Retired Members Benefits

CANCER SCREENING

Retirees and their Dependents are eligible for reimbursement of up to $50 per year for any out-of-pocket expenses for a mammogram, PSA exam, or colonoscopy. Reimbursement will only be made when you incur an out-of-pocket expense.

To be reimbursed, the Retiree and/or Dependent must submit the appropriate claim form and supporting documentation to Administrative Services Only (ASO) by mail. Claims must be submitted to the Fund by no later than April 30 of the year following the year in which the expense was incurred. The proper mailing address is:

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

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

Download Form

DENTAL BENEFITS

(Retirees, Spouses, and Eligible Dependents)

1. 1. 1. If you use your own dentist, you will be reimbursed according to our Fund schedule.
      2. If you use participating dentists, they will accept the benefits payments in full for covered services.
      3. For a list of participating panel dentists click here for Participating Panel Dentists.

   For a copy of the fee schedule, log onto

ASOnet.com

 for eligibility, plan details and claim history.
1. For a copy of the fee schedule, log onto ASOnet.com for eligibility, plan details and claim history.
2. Yearly Maximums:
   • The yearly maximum for a covered individual is $2,500 per fiscal year.
   • The yearly maximum for a covered family is $5,000 per fiscal year.
   • The fiscal year period is April 1 – March 31
   • Claims must be filed within 1 year of the date of service.
3. For a Dental Claim form click here for the Dental Claim Form
4. Claims must be filed within 1 year of the date of service

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

Claim forms and corresponding documentation MUST BE MAILED to the ASO/SIDS office:
Administrative Services Only, Inc
PO Box 9005, Dept. 11
Lynbrook, NY 11563-9005

Faxes and emails will NOT be considered for reimbursement but you may upload documents directly to ASONET.COM

EMERGENCY ROOM REIMBURSEMENT BENEFIT

Retirees and their Dependents are eligible for reimbursement of expenses for visits to hospital emergency rooms.  Retirees and their Dependent spouses may be reimbursed up to $100 per visit to a hospital emergency room.  Retirees’ Dependent children may be reimbursed up to $50 per visit to a hospital emergency room.  The Emergency Room Reimbursement Benefit has a family maximum of $500 per year.  Reimbursement will only be made when you, your Dependent spouse, or your Dependent child incurs an out-of-pocket expense.

To be reimbursed, the Retiree and/or Dependent must submit the appropriate claim form and supporting documentation to Administrative Services Only (ASO) by mail or uploaded to their website.

Claims must be submitted to the Fund by no later than April 30 of the year following the year in which the expense was incurred.

Medical Reimbursement For Retirees

HEARING AID BENEFIT

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 to access the Fund’s benefit, doing so might save you money.

Amplifon (888) 484-7554

Find An Amplifon Provider

Download Hearing Reimbursement Form

Claim forms and corresponding 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.

HOSPITAL INDEMNITY BENEFIT

Retirees and their Dependent spouses are entitled to reimbursement of up to $50 per night for stays in the hospital, for up to 30 nights per fiscal year (April 1 to March 31). The Hospital Indemnity Benefit has a family maximum of $1,000.00 per year. Please note that Retiree Dependent children are not eligible for the Hospital Indemnity Benefit. Reimbursement will only be made when you or your Dependent spouse incur an out-of-pocket expense.

To be reimbursed, the Retiree and/or Dependent must submit the appropriate claim form and supporting documentation to Administrative Services Only (ASO) by mail or uploaded to their website.

Claims must be submitted to the Fund by no later than April 30 of the year following the year in which the expense was incurred.

Medical Reimbursement For Retirees

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.

PRESCRIPTION DRUG REIMBURSEMENT BENEFIT

The Welfare Fund will reimburse you a maximum of $60 per prescription toward the co-pay for each prescription drug you purchased, up to an annual cap of $350. The benefit will be paid yearly, no earlier than January for the preceding calendar year. To receive this benefit, you must submit a pharmacy printout, with your name clearly indicated on the printout, for the prescription drugs purchased during the year. Please do not submit individual receipts for prescriptions you accumulated during the year.

Medical Reimbursement For Retirees

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

The Fund provides a Vision Care Benefit for Retirees and their Dependents once per calendar year each. If a Retiree or Dependent does not use the Vision Care Benefit during a given calendar year, the benefit may not be carried over for use in subsequent calendar years.

Retirees and Dependents may use their Vision Care Benefit in one of two ways. They may either:

1. Go to an in-network vision provider (listed on the Fund’s website) where covered expenses will be paid directly to the provider by the Fund. Covered expenses include an eye exam and a pair of covered eyeglasses or contact lenses. Expenses in excess of those covered by the Vision Care Benefit must be paid by the Retiree or Dependent, out-of-pocket.

OR

2. Go to an out-of-network vision provider (a duly licensed physician, optometrist, or ophthalmologist) and submit a claim to the Fund for reimbursement of covered vision expenses for up to the applicable calendar year annual maximum ( $150 per Retiree, $100 for Dependents).

If you go to an out-of-network provider to use your Vision Care Benefit, you must submit the appropriate claim submission documents, including required supporting documentation.

Find A CPS Optometrist

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Optical Reimbursement For Retirees

Claims must be submitted to the Fund by no later than April 30 of the year following the calendar year in which the expense was incurred.

Retirees have the right to opt-out of the Vision Care Benefit. If you would like more information on opting-out of the Vision Care Benefit, please contact the Fund Office.

The following are not covered by the Vision Care Benefit:

• Non-prescription sunglasses;
• Repairs to eyeglasses;
• Treatment of illness or injury;
• Expenses for which benefits are payable under any Workers’ Compensation Law;
• Upgraded lenses, frames, and services;
• Services by a provider whose office is attached to certain hospitals within New York State (call the Fund Office for a list of such providers).