While the Funds’ offices are currently closed during the COVID-19 coronavirus outbreak, we are providing essential services with limited staffing. You can request a form, change your address and more by visiting My Account. If you need assistance with your benefits, please contact your Outreach Coordinator and he or she will get back to you as soon as possible. Your Coordinator’s contact information is available on the bulletin board at your worksite and in the Resources section.

Please note that while we are monitoring our main Member Services line at (646) 473-9200, it should be used for urgent matters only and you will experience long wait times to speak to a Service Representative. We appreciate your patience and understanding during this time and we remain committed to serving your needs.

Attention:

A recent cyber-security event experienced by Change Healthcare, one of the Benefit Funds’ vendors, has disrupted their ability to process disability, life insurance, and member reimbursements. This may cause a delay in payments. We apologize for the inconvenience and will provide updates as they become available. If you have any questions, please call Member Services at (646) 473-9200.

Attention: A recent cyber-security event experienced by Change Healthcare—the vendor that administers the Benefit Funds’ EDI, EFT and ERA processes—is currently affecting the business operations of many healthcare organizations, including the 1199SEIU Benefit Funds’. We apologize for the inconvenience and will provide updates as more information becomes available.


The Funds Provider Relations Call Center is currently experiencing higher than normal call volumes, and you may have to wait longer than usual to reach a Representative. The Funds have many self-service options to support you. To check 1199SEIU patient eligibility, benefit and claim status information, please visit our provider portal at www.NaviNet.net, or call (888) 819-1199 to be connected to our 24-hour automated claims and eligibility system. You can also email us at [email protected].

The physical offices of the 1199SEIU Training and Employment Funds (TEF) are closed to walk-in services, classes and intake sessions. TEF staff continues to work remotely and will update you via this website on issues of member payments and other services. See our Member Bulletin and Schedule Changes for important contact information and changes.

Notice to 1199SEIU Providers and Hospitals: Coverage of Telehealth Services Made Permanent

We will continue to cover telehealth services for your 1199SEIU patients. This includes visits via phone, video and other virtual means for all eligible medical and mental health services, including COVID-19 related services. Please note: Effective October 15, 2021, the Benefit Funds no longer covers telehealth services provided by an urgent care center and will deny any claims with telehealth procedure codes or modifiers where the place of service is 20.
During the Public Health Emergency, the Benefit Funds covered all codes with a telehealth modifier of 95 or GT, or place of service code 02. Effective 05/12/2023, coverage determination will be made based on the Benefit Funds’ telehealth policy. The policy will be available shortly.

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    A Message from Rossmery Dais

    A Message from Rossmery Dais

    Dear Friends: I hope that you are enjoying the seasons’ change and the spirit of renewal that spring brings. Spring is also a time for us here at the 1199SEIU Child Care Funds and Corporation to look back at all the wonderful things we have accomplished and to look...