Nyc management benefits fund prescriptions

Nyc management benefits fund prescriptions. Call the automated refill system of the pharmacy you wish to pick up your medication, and follow the prompts to refill one or more prescriptions. $3 co-pay/retail prescription; $6 co-pay/mail-order prescription. ELIGIBILITY Members and dependents are eligible for SMMP benefits by virtue of their meeting the eligibility and enrollment requirements outlined in the “Fund Eligibility and Membership” section of this booklet. Jan 1, 2023 · ASO - Management Benefits Fund. The retail program is designed to be used when medications are immediately needed or are being monitored to achieve the correct dosage. PICA is a prescription drug benefit program, administered by Express Scripts, Inc. 22 Cortlandt Street, 28th Floor, New York, NY 10007 Tel: (212) 306-7290 / Fax: (212) 306-7353 nyc. 34 billion a year to provide dental, vision, prescription drug, and other coverage to welfare funds maintained by municipal employee unions (and a similar fund for management employees). NYSNA Pension Plan & Benefits Fund PO Box 12430 Albany, NY 12212-2430 (877) RN BENEFITS [762-3633] Rx Benefits. 90-day Supply at any CVS or Express Scripts Mail Order. Enrollment in NYC-CBP basic health insurance, family coverage, is requisite. GHI Senior Care. 303 Merrick Road, Suite 300, Lynbrook, NY 11563-9010 877. , LIC, NY 11101. – This benefit is separate from the CSA Retiree Welfare Fund’s Supplemental Medical or Catastrophic Medical benefit. 212. 00 maximum) directly to the health plan on behalf of Re - tired members and their spouses/domestic partners who are covered under a Medicare Supplemental Plan. 9149 Board of Trustees Michael J. 6 Harrison St. Administrative Services Only, Inc. You can view the Glossary at www. If your welfare fund does not provide credible coverage and Security Benefits, Retiree Benefits, Education Benefits and Legal Benefits Funds. To elect Fund COBRA continuation coverage, the member or his/her spouse/domestic partner or dependent child should complete a Management Benefits Fund COBRA Application and submit it to the Fund within 60 days of the date of benefit coverage termination. You and your The NYSNA Pension Plan and Benefits Fund provides good benefits for thousands of nurses and healthcare workers in the private and public sector. The program covers most FDA-approved drugs that require a prescription. Ask your doctor to write your prescription for a three-month supply with three refills (a year’s supply in total), and fill it through Express Scripts by Mail, or order and pick up your prescription at any Rite Aid, Walgreens or Duane The New York State Nurses Association Benefits Fund. 5) For questions regarding the PICA prescription drug benefit program please call 1-800-467-2006. How are claims filed? View the Answer If you were an employee of the CSEA represented State of New York UCS Full Time bargaining unit and retired on or after April 1, 1998 you may be eligible for continued UCS benefits. All employees, non-Medicare retirees, and their non-Medicare dependents The Teamsters Local 237 Retiree Division staff is also available to help and may be reached by calling (212) 807-0555. Russo Fund Administrator Sharon HEALTH BENEFITS FUND OF THE DETECTIVES’ ENDOWMENT ASSOCIATION, INC. Management Benefits Fund. 5. Health Benefits Fund The health plan reimburses eligible members and dependents up to $200 annually for the purchase of eyewear (contact lenses, eyeglasses, reading glasses, sunglasses and upgrades) and eye exams conducted outside of the Funds' Health Centers. Senior Managing Director. m. How to View & Update Dependent Information. Special Leave of Absence Coverage (SLOAC) entitles City of New York eligible and approved employees up to a maximum of 18 weeks or 4 months (depending on your pay cycle) of benefits coverage in a 12-month period during unpaid leave resulting from a disability or serious illness of the employee. Or call the Dedicated ASO Service Center for MBF at 877-844-7667. The Fund's Health and Fitness Reimbursement Program provides reimbursement for active and retired members and the member's spouse/domestic partner membership at an MBF approved Health Club and other physical fitness programs such as Citi Bike Management Benefits Fund 22 Cortlandt Street, 28 th Floor, New York, NY 10007 . Russo Fund Administrator Sharon NYHTC & HA of NYC, Inc. Management Benefits Fund 22 Cortlandt Street, 28th Floor, New York, NY 10007 Tel: (212) 306-7290 / Fax: (212) 306-7353 nyc. 5353 (out-of-area) E-mail: benefits@cwa1180. 9120 fax 212. 90 per month ($1,978. MEMBER ID (BF#) Generic Drugs. DEDUCTIBLE Fill long-term medications through The 90-Day Rx Solution, the Benefit Fund’s maintenance drug program. 1. MBF was established on July 1, 1967, and is managed by The Office of Labor Relations (OLR) to provide supplemental benefits to the non-unionized personnel of the City of New York, which includes all managerial, confidential, and original jurisdiction employee Non-Managers (Group 12) Employees. Using LeapFILE, you can securely send forms and documents to us with no registration required. Therefore, you do not need to submit multiple e-mails regarding the same issue. Annuity Benefits Fund . The Management Benefits Fund is pleased to offer supplemental (last-payer type) medical coverage to its members through its Superimposed Major Medical Plan (SMMP). (ASO), P. Basic Life and AD&D Insurance. New York City Employees Retirement System (NYCERS) NYCERS administers retirement benefits for 300000+ active and retired NYC workers. U. gov/mbf to view the updated description of the Dental Plan. davisvision. net MBF DIRECT PAY COVERAGE CONTINUATION (DPCC) FOR YOUNG ADULT DEPENDENT ENROLLMENT FORM Send a Message to the Management Benefits Fund. , 3rd Floor | New York, NY 10013-2898 . 10 x 12 months = $2,041. We are responding to the e-mails in the order in which we receive them. Queens Health Center's Eye Care Suite 37-11 Queens Blvd. Go online and use your account on www. Security Benefits, Retiree Benefits, Education Benefits & Legal Benefits Funds. To receive a reimbursement, you must: u Complete this claim form Your prescription drug plan through Express Scripts offers low co-pays for generic medication, convenient way to get 90-day prescriptions filled, and a specialty pharmacy for some long term health conditions that require special medicines. The 1199SEIU National Benefit Fund plan for New York City Employees is a supplemental benefit plan providing prescription, dental and vision benefits only for members and their eligible family members, as indicated in the Limitations, Exceptions The CSA Welfare Fund provides Prescription Drug benefits to all active, in-service members and their eligible dependents. sgandhi@nycmgmt. POLICE DEPARTMENT, CITY OF NEW YORK 26 Thomas Street New York, New York 10007 212. 1 billion annually for core medical and hospital care for active and under-65 retired City employees. Chief Financial Officer/General Counsel. 00 it must be submitted to the Employee Benefit Fund before work begins. , or email Drug_Unit@dc37. Health and Fitness Reimbursement. 20), excluding any penalties and late enrollment fees, and subject to be pro-rated. 2. The Fund’s benefit About HCFSA. org. New employees hired during this period who are electing City Health Coverage will be able to choose from FACT SHEET FOR MANAGERS. gov/mbf Georgette Gestely Director, Employee Benefits Program Beth Kushner Deputy Director, Administration. optumrx. (800) 828-6100 (Dedicated Customer Service Line for MBF Members for claims incurred prior to 1/1/2024) (800) 999-5431 (Provider Hotline) The Fund pays a $50 per person subsidy ($100 maximum) directly to the health benefits program on behalf of Retired Fund members and their spouses/domestic partners who are covered under the GHI Senior Care Program and prescription drug rider in an effort to offset the rising costs of prescription drugs. , that is provided to you and your eligible dependents. The 1199SEIU National Benefit Fund plan for New York City Employees is a supplemental benefit plan providing prescription, dental and vision benefits only for members and their eligible family members, as indicated in the Limitations, Exceptions Jan 1, 2017 · Optum Rx Customer Service. Chief Operating Officer. Complete the above information and attach your annual Explanation of Benefits (EOB) that you receive from your prescription drug plan at the end of the year. First Deputy Commissioner This program will reimburse Management Benefits Fund (MBF) active and retired members for membership fees for a six-month continuous period in a health fitness activity or physical exercise program. Mary T. 587. This is a pharmacy benefit only and excludes drugs administered in a physician’s office or an outpatient setting. • For the Wellness Member Assistance Program, call (646) 473-6900. Over-the-counter medications are not covered. Annuity Benefits Fund Administrative Services Only, Inc. Through collective bargaining agreements, the City of New York and the Municipal Unions have cooperated in choosing health plans and designing the benefits for the City's Health Benefits Program. Sang Hong Deputy Director, Operations. Please call the Fund office for more information and for the current rate. For eBenefits assistance, please contact Human Resources Shared Services/NYC Health + Hospitals Benefits by phone at 646-458-5634 or HHCBenefits@nychhc. Russo Fund Administrator Sharon Robertson First Deputy Commissioner General Counsel. State and local tax treatment of the amount in question may vary among jurisdictions for a domestic partnership. First Deputy Commissioner Feb 17, 2022 · • the benefit provided by your union welfare fund is subject to a benefitmaximum*, or • you are currently enrolled in an individual Medicare Part D plan**. 80 annually). Basic City health coverage and several Fund The Management Benefits Fund Group Universal Life Insurance The Group Universal Life (GUL) Insurance provides life insurance coverage at affordable group rates and offers members an opportunity to set aside sums of money in a Cash Accumulation Fund (CAF), which earns tax-deferred interest*. Medicare-eligible retirees and their Medicare-eligible dependents can submit an IRMAA application if they paid above the standard amount of $164. Additionally, we maintain a primary focus upon improving retirement benefits, as well as obtaining additional health benefits. Note: We are experiencing a high volume of e-mail requests. IMPORTANT Since benefits are frequently updated and enhanced, we suggest that you visit our Web site on a regular basis. net. For information on health benefits go visit the HR Connect Employee Portal at https Welcome to the Management Benefit Fund's secure file upload. It was established in 1984 as part of the collective bargaining agreement between the City and the Municipal Council of New York City Supervisory There are THREE easy ways you can refill a prescription in our pharmacies from home: 1. For more information on the MBF Dental Plan, please visit the dental section of the MBF website at nyc. It is made available through the joint efforts of the City of New York Office of Labor Relations and the Municipal Labor Committee. 1199SEIUBenefits. nyc. General Questions about MBF. Employee Resources Center; Benefits; Managers (Group 11) Employees; Managers (Group 11) Employees. Aetna Prescription Benefit Aetna is the Prescription Benefit Manager for the Fund. leapfile. HEALTH BENEFITS FUND OF THE DETECTIVES’ ENDOWMENT ASSOCIATION, INC. 966. It also contributes some $1. How to View Your Benefit Summary. If you do not submit claims for eligible expenses incurred during Plan Year 2024 by February 28, 2025, you will forfeit any money remaining in your DeCAP account for Plan Year 2024. Are my dependents eligible for Fund benefits? Contact The Management Benefits Fund Member Services at 212-306-7290 by calling the number on the back of your insurance card to verify your benefits and coverage. 6. The maximum amount of benefits payable for any one individual is $5,000 per Benefit Year. The co-payment for medications purchased at a OTHER BENEFIT FUND MEMBER PROGRAMS • For Care Management, call (646) 473-7160, Option 2. Bassett said, "Rising prescription drug prices not only increase the cost of healthcare for all New Yorkers, but place a particular burden on the elderly and exacerbate the systemic inequities in healthcare delivery. Daniel Pollak. 800-342-4324 or 518-869-9501. A Fund Director is employed to provide day-to-day management of Fund operations and recommend appropriate improvements. ESI Home Delivery Service: 800-723-9182. Below, find out how the plan works and how you can benefit. express-scripts. May 11, 2022 · New York State Health Commissioner Dr. Compile the Explanation of Benefits (EOB) statements provided by all health plan(s) under which you have coverage in reference to the above itemized bills. After six months of total and continuous disability, members are eligible to receive up to 66 2/3%* of pre-disability salary with a minimum of $150 and a Where is the MBF office located? View the Answer. 1-888-468-5179 (Dedicated Customer Service Line for MBF Members for claims incurred prior to 1/1/2023) 1-888-468-2183 (Provider Hotline) Visit the Healthplex website. Please note that if the member was an employee Fund Update: Health and Fitness Reimbursement is increased to $500 from $250 effective March 1, 2024. MEMBER: LAST FIRST. This limit applies to all covered services whether they are PPO or out-of-network, or a combination of both. com provides info about the MBF Dental Plan and COBRA/YAD Programs. $500 maximum per six-month period ($1,000 annual maximum) $500 maximum per six-month period ($1,000 annual maximum) Note: If your claim period includes dates both prior to and after March 1, 2024 and after, then your reimbursement will be amaximum reimbursement of $500 for the 6-month claim period. Tel: (212) 306-7290 / Fax: (212) 306-7353 . Sending forms and documents to us is easy, whether you have them saved on your computer or printed For more information on assigning your benefits, please call the Fund Administrative Office at (212) 306-7290; if outside New York City at (800) 4000MBF (800-400-0623). For those members who choose the cost saving mail IRMAA 2023 Reimbursement. IRMAA 2023 annual reimbursements will be issued during Here are the facility details to include on your form: Address: Citi Bike, 441 9th Ave, New York, NY 10001 Facility Manager: Laura Fox Phone: 855-245-3311 You will need to mail the form and a purchase receipt to this address: Management Benefits Fund, Bowling Green Station, P. Box 747000 Cincinnati, OH 45274-7000 Telephone: 1-800-939-2108 Website: www. CareContinuum Medical Drug Benefit Management Program; 498 Seventh Ave, New York, NY 10018 | (646) 473-9200 125 Broad St, 11th Flr New York, NY 10004-2400 Phone: (212) 298-9100 Fax: (212) 437-9480 Site Use Agreement The Flexible Spending Accounts (FSA) Program allows City employees to deposit a portion of their pre-tax income into accounts maintained for certain health and dependent care expenses. If there is a pension deduction for your plan’s basic coverage, or if you apply for an Optional Rider, your pension check should reflect the deduction within two months after submitting a Health Benefits Application. Survivor Benefits. • For Vital Decisions (healthcare counseling), call (800) 301-3984. ) Card name program drugs, and with a 5% co-payment. asombf. • For the Prenatal Program, call (646) 473-8962. Can I make an appointment to speak with a Fund representative? View the Answer. gov. Get plan details, find out how to enroll, and get contact information for various benefits. Your documents are confidential and SSL encrypted while they are being transferred to us. Each year NYCERS issues approximately 50,000 loans and processes thousands of refunds and buy-back Member Spouse/Domestic Partner. $0. Jan 1, 2023 · For questions regarding your COBRA or YAD Coverage and Payments call the ASO COBRA Service Center at 516-394-9477. For prescription drug emergencies during hours when the Welfare Fund is closed, members should call Express Scripts (ESI) at: 1-800-723-9182. ©2024 1199SEIU Funds. plan. Georgette Gestely. (646) 472-8725. 999. Jan 1, 2024 · For information regarding your benefits and claims prior to January 1, 2024, please refer to the below link or call: Davis Vision. Palladino, Chairman Paul DiGiacomo Ken Sparks Paul Morrison Joseph Calabrese Executive Director Carmine D. Pension questions: pensions@rnbenefits. com, the same site you use to request an Yes. , 3rd Floor, New York, NY 10013-2898 . 30 Orville Drive, Suite D Bohemia, New York 11716-2513 (631) 319-4099 www. Prescription Benefit for Licensed Practical Nurses Welfare Fund Members. Category 3: I HAVE REACHED MY $1500 MAXIMUM PRESCRIPTION DRUG COST REIMBURSEMENT BENEFIT AND MY NYC HEALTH INSURANCE PLAN OPTIONAL PRESCRIPTION DRUG RIDER PENSION DEDUCTIONS, CO-PAYMENTS AND DEDUCTIBLES EXCEED $1500. MyFundsPortal. IV. 303 Merrick Road, Suite 300, Lynbrook, NY 11563-9010 Apr 22, 2019 · Pharmacy benefit managers, or PBMs, are companies that manage prescription drug benefits on behalf of health insurers, Medicare Part D drug plans, large employers, and other payers. documentation. FOR ADMINISTRATIVE USE ONLY. Levine Esq. Thank you for your patience. Group Universal Life Insurance. Active employees ages 65-69 are covered for 66 2/3% of their annual salary Close. The Health Care Flexible Spending Account (HCFSA) Program allows City employees to pay for eligible out-of-pocket health care expenses on a pre-tax basis, with deductions taken directly from salary. What to Ask: Explain to the representative that you are planning to visit a specialist at NY Allergy & Sinus Centers. 3555 (Toll Free) 5 Things to Know About Open Enrollment. Members and their eligible dependents can receive preferred drugs at no cost when using a participating pharmacy that accepts Express Scripts. COBRA Application - December 2023. This EOB indicates the 5% co-insurance that you paid out-of-pocket in excess of that year’s maximum catastrophic coverage amount. These benefits are intended to provide you and your eligible dependents with the fullest possible protection that Creditable coverage is a health insurance or health benefit plan that meets a minimum set of qualifications as set forth by the Centers for Medicare & Medicaid Services (CMS). Jan 20, 2021 · The City currently spends $8. Launched in 2023, NYCBenefits funds 36 direct service providers to expand benefits access across New York City through: outreach, enrollment support, and case management services. amount paid by the Fund attributable to coverage of a Fund member’s domestic partner is treated as part of the Fund member’s gross income from City employment for Federal tax purposes. Read More. Jan 30, 2016 · For information about updating beneficiaries for life insurance, death benefits, annuities or disability payments through a union welfare fund, call your union office or ask your shop steward. (212) 689-8833. A formulary, currently used by many health plans, is a list of preferred (covered May 1, 2024 · Available 24 hours a day, 7 days a week. Is a nonprofit organization formed to provide NYSNA members and participating employers an affordable, comprehensive, and efficient plan of health insurance. Search Participating Dentists Dental Claim Form The Management Benefits Fund. Learn more about the Group Prescription Drug Program Options for Medicare Retirees You may purchase the Medicare Part D prescription rider for the NYC Medicare Advantage Plus Plan. – Reimbursement of drug co-payment expenses is 80% after the annual $100 deductible, with an annual maximum of $10,000 for members enrolled in a City basic health plan with the optional rider for prescription drugs. 5353 | 888. By negotiating with drug manufacturers and pharmacies to control drug spending, PBMs have a significant behind-the-scenes impact in determining total drug costs for Prescription Drug Benefit (Adjuncts) Coverage under the adjunct plan is individual-only. (800) 282-2881. Greater New York Pension Fund. Box 9009, Lynbrook, NY 11563-9009. The Fund pays the cost of prescription drug option premiums on behalf of Medicare-eligible retirees (and their Medicare-eligible spouses or domestic partners) enrolled in qualified Medicare HMO plans, where such a cost would otherwise be paid by the member through pension deductions. jcatalic@nycmgmt. 964. 9149 Board of Trustees Paul DiGiacomo, Chairman Paul Morrison Scott Munro Jeffrey Ward Frank Ciccone Executive Director Carmine D. Is there any cost associated with being a Fund member and receiving benefits? View the Answer. At anytime, call 877-TALK-2-RN (825-5276) if you need to speak to a nurse who can help you: The Employee Benefit Funds provides health, pension and other benefits to over 90,000 Union members, dependents and retirees of the New York City hotel industry. Commissioner . If you have prescription drug coverage through one or more of the health plan(s) under which you are covered, please include a copy of each drug card. The NYC Management Benefits Fund (NYCMF) is a nonprofit organization that provides comprehensive healthcare benefits to the eligible retired managers and their dependents from the City of New York. gov/mbf. To view or download this SPD visit the Health Benefits Program website at nyc. The amount you pay for a prescription depends on a number of factors: whether your prescription is filled with a generic New York, NY 10274 If you have any questions about your Fund benefits that are not handled satisfactorily by the Fund’s insurance carriers/ program administrators, you should contact the Management Benefits Fund. PO Box 9009 Lynbrook, NY 11563-9009 4. Active employees under age 65 are covered for 1 times (1X) annual salary, subject to a coverage amount minimum of $15,000 and maximum of $50,000. gov/hbp BENEFITS The Fund pays a $50. New York, NY 10004. Young Adult Dependent Direct Pay Coverage Continuation (DPCC) Form - December 2023. Effective March 1, 2024, the MBF Health and Fitness Reimbursement reimbursement has increased: MBF will reimburse members and their spouse/domestic partner up to $500 after each six-month consecutive claim period. 9am - 5pm Eastern. The administrator for the SMMP is Administrative Services Only, Inc. Some examples include group and individual health plans, student health plans, and government-provided plans. Suffolk County Municipal Employees Benefit Fund. 0035. John Catalic. The member's spouse/domestic partner is also eligible for this benefit, after having completed six months of exercise. Administrative Services Only (ASO), Inc. For permission to reproduce any material, contact us at [email protected] 498 Seventh Ave, New York, NY 10018 | (646) 473-9200. Once you have accumulated out-of-pocket medical and/or prescription drug expenses equal to or in excess of your SMMP deductible, submit all documentation, including proof of payment, with an SMMP Claim Form for processing. Support with documentation, online benefits tools, and Management Benefits Fund 22 Cortlandt Street, 28 th Floor, New York, NY 10007 . COBRA. Employees covered by a non-City group health plan can enroll in the MSC Program and waive City health benefits to receive an incentive payment, up to $1,000 You will then pay for drug benefits through the rider and have those benefits from the rider in addition to your welfare fund. Complete and submit a Prescription Drug Cost Reimbursement claim form and attach all supporting. Harlem Health Center's Eye Care Suite 133 Morningside Avenue, New York, NY 10027. Preferred Brand Drugs. nyc. If you did not pay more than the standard amount then you are not eligible for IRMAA. org or call (646) 473-9200 to request a copy. You can also call the Member Services Department at the Health Benefits Fund main office (212-586-6400). Submit claim form and EOB to: NYC Office of Labor Relations Health Benefits Program 22 Cortlandt Street, 12th Floor New York, NY 10007. 2022 Medicare Part B reimbursements were issued in April 2023. Prior Authorizations. Family premiums must be paid on a quarterly basis. com. When filling a prescription at a retail pharmacy you will need to provide your Aetna ID card. Forms hotline: 212-539-0539. Am I eligible for MBF membership? View the Answer. Renee Campion. 00 per person per month subsidy ($100. Basic City Health Plan Coverage For Member. These services are tailored to a households’ specific needs, and include: Direct application assistance. Director, Employee Benefits Program. Prescription drug benefits are available through CVS/Caremark for yourself and your eligible dependents. Please contact the DC 37 Health & Security Prescription Drug Unit at (212) 815-1608, Monday-Friday, from 9 a. Dental Benefits. Midtown Eye Care at 14 Penn - 14 Penn Plaza, Ste. 408, New York, NY 10122. Confirm that we are in-network with your insurance plan. gov/mbf Georgette Gestely Director, Employee Benefits Program Beth Kushner Deputy Director, Administration Sang Hong Deputy Director, Operations Renee Campion Commissioner Daniel Pollak First Deputy Commissioner Established in 1972 and located in Albany, NY, the New York State Nurses Association Pension Plan and Benefits Fund are separate, multiemployer plans providing health insurance and retirement benefits for RNs and other medical professionals throughout New York State represented under collective bargaining by NYSNA. Prescription drugs are administered through HEALTH BENEFITS FUND OF THE DETECTIVES’ ENDOWMENT ASSOCIATION, INC. This plan supplements primary health insurance coverage by providing additional coverage to members who incur substantial qualifying out-of-pocket medical expenses that remain after Management Benefits Fund Forms. Therefore, Management Benefits Fund Tel: (212) 306-7290 (888) 4000-MBF (outside NYC) TTY: (212) 306-7629 / Fax: (212) 306-7353 Forms and documents can be submitted electronically to: https://nyc-mbf. DOH and DFS will work in concert to promote transparency, preserve access, and Dec 22, 2021 · Prescription Drug Co-Payment Reimbursement Claim Form. T:212. -5 p. Dependents are not eligible to receive this benefit. scmebf. Eye Care Suite Locations. Within economic limits, continuing efforts are made to assure that City contributions to the Fund provide responsive and meaningful benefits to members. If you use a Claims Timeline Plan Year: January 1, 2024 – December 31, 2024 Claims Run-Out Period: January 1, 2025 – February 28, 2025. Accredo: 800-501-7260 (specialty drugs) Website address: express-scripts. 10 per month ($170. The Management Benefits Fund (MBF) provide supplemental benefits to the non-unionized personnel of the City of New York, which includes all managerial, confidential, and original jurisdiction employees and retirees. IVR Brochure. Palladino, Chairman Ken Sparks Paul Morrison Scott Munro Frank Ciccone Executive Director Carmine D. Greater New York Benefit Fund. Contact: MBF SMMP Claims. There are two parts to the drug benefit. Optum Rx Customer Service, 1-800-207-1561, is available 24-hours a day, 7 days a week, or visit the Optum Rx website at www. There is a separate lifetime maximum benefit of $6,000 payable per individual for orthodontic treatment. The Fund provides basic City health insurance coverage (including the optional rider), Dental, Superimposed Major Medical, and Vision Care benefits to the surviving spouse or domestic partner and eligible dependent children of deceased Fund members. Kenneth R. O. Express Scripts P. You may elect to purchase family coverage. Click to Create/Retrieve Profile. Whenever the estimated cost of a recommended dental treatment exceeds $500. Provides medical, vision, prescription drug, dental, short- and long-term disability, life, paid family leave, and accidental death and Healthplex. Contact Information. Download the Healthplex Dental Claim Form (PDF) Note: The Management Benefits Fund (MBF) does not recommend or endorse any particular dentist. Prescription Drug Plan (For Full Time Members And Their Covered Dependents) (Effective Please call June them 1, at 2014, (212) 924-7220 program with is any administered inquiries regarding by Teamsters the Local prescription 237 Welfare drug Fund. Express-Scripts. Employees covered by the Management Benefits Fund may contact the Employee Benefits Division at 212-306-8482 or the Management Benefits Fund at 212-306-7290. You may be charged the amount the provider bills above the Fund’s payment. NYSNA Pension Plan and Benefits Fund. This is a taxable fringe benefit to MBF members. Box 707, New York, NY 10274 Management Benefits Fund (MBF) MBF Benefit Update. Family and Medical Leave Act. The Fund's Long-Term Disability (LTD) Insurance provides partial protection to active employees in the event of loss of earnings due to total or partial disability extending beyond six months. Office of Labor Relations. 4) Inquiries and questions can be emailed to healthbenefits@olr. Please be advised that the NYC Office of Labor Relations (OLR) will be implementing a new health benefit requirement for all new employees (Group 11 & 12) hired on or after July 1, 2019. 3) Forms and documents can also be faxed to: (212) 306-7373. November 2021. Note: The Health Benefits Fund Drug Formulary applies to outpatient prescription drug benefits available through the Health Center Pharmacies only. $6 co-pay/retail prescription; $12 co-pay/mail-order prescription. Jan 1, 2020 · Prescription Drug Benefits are self-funded by the New York State Teamsters Council Health & Hospital Fund (“Fund”) and administered by Express Scripts. SECTION 1. Health Coverage (medical/hospitalization) - You are eligible for health insurance through the DOE if you work a regular schedule of at least 20 hours per week and your employment is expected to last for more than six months. ASO Dental Claim Form (for use January 1, 2023 or after) Healthplex Dental Claim Form (for use prior to January 1, 2023) Health and Fitness Reimbursement Claim Form. The the Commissioner of the Office of Labor Relations. Medicare-eligible retirees and their Medicare-eligible dependents will be reimbursed annually for the standard Medicare Part B amount of $170. Brooklyn Health Center's Eye Care Suite 265 Ashland Place, Brooklyn, NY 11217. Fax: 518-869-9529. Basic Life Insurance coverage is provided at no cost to members. Feb 2, 2023 · Active and Retired Managers are Covered by the Management Benefits Fund (MBF). In addition to your retirement account, NYCERS performs many functions for active members and retirees alike. . tp hz qg ie py bv am xn wi yk