Mental and Behavioral Health Benefits for National Benefit Fund Members
If you or a family member needs help with mental health or alcohol or substance use disorder, your benefits provide you access to a wide range of mental health counselors, social workers, psychologists, psychiatrists and other mental health care providers. No referral or prior authorization is needed.
Network Providers
Your behavioral and mental health benefit covers you for talk therapy in person or online with a network provider. You may find one by visiting findadoc.1199SEIUBenefits.org. If you need assistance finding a provider, Benefit Fund social workers and professional staff will help you and your family find the treatment programs you need and coordinate your care with your doctors. For more information, call (646) 473-6900.
Teladoc
If you prefer to access a mental health provider online for yourself or your dependent child age 13 and older, you may find one through Teladoc*, the telehealth and video conferencing service. Visit www.Teladoc.com or call (800) TELADOC (835-2362).
Brightline
Your child, up to age 18, is covered for online access to licensed psychiatrists, psychologists and therapists through Brightline. You are also eligible to receive online coaching to help support your child’s mental health. Visit HelloBrightline.com/1199SEIU for more information.
You Are Also Covered For
Inpatient Care**
- Partial Hospitalization Programs (PHP)***
- Alcohol/substance abuse inpatient detoxification and rehabilitation**
**Call 1199SEIU Care Review at (800) 227-9360 to pre-certify
Intensive Outpatient Programs (IOP)***
***Call the Benefit Fund at (646) 473-6868 to pre-certify
Who Is Eligible?
Family Coverage: Wage Class I and IINot sure what Wage Class you are?
Check the front of your Health Benefits ID card, or read an explanation.
Access Care from the Comfort of Your Home
If you are a National Benefit Fund, Greater New York Benefit Fund or Home Care Benefit Fund member, you can schedule a virtual visit with any hospital or provider in our 1199SEIU Benefit Fund network, wherever you may be. This is in addition to your Teladoc benefit.
Your Benefits
Medical Benefit
Access to more than 30,000 Benefit Fund providers throughout New York City, Westchester and Long Island.
Mental and Behavioral Health
Comprehensive support through talk therapy, inpatient and outpatient treatment programs and coordinated care.
Prescription Benefit
Full prescription coverage with no co-payments when you use preferred drugs where available.
Dental Benefit
A choice of two plans—EmblemHealth or Aetna DMO—providing basic care, including cleanings, exams and restorative services.
Vision Benefit
Eye exams and glasses or contact lenses every two years.
Life Insurance
Life insurance benefit based on Wage Class.
Keeping Your Coverage
COBRA Continuation Coverage
COBRA allows you to extend your health benefits when your Benefit Fund coverage ends due to a “qualifying event.”
Disability
This benefit provides a financial cushion if you are temporarily unable to work due to non-work-related accidents, injury or illness.
Paid Family Leave
New York State’s Paid Family Leave (PFL) benefit is administered at no cost to NBF members.
Workers' Compensation
Provided through your employer, this benefit provides health and wage benefits if you are injured or become ill at work.