Medical Benefit for Home Care Members

Reinstating Member Cost Share for COVID-19-Related Services – Plan B Network Members

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 these previously waived member co-pays for COVID-19 related visits and diagnostic services for Plan B Network members:

  • $5/$10 co-pays for office visits (PCPs/specialists)
  • $25 inpatient co-pay

Please remember to show your Health Benefits ID card to your doctor for applicable co-pays.

All eligible Home Attendant and Home Health Aide members receive health coverage through the 1199SEIU Home Care Benefit Fund. Eligible members have a choice of two health plans: Plan A or Plan B.

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Home Care For Your Benefit

Home Care For Your Benefit, your member magazine, is now available to view online.