Effective January 1, 2019, you will no longer have co-payments for primary care physician and specialist visits or high-end radiology services.

Old Co-pay New Co-pay as of January 1
Primary care physician: $5
$0
Specialist: $10
$0
Radiology CT scan/
MRI/PET scan/MRA: $15
$0

You will soon receive an updated Health Benefits ID card from Express Scripts listing your new $0 co-payments. If you need to see your healthcare provider before you receive your new card, ask him or her to call the Benefit Fund to verify the co-payment amount.

If you paid any co-payments for these visits or services on or after January 1, we will reimburse you for the amount you paid. Contact our Member Services Department at (646) 473-9200 or MemberServices@1199Funds.org and we will issue you a check for the co-payment amount. Please provide your Health Benefits ID card number, patient name and date of the visit, and, if emailing, indicate “GNY Co-pay Reimbursement” in the subject field.

If you have any questions, or if you don’t receive your Health Benefits ID card by March 1, please call our Member Services Department at (646) 473-9200 from 8:00 am to 6:00 pm, Monday through Friday.

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