NYCEDWF ─ Schedule of Benefits ─ Family Benefits & More
DENTAL BENEFIT
A maximum reimbursement of up to $3,500 per eligible individual may be paid for covered dental services provided per calendar year.
Reimbursement of 50% is payable for covered orthodontic charges with a maximum lifetime orthodontic benefit of $4,000 per eligible individual in Network and $3,000 out of Network.
NOTE: Both are subject to the "All Services Calendar Year Maximum."
OPTICAL BENEFIT
A maximum reimbursement of up to $350 per eligible individual may be paid for optical benefits provided during each 12 month period with a maximum family benefit of $700 payable per calendar year.
PRESCRIPTION AND MAINTENANCE DRUG BENEFITS
Drugs reimbursed at 100%—a maximum benefit for maintenance and prescription drugs: $2,500 per calendar year per family. You pay $4.00 co-pay for prescriptions.
LIFE INSURANCE BENEFIT
THE MEMBERS' LIFE INSURANCE BENEFIT IS $12,000.
NOTE: See details in the referenced section within this booklet
HEARING AID BENEFIT
Up to $4,000 once for each 36 month period family max.
ORTHOTIC BENEFIT
$400 per person $800 family maximum every three years for an orthotic appliance.
CARDIOVASCULAR SCREENING PROGRAM (RETIRED MEMBERS) - HEARTSCAN SERVICES
HeartScan Services identifies early risk factors of Heart Disease, Stroke, PAD (peripheral arterial disease and diabetes), and thyroid nodules. The screening is non-invasive and can be performed on-site or in locations close to member workplaces, making it convenient for all our members.
WORK AND FAMILY BENEFITS
A service connecting members with lawyers and financial professionals.