive a basic prescription benefit at no cost to you. Call (646) 473-8666 for more information.
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