Medical Benefit

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

  • $10/$23.50 co-pay for office visits (PCPs/specialists)
  • $50 co-pay for emergency room visits
  • $25 co-pay for urgent care visits

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

Eligible Rochester-area 1199SEIU members receive medical coverage through the Preferred Care network. By choosing participating providers within the network, you receive quality care with minimal co-pays.

Find a Provider through MVP Health Care

Who Is Eligible?

Family Coverage — Wage Class I and II
Member-only coverage — Wage Class III

Additional Resources