Mental and Behavioral Health Benefits for National Benefit Fund Members

If you or a family member needs help with mental health, alcohol or substance abuse issues, you have access to mental health counselors, social workers, psychologists, psychiatrists and other mental health care providers in our network or through Teladoc. You may find a provider by visiting www.1199SEIUBenefits.org/find-a-provider. If you need assistance finding a provider, Benefit Fund social workers and professional staff will help you and your family find the treatment programs you need and coordinate your care with your doctors. For more information, call (646) 473-6900.

Your behavioral and mental health benefit covers you for talk therapy in person, by phone or online through a participating provider or Teladoc* and requires no referral or prior authorization.

*The Teladoc benefit is only for eligible adults. Children in need of behavioral health services should still be referred to a specialist by your primary care doctor.

You Are Also Covered For

Inpatient Care**

Intensive Outpatient Programs (IOP)***

  • Partial hospitalization Programs (PHP)***
  • Alcohol/substance abuse inpatient detoxification and rehabilitation**

**Call 1199SEIU Care Review (800-227-9360) to pre-certify

***Call the Benefit Fund at (646) 473-6868 to pre-certify

Who Is Eligible?

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

Not sure what Wage Class you are?

Check the front of your Health Benefits ID card, or read an explanation.

Your Benefits

Medical Benefit

Access to more than 30,000 Benefit Fund providers throughout New York City, Westchester and Long Island.

Mental and Behavioral Health

Comprehensive support through talk therapy, inpatient and outpatient treatment programs and coordinated care.

Prescription Benefit

Full prescription coverage with no co-payments when you use preferred drugs where available.

Dental Benefit

A choice of two plans—EmblemHealth or Aetna DMO—providing basic care, including cleanings, exams and restorative services.

Vision Benefit

Eye exams and glasses or contact lenses every two years.

Life Insurance

Life insurance benefit based on Wage Class.

Resource Center

Forms for Members

Summary Plan Descriptions (SPDs)

HIPAA Notice of Privacy Practices

BeneStream

Citizenship

Keeping Your Coverage

COBRA Continuation Coverage

COBRA allows you to extend your health benefits when your Benefit Fund coverage ends due to a “qualifying event.”

Disability

This benefit provides a financial cushion if you are temporarily unable to work due to non-work-related accidents, injury or illness.

Paid Family Leave

New York State’s Paid Family Leave (PFL) benefit is administered at no cost to NBF members.

Workers' Compensation

Provided through your employer, this benefit provides health and wage benefits if you are injured or become ill at work.