If you are battling breast cancer, your 1199SEIU Benefit Fund is here to support you every step of the way. Your health benefits give you access to quality oncology care with many of the top cancer treatment centers in the New York metropolitan area, so you won’t have to go outside of your network for care.
Your Benefit Fund also provides coverage for reconstructive surgery, prostheses and other mastectomy-related services.
According to your doctor’s treatment plan, you are covered for:
- Reconstruction of the breast on which a mastectomy was performed;
- Surgery and reconstruction of the other breast to achieve a symmetrical appearance;
- Prostheses; and
- Treatment for physical complications associated with all stages of the mastectomy, including lymphedemas.
No Rx or Referral Required for Annual Mammogram Screening
Your Benefit Fund does not require a prescription or a referral for your annual mammogram. You only need to give your radiologist the name and contact information for your physician, who will receive the mammogram results. If you are turned away or your radiologist has questions, call Member Services right away at (646) 473-9200.
These benefits are provided under the 1199SEIU National Benefit Fund and the 1199SEIU Greater New York Benefit Fund. Coverage is subject to benefit rules, exclusions and limitations that may apply under the Plan, as permitted by law.