The Benefit Funds Have Your 1199SEIU Patients Covered During the COVID-19 Pandemic
During this COVID-19 pandemic, the Benefit Funds have worked to support the care that you, our valued partners, provide to your 1199SEIU patients by helping to ensure they can access the testing and medical care they need. The Funds are covering diagnostic testing for the coronavirus, as well as antibody testing when ordered by a doctor, but we do not cover employment-related testing. We are also waiving certain co-pays for Greater New York and Home Care members, and continuing to cover telehealth services for all eligible medical and mental health services. Please visit our Provider Notice/FAQ: COVID-19 page for more information on these and other COVID-19-related matters, including claims processing operations and prior authorization policies.
Please note that while the Benefit Funds’ physical offices are currently closed, we are continuing to provide essential services with remote staffing. We encourage you to use our self-service options to check patient eligibility, and benefit and claim status information by visiting our provider portal at www.NaviNet.net. You can also call (888) 819-1199 to connect to our 24-hour automated claims and eligibility system or email us at Providers@1199Funds.org.
The Benefit Funds Will Reopen at Our New Location in Late Summer
The Benefit Funds, along with the Union, are moving to a new location in Manhattan: 498 Seventh Avenue, at West 37th Street. The move has faced some delays due to the COVID-19 pandemic and is now scheduled to take place at the end of the summer. In the meantime, we are continuing to work remotely to serve you and our members. Please visit our website for regular updates about the move.
More Provider Connections
We Are Temporarily Covering Telehealth Services for Your 1199SEIU Patients
Effective March 18, 2020, we are covering telehealth services for your 1199SEIU patients in an effort to help everyone limit contact with others during the COVID-19 crisis. We will cover consults via phone, video and other virtual means for all eligible medical and...
Verify Your 1199SEIU Patients’ Eligibility and Claims Online
We know how important it is for our participating providers to have access to real-time information on their 1199SEIU patients’ claims status and eligibility for services. That’s why we offer a quick and convenient way for you to view this information online, through...
No Prescription or Referral Required for Annual Mammogram
At the Benefit Funds, we support the care you provide our 1199SEIU members by reminding them to stay current with their annual preventive screenings, including mammograms for women between ages 40 and 80. As you know, the procedure is a vital tool in helping to detect...
Your 1199SEIU Patients Are Getting Screened for Colon Cancer at Low Rates
Although early detection is key to successfully treating colon cancer, only 40 percent of 1199SEIU members over age 45 have been screened for the disease—well below the national average. You are our most important partner in helping our members—your patients—get...
Benefit Funds Support Your 1199SEIU Patients in Preventing and Managing Diabetes
Nearly a third of 1199SEIU members are diagnosed with diabetes or pre-diabetes—which is well above the national average.
Co-payments Eliminated for 1199SEIU Greater New York Patients
Your 1199SEIU Greater New York Benefit Fund (GNYBF) patients will no longer have co-payments for the following services.