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, Westchester and Long Island, you can choose your providers from the Benefit Fund or Aetna Choice POS II network. All of the Aetna Choice POS II 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.
Find a Doctor
For Care in New York City, Long Island and Westchester
For Care Outside New York City
Your Benefits
Medical Benefit
Mental and Behavioral Health
Prescription Benefit
Dental Benefit
Vision Benefit
Life Insurance
Resource Center
Forms for Members
Summary Plan Descriptions (SPDs)
HIPAA Notice of Privacy Practices
BeneStream
Citizenship
Keeping Your Coverage
COBRA Continuation Coverage
Disability
This benefit provides a financial cushion if you are temporarily unable to work due to non-work-related accidents, injury or illness.