UNION 1199
Union 1199 Coverage for Addiction Treatment in Albany, NY
Don’t let insurance questions get in the way of recovery. At Fusion Recovery in Albany, NY, our admissions team will verify your 1199SEIU benefits, walk you through what’s covered for healthcare workers and their families, and help you start treatment, confidentially and often the same day.
START HEALING TODAY
Personalized Outpatient Treatment for Albany Residents
At Fusion Recovery, we understand the weight that addiction places on your life and the lives of those you love, and we know that for healthcare workers, asking for help can feel especially hard. That’s why we offer personalized, fully confidential outpatient addiction treatment built around your specific situation, your shift schedule, and your recovery needs.
As an outpatient rehab serving the Albany, NY region, we provide flexible scheduling so you can stay engaged with work, family, and other commitments while getting the help you deserve. Our team blends evidence-based therapies with medication-assisted treatment, clinical counseling, and holistic support to help you build a recovery that lasts.
If you or someone you love is struggling, contact us today. Our admissions team will verify your 1199SEIU benefits, walk you through your treatment options, and help you take the next step at no cost and with no pressure.
ABOUT UNION 1199
Understanding Your 1199SEIU Benefit Funds Coverage
Union 1199, formally known as the 1199SEIU Benefit Funds, is one of the largest labor-management benefit fund programs in the United States, providing comprehensive health coverage to more than 400,000 working and retired healthcare workers and their families. Founded in 1945 to provide basic health, disability, and life insurance to 300 retail drugstore workers in New York City, 1199SEIU has grown into the largest healthcare workers’ union benefit program in the country.
Unlike a traditional insurance carrier, 1199SEIU operates as a Taft-Hartley benefit fund, meaning your coverage is provided through a labor-management trust on behalf of the workers covered by 1199SEIU United Healthcare Workers East collective bargaining agreements. This structure allows the Funds to offer comprehensive benefits with very low or no copays for many services, making it one of the strongest health coverage packages available to healthcare workers in New York.
The 1199SEIU Benefit Funds operate as six separate funds, each with its own eligibility rules and benefit structure. Coverage details depend on which fund you’re enrolled in and your Wage Class (typically 1, 2, or 3, with full-time workers usually in Wage Class 1).
The six 1199SEIU Benefit Funds
- 1199SEIU National Benefit Fund
- 1199SEIU Greater New York Benefit Fund
- 1199SEIU Home Care Benefit Fund
- 1199SEIU National Benefit Fund for Rochester Members
- 1199SEIU Licensed Practical Nurses Welfare Fund
- 1199SEIU Benefit Fund for Family of Geographic Members
MEMBER ASSISTANCE PROGRAM
Your First Stop: The 1199SEIU Member Assistance Program
If you or a covered family member is struggling with addiction or another behavioral health concern, the 1199SEIU Member Assistance Program (MAP) is a confidential resource staffed by professional social workers. The MAP can help you find appropriate providers, coordinate your care, and connect you with treatment programs, including counseling, outpatient treatment, and inpatient hospitalization.
All conversations with the Member Assistance Program are kept strictly confidential under HIPAA. Your employer is not notified, and using MAP services has no impact on your job or your union standing.
Member Assistance Program: (646) 473-6900
1199SEIU CareReview (for emergency hospitalization): (800) 227-9360, must be contacted within 48 hours of admission
ALBANY & THE NETWORK
How 1199SEIU Coverage Works in Albany
The 1199SEIU Benefit Fund’s primary in-network area covers more than 30,000 providers throughout New York City, Westchester, and Long Island. For members who live or work outside that primary service area, including Albany and the broader Capital Region, 1199SEIU coverage typically routes through the Aetna Choice POS II network. Most Aetna Choice POS II providers accept the Benefit Fund’s payment for covered services, and there are usually no referrals, no out-of-pocket costs, and no deductibles for in-network covered services.
This means that even if you’re a 1199SEIU member living in Albany, your union benefits can still provide robust coverage for addiction treatment at participating local providers. Fusion Recovery’s admissions team will verify whether we participate with the network applicable to your specific Benefit Fund and walk you through your options.
OVERVIEW OF UNION 1199 BENEFITS
What 1199SEIU Covers at Fusion Recovery
Coverage details vary by Benefit Fund and Wage Class, but most 1199SEIU members with behavioral health benefits receive comprehensive coverage for substance use treatment.
Treatment services typically covered
- Medical detox and supervised withdrawal management
- Inpatient and residential addiction treatment
- Partial hospitalization programs (PHP)
- Intensive outpatient programs (IOP)
- Standard outpatient treatment
- Individual, group, and family therapy
- Medication-assisted treatment (MAT), including Sublocade and Suboxone
- Dual diagnosis care for co-occurring mental health conditions
- Virtual behavioral health visits through Teladoc
- Brightline online behavioral health services for covered children up to age 18
Coverage details and Wage Class
Eligibility for behavioral health and addiction treatment benefits depends on your Wage Class and coverage type. Members in Wage Class 1 and Wage Class 2 with family coverage typically have full behavioral health benefits, as do members in Wage Class 3 with member-only coverage. If you’re unsure of your Wage Class, you can check the front of your 1199SEIU Health Benefits ID card or visit the Wage and Eligibility Class section of the 1199SEIU Benefit Funds website. Most full-time healthcare workers fall under Wage Class 1.
One of the strongest features of 1199SEIU coverage is its low cost-sharing; most covered behavioral health and addiction treatment services come with very low copays or no out-of-pocket costs at all when you use in-network providers. There are also typically no deductibles for in-network covered services.
Preauthorization requirements
All inpatient, intensive outpatient, and partial hospitalization programs require preauthorization through 1199SEIU CareReview. For emergency hospitalizations, you must contact 1199SEIU CareReview at (800) 227-9360 within 48 hours of admission to maintain coverage. Outpatient services typically don’t require prior authorization for in-network providers. Fusion Recovery’s admissions team handles these authorizations and continued-stay reviews on your behalf.
Call Now to Verify Your Coverage
HOW IT WORKS
How to Verify Your Union 1199 Benefits
Verification is fast, free, and fully confidential. Here’s how it works:
01.
Share your details
Call us at 1.866.936.2290 or fill out our contact form with your 1199SEIU member ID. Let us know which Benefit Fund you’re enrolled in (e.g., National Benefit Fund, Greater NY Benefit Fund, Home Care Benefit Fund) and your Wage Class if known.
02.
We verify your benefits
Our team contacts 1199SEIU directly to confirm in-network status (including any applicable Aetna Choice POS II coverage in the Albany area), copays, prior authorization requirements, and what level of care is covered under your Benefit Fund.
03.
We explain your options
We walk you through your benefits in plain language, outline any out-of-pocket costs, and recommend the level of care that fits your needs.
04.
You take the next step
When you’re ready, we schedule your clinical assessment, coordinate any required preauthorization with 1199SEIU CareReview, and help you begin treatment, often the same day.
WHAT WE TREAT
Conditions We Treat at Fusion Recovery
Our Albany, NY treatment programs serve adults struggling with a wide range of substance use and co-occurring mental health conditions, including:
- Alcohol use disorder
- Opiate and prescription painkiller addiction
- Heroin addiction
- Fentanyl addiction
- Cocaine addiction
- Methamphetamine addiction
- Benzodiazepine dependence
- Co-occurring depression, anxiety, PTSD, and other mental health conditions
Ready to Take the First Step?
Recovery begins when you reach out. Our admissions team is available to verify your 1199SEIU coverage, navigate the Benefit Fund authorization process, and help you start treatment in Albany, NY. As a healthcare worker, you’ve spent your career caring for others; let us care for you. Call anytime.
Frequently Asked Questions
01. Is Fusion Recovery in-network with 1199SEIU?
Fusion Recovery may be in-network with 1199SEIU Benefit Funds serving Albany, NY, through the Aetna Choice POS II network used by the Funds outside their primary NYC/Westchester/Long Island service area. Network status varies by your specific Benefit Fund. We recommend calling our admissions team at 1.866.936.2290 to verify your in-network benefits before starting treatment.
03. How do I know which 1199SEIU Benefit Fund I'm enrolled in?
Check the front of your 1199SEIU Health Benefits ID card. The card identifies your specific Benefit Fund (such as National Benefit Fund, Greater NY Benefit Fund, or Home Care Benefit Fund) and your Wage Class. You can also log in to my1199benefits.org or call (646) 473-9200 in New York or (800) 575-7771 outside New York to confirm.
05. Does 1199SEIU cover MAT medications like Suboxone and Sublocade?
Yes. 1199SEIU Benefit Funds cover FDA-approved medication-assisted treatment medications, including Sublocade and Suboxone (buprenorphine) for opioid use disorder, as well as naltrexone and Vivitrol for opioid and alcohol use disorders. Most 1199SEIU plans offer full prescription coverage with no copayments when you use preferred drugs.
07. How long will 1199SEIU cover inpatient addiction treatment?
All inpatient addiction treatment requires preauthorization through 1199SEIU CareReview. Under New York State Insurance Law, fully insured plans must approve up to 28 days of inpatient substance use treatment at a NY OASAS-licensed facility for members with a primary substance use disorder diagnosis. Coverage past 28 days is reviewed based on your progress and ongoing clinical need. For emergency hospitalizations, you must contact 1199SEIU CareReview at (800) 227-9360 within 48 hours of admission.
09. Will my employer or family find out I'm seeking treatment?
No. Federal law (HIPAA and 42 CFR Part 2) provides strong confidentiality protections for substance use treatment records, and 1199SEIU explicitly notes that all health coverage information is kept strictly confidential under HIPAA. Your employer is not notified, and 1199SEIU cannot share your treatment details with anyone, including your union local, without your written authorization.
02. I live in Albany. Does 1199SEIU coverage work outside NYC?
Yes. While 1199SEIU’s primary network covers more than 30,000 providers throughout New York City, Westchester, and Long Island, members who live or work outside that area can choose providers from the Aetna Choice POS II network. Most Aetna Choice POS II providers accept the Benefit Fund’s payment for covered services, with no referrals required and no out-of-pocket costs or deductibles for in-network covered services.
04. What does 1199SEIU cover for addiction treatment?
1199SEIU plans typically cover the full continuum of substance use treatment for eligible members, including medical detox, inpatient and residential treatment, partial hospitalization (PHP), intensive outpatient programs (IOP), standard outpatient care, individual and group therapy, medication-assisted treatment, dual diagnosis care, and aftercare. Specific coverage depends on your Benefit Fund and Wage Class.
06. What is the Member Assistance Program?
The 1199SEIU Member Assistance Program (MAP) is a confidential, social-worker-staffed resource that helps members and their dependents find counseling, behavioral health services, and addiction treatment. Even if you’re not sure where to start, MAP can help you understand your options. Call (646) 473-6900 to speak with a social worker. All conversations are kept strictly confidential under HIPAA.
08. Will I have to pay anything out of pocket?
One of the strongest features of 1199SEIU coverage is its low cost-sharing. Most covered behavioral health and addiction treatment services come with very low copays, or no out-of-pocket costs at all, when you use in-network providers. There are typically no deductibles for in-network covered services. Our admissions team will give you a clear picture of expected costs before treatment begins.
10. What if 1199SEIU denies coverage for my treatment?
Don’t give up. 1199SEIU has multiple levels of internal appeals, and our admissions and clinical teams help guide you through that process. Federal and state parity laws require benefit plans to cover behavioral health at the same level as medical care. New York residents can also file a complaint with the New York State Department of Financial Services at 1-800-400-8882.
01. Is Fusion Recovery in-network with 1199SEIU?
Fusion Recovery may be in-network with 1199SEIU Benefit Funds serving Albany, NY, through the Aetna Choice POS II network used by the Funds outside their primary NYC/Westchester/Long Island service area. Network status varies by your specific Benefit Fund. We recommend calling our admissions team at 1.866.936.2290 to verify your in-network benefits before starting treatment.
02. I live in Albany. Does 1199SEIU coverage work outside NYC?
Yes. While 1199SEIU’s primary network covers more than 30,000 providers throughout New York City, Westchester, and Long Island, members who live or work outside that area can choose providers from the Aetna Choice POS II network. Most Aetna Choice POS II providers accept the Benefit Fund’s payment for covered services, with no referrals required and no out-of-pocket costs or deductibles for in-network covered services.
03. How do I know which 1199SEIU Benefit Fund I'm enrolled in?
Check the front of your 1199SEIU Health Benefits ID card. The card identifies your specific Benefit Fund (such as National Benefit Fund, Greater NY Benefit Fund, or Home Care Benefit Fund) and your Wage Class. You can also log in to my1199benefits.org or call (646) 473-9200 in New York or (800) 575-7771 outside New York to confirm.
04. What does 1199SEIU cover for addiction treatment?
1199SEIU plans typically cover the full continuum of substance use treatment for eligible members, including medical detox, inpatient and residential treatment, partial hospitalization (PHP), intensive outpatient programs (IOP), standard outpatient care, individual and group therapy, medication-assisted treatment, dual diagnosis care, and aftercare. Specific coverage depends on your Benefit Fund and Wage Class.
05. Does 1199SEIU cover MAT medications like Suboxone and Sublocade?
Yes. 1199SEIU Benefit Funds cover FDA-approved medication-assisted treatment medications, including Sublocade and Suboxone (buprenorphine) for opioid use disorder, as well as naltrexone and Vivitrol for opioid and alcohol use disorders. Most 1199SEIU plans offer full prescription coverage with no copayments when you use preferred drugs.
06. What is the Member Assistance Program?
The 1199SEIU Member Assistance Program (MAP) is a confidential, social-worker-staffed resource that helps members and their dependents find counseling, behavioral health services, and addiction treatment. Even if you’re not sure where to start, MAP can help you understand your options. Call (646) 473-6900 to speak with a social worker. All conversations are kept strictly confidential under HIPAA.
07. How long will 1199SEIU cover inpatient addiction treatment?
All inpatient addiction treatment requires preauthorization through 1199SEIU CareReview. Under New York State Insurance Law, fully insured plans must approve up to 28 days of inpatient substance use treatment at a NY OASAS-licensed facility for members with a primary substance use disorder diagnosis. Coverage past 28 days is reviewed based on your progress and ongoing clinical need. For emergency hospitalizations, you must contact 1199SEIU CareReview at (800) 227-9360 within 48 hours of admission.
08. Will I have to pay anything out of pocket?
One of the strongest features of 1199SEIU coverage is its low cost-sharing. Most covered behavioral health and addiction treatment services come with very low copays, or no out-of-pocket costs at all, when you use in-network providers. There are typically no deductibles for in-network covered services. Our admissions team will give you a clear picture of expected costs before treatment begins.
09. Will my employer or family find out I'm seeking treatment?
No. Federal law (HIPAA and 42 CFR Part 2) provides strong confidentiality protections for substance use treatment records, and 1199SEIU explicitly notes that all health coverage information is kept strictly confidential under HIPAA. Your employer is not notified, and 1199SEIU cannot share your treatment details with anyone, including your union local, without your written authorization.
10. What if 1199SEIU denies coverage for my treatment?
Don’t give up. 1199SEIU has multiple levels of internal appeals, and our admissions and clinical teams help guide you through that process. Federal and state parity laws require benefit plans to cover behavioral health at the same level as medical care. New York residents can also file a complaint with the New York State Department of Financial Services at 1-800-400-8882.
Disclaimer: The information provided on this website regarding insurance coverage is only a summary. It does not include all limitations, exclusions, or qualifiers that may apply to your actual coverage. Please refer to your Benefit Fund's Summary Plan Description for full details. Treatment services must be medically necessary to be covered. Any treatment decisions must be discussed with your health provider. We cannot guarantee any coverage or reimbursement. Please contact 1199SEIU directly for the most accurate information regarding your benefits.
Take the first step
Providing hope to all. Compassionate outpatient care for our community. Ready to talk?
Recovery begins when you reach out. Questions?
Call anytime to speak with an Admissions
Specialist, or request a consultation and we’ll follow up.
David Sietz, M.D.
Chief Medical Officer, Fusion Recovery
Email us or Call
Contact Form
"(Required)" indicates required fields
Start Healing Today
At Fusion Recovery, we understand the difficulties that addiction can bring into your life. That’s why we offer personalized outpatient addiction treatment tailored to your unique needs. As an outpatient rehab facility, we provide flexible scheduling so you can continue your work, family life, and other commitments while getting the help you deserve.
Fusion Recovery proudly accepts Union 1199 coverage for addiction treatment services including outpatient rehab, therapy, medication-assisted treatment, and more. Our compassionate team of experts will verify your Union 1199 benefits, take care of claims, and make insurance processes smooth. More importantly, we’ll craft an individualized treatment plan using evidence-based therapies and holistic methods to facilitate your lifelong recovery.
With Fusion Recovery, you can find judgment-free support and healing in a comfortable environment. Our welcoming facility and Union 1199 create a peaceful space for you to focus on your recovery journey. If you or a loved one is struggling with addiction, contact us today to learn more about Ambetter coverage and how we can help you get your life back.
Take the first step
Providing hope to all. Compassionate outpatient care for our community. Ready to talk?
Recovery begins when you reach out. Questions?
Call anytime to speak with an Admissions
Specialist, or request a consultation and we’ll follow up.
David Sietz, M.D.
Chief Medical Officer, Fusion Recovery
Email us or Call
Contact Form
"(Required)" indicates required fields
Overview of Union 1199 Benefits
Fusion Recovery is in-network with Union 1199 plans.
Treatment services covered
Union 1199 covers services like outpatient rehab, individual therapy, group therapy, medication management, and aftercare support. Our team can help verify your coverage and explain your options before starting treatment so you know what to expect.
Coverage details
Coverage details vary by individual Union 1199 plan. Out-of-pocket costs such as copays, deductibles, and coverage levels depend on your specific benefits. Our team can help verify your coverage and explain your options before starting treatment.
Preauthorization requirements
Prior authorization may be required for medication-assisted treatment and intensive outpatient programs. Fusion Recovery can assist with obtaining authorizations.
CALL NOW
Safe and Effective
Verify Your Insurance Coverage.
Remember, the specifics of coverage can vary based on your individual plan and location. It’s always a good idea to confirm coverage with both your insurance provider and Fusion Recovery.
What We Treat
Alcohol Treatment
Alcohol is widely available, which can make harmful patterns harder to spot early.
Heroin Treatment
Heroin is a fast-acting opioid that can quickly reshape the brain and body.
Fentanyl Treatment
Fentanyl is a potent synthetic opioid linked to high overdose risk, even at small amounts.
Disclaimer: The information provided on this website regarding insurance coverage is only a summary. It does not include all limitations, exclusions, or qualifiers that may apply to your actual coverage. Please refer to your health plan’s Evidence of Coverage or Summary Plan Description for the full details and specifics of your benefits. Treatment services must be medically necessary to be covered by your health plan. Whether a treatment or service is medically necessary will be determined based on a review of clinical information provided by your provider. Any treatment decisions must be discussed and determined in conjunction with your health provider. We cannot guarantee any coverage or reimbursement. Please contact your health plan directly for the most accurate and up-to-date information regarding your benefits and coverage for addiction treatment services.
Take the first step
Providing hope to all. Compassionate outpatient care for our community. Ready to talk?
Recovery begins when you reach out. Questions?
Call anytime to speak with an Admissions
Specialist, or request a consultation and we’ll follow up.
David Sietz, M.D.
Chief Medical Officer, Fusion Recovery
Email us or Call
Contact Form
"(Required)" indicates required fields
