Health Related Insurance

 

 

NEA

NYSUT

AFT

Dental & Vision Insurance Program

Coverage Includes:

·          Preventive care- routine exams, cleanings (100%)

·          Procedures – crowns & implants

·          Freedom of choice with dentists

***Add vision coverage to dental plan for bundle rate

 

 

 

 

 

 

                      

Vision Plan

Coverage Includes:

·          Glaucoma testing

·          One pair glasses (lenses & frames)

·          Contact lenses per period

Enroll by:

-Apply online (pay by credit card)

-Mail – NYSUT Member Benefits Trust or call 800-626-8101

*No claim forms or ID needed at visit

*Participating providers:  Davis or Empire Visionworks

Davis Vision – 877-923-2847 (use control code 4482)

 

Dental Plan

MetLife PDP Plus Network

Coverage:

·          Preventive /routine services

·          Choose dentist of choice

·          No referrals for specialty care

Contact: 

MetLife

888-883-0046

**For enrollment or billing questions:

P&A Group

The plan administrator

800-688-2611

 

 

Vision Plan

·          Plan offers in-network dentists

Cost:

 

Member only  -      $6.07

Member + one  -   $11.01

Family -                   $18.68

 

Dental Discounts:

Coverage:

·         Includes everything in the vision program  +

·         Dental care discounts

·         Nurse hotline

·         20%-50% off most dental procedures

     -routine oral exams

     -unlimited cleanings

     -dentures

     -root canals

     -crowns

     -24-hour nurse hotline

Traditional

Hospital Care Insurance Plan

Provides daily cash benefits based upon hospital stay

Highlights:

·          Pays $10- $250 daily

·          Benefits paid directly to you

·          Guaranteed acceptance

**Subject to Pre-Existing condition limitations**

·          Pays 50% of benefits for home and convalescent care benefit after qualifying hospital stay

Eligible:

-member

-spouse

-children (up to 27)

 

 

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NEA

NYSUT

AFT

Hospital Income Insurance Plan

*Premiums based on age at enrollment

·          Pays you or beneficiary lump sum cash benefit depending on hospital stay & home recovery expenses

#of days for        Cash

covered stay       Benefits

1-14                      $750

15-30                   $1,250

31+                       $1,450

**Pays up to $8,000 additional cash benefits for covered home recovery expenses. **

Premiums

Age          Member     Member

                                       & spouse/

                                       partner

65-69       $19.95       $39.90

70-74       $27.95       $55.90

75-79       $39.95       $79.90

80-84*     $39.95       $79.90

85+           $47.95       $95.90

**Age 80 Home Recovery benefits reduce to a maximum of 20 days

Benefits:

$200 a day that you incur a covered home recovery expense

 

 

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Long-Term Care Program

·          Free long-term care needs assessment

·          Covers staying in your own home/nursing home

Eligible

·          Members

·          Spouses

·          Parents

·          Children

Contact:

Long Term Care Advisor

1-855-529-1654

 

 

Eligible:

·          Members

·          Families

·          18-84 years old

 

Contact:

Member Benefits

800-884-8101

Contact:

 

www.aftbenefits.org/ltc

888-423-8700

 

NEA

NYSUT

AFT

Disability Insurance

Income Protection Plan

 

Benefits:

·         Pays whether you’re totally or partially disabled.

·         Benefits during pregnancy

·         Payments go directly to you

·         Pays NEA dues

·         Waives premiums for 6 months

Program Options:

·         Choose amount of monthly benefits in $100 increments

·         Starting pt. 8th, 15th, 31st, 91st day of disability

·         Choice of STD or LTD protection

 

 

Contact:

NEA Income Protection Insurance

American Fidelity Assuance Co

P.O. Box 25523

Oklahoma City, OK 73125

Attn:  Roy Bishop

1-888-461-1612

 

 

Income Replacement Benefits.

-Benefits don’t stop if unable to work

 

 

Contact:

Uniamerica Life Insurance Co. of New York

800-515-2471

 

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