Frequently Asked Questions

Posted Aug 10, 2010 | Category: Prescription Drugs | Rating:
1.761905

You can purchase the prescription drugs you need now. Once your drug card arrives, submit the original bill along with the Prescription Drug Reimbursement Form. The Fund will reimburse you according to the fee schedule or the actual cost, whichever is less.

Posted Sep 17, 2015 | Category: Health Benefits | Rating:
4.2

If you are enrolling in the Welfare Fund for benefits and are eligible, you should receive your insurance documents in 7-10 days. If you are enrolling dependents for benefits, you must provide all specified required documents (marriage certificate, birth certificate, etc.) for the enrollment to be processed.

Posted Nov 5, 2010 | Category: Eligibility for Retirees | Rating:
4

Yes. A child who is living with and financially dependent on a grandparent is eligible for coverage. You’ll need to submit a Change of Status form and a Dependent Child Affidavit, or request these forms from the Forms Hotline at 212-539-0539.

Posted Nov 5, 2010 | Category: Eligibility for Retirees | Rating:
4

For a retroactively enrolled dependent, whether spouse, domestic partner or child, the effective date of eligibility is the beginning of the calendar year in which the dependent is added to the Welfare Fund.

Posted Sep 6, 2010 | Category: Retiree Programs | Rating:
5

Contact the coordinator of the Si Beagle Learning Center and make an appointment to discuss your idea. Bring your resume and a course outline. You can also mail a copy of your resume and course outline to: UFTWF Retiree Programs, 52 Broadway, 17th floor, NY, NY  10004.

Posted Sep 6, 2010 | Category: Retiree Programs | Rating:
3.5

Retiree Social Services are available to retiree members and their families by calling 212-598-6880.

Posted Sep 6, 2010 | Category: Retiree Programs | Rating:
4.666665

There are coordinators in all five boroughs as well as in Westchester/Rockland/Putnam, Suffolk and Nassau Counties, Arizona, California, Florida, Georgia, the greater Washington, DC area, New Jersey, Nevada, North Carolina, Puerto Rico and Israel. To find the phone number of the coordinator in your area, call the Retiree Programs’ office at 212-598-6879 or visit the Florida Section of the UFT Welfare Fund...

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Posted Sep 6, 2010 | Category: Retiree Programs | Rating:
3.333335

All UFT and Welfare Fund retiree members, as well as their spouses or domestic partners on file with the Welfare Fund, are entitled to participate in the program.

Posted Sep 6, 2010 | Category: Retiree Programs | Rating:
3.5

You can call Retiree Programs at 212-598-6879, check out the Retiree Programs section of the UFT website, read Si Beagle Learning Center annual meeting notices, attend annual meetings and read the retiree page in the New York Teacher.

Posted Aug 16, 2010 | Category: Supplemental Benefits | Rating:
3

Yes, you and your spouse are both eligible for reimbursement of your catastrophic co-payments under your Medicare Part D coverage. Each of you individually has to reach the annual catastrophic limit; your totals cannot be combined. Claims must be submitted by Feb. 1 for the prior year’s reimbursement. The Fund prepares a new form in December of each year for your use in filing for this reimbursement.

Posted Aug 16, 2010 | Category: Supplemental Benefits | Rating:
5

Yes, the Welfare Fund pays 80 percent of reasonable and customary charges when the benefit is not covered by HIP PRIME for in-service members. To file for payment, you need to complete a Welfare Fund anesthesia claim form and attach an itemized paid bill from the provider along with a rejection letter from HIP.

Posted Aug 16, 2010 | Category: Supplemental Benefits | Rating:
5

Yes, the Welfare Fund will reimburse for certain covered appliances for in-service members that meet our medical advisor’s and HIP guidelines. The benefit pays 80 percent of reasonable and customary charges after a $25 annual deductible per person.

Posted Aug 16, 2010 | Category: Supplemental Benefits | Rating:
5

Yes, this benefit is capped at $1,500 a year and $3,000 for a lifetime.

Posted Aug 16, 2010 | Category: Supplemental Benefits | Rating:
3

First, submit your claim to GHI for reimbursement. If GHI reimburses you minus the $100 deductible, in-service members can then submit a completed Welfare Fund GHI DME deductible reimbursement form, along with the GHI explanation of benefits to the Fund. If eligible, the Fund will reimburse you the $100 deductible.

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Posted Aug 10, 2010 | Category: Prescription Drugs | Rating:
4

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 the prescription. After the second refill, to continue using the drug, you must obtain a new prescription from your physician for 90 days supply or 100 pills/capsules, whichever is greater, and then use the ESI Home Delivery Service.

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