Your Mental Health Reimbursement Benefit

What Is The Mental Health Benefit?
Getting Your Benefit
What’s Not Covered?


What Is The Mental Health Benefit?
If you or your eligible dependent is under the care of a duly licensed psychiatrist, psychotherapist or psychologist, or certified social worker, the Fund will reimburse you for the actual expenses you incur up to a maximum of $300 per calendar year for each covered member of your family.

These benefits will be paid for out-of-hospital mental health or substance abuse care only.  These benefits will be paid for out-of-hospital mental health care by a provider who is not part of a hospital or outpatient facility.  In New York State, under the provisions of the Health Care Reform Act of 1997, if a doctor or covered provider’s practice is part of a certain hospital or outpatient facility, benefits will not be paid for their services.  Please contact the Fund Office for a list of PROVIDERS.

Getting Your Benefit

  • Obtain a Mental Health Benefit Claim Form from the Fund Office or the Local 1180 website at:  www.cwa1180.org
  • Visit any duly licensed psychiatrist, psychotherapist, psychologist, or certified social worker of your choice
  • After the testing and/or your session(s) and after you have paid for services, obtain an     itemized bill marked “paid”
  • Submit your claim to your basic health plan first
  • Submit a copy of the Explanation of Benefits from your basic health plan,* the paid bill and the completed claim form to the Fund Office within 90 calendar days after the services were provided. Claims submitted after the 90-day limit will be denied.
What's Not Covered?
Benefits are not provided for:

  • Services by a provider whose office is attached to certain hospitals with New York State (call the Fund Office for a list of such providers).




Text Size: A A A