Medical Benefit for National Benefit Fund Members
Your medical benefit gives you access to more than 30,000 Benefit Fund providers throughout New York City, Westchester and Long Island, 21,000 of whom are affiliated with our network hospitals. Your medical benefit also includes behavioral and mental health coverage.
If you live outside New York City, you can choose your providers from the Benefit Fund or Aetna Signature Administrators network. All of the Aetna Signature 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.
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 Class I and II
Not sure what Wage Class you are?
Check the front of your Health Benefits ID Card, or click here for an explanation.
Mental and Behavioral Health
Forms for Members
Summary Plan Descriptions (SPDs)
HIPAA Notice of Privacy Practices
Keeping Your Coverage
COBRA Continuation Coverage
This benefit provides a financial cushion if you are temporarily unable to work due to non-work-related accidents, injury or illness.