The Health and Security Plans Inquiry Unit is the first line
of communication between members and the Plan. Benefits are provided
for over 151,000 members and retirees, when you add eligible spouses
and dependents this number rises to over 410,000 lives.
The Inquiry Unit receives between 1,000 and 1,300 calls each day
from members asking about benefits, claims, forms and other related
information. Unfortunately the lines are extremely busy and at times
it may be difficult to get through. Here is some information to
help you and help us serve you better.
The Inquiry Unit is open from Monday to Thursday 8am to 6pm, Friday
8am to 5:30pm. The lines are busiest on Mondays and Tuesdays. Help
us, help you by calling the right number. To request claim forms
only (dental forms, fee schedules, participating providers, optical
vouchers, etc.) please call the Forms Only line at 212-815-1531.
If you are calling to check eligibility for benefits, the status
of claims such as dental or disability or other benefit information,
please call the Plans Inquiry line at 212-815-1234.
The following information is needed when you call
the Plan:
- Social Security Number or PID number (ID number on your prescription
card)
- Member and patients name
- Type of claim - claim number if available
- Approximate date of filing claim or correspondence
In addition to the above, the Plan has implemented a member verification
procedure to ensure and safeguard your benefit information.
Occasionally a question cannot be answered immediately. Many calls
require investigation and the involvement of other units. In these
instances, an Inquiry may need to be written and sent to the claims
unit for further research and follow up with the member.
In addition to the heavy volume of telephone calls, the Inquiry
Unit responds to a steady flow of correspondence being sent in by
both active and retired members.
The Unit also responds to the needs of members who come in person
to the Plan office for information. Over 5,000 members visit the
unit each year.