Maintenance medications (those taken regularly over an extended period) cannot be filled in monthly quantities after they have been filled three (3) times (original prescription plus two (2) refills), regardless of the number of refills indicated on...

It is covered, but not by the Welfare Fund. By state law, health plans cover diabetes drugs and ancillary devices. Please call your health plan for details.

You may submit a Prescription Drug Reimbursement Form (also available by calling our Forms Hotline at 212-539-0539) with a copy of the paid pharmacy receipt, indicating the patient name, drug name, dosage and quantity.

When the Fund pays out in excess of $1,200 for 12 months from December through November for an individual member or family (or $2,400 for SCOB – a member with a spouse/domestic partner who is also an in-service member), the member is placed in the...

Yes, the Fund will pay for contact lenses as per the fee schedule, but not in addition to glasses.

Members and their spouse/ domestic partner who are also members are entitled to special coordination of benefits (SCOB). This entitles each eligible family member, upon request at the same time for two (2) covered services, one (1) service under each...

We suggest that you use your optical benefits only for full services, which include glasses or contacts along with an eye exam. If you use your benefits and only get the exam we will pay $20 toward an exam fee, but you will be deemed to have used the...

COBRA is an acronym for federal legislation that enables eligible employees and their dependents who lost their health insurance plans due to a qualifying event to continue their coverage at their own expense for a period of time.