Your medical benefit gives you access to more than 20,000 providers across New York City, Westchester and Long Island, 14,000 of whom are affiliated with our Member Choice network hospitals. If you live outside the tri-state area, you choose your providers from the Aetna Signature Administrators network. All of these providers accept the Benefit Fund’s payment for most services, and there are no referrals and no out-of-pocket costs or deductibles for covered services. You also receive a dental benefit.
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.
Who is Eligible?
Family Coverage — Wage/Eligibility Class I and II
Member-only Coverage — Wage/Eligibility Class III
Not sure what wage class you are?
Check the front of your Health Benefits ID Card, or click here for an explanation.