Substance Abuse and Rehabilitation
Non-Medicare Retiree Plan
The inpatient Substance Abuse and Rehabilitation benefits are administered by the Plan's hospital and medical benefits carrier for inpatient rehabilitation. If you utilize a participating facility for these services it will be covered in full. If you utilize a non-participating facility for services you will be responsible for any deductible and co-insurance and you can be balance billed for charges in excess of the negotiated rate paid by Anthem.
Find a Network Provider
For more information on how your substance abuse and rehabilitation benefits work and what is covered, please contact the Fund Office or your carrier.
Basic Retiree Plan
The inpatient Substance Abuse and Rehabilitation benefits are administered by the Plan's hospital and medical benefits carrier for inpatient rehabilitation. There is no network. All benefits are paid based on a Schedule of Allowances. You can be balance billed billed for charges in excess of the Schedule of Allowances paid by the carrier. For more information on how your substance abuse and rehabilitation benefits work and what the Plan covers, please contact the Fund Office. Our plan covers many medical services, including basic preventive screenings, doctor and specialist visits, surgical services, substance abuse and rehabilitation benefits and more.
Membership Assistance Program (MAP)
The Membership Assistance Program (MAP) is comprised of Union members who provide support and intervention in regard to Substance Abuse and Alcohol Abuse. This support group meets at 4:00 pm every second Wednesday of the month. If you would like further information about this program, please call 212-331-1848.
FAQs
It is my money. Why can’t I just take it?
The Sick Fund is a benefit covered by the terms of the collective bargaining agreement, and the rules of the Fund must be followed. Upon leaving covered employment, a member may file a claim for any unused benefit remaining in his/her account.