Benefits

Benefits


Aetna has notified us that through CVS Health, certain benefits are being extended to members in response to the COVID-19 crisis, as indicated below.

Aetna will waive co-pays for all diagnostic testing related to COVID-19. This policy will cover the test kit for patients meeting CDC guidelines for testing, which can be done in any approved laboratory location.

For the next 90 days, Aetna will also offer zero co-pay telemedicine visits for any reason. Aetna members should use telemedicine as their first line of defense in order to limit potential exposure in physician offices. Cost sharing will be waived for all video visits through the CVS MinuteClinic app, Aetna-covered Teladoc offerings and in-network providers delivering synchronous virtual care (live video-conferencing). The attached Natural Disaster Teladoc flyer should be used to engage with Teladoc at no cost. Members accessing Teladoc outside of the number/URL indicated on the attached flyer will be subject to the regular copayments of the program.

Please be advised of the latest news release from CVS Health regarding Aetna's response to the COVID-19 crisis: CVS Health COVID 19 Tests Announcement

 

EmblemHealth has announced that testing for Coronavirus will be covered by the medical plan when an in-network provider is seen. Out-of-network visits may NOT be covered. EmblemHealth has provided FAQs on their web page. Please click here to access the FAQs.

Based on the current situation where commuting to and from TC is reduced or non-existent, you may want to consider making changes to your Wageworks commuter benefit.

To make changes to your commuter/parking benefit, please log-in to Wageworks. Please be aware that plan deadlines are still in place. For example, changes made no later than April 1st will be effective for the month of May.

Once logged in, the Wageworks dashboard will appear reflecting your plan participation (i.e. Commuter Plan, FSAs, HSAs). Please select the "Commuter Account". There is a 5-Step process to make changes to individual program options (i.e. Metrocard and debit card, and/or parking program):

Step 1: On the left hand menu, select "Modify/Cancel Order"
Step 2: Place Order (indicate the changes)
Step 3: Confirm your Contact Information (Address, email, phone number)
Step 4: Review and Confirm Order
Step 5: Verification of Order and Return to Commuter Plan Dashboard (to make other commuter changes as necessary)

Benefit remains unchanged and can apply if an employee is caring for a family member (as defined by NYS) with COVID-19. The maximum benefit is $840.70 per week and can last for a maximum period of 10 weeks.

Provided an employee uses the above 14 sick days (COVID-19 must be diagnosed), the normal 7 calendar day waiting period for disability period begins during the period of "emergency" sick time. This means that disability benefits will begin on day 15.

If the disability does not arise from a COVID-19 diagnosis, then the regular short term disability process applies. This means that the 7 calendar day waiting period applies and is unpaid unless the employee uses their accrued time. Disability benefits then begin on day 8.

Medical clearance to return to work applies regardless of the diagnosis.

Under the new New York State legislation, 14 Emergency Sick Days are provided to full time and regular part time employees at their regular rate of pay. This is in addition to any accrued Sick time that may be currently banked. The Emergency Sick Day allotment can only be used when an individual has been officially ordered to quarantine (either mandatory or precautionary) or a positive diagnosis for COVID-19 is received. Therefore, to be eligible for the Emergency Sick Days, employees must provide an official order of quarantine from the State or other government entity. A hospital or testing site will provide this document.

The use of Emergency Sick Days is available through December 31, 2020, unless otherwise extended by the NYS Governor. Please note that these sick days cannot be rolled over to 2021.

Additional information on how to submit the use of the NYS Emergency Sick Leave will follow.

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