DIRECTORY OF HEARING AID PREFERRED PROVIDERS

1 DIRECTORY . OF. HEARING AID. PREFERRED . PROVIDERS . September 2016. Table of Contents GENERAL INFORMATION .. 3. PARTICIPATING PANELISTS .. 5. NEW YORK .. 5. Manhattan .. 5. Staten Island .. 5. Bronx .. 5. Queens .. 6. Brooklyn .. 7. Nassau .. 8. Suffolk .. 9. Westchester, Hudson Valley &. Upstate NY .. 10. NEW JERSEY .. 11. CONNECTICUT .. 12. 12. A complete listing of PROVIDERS throughout the is available on our website: 1. General Information DESCRIPTION OF BENEFITS. (A complete description is available in our Red Apple or on our website at: ). Who is covered? All eligible members and dependents, as defined in the General Information section of the Red Apple, are covered for HEARING aid benefits.

2 What is the benefit? The HEARING aid benefit provides one (1) HEARING aid every three (3) years (counted from the date of your last service). The benefit includes a comprehensive audiological evaluation, ear impression and required visits necessary for the proper fitting/. use of the HEARING aid. Note: If a HEARING aid is not dispensed, and you want to remain eligible for the entire benefit, you should pay for or submit the bill to your health insurance carrier or Medicare for the expense of the evaluation. This will assure your entitlement to a full HEARING aid benefit should you require it in the future.

3 How are benefits obtained? You must obtain a HEARING Aid Certificate/Direct Reimburse- ment Form by requesting it online at , or by call- ing the Forms Hotline at 212-539-0539. This request must indicate whom the service(s) are for, so that the Fund may verify eligibility prior to issuing the certificate(s). Please note: Certificates are not transferable. Photocopied certificates will not be accepted. Certificates cannot be faxed. What is the reimbursement? Under direct reimbursement you are required to pay for the full cost of the service and submit to the Fund for payment.

4 Reimbursement will be $1, or the cost of the HEARING aid, whichever is less. Although this is a direct reimbursement benefit, the Welfare Fund has created a list of PREFERRED PROVIDERS who have agreed to give a minimum 25% discount off the cost of a HEARING aid. The PREFERRED provider list for HEARING aid benefit is available from our website at How do I get reimbursed? 1. Attach an original, paid, itemized receipt to the HEARING Aid Certificate/Direct Reimbursement Form. Altered or photocopied receipts will not be accepted. 3. 2. Complete Parts 1 and 2. 3. Sign and date Part 3.

5 4. Mail to the UFT Welfare Fund office. Claims must be submitted for payment no later than 90 days from the date of service. 5. The Welfare Fund also administers the HEARING aid ben- efit for SHIP (Supplemental Health Insurance Plan). Claims for retirees who are members of SHIP and are eligible to receive an additional benefit from SHIP, will have their SHIP claim processed when the Fund pro- cesses its claim. What is not covered under the HEARING Aid Program? 1. Charges associated with the return of a HEARING aid. 2. Charges associated with repairs. 3. Charges for amplification devices, also known as Assistive Listening Devices (ALD).

6 What is not covered under the Direct Reimburse- ment Program? The benefits are the same under the Direct Reimbursement Program. However, when you do not use a participating provid- er, the cost of the services are not required to be discounted. Does Special Coordination of Benefits (SCOB) apply to the HEARING Aid Benefit Plan? Yes. Members and their spouse/domestic partner who are also members are entitled to SCOB. This entitles each eligible fam- ily member to two (2) HEARING aids, one HEARING aid under each member's benefit record. The two (2) certificates can be com- bined when purchasing a single HEARING aid.

7 Reimbursement to the member may not exceed the actual charge for the HEARING aid under SCOB. 4. Participating Panelists NEW YORK ZIP CODE 10028. MANHATTAN. NEW YORK AUDIOLOGY CENTER. 444 E 82ND ST. STE. 28D. ZIP CODE 10001 NEW YORK, NY. SCIENTIFIC HEARING AID 212-628-4597. CENTER ZIP CODE 10029. 243 W 30TH ST. NEW YORK, NY HEARUSA. 212-967-1199 1212 FIFTH AVE. UNIT 1. NEW YORK, NY. ZIP CODE 10011 646-432-3516. NYC HEARING ASSOCIATES ZIP CODE 10170. 160 WEST 18TH ST. GROUND FLOOR HEARUSA. NEW YORK, NY 420 LEXINGTON AVE. STE. 315. 212-354-2360 NEW YORK, NY. 212-867-6337.

8 ZIP CODE 10013. LANDA HEARING CENTER. STATEN ISLAND. 139 CENTRE ST. #803. NEW YORK, NY. 212-406-1968 ZIP CODE 10306. ORIENTAL K INC. ADVANCED CARE AUDIOLOGY. 217 GRAND ST. 6TH FL. 88 NEW DORP PLZ. STE. 105. NEW YORK, NY STATEN ISLAND, NY. 646-422-7562 718-980-7700. NEW YORK HEARING CENTER AUDIOLOGY ISLAND. 128 MOTT ST. STE. 509 148 NEW DORP LANE 2ND FL. NEW YORK, NY STATEN ISLAND, NY. 212-966-3886 718-980-0188. ZIP CODE 10016 ZIP CODE 10310. NEW YORK SPEECH AND STATEN ISLAND AUDIOLOGICAL. HEARING SERVICES. 271 MADISON AVE. STE. 1405 1173 FOREST AVE. NEW YORK, NY STATEN ISLAND, NY.

9 212-260-1414 718-981-6020. ZIP CODE 10018 ZIP CODE 10314. NYC HEARING ASSOCIATES, PLLC STATEN ISLAND HEARING +. 110 WEST 40TH ST. STE. 1403 BALANCE CENTER. NEW YORK, NY 78 TODT HILL RD. STE. 202. 212-354-2360 STATEN ISLAND, NY. 718-816-1952. ZIP CODE 10019. HEARUSA. HEARUSA. 2325 RICHMOND AVE. 1776 BROADWAY. STATEN ISLAND, NY. STE. 902 9TH FL. 718-982-9270. NEW YORK, NY. 212-399-7329. DOMINICK SERVEDIO. 200 W 57TH ST. STE. 910. NEW YORK, NY. BRONX. 917-441-6094 ZIP CODE 10461. PELHAM AUDIOLOGY. ZIP CODE 10022 ASSOCIATES, AUDIONICS 1934 WILLIAMSBRIDGE RD. 515 MADISON AVE.

10 STE. 2302 BRONX, NY. NEW YORK, NY 718-822-4100. 212-755-5100. 5. ZIP CODE 10463 ZIP CODE 11361. TOTAL HEARING CARE, LLC AUDIONICS. 2600 NETHERLAND AVE. STE. 114 210-08 NORTHERN BLVD. RIVERDALE, NY BAYSIDE, NY. 718-601-3610 718-224-6100. ZIP CODE 10467 TOTAL HEARING CARE. 36-29 BELL BLVD. STE. 2. THE HEARING CENTER AT BAYSIDE, NY. MONTEFIORE HOSPITAL 718-423-4091. 3400 BAINBRIDGE AVE. BRONX, NY HEARING HELP ASSOCIATES, LLC. 866-447-5115 42-05 FRANCIS LEWIS BLVD. BAYSIDE, NY. ZIP CODE 10469 718-460-3100. HEARUSA ZIP CODE 11370. 2451 EASTCHESTER RD. BRONX, NY LEXINGTON HEARING AND.