Active Members Benefits

The Union’s Welfare Fund will reimburse members up to $50 yearly for a mammogram, PSA exam, or colonoscopy. Members must submit to ASO (Administrative Services Only, Inc) proof of the exam that clearly states the members’ name and date of procedure, as well as proof of payment.

All claims for benefits must be postmarked no later than April 30 of the following Plan year in which the expense was incurred.

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DENTAL BENEFITS

(Active Members, Retirees, Spouses, and Eligible Dependents)

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HEARING AID BENEFIT

Active members are entitled to up to $900 in total once every three years toward the purchase or repair of a hearing aid only that is prescribed by a doctor.

Retired members are entitled to up to $600 in total once every three years toward the purchase or repair of a hearing aid only that is prescribed for you by a doctor.

The Fund also has arranged for eligible members to have access to Amplifon Hearing Health Care, which is designed to provide cost savings to those participants in need of hearing aids. While you do not need to get your hearing aid from Amplifon in order to access the Fund’s benefit, doing so might save you money.


Amplifon (888) 484-7554
Click here to find an amplifon provider in your area (Effective January 1, 2017)
Click here for Hearing Aid Reimbursement Form

Find an amplifon provider in your area

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BODY SCAN

The Welfare Fund will reimburse active members over 40 years of age the entire cost of a full body screening ($375) at Inner Imaging located at, 307 East 63 St., New York, NY 10065.

The member must pay upfront and then submit a receipt to the Fund. This benefit can be used once every 5 years.

This screening can determine your risk of future heart attack, lung disease, and many types of cancer long before any symptoms occur. Inner Imaging can be reached at 212.777.8900.

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HEART SCAN

In our continuing effort to track the latest innovative technology and provide truly comprehensive health screening programs to our members, the Union is now offering through Heartscan Services a new cardiovascular screening benefit.

THE SCREENING PROGRAM

Heartscan Services identifies early risk factors of Heart Disease, Stroke, PAD (peripheral arterial disease and diabetes), Hypertension and Thyroid nodules. The screening is non-invasive, takes approximately 30 minutes, and no preparation is required. Heartscan Services is mobile and can perform screening at various locations, making it convenient for all members to take advantage of this program.

ABDOMINAL AORTIC ANEURYSM (AAA) SCREENING – This test identifies enlarged abdominal aorta, which may suggest the presence of an aneurysm.
ECHOCARDIOGRAM – looks at size, shape and movement of the heart. Heart Disease can be prevented if found early.
CAROTID ARTERY ULTRASOUND – can identify plaque in the carotid arteries, which can lead to stroke.
ABI INDEX – looks for peripheral arterial diseases and early diabetes.
THYROID SCREEN – looks for nodules. Thyroid Cancer is the fastest increasing cancer in the United States.

Heartscan Services is HIPAA compliant and all results are strictly confidential. Heartscan Services’ preventive screening benefit will be covered 100% (normally $275) for all members. There also is a discounted rate for spouses and family members of $275 (normally $500). If you have any questions, please contact Heartscan Services at 1.866.518.1112 or visit their website at heartscanservices.com.

OUT-OF-POCKET MEDICAL REIMBURSEMENT

(Active Members, Spouses, and Dependent Children Only)

To collect this benefit, you must submit a copy of the medical bill for you, your spouse, and/or your dependent child(ren) with dates of stay clearly indicated, and a copy of the rejection of the claim by your insurance company. All claims must be submitted by April 30 of the following year in which the service occurred.

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PRESCRIPTION DRUG REIMBURSEMENT BENEFIT

The Welfare Fund will reimburse you for co-payments on prescription drugs you purchased within the United States. The benefit will be paid yearly, no earlier than January for the preceding calendar year through the Out-Of-Pocket Medical Reimbursement Program. To receive this benefit, you must submit a , for the prescription drugs purchased during the year. Please do not submit individual receipts for prescriptions you accumulated during the year.

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Claim forms and correspoding documentation MUST BE MAILED or uploaded to the ASO/SIDS office no later than April 30 of the year following the year in which the expense was incurred:

Administrative Services Only, Inc
PO Box 9005, Dept. 11
Lynbrook, NY 11563-9005

Faxes and emails will NOT be considered for reimbursement

VISION CARE EXPENSE

Active Members are now entitled to a total of $300 per year and Retiree Members are now entitled to $150 per year.

A covered Active member is entitled to a total of $300 per year for vision care. If one of the below providers is used, that $300 will pay for an eye exam and a pair of covered eyeglasses or contact lenses, and no paperwork will be required by the member.

In the alternative, members may go to a duly-licensed physician, optometrist, or ophthalmologist of their choice and submit the required paperwork themselves to ASO. The Active member will then be reimbursed up to the maximum $300 per year. Spouses and eligible dependents are entitled to a total of $100 per year for vision care.

A vision voucher no longer is needed to avail yourself of vision care. Simply call one of the participating vision centers on the list, tell them you are a member of the NJDCEA, and give them your social security number.

*Please let us know if you wish to opt out of the vision/dental benefits.

All claims must be submitted by April 30 of the following year in which the service occurred.


CPS OPTICAL
CPS – Comprehensive Professional Systems Inc. working with union welfare funds, providing the best possible vision care for their members and eligible dependents.
(Disclaimer: members should verify coverage before visiting a provider)

Find a CPS Optometrist In Your Area

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