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PROVIDERS AND URGENT CAREBenefiTSPHARMACYForms

Our Health Fund

275 Seventh Avenue
Suite 1504
New York, NY 10001

(866) 261-5676 or (212) 957-9241

Phone Hours:
10:30am to 5:30pm Eastern Time

Stay in network

New vendor, better value!

  • For care inside New Jersey:
    If you live in NJ: use Horizon Direct Access network.
    If you live outside NJ: use Horizon PPO network.
  •  
  • For care outside New Jersey: use Blue Card PPO network.

No deductibles in network!

Going out-of-network may cost you BIG!

  • You pay a deductible or up to 100% of the cost.

 

Use copays to get the right care for the right price

No more surprise bills!
(see your benefits at a glance below for a complete list of copays)

Know what you pay right away
Primary Care Provider; Urgent Care Center; Telehealth $
Specialist Visits $$
Emergency Room $$$$$
Save the Emergency Room (ER) for real emergencies

Beware of using the ER for non-emergencies!

  • You pay the copay and HALF the cost

Instead, try:

Take advantage of better benefits
  • Teladoc—use your Smartphone to visit a doctor anytime/anywhere.
  • Acupuncture benefit
  • Orthotics benefit

$0 Copays at our Medical Homes

Where our primary care is always FREE!

Check out locations in each New York City Borough, and Long Island.  (Copays will apply to all other services such as lab, x-ray, physical therapy, etc.)

Find a medical home close to you

Find a Doctor or Urgent Care

If you need special care or something not available at our Health Center, call these helpful phone numbers to find a doctor in network. Check out some of these other links too for help.

Find a doctor or urgent care center
Call (866) 261-5676 or visit Horizon BCBS of New Jersey

Find an eye doctor
Call (800) 999-5431 or visit Davis Vision

Find a dentist
Call (800) 323-174 or visit Delta Dental of Illinois

Teladoc

Your new telehealth provider is Teladoc.

Your copay remains the same. Visit www.teladoc.com to get started or download the app.

Benefits

Good health starts with knowing your benefits!

There are two versions of the New York Plan: 100A and 100B. Call us if you need help figuring out which plan you have: (866) 261-5676

New York Plan A (100A)
This is an overview of your benefits, but some information may have changed.

Benefits at a Glance

Call us to double-check: (866) 261-5676

New York Plan B (100B)
This is an overview of your benefits, but some information may have changed.

Benefits at a Glance

Call us to double-check: (866) 261-5676

 

View your SPDs here: Plan APlan B

After each SPD is published, certain changes may have been made to your benefits. These changes are reflected in a Summary of Material Modifications (SMM) that are mailed to each member. View these SMMs on our library page. (Click your plan button under "New York Region".)

Pharmacy

Hospitality Rx now manages your pharmacy benefits! Please view their website for more details.

Copays

 

Forms

Here are some forms you may want to print and fill out before you visit us in the Fund office. You may also mail some of them.

Call us if you need help understanding these forms: (866) 261-5676

Pharmacy forms