Health Benefits Phone 212-587-9120
Health Benefits Fax (212) 587-9149
All Detectives and Detective Investigators for whom the Detectives’ Endowment Association (DEA) Health & Welfare Fund receives a contribution under Collective Bargaining Agreements with the City of New York are eligible for these benefits, provided they are actively employed.
Dental Benefits
Members have the option of choosing one of two different plans, either the Comprehensive Panel Program or the Fee Schedule Plan.
Comprehensive Panel Program: an enrollment care is needed. Members select a panel dentist whom the entire family is required to use. You must use only this dentist. There are no dental forms to submit. Enrollment for this plan is done monthly. If the application is received by the 15th of the month, it will be effective the first of the following month. Members enrolled in this plan are not permitted to use the providers under the Fee Schedule Program.
Fee Schedule Program: (download dental form) Members may choose any dentist they prefer and pay the dentist directly for services rendered. Members are reimbursed from the DEA according to the fee schedule allowance. Members also have the option of choosing a dentist from the provider listing. You pay the dentist directly according to a Schedule of Allowance; or, upon receipt of reimbursement from the DEA, you endorse the check over directly to the dentist.
Optical Benefits
The DEA has instituted a new optical program for active members. Davis Vision will be the exclusive optical provider for active DEA members and their dependents. The new Davis Vision Optical Plan will provide DEA active members with uniformity and a wide selection of up-to-date prescription eyewear that will be available at each optical store in the extensive Davis Vision network of independent doctors. Many designer frames for children are available through this plan as well.
The DEA’s goal was to deliver a plan that would drastically reduce (or eliminate altogether) the high out-of-pocket cost to our members for an up-to-date pair of glasses, an issue that plagued the previous plan. The new plan offers a thorough eye exam and a pair of glasses to members and their dependents once every 12 months.
In order to provide additional convenience for our members, eligibility will be determined electronically, thereby eliminating the need for DEA-issued vouchers. The plan also features a one-year guarantee for broken frames, and other benefits as well.
Any questions can be answered by contacting the DEA Health Benefits Office at (212) 587-9120, or by calling Davis Vision directly at 1 (800) 999-5431. Click here to connect with DavisVision.com
Drug Program
(Benecard Services Direct Reimbursement Claim Form)
Members, their spouses and children (up to their 23rd birthday) can use the Benecard Services drug card at participating pharmacies with a co-payment schedule as follows:
- $0 for generic prescriptions
- 15% for single source brands
- 15% for multi-source brands, plus the difference between the cost of the brand and generic drugs
There is a $10,000 cap per family per year. Prescription drugs that have an over-the-counter equivalent are not covered under our drug plan.
Children from the ages of 19 to the date of their 23rd birthday (who have proper student verification on file with the DEA) will now be eligible to use the Benecard Services card to obtain their prescriptions, and simply pay the co-payment. Student verification must be submitted to the DEA twice each year for the fall and spring sessions. Please remember to submit student verification for the fall semester (which covers the time period between 9/1 and 2/28), and the spring semester (which covers the time period between 3/1 and 8/31). Click here for the DEA Student Verification Form.
Mail order – The Maintenance (continuous medication) drug program entitles you to a three-month supply with a co-payment schedule per prescription as follows:
- $0 for generic prescriptions
- 15% for single source brands
- 15% for multi-source brands, plus the difference between the cost of the brand and generic drugs
The City of New York is covering certain prescriptions (injectibles and chemotherapy drugs) under the PICA program. This program is available to all non-Medicare members who are enrolled in a City-sponsored Health Plan (NPA Express Scripts). Contact the DEA office or call NPA Express Scripts at (800) 467-2006 for more information. You may also visit NPA’s Express Script Web site at www.e-npa.com
HIPAA Notice
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.