NBF/GNY For Your Benefit magazine - Summer 2014

1199SEIU Benefit and Pension Funds 330 West 42nd Street New York, NY 10036-6977

Non-Profit Org. U.S. Postage PAID New York, NY Permit No. 3700

www.1199SEIUBenefits.org ADDRESS SERVICE REQUESTED

Important Benefit Notices Inside this Issue

DEDICATED TO THE HEALTH & WELL-BEING OF 1199SEIU MEMBERS

For Your Benefit

EN ESPANOL p18

Spanish will go here

Join Fellow Members on Our Facebook Page

Meet Our Featured Members

Our 1199SEIU Benefit and Pension Funds’ Facebook page is helping thousands of members stay up to date on the latest benefit and pension news, health fairs, workshops, wellness news and more. If you’re not yet one of them, just visit www.facebook.com/1199SEIUBenefitFunds and click on “Like.” We think you’ll be glad you did.

An onsite health fair provided the wake-up call these co-workers needed to make lifestyle changes, lose weight and improve their health.

Únase a los Compañeros Miembros en Nuestra Página de Facebook La página de Facebook de nuestros Fondos de Beneficios y Pensiones de 1199SEIU está ayudando a miles de miembros a mantenerse al día de las últimas novedades sobre beneficios y pensiones, ferias de salud, talleres, noticias sobre bienestar y mucho más. Si usted todavía no es uno de ellos, simplemente visite www.facebook.com/1199SEIUBenefitFunds y haga clic en “Like” (Me gusta). Estamos seguros de que se alegrará de hacerlo.

SUMMER 2014

Helen Duncan & Karleen Moncreif

Plus!

Diabetes Myths that Could Be Hazardous to Your Health

For Your Benefit

CONTENTS

SUMMER 2014

HEALTHY LIVING

4 Make Informed Decisions with

10 Diabetes Myths that Could Be

5 Coming this Fall: New Benefit

Option Will Help Early Retirees Get the Most Out of Fund Coverage and the Health Exchanges

6 Stay Up to Date with Our New Preferred Drug List

Keep Up with What’s Happening at the Funds on Facebook

7 Coordinating Your Care (Now Available at Montefiore!)

Your Efforts Helped Your Benefit Fund Save $1.5 Billion in 10 Years!

MEMBER PROFILE

Hazardous to Your Health

HEALTHY EATING 12 Serve Up Summer’s Best HEALTHY FITNESS 14 Warm-Weather Workouts HEALTHY NEWS YOU CAN USE 16 Add Three or Four Healthy Behaviors to Reduce Diabetes Heart Risk Real Food (Even Butter) Is Best Live Longer with Seven Servings of Fruit and Vegetables a Day

8 Helen Duncan and Karleen Moncreif An onsite health fair hosted by our Wellness Department and Member Assistance Program provided the wake-up call that these co-workers needed to make lifestyle changes, lose weight and improve their health.

MEMBERSHIP ADVANTAGES 17 Our 24-Hour Nurse Helpline Is

www.1199SEIUBenefits.org

5.

Effective October 1, 2014, the SPD and SBC shall be amended to permit Non-Medicare eligible Retirees (SPD Sections VI.E and VI.F) the option to refuse the current Retiree Benefit package and instead opt for a non-minimum essential coverage benefit package consisting of the following: 1.

Vision Care as described in Sections VI.E and VI.F of the Current SPD. 2.

A per diem “hospital indemnity� benefit, with the following limitations: a.

Payable to Early Retirees admitted to a hospital; b.

Limited to $200 per day of hospital admission; and c.

Limited to a maximum of 10 days per hospital stay.

3.

Dental benefits described in Section II.K of the Current SPD. 4.

Upon the Retiree becoming eligible for Medicare, benefits revert to the retiree health benefits described in the Current SPD as applicable.

Effective January 1, 2014, the following changes to the SPD and SBC applied: l.

Outpatient mental health and substance abuse co-payments shall be no greater than that Plan’s primary care visit co-payment. ll.

The SPD shall add the following underlined bold language and omit the following bold strikethrough language: Section: I.B: Pg. 29 WHEN YOUR COVERAGE BEGINS IF YOU ARE A NEW EMPLOYEE You can start receiving benefits from the Benefit Fund after:

s 9OU ARE HIRED BY A #ONTRIBUTING %MPLOYER ALREADY PARTICIPATING IN THE "ENElT &UND

s 9OU HAVE ENROLLED IN THE "ENElT &UND AND

s 9OU HAVE COMPLETED THE WAITING PERIOD specific to your employer specified in your employer’s collective bargaining agreement (in most cases 90 days) and your employer has made 30 consecutive days of contributions to the Benefit Fund based on your employment (in no event can the total exceed the period permitted by the Patient Protection and Affordable Care Act). or

s On the first day of the month following 30 consecutive days of employer contributions made to the Benefit Fund based upon your employment.

Section II.E: Pg. 74 BENEFIT BRIEF Mental Health

s /UTPATIENT TREATMENT PLANS

s Up to 30 inpatient days per calendar year Medically necessary inpatient treatment Alcohol/Substance Abuse

s Up to 7 days within a 12-month period for Medically necessary inpatient detoxification, maximum twice per lifetime

s Up to 30 days within a 12-month period for Medically necessary inpatient rehabilitation, maximum twice per lifetime

Outpatient Mental Health and Alcohol/Substance Abuse s 50 Medically necessary outpatient visits combined Eligibility Class I: Family Eligibility Class II: Family Eligibility Class III: Member ‌ Pg. 75 MENTAL HEALTH BENEFITS Outpatient Care You are covered for 50 medically necessary outpatient visits (combined mental health and substance abuse visits).

Inpatient Care You are covered for the reasonable cost of diagnosis and treatment for up to 30 days per calendar year in a nongovernmental hospital for medically necessary mental health admissions.

The Benefit Fund may provide up to an additional 30 days of benefits that are medically necessary.

Partial Hospitalization and Intensive Outpatient Programs You are covered for medically necessary partial hospitalization and intensive outpatient programs for mental health and substance abuse treatment. You must pre-certify these services by calling the Fund at (646) 473-6868.

YOUR RIGHTS UNDER THE MENTAL HEALTH PARITY ACT The Benefit Fund complies with federal law in that, which generally requires group health plans to ensure that financial requirements and treatment limitations applicable to mental health or substance use disorder benefits are no more restrictive than the predominant requirements or limitations applied to substantially all medical/surgical benefits. the maximum dollar amount the Benefit Fund will pay for the mental health benefits is not less than the maximum dollar amount that the Benefit Fund pays for medical and surgical benefits.

ALCOHOL/SUBSTANCE ABUSE BENEFITS When medically necessary, you are covered for diagnosis and treatment of:

s !LCOHOLISM OR

s 3UBSTANCE ABUSE Outpatient Care

s 9OU ARE COVERED FOR 50 medically necessary outpatient visits (combined mental health and substance abuse visits).

Inpatient Care

s Up to 7 days within a 12-month period for Medically necessary inpatient detoxification, maximum twice per lifetime; or

s Up to 30 days within a 12-month period for Medically necessary inpatient rehabilitation services, maximum twice per lifetime. ___________________________________________________________________________

This summary only highlights the key changes made to the 1199SEIU Greater New York Benefit Fund.

Summaries of material modifications together with the Summary Plan Description make up your official plan descriptions; please keep them together and refer to them as necessary. We have made every attempt to insure the accuracy of the information in this summary and the Summary Plan Description.

However, if there is any discrepancy between them and the plan document, insurance contracts or other legal documents, the legal documents will always govern. If you would like to review the plan document or have any questions, please contact the Fund’s Member Services Representatives at (646) 473-9200.

The plan sponsor of 1199SEIU Greater New York Benefit Fund reserves the right to amend or terminate the 1199SEIU Greater New York Benefit Fund, or any part of it, at any time.

As a result of a historic Supreme Court decision holding that the federal law restricting the definition of “spouse� to opposite-sex couples was unconstitutional, the trustees amended the Plan to recognize same-sex spouses married under state law.

1199SEIU GREATER NEW YORK PENSION FUND SUMMARY OF MATERIAL MODIFICATIONS This Summary of Material Modifications describes changes that affect your pension plan and updates the Summary Plan Description (“SPD�) that was previously distributed to you. You should keep this summary with your current SPD until the booklet is updated to reflect the changes discussed herein. ___________________________________________________________________________

There When You Need It

The 1199SEIU Greater New York Pension Fund (“Plan�) is amended by adding the following underlined language and removing the following stricken language:

Our Prenatal Workshop Can Help Ensure You Have a Healthy Pregnancy

ARTICLE 1 DEFINITIONS Pg. 73 SECTION 1.29: SPOUSE “Spouse� means a person of the opposite gender to whom the Participant is legally married, as recognized under applicable law, at the commencement of his benefits or to whom he was legally married, as recognized under applicable law, at the time of his death if his death occurs prior to the commencement of his benefit and, if and to the extent provided in a qualified domestic relations order (as defined in Code Section 414(p)) a Participant’s former Spouse. ___________________________________________________________________________

The National Benefit Fund believes it is a “grandfathered health plan� under the Patient Protection and Affordable Care Act (the Affordable Care Act). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain basic health coverage that was already in effect when that law was enacted. Being a grandfathered health plan means that this plan may not include certain consumer protections of the Affordable Care Act that apply to other plans, for example, the requirement for an external review process for claims appeals. However, grandfathered health plans must comply with certain other consumer protections in the Affordable Care Act, for example, the elimination of lifetime limits on benefits. Questions regarding which protections apply and which protections do not apply to a grandfathered health plan and what might cause a plan to change from grandfathered health plan status can be directed to the plan administrator at (646) 473-9200. You may also contact the Employee Benefits Security Administration, U.S. Department of Labor at (866) 444-3272 or www.dol.gov/ebsa/healthreform. This website has a table summarizing which protections do and do not apply to grandfathered health plans.

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4.

Eligibility Class III shall be eligible for the Dental Benefits described in Section II.K of the Current SPD (for members only); and Coverage shall be extended for an additional thirty days for Eligibility Class I and II participants who, due to a reduction in earnings, would otherwise be reduced to Eligibility Class III benefits under the terms of the Current SPD. SPD Sections VI.B, C and D shall (i) provide that if you live in New York City, Nassau County or Suffolk County, you must enroll in the Benefit Fund Medicare Program in order to receive retiree health benefits through the Benefit Fund, and (ii) clarify that retirees with Eligibility Class IIIequivalent coverage are excluded from the Benefit Fund’s Medicare Program.

Effective May 1, 2014, prior authorization is required for molecular and genomic laboratory tests. Please note that admissions to Partial Hospitalization and Intensive Outpatient Programs also must be pre-certified.

BENEFITS UPDATE AND NEWS Information from Our Partner, Consumer Health Choices

3.

The SPD is hereby amended by adding the following underlined language and removing the following stricken language:

BENEFITS TO SURVIVORS Pg. 38 WHAT IS A JOINT-AND-SURVIVOR PENSION? HERE IS AN EXAMPLE OF THE AMOUNTS AN EMPLOYEE AND HIS WIFE SPOUSE MIGHT RECEIVE UNDER THE 50% JOINT-AND-SURVIVOR PENSION. If an employee, age 65, is entitled to a Regular Pension of $925 per month before the reduction for the Joint-and-Survivor Pension, and if the employee’shis wife spouse is also age 65, the reduction is 7%. Therefore, the benefit payable to the retiree is $925 per month ($925 x 93% = $860.25).

Upon the death of the pensioner, the amount to be paid to the surviving spouse would be $430.13 per month, which is 50% of the pension that the pensioner had received during his lifetime (rounded up to the nearest $0.50). The surviving spouse would receive this monthly amount of $430.13 for the remainder of his or her life. ___________________________________________________________________________

This summary only highlights the key changes made to the 1199SEIU Greater New York Pension Fund.

Summaries of material modifications together with the Summary Plan Description make up your official plan descriptions; please keep them together and refer to them as necessary. We have made every attempt to insure the accuracy of the information in this summary and the Summary Plan Description. However, if there is any discrepancy between them and the plan document of other legal documents, the plan document and other legal documents will always govern. If you would like to review the plan document or have any questions, please contact the Fund’s Member Services Representatives at (646) 473-9200.

The plan sponsor of the 1199SEIU Greater New York Pension Fund reserves the right to amend or terminate the 1199SEIU Greater New York Pension Fund, or any part of it, at any time.

FOR YOUR BENEFIT 35

1199SEIU NATIONAL BENEFIT FUND FOR HEALTH AND HUMAN SERVICE EMPLOYEES SUMMARY OF MATERIAL MODIFICATIONS This Summary of Material Modifications describes changes that affect your welfare benefit plan and updates the Summary Plan Description (“SPD”) that was previously distributed to you. You should keep this summary with your current SPD until the booklet is updated to reflect the changes discussed herein. ___________________________________________________________________________ Effective April 1, 2014, the following changes to the 1199SEIU National Benefit Fund for Health & Human Service Employees (“Benefit Fund”) SPD apply: 1.

All of the following Wage Class III benefits described in the current SPD are hereby eliminated: Hospital Care, Hospice Care, Emergency Room Care, Program for Behavioral Health, Surgery, Anesthesia, Maternity Care and Hearing Aids (and any benefits that would qualify as “minimum essential coverage” under regulations pursuant to the Patient Protection and Affordable Care Act); 2.

Any other Wage Class III benefits that would qualify as “minimum essential coverage” under regulations pursuant to the Patient Protection and Affordable Care Act and are not otherwise excepted under the law are hereby eliminated; 3.

Wage Class III shall include a per diem “hospital indemnity” benefit, with the following limitations: a.

Member only coverage; b.

Payable to members admitted to a hospital; c.

Limited to $200 per day of hospital admission; and d.

Limited to a maximum of 10 days per hospital stay.

4.

Wage Class III shall be eligible for the Member Choice dental benefits described in Section II.K of the Current SPD (for members only); 5.

Coverage shall be extended for an additional thirty days for Wage Class I and II participants who, due to a reduction in earnings, would otherwise be reduced to Wage Class III benefits under the terms of the Current SPD; and 6.

SPD Sections VI.B, C and D shall (i) provide that if you live in New York City, Nassau County, Suffolk County, or designated counties in Florida, you must enroll in the Benefit Fund Medicare Program in order to receive retiree health benefits through the Benefit Fund and (ii) clarify that retirees with Wage Class III-equivalent coverage are excluded from the Benefit Fund’s Medicare Program.

Effective May 1, 2014, prior authorization is required for molecular and genomic laboratory tests. Please note that admissions to Partial Hospitalization and Intensive Outpatient Programs also must be pre-certified.

Effective October 1, 2014, to establish for certain Early Retirees a non-minimum essential coverage benefit package for members and spouses only, Early Retirees between the ages of 55 and 64 with at least 10 years of Pension Fund Credits (SPD Section VI.F) and their spouses and the benefits for eligible pre-Medicare spouses of Medicare-eligible members as described in Sections VI. C, D and E of the SPD (together, “Early Retirees”) may

The National Benefit Fund believes it is a “grandfathered health plan” under the Patient Protection and Affordable Care Act (the Affordable Care Act). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain basic health coverage that was already in effect when that law was enacted.

Being a grandfathered health plan means that this plan may not include certain consumer protections of the Affordable Care Act that apply to other plans, for example, the requirement for an external review process for claims appeals. However, grandfathered health plans must comply with certain other consumer protections in the Affordable Care Act, for example, the elimination of lifetime limits on benefits. Questions regarding which protections apply and which protections do not apply to a grandfathered health plan and what might cause a plan to change from grandfathered health plan status can be directed to the plan administrator at (646) 473-9200. You may also contact the Employee Benefits Security Administration, U.S. Department of Labor at (866) 444-3272 or www.dol.gov/ebsa/healthreform. This website has a table summarizing which protections do and do not apply to grandfathered health plans.

The plan sponsor of the1199SEIU National Benefit Fund for Health & Human Service Employees reserves the right to amend or terminate the 1199SEIU National Benefit Fund for Health & Human Service Employees, or any part of it, at any time.

1199SEIU HEALTH CARE EMPLOYEES PENSION FUND SUMMARY OF MATERIAL MODIFICATIONS This Summary of Material Modifications describes changes that affect your pension plan and updates the Summary Plan Description (“SPD”) that was previously distributed to you. You should keep this summary with your current SPD until the booklet is updated to reflect the changes discussed herein. ___________________________________________________________________________

For Plan purposes, your “Spouse” is a the person of the opposite gender to whom you are legally married, as recognized under applicable law, (determined in accordance with the laws of the jurisdiction in which you live) when your pension begins.

A former Spouse may be treated as your Spouse if required by law (for example, under a court Qualified Domestic Relations Order (QDRO), as defined on page 91). A former Spouse can be assigned a portion of your pension as an “Alternate Payee” in accordance with a QDRO.

The 1199SEIU Health Care Employees Pension Fund (“Plan”) is amended by adding the following underlined language and removing the following stricken language:

The SPD is hereby amended by adding the following underlined language and removing the following stricken language: SECTION VI. B RULES REGARDING ALL BENEFIT OPTIONS Pg. 69 ABOUT YOUR SPOUSE

Dear Members, Your health and well-being are always our top priority. That is why we are always working to find new, innovative ways to improve the quality of your care while protecting your benefit dollars – and we could not do it without your help. Every time you visit a participating provider, choose a generic medication or request a prior authorization for an MRI, you are helping to save critical benefit dollars. Since the 2004 collective bargaining agreement, those choices will have helped our Benefit Fund save over $1.5 billion while preserving your benefits over a 10-year period.

This summary only highlights the key changes made to the 1199SEIU National Benefit Fund for Health & Human Service Employees. Summaries of material modifications together with the Summary Plan Description make up your official plan descriptions; please keep them together and refer to them as necessary. We have made every attempt to insure the accuracy of the information in this summary and the Summary Plan Description. However, if there is any discrepancy between them and the plan document, insurance contracts or other legal documents, the legal documents will always govern. If you would like to review the plan document or have any questions, please contact the Fund’s Member Services Representatives at (646) 473-9200.

As a result of a historic Supreme Court decision holding that the federal law restricting the definition of “spouse” to opposite-sex couples was unconstitutional, the trustees amended the Plan to recognize same-sex spouses married under state law.

SECTION 1 DEFINITIONS Pg. 141 1.42 Wherever used in this Plan, the term “spouse” means the person of the opposite gender to whom a Participant is legally married, as recognized under applicable law, (as determined in accordance with the laws of the jurisdiction in which he resided) and the term “marriage” shall refer to the marriage of a Participant and his or her “spouse.” A former spouse may be treated as a Participant’s spouse to the extent required under a Qualified Domestic Relations Order, as defined in Section 414(p) of the Code. ___________________________________________________________________________

Message from the Executive Director

choose either the benefit package they are entitled to under the Current SPD or the following benefit package: 1.

Vision Care as described in SPD Section VI.F. 2.

A per diem “hospital indemnity” benefit, with the following limitations: a.

Payable to members and spouses admitted to a hospital; b.

Limited to $200 per day of hospital admission; and c.

Limited to a maximum of 10 days per hospital stay.

3.

Member Choice dental benefits described in Section II.K of the Current SPD. 4.

Upon the Early Retiree becoming eligible for Medicare, benefits revert to the retiree health benefits described in the Current SPD as applicable. ___________________________________________________________________________

SECTION XII KEY TERMS AND DEFINITIONS Pg. 126 Spouse A person of the opposite gender to whom you are legally married, as recognized under applicable law (determined in accordance with the laws of the state in which you live). For Plan purposes, a former Spouse may be treated as your Spouse to the extent required by law (for example, under a Qualified Domestic Relations Order, as defined in the Internal Revenue Code.) ___________________________________________________________________________

This summary only highlights the key changes made to the 1199SEIU Health Care Employees Pension Fund.

Summaries of material modifications together with the Summary Plan Description make up your official plan descriptions; please keep them together and refer to them as necessary. We have made every attempt to insure the accuracy of the information in this summary and the Summary Plan Description. However, if there is any discrepancy between them and the plan document of other legal documents, the plan document and other legal documents will always govern. If you would like to review the plan document or have any questions, please contact the Fund’s Member Services Representatives at (646) 473-9200. The plan sponsor of the 1199SEIU Health Care Employees Pension Fund reserves the right to amend or terminate the 1199SEIU Health Care Employees Pension Fund, or any part of it, at any time.

Your health and well-being are always our top priority.

That is why we are always working to find new, innovative ways to improve the quality of your care while protecting your benefit dollars.

In this issue of For Your Benefit, you will read about the different ways we make it easier for you to get the most out of your benefits, such as providing information to support your healthcare decisions and keeping you updated on changes to our Preferred Drug List.

We also highlight a chronic condition that affects so many of our members – diabetes.

You will find valuable information about managing the disease, along with tips for working fresh summer foods into your diet and taking advantage of the warm weather to move your workout outside.You will also learn how two members took advantage of a Worksite Wellness Initiative at their facility to lose weight and become healthier, while encouraging their co-workers to do the same. And as always, we have included details about other valuable member advantages, like upcoming diabetes and stress management workshops, and our Nurse Helpline, which is available to you 24 hours a day, seven days a week.

We hope you enjoy this issue of For Your Benefit, and that you take advantage of all that your Benefit Fund has to offer!

Sincerely,

Mitra Behroozi Executive Director 1199SEIU Benefit and Pension Funds

1199SEIU GREATER NEW YORK BENEFIT FUND SUMMARY OF MATERIAL MODIFICATIONS This Summary of Material Modifications describes changes that affect your welfare benefit plan and updates the Summary Plan Description (“SPD”) and Summary of Benefits and Coverage (“SBC”) that was previously distributed to you. You should keep this summary with your SPD until the SPD is updated to reflect the changes discussed herein. ___________________________________________________________________________ Effective April 1, 2014, the SPD and SBC shall be amended as follows: 1.

All of the following Eligibility Class III benefits described in the Current SPD are eliminated:

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www.1199SEIUBenefits.org

2.

Hospital Care, Hospice Care, Emergency Room Care, Program for Behavioral Health, Surgery, Anesthesia, Hearing Aids and Maternity Care (and any benefits that would qualify as “minimum essential coverage” under regulations pursuant to the Patient Protection and Affordable Care Act); Eligibility Class III shall include a per diem “hospital indemnity” benefit, with the following limitations: a.

Member only coverage; b.

Payable to members admitted to a hospital; c.

Limited to $200 per day of hospital admission; and d.

Limited to a maximum of 10 days per hospital stay.

This issue of For Your Benefit contains important information about your rights under your benefit plan and the Employment Retirement Income Security Act (ERISA), which you should read and retain for future reference.

FOR YOUR BENEFIT

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Benefits Update & News

Para obtener respuestas a sus preguntas médicas, la Línea de Ayuda de Enfermería del Fondo de Beneficios está disponible las 24 horas del día, los 7 días de la semana. Si no está seguro sobre un medicamento o si su hijo/a no se siente bien en el medio de la noche, una enfermera está disponible para ayudarle. Solo tiene que llamar al (866) 935-1199.

Después de todo, hablar con una de nuestras enfermeras registradas desde la comodidad de su hogar le puede ahorrar un viaje a una concurrida sala de emergencias, y las horas que perdería esperando allí.

Make Informed Decisions with Information from Our Partner, Consumer Health Choices Being informed – knowing how, where and when to access medical care – is the best way to become your own advocate in protecting your and your family’s health, as well as protecting your Fund’s benefit dollars.

When it comes to medical tests and treatments, more is not always better; in fact, many procedures, tests and medications prescribed regularly in the last few decades have been frequently overused, unnecessary and in some cases, harmful. That’s why your Benefit Fund is helping you access information from Consumer Reports and the ABIM

Foundation through Consumer Health Choices – both of which are trusted sources of expert analysis and reporting – to assist you in making sound healthcare decisions for yourself and your family. Just visit www.1199SEIUBenefits.org and click on the “Consumer Reports” icon to find lists of tests and procedures that may be overused, questions to ask your physician and brochures and videos that explain appropriate care recommended by medical specialty societies. It’s a quick and helpful way to become a more educated patient before you visit your doctor.

Puede llamar al mismo número para hablar con un entrenador de salud personal que le puede ayudar a dejar de fumar o a bajar de peso. Para ayudarle a dejar de fumar, su entrenador colaborará con usted para desarrollar un plan específico y establecer metas alcanzables. Si está tratando de bajar de peso, su entrenador le enseñará cómo comer alimentos más saludables sin sentirse privado, y reducir su riesgo de tener problemas de salud, tales como diabetes de Tipo 2, colesterol alto, presión arterial elevada y enfermedades cardíacas. Por ello debe asegurarse de utilizar las herramientas a su disposición: ¡Llame a nuestra Línea de Ayuda de Enfermería hoy mismo al (866) 935-1199 y obtenga las respuestas y el apoyo que necesita para tener éxito!

Ventajas De La Membresía

Nuestra Línea de Ayuda de Enfermería las 24 Horas está Disponible cuando la Necesite

Nuestro Taller Prenatal Puede Ayudarla

a Garantizar un Embarazo Saludable

El 27 de septiembre, únase a otros futuros padres en nuestro siguiente Taller Prenatal del Departamento de Bienestar, donde recibirá información importante sobre cómo mantenerse saludable durante el embarazo y después de que nazca su hijo/a, cómo prepararse para la fecha de parto y qué puede esperar durante la labor de parto y el alumbramiento. Tanto si es su primer hijo como si es el tercero, también aprenderá cómo tener un embarazo saludable con menos complicaciones. ¡Su pareja será bienvenida también!

Qué:

Taller Prenatal

Cuándo: Sábado, 27 de septiembre de 2014 De 10:00 am a 2:30 pm Dónde:

330 West 42nd Street, Piso 33 (Penthouse)

Para reservar su lugar, llame al (646) 473-8960, opción 2, opción 2. Si no puede asistir al taller en persona, sírvase llamarnos al (646) 473-8962 para obtener información sobre cómo asistir por WebEx por medio de su computadora.

Ofrecido por Worksite Medical Services, P.C.

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PARA SU BENEFICIO

33

Noticias Saludables Que Puede Utilizar

AĂąada Tres o Cuatro Conductas Saludables para Reducir el Riesgo para el CorazĂłn de la Diabetes Si tiene diabetes tipo 2, puede reducir sus posibilidades de sufrir un ataque al corazĂłn o un accidente cerebrovascular adoptando solo tres o cuatro conductas saludables, de acuerdo con un estudio reciente de Diabetes Care.Ya sea que haga ejercicio con mĂĄs regularidad, dejar el tabaco, tome los medicamentos recetados o reduzca las grasas y calorĂ­as en su dieta, puede marcar una diferencia.

De hecho, hacer estos cambios podrĂ­a ser tan Ăştil como tomar un medicamento para prevenir los problemas cardĂ­acos. Los investigadores descubrieron que cuantos mĂĄs cambios de conductas positivas realizaron las personas con diabetes en el primer aĂąo despuĂŠs del diagnĂłstico, menor fue su riesgo de tener problemas cardĂ­acos. Unos pocos cambios menores AHORA COMO CAMINAR DURANTE MINUTOS TRES VECES a la semana o comer mĂĄs fruta y verduras, pueden aportar enormes beneficios a la larga.

La Comida Real (Incluso la Mantequilla)

es Mejor

Un reciente estudio de la Universidad de Cambridge no ha descubierto ninguna evidencia de que las grasas saturadas, que se encuentran en los productos lĂĄcteos y carnes de animales como la mantequilla y las carnes rojas, aumenten nuestro riesgo de enfermedad cardĂ­aca. Por el contrario, los verdaderos culpables son el azĂşcar y los alimentos procesados. Aunque la investigaciĂłn no nos concede “luz verdeâ€? para comer en exceso alimentos que contengan grasas saturadas, los expertos sugieren que debemos centrarnos en comer mĂĄs alimentos “realesâ€? como proteĂ­nas magras, frutos secos, aceite de oliva, granos ricos en fibra y pescado. Si no estĂĄ seguro respecto de un alimento en particular, verifique la etiqueta nutricional; si hay una larga lista de ingredientes, es probable que sea un alimento procesado que debe comerse con moderaciĂłn.

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Coming this Fall:

New Benefit Option Will Help Early Retirees Get the Most Out of Fund Coverage and the Health Exchanges

Viva MĂĄs Tiempo con Siete Porciones de Fruta y Verduras al DĂ­a El verano es la estaciĂłn perfecta para aĂąadir mĂĄs frutas y verduras a su dieta. Pero, ÂżcuĂĄntas porciones debe tratar de consumir? Una nueva investigaciĂłn del Journal of Epidemiology & Community Health demostrĂł que comer siete porciones de fruta y vegetales al dĂ­a puede reducir su riesgo de morir en un 42 por ciento.

Siete porciones de alimentos tambiĂŠn pueden reducir el riesgo de morir de cĂĄncer en un 25 POR CIENTO Y DE ENFERMEDAD CARDĂ“ACA EN UN por ciento. Aunque las verduras generaron el efecto mĂĄs intenso, las frutas tambiĂŠn son Ăştiles. Si siete porciones al dĂ­a le parecen mucho, empiece aĂąadiendo una o dos porciones, como brĂłcoli (unas cinco cabezas) o una manzana pequeĂąa, a su dieta. Aun asĂ­ recibirĂĄ importantes beneficios que podrĂ­an aĂąadir aĂąos a su vida.

If you are at least 55 years old with 10 years of service at an 1199SEIU institution or facility, you may be thinking about retiring early. If so, you probably know that your Fund provides a limited benefit to these early retirees, which covers prescription and vision care. Now, under the Affordable Care Act (ACA), you can purchase comprehensive coverage on one of the health insurance exchanges established under the ACA. To help our early retirees get the most out of their 1199SEIU coverage and take advantage of all the benefits the Health Marketplace offers, the Trustees have changed the plan to offer a new benefit package, called the Dental Plus Plan. This plan is designed to supplement medical coverage you purchase through the Marketplace or receive through your spouse or another job. The new Dental Plus Plan starts this fall and is a package that includes a dental benefit, a hospital indemnity plan and a vision benefit.

Here’s what the Dental Plus Plan offers: s ! DENTAL BENElT OF UP TO A YEAR s ! hHOSPITAL INDEMNITYv PLAN WHICH PAYS PER DAY

up to 10 days per hospital stay s ! VISION BENElT THAT ALLOWS FOR ONE PAIR OF GLASSES OR contact lenses once every two years With the Dental Plus Plan, early retirees will not only be able to purchase comprehensive coverage through the Marketplace – and may even qualify for a subsidy to help pay for the premium – they may also access Fund dental coverage, at no cost. (Dental benefits are not subsidized in the Marketplace.)

However, any early retirees who were counting on the original prescription and vision plan will have a one-time option to switch to that benefit package. So if you are planning on retiring early and have questions about the new plan, please contact one of our Retiree Services Representatives at OR

Before You Retire: Learn More about Your Options in the Health Insurance Marketplace You can get more information and choose a plan by visiting www.nystateofhealth.org or calling (855) 355-5777 in New York; if you need assistance with enrolling, contact the Community Service Society (CSS) at (888) 614-5400 or email them at enroll@cssny.org to schedule an appointment. If you do not live in New York State, visit www.HealthCare.gov or call (800) 318-2596 to choose a plan in your state.

Fuentes: Diabetes Care; Journal of Epidemiology & Community Health; Annals of Internal Medicine

FOR YOUR BENEFIT

5

Stay Up to Date with Our New Preferred Drug List

El Ejercicio:

With new medications and generics coming on the market all the time, our Funds’ pharmacist and clinicians make sure our Preferred Drug List (PDL) is always up to date. The most current changes to the PDL took effect on March 1, 2014. As long as your doctor prescribes a generic drug or preferred brand medication from the PDL, you pay nothing out of pocket. However, if you get a non-preferred brand when a preferred drug is available, you must pay the difference between the preferred and non-preferred drug price, which can be a lot.

El Plan

As long as your doctor prescribes a generic drug or preferred brand medication from the PDL, you pay nothing out of pocket.

To avoid paying unnecessary out-of-pocket expenses, you can review the new PDL at www.1199SEIUBenefits.org. And be sure to bring a copy of the current PDL with you to all of your doctor appointments so you can check that your medication is fully covered. For more information, please CALL OUR -EMBER 3ERVICES $EPARTMENT AT

ANDAR EN BICICLETA

Ya sea que recorra pintorescos senderos de parques o simplemente pasee por su vecindario, andar en bicicleta puede ser relajante, divertido y un ejercicio eficaz.

Es un excelente ejercicio cardiovascular que ofrece muchos beneficios, incluido el fortalecimiento de los mĂşsculos, el aceleramiento del metabolismo para quemar las grasas y la mejora de la coordinaciĂłn.

Cuando empiece a hacer ejercicio en bicicleta, es importante fortalecer sus piernas y su capacidad pulmonar. Comience con un objetivo de pocas millas y ande varias veces a la semana para conseguir un nivel de estado fĂ­sico adecuado. Lleve con usted una botella de agua para mantenerse hidratado y escuche a su cuerpo. Existe un nĂşmero cada vez mayor de rutas seguras para andar en bicicleta en la Ciudad de Nueva York entre las que puede escoger, y el Departamento de Transporte ofrece mapas detallados sobre rutas y carriles protegidos para ciclistas a lo largo de los CINCO DISTRITOS 0UEDE SOLICITAR SU PROPIO MAPA LLAMANDO AL O VISITANDO www.nyc.gov/html/dot/html/bicyclists/bikemaps.shtml.

El Ejercicio:

TAI CHI

El Tai Chi es una prĂĄctica milenaria procedente de China que calma la mente y fortalece el cuerpo con movimientos lentos y suaves. En ocasiones se llama al Tai Chi “meditaciĂłn en movimientoâ€? porque combina tradiciones de meditaciĂłn y artes marciales que se cree que mejoran el flujo de energĂ­a dentro del cuerpo. Los beneficios para la salud incluyen la reducciĂłn del estrĂŠs, la mejora de la flexibilidad, el equilibrio, la coordinaciĂłn y la fortaleza. TambiĂŠn puede mejorar la funciĂłn cardĂ­aca y reducir la presiĂłn arterial.

El Plan

Para comenzar, probablemente quiera tomar unas pocas clases para aprender los movimientos o posturas. El Tai Chi normalmente se hace en grupo y con frecuencia al aire libre en un parque. Afortunadamente, hay muchas clases por todo el ĂĄrea triestatal. Para encontrar clases de Tai Chi y eventos en parques locales en los cinco distritos, visite www.nycgovparks.org/programs/recreation/shape-up-nyc.

Keep Up with What’s Happening at the Funds on Facebook )F YOU RE AMONG THE MORE THAN MEMBERS WHO h,IKEv OUR &ACEBOOK PAGE YOU ALREADY KNOW THAT IT S A great way to stay up to date on the latest benefit and pension news, health fairs, workshops, wellness tips and more. And if you haven’t checked it out yet, why not see what you’ve been missing?

We’re always adding new content, so visit www.facebook.com/1199SEIUBenefitFunds (or use your smartphone to scan the QR code at right) and catch up on the latest news from the Benefit and Pension Funds. Share the page with your fellow members, let us know what you’d like to see in future posts and most of all, come back often – we’re sure you’ll find a lot to “Like�!

El Ejercicio:

ENTRENAMIENTO DE RESISTENCIA EN UN BANCO DEL PARQUE

ÂżQuiĂŠn necesita un gimnasio cuando puede usar un banco del parque y su propio peso corporal para conseguir un ejercicio para todo el cuerpo? Muchos movimientos de resistencia pueden hacerse con la ayuda de un simple banco de parque, incluidos los que se hacen habitualmente en un banco de ejercicios en el gimnasio; ademĂĄs, tiene la ventaja de hacerlos al aire libre.

Consejos de Seguridad para Hacer Ejercicio en Verano Para hacer ejercicio en verano de forma segura y sin estrĂŠs, siga estos consejos: PĂłngase en marcha con el equipo adecuado: Ya sea que se trate de un equipo protector como un casco de ciclista, gafas de nataciĂłn y un gorro de nataciĂłn o de contar con una bicicleta del tamaĂąo adecuado, sus ejercicios serĂĄn mĂĄs seguros y los disfrutarĂĄ mĂĄs si dispone del equipo adecuado. Si es un principiante o simplemente no desea demasiado equipamiento, considere la posibilidad de realizar un programa de caminatas: todo lo que necesita es un buen par de zapatos para caminar.

ProtĂŠjase del sol: PĂłngase siempre una pantalla solar con un FPS de 15 o superior, un sombrero y gafas de sol que bloqueen los rayos UVA y UVB. Planifique hacer ejercicio a primera hora de la maĂąana o por la noche, de modo que no estĂŠ fuera a las horas de mĂĄs sol cuando las temperaturas son mĂĄs altas.

No salga de casa sin agua: AsegĂşrese de llevar una botella de agua con usted durante los ejercicios para mantenerse hidratado y evitar calambres musculares o trastornos relacionados con el calor. Beba agua antes de empezar el ejercicio y unas 6 a 8 onzas de agua cada 15 minutos durante la actividad.

Fuentes: U.S. Department of Health and Human Services; Mayo Clinic

Encuentre una clase en la Ciudad de Nueva York:

Para aprender a nadar o encontrar centros recreativos en los cinco distritos de la Ciudad de Nueva York, visite el sitio web del Sin otra cosa que su banco favorito en un parque local, puede hacer flexiones de Departamento de Parques y RecreaciĂłn de la trĂ­ceps, step-ups o ejercicios de escalĂłn, flexiones de brazos y mucho mĂĄs. Un banco tambiĂŠn es estupendo para hacer una amplia variedad de estiramientos. Puede ciudad en www.BeFitNYC.org. Para encontrar For locations, times andlocal; dates for the freeweb taxde preparation events Foodgratuitas Bank For New York City and comenzar en cualquier parque consulte el sitio Fort Tryon Park Trustat theclases de acondicionamiento fĂ­sico Ariva sites, ask your Outreach Coordinator foruna a list or visit completa our website, www.1199SEIUBenefits.org. en www.forttryonparktrust.org/fitness.html para conseguir descripciĂłn en toda la ciudad, visite www.nycgovparks. de los ejercicios que se pueden realizar con un banco del parque. org/programs/recreation/shape-up-nyc.

El Plan

Fuentes: Centers for Disease Control and Prevention;WebMD; UBC Medical Journal; Harvard Women’s Health Watch; American Council on Exercise

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PARA SU BENEFICIO

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Programa de Salud para Mantenerse en Forma

Coordinating Your Care (Now Available at Montefiore!)

Ejercicios para el Tiempo CĂĄlido Si quiere variar su rutina de ejercicios o simplemente empezar una, el verano es una ĂŠpoca fantĂĄstica para probar algo nuevo. Le ofrecemos cinco ejercicios que lo mantendrĂĄn en movimiento y le ayudarĂĄn a combatir el aburrimiento. Realice uno de sus ejercicios favoritos o combĂ­nelos para que la cosa sea interesante, lo que tiene el beneficio aĂąadido de trabajar diferentes grupos de mĂşsculos. AdemĂĄs, hacer ejercicio en el exterior puede mejorar el estĂ­mulo para el estado de ĂĄnimo que el ejercicio brinda por sĂ­ mismo. Por supuesto, consulte con su mĂŠdico antes de comenzar cualquier rutina de ejercicios.

El Ejercicio:

El Ejercicio:

CAMINAR

NADAR

Caminar, que es la actividad mĂĄs popular en los EE. UU., es una actividad de bajo costo, que no requiere vestimenta ni equipos especiales (solo un par de buenos zapatos para caminar) y que casi cualquier persona puede hacer en casi cualquier parte. Caminar brinda una larga lista de beneficios: reduce su riesgo de presiĂłn arterial alta, enfermedad cardĂ­aca, obesidad y diabetes, fortalece sus huesos, y tonifica sus mĂşsculos.

El Plan

Un buen plan de ejercicio para caminar debe contar con tres partes: un calentamiento (caminar lentamente durante unos cinco minutos), una marcha enĂŠrgica (caminar a un ritmo de tres millas por hora o mĂĄs rĂĄpido) y un enfriamiento (caminar lentamente durante unos cinco minutos para permitir que su ritmo cardĂ­aco y su presiĂłn arterial vuelvan gradualmente a los valores normales). Trate DE CAMINAR DURANTE MINUTOS CINCO DĂ“AS A LA semana, para un total de 150 minutos por semana.

3I LE RESULTA COMPLICADO PROGRAMAR LOS MINUTOS seguidos, divĂ­dalos en tres caminatas de 10 minutos.

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Nadar es una excelente opciĂłn en verano porque hace ejercicio mientras se refresca. Nadar es un ejercicio suave para las articulaciones, por lo que mucha gente hace ejercicio durante mĂĄs tiempo en el agua que en tierra sin sentirse cansada o experimentar dolor articular o muscular.Y, ademĂĄs, al tratarse de una actividad aerĂłbica para todo el cuerpo, nadar puede mejorar su estado de ĂĄnimo y aliviar los sentimientos de depresiĂłn.

El Plan

Puede que no lo sienta mientras nada, pero su cuerpo estĂĄ trabajando duramente para moverse venciendo la resistencia del agua, de modo que los principiantes deben empezar lentamente. Empiece con unos 10 minutos DE NATACIĂ˜N Y LUEGO AUMENTE HASTA MINUTOS 3I NADAR largos de la piscina no es para usted, una clase de aerobic en el agua puede ser un excelente ejercicio. El YMCA del Gran Nueva York ofrece una amplia variedad de clases y no se olvide de que los miembros de 1199SEIU pueden aprovechar membresĂ­as con descuentos. Si no puede nadar y desea aprender, lea los “Consejos de Seguridad para Hacer Ejercicio en Veranoâ€? en la PÉGINA PARA ENCONTRAR CLASES DE NATACIĂ˜N EN LOS cinco distritos de la Ciudad de Nueva York.

Patient-centered care is at the “center� of one of the Affordable Care Act’s initiatives.

Accountable Care Organizations are getting a lot of attention from Medicare and other payers because of their commitment to coordinating their patients’ care to help them get and stay healthy. Now, the Benefit Fund is teaming up with the Union and Montefiore Medical Center to launch the new 1199SEIU Montefiore Coordinated Care Program. Beginning July 1, 2014, all 1199SEIU members and their eligible dependents who receive most of their healthcare services from providers affiliated with Montefiore will be covered by the program. Through coordinated care, your providers will work together more closely to help ensure you get the care you need when you need it, reduce the chance of duplicate testing and lower the risk of medical errors. And if you’re managing a chronic condition, recovering from a serious illness or have been in the hospital, you’ll have access to a management team of nurses, social workers, pharmacists and health educators who can help you create a customized health plan. We hope to be able to offer this to more 1199SEIU members as opportunities become available.

Your Efforts Helped Your Benefit Fund Save $1.5 Billion in 10 Years!

As an 1199SEIU member, you enjoy quality health benefits with fewer out-of-pocket costs than most of today’s workforce, but we couldn’t provide such generous coverage without your commitment to following the Benefit Fund’s quality and cost containment measures. By adhering to the rules of the plan – including using providers who are in our network, filling long-term medications with The 90-Day Rx Solution and using generic drugs whenever possible – your efforts are projected to help us reduce the cost of providing benefits by over $1.5 billion, or 17 percent, since cost-containment initiatives were first introduced by the collective bargainers in the 2004 contract. The savings are an essential part of how we protect your comprehensive benefits, but they wouldn’t be possible without your cooperation!

If you have questions about the terms of your health coverage, the full description of your plan is available at www.1199SEIUBenefits.org, or you can call one of our -EMBER 3ERVICE 2EPRESENTATIVES AT

FOR YOUR BENEFIT

7

Member Profile

Helen Duncan and Karleen Moncreif An onsite health fair hosted by our Wellness Department and Member Assistance Program provided the wake-up call that these co-workers needed to make lifestyle changes, lose weight and improve their health.

Co-workers and longtime friends Helen Duncan and Karleen Moncreif can trace their decision to improve their health back to a Greater New York Benefit Fund health fair they attended at their worksite, Kingsbridge Heights Rehabilitation and Care Center, in late 2012.

Helen, a Licensed Practical Nurse (LPN), wanted to lose weight – and keep it off – and get her high blood pressure under control. Karleen, a Certified Nursing Assistant (CNA), was inspired by the health fair to help organize wellness activities at Kingsbridge and renew her commitment to maintaining healthy habits and keeping her Type 2 diabetes under control.

An LPN for the past 25 years, Helen is always quick to offer suggestions for better health to a Kingsbridge resident who may be struggling with weight issues or experiencing shortness of breath.Yet she often didn’t follow her own advice, so when she learned at the health fair that her blood pressure was high, she was determined to do something about it. She met with a Wellness Department nurse during a followup session, where the full impact of her high blood pressure finally sunk in. “The nurse told me that if I didn’t lose weight, I had a much higher chance of heart disease or stroke, not to mention that my quality of life would continue to suffer,� Helen said.

Nearly 250 pounds at the time, Helen started making small changes on her own, but then she heard about an exciting new opportunity at Kingsbridge: Karleen was recruiting fellow members to take part in a WEIGHT LOSS CONTEST WHICH BEGAN IN -ARCH Awarded $2,000 from the Greater New York Benefit Fund’s Workplace Wellness Initiative, Kingsbridge was using the money to offer cash awards to the contest winners. “I thought the competition would be a good way to help me stick with it,� Helen said. For Karleen, helping to organize the competition was a “win-win� proposition – whether or not she ended up sharing any of the prize money. It would help her continue to improve her health and provide her with an ideal

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opportunity to share with her co-workers how she was able to get her Type 2 diabetes under control. “I have a family history of diabetes and was diagnosed myself about two years ago,� Karleen said. “But by eating healthier, taking my medication and exercising every day, my blood sugar level is within a healthy range. I’ve even dropped from a size 14 to a size 10.�

Encouraged by her own success, Karleen – and other co-workers and friends – supported Helen as she began making changes she could maintain, like adding more vegetables and fruits to her diet and eliminating fried dumplings, fast food and other unhealthy choices.

Helen also started walking near Kingsbridge every NIGHT BETWEEN PM AND PM HER hLUNCH break� as a second shift worker. In just a few months, she began to notice that her clothes fit better, she had more energy and most of all, the awful feeling of struggling to catch her breath had vanished. “These days, I can walk at least twice as far in an hour than I could when I started – and I never get short of breath,� she said.

Los 10 Refrigerios de Temporada Principales En cualquier momento que necesite un refrigerio, utilice alguno de estos alimentos saludables y bajos en calorĂ­as que calman el hambre. TambiĂŠn brindan un aporte nutritivo de vitaminas A y C.

Fruta/verdura

PorciĂłn TamaĂąo

Fresas SandĂ­a MelĂłn cantalupo MelĂłn rocĂ­o de miel Tomate BrĂłcoli CalabacĂ­n Zanahorias Pimiento dulce Coliflor

8 medianas 2 tazas en trocitos 1/ mediano 4 1/ mediano 10 1 mediano 1 tallo mediano ½ mediano 1 mediana 1 mediano 1/ cabeza mediana 6

CalorĂ­as 50 80 50 50 25 45 20 30 25 25

% VD * 160% vitamina C 30% vitamina A 80% vitamina C 45% vitamina C 40% vitamina C 220% vitamina C 30% vitamina C 110% vitamina A 190% vitamina C 100% vitamina C

* Porcentaje de Valor Diario: el porcentaje de nutrientes que brinda una porciĂłn del alimento que toma (sobre la base de una dieta de 2,000 calorĂ­as).

Fuente: United States Department of Agriculture

Do you have a healthy story to share?

We’re always looking for the opportunity to spotlight members who are protecting their health by losing weight, quitting smoking, bringing a chronic condition under control or just improving their lifestyle in general. If you have made positive changes in your health – or are just starting to – we want to hear from you! To share your story with your fellow members in an upcoming issue of For Your Benefit, please contact the Fund at Communications@1199Funds.org.

PARA SU BENEFICIO

29

Comer Saludable

SĂ­rvase lo Mejor del Verano Con tantos deliciosos productos frescos de temporada, el verano ofrece muchas oportunidades para realizar elecciones saludables de alimentaciĂłn, desde comprar alimentos cultivados de manera local en su mercado de productores del barrio o en su puesto local de frutas y verduras hasta asar a la parrilla kebabs de verduras y maĂ­z dulce para preparar acompaĂąamientos sencillos y saludables. Comprar alimentos de temporada incluso le puede ahorrar dinero, asĂ­ que lea nuestros consejos sobre cĂłmo vestir de verano su menĂş.

Compre lo que estĂŠ de temporada: Trate siempre de conseguir los productos mĂĄs frescos de temporada. Las frutas de verano como las fresas, cerezas, melones y ciruelas son un excelente remedio para la sed con bajo contenido de calorĂ­as. Cualquier verdura como brĂłcoli, coliflor, frijoles verdes, tomates, calabacĂ­n y maĂ­z puede aĂąadirse a platos principales de carne magra o consumirse de forma independiente.

Use mĂŠtodos de cocciĂłn que respeten el sabor: Para potenciar los sabores al tiempo que se conservan los nutrientes, trate de preparar a la parrilla o a las brasas verduras como zanahoria, berenjena, calabacĂ­n y pimiento. La preparaciĂłn es sencilla: lave y corte las verduras, pincĂŠlelas ligeramente con aceite de oliva saludable para el corazĂłn, rocĂ­elas con hierbas y ĂĄselas a la parrilla.

ConviĂŠrtalo en su asunto familiar: Planifique visitas a los mercados locales. Muchos mercados de productores tambiĂŠn venden pescado, pollo y carnes magras de granja. Pregunte cuĂĄl es la mĂĄs fresca, combĂ­nela con las verduras que tengan el mejor aspecto y luego pruebe nuevas recetas mientras cocina con su familia.

Empaquete refrigerios para comer sobre la marcha: Para muchos de nosotros, el verano significa tiempo de vacaciones, de modo que cuando estĂŠ de viaje, asegĂşrese de empaquetar refrigerios y comidas saludables para usted y su familia. Frutas, verduras, queso bajo en grasa, frutos secos y cereales enteros, como galletas saladas de trigo, se mantienen frescos con el calor. Lleve una pequeĂąa nevera con estos alimentos y serĂĄ menos probable que se detenga en restaurantes de comida rĂĄpida cuando tenga hambre.

Fuentes: United States Department of Agriculture; National Heart, Lung and Blood Institute

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From left: Taramati Khemnauth, Helen Duncan, Samuel Colon, Karleen Moncreif and Christine Wattley

Co-workers and longtime friends Helen Duncan and Karleen Moncreif can trace their decision to improve their health back to a Greater New York Benefit Fund health fair they attended at their worksite, Kingsbridge Heights Rehabilitation and Care Center, in late 2012.

At the end of the yearlong weight-loss competition, Helen had lost 9.5 percent of her body weight – and a total of 46 pounds to date – and on March 19, 2014, she was awarded the first place prize of $1,000. Four other members rounded out the top five, losing between 7 percent and 4 percent of their body weight and taking home cash prizes: Samuel Colon, $400; Christine Wattley, 2AHSAAN 'RAVES AND 4ARAMATI +HEMNAUTH

Karleen couldn’t be happier for her friend. The two have continued to support each other, even taking a weekly Zumba

class at the center as often as they can. “I’ve known Helen a long time, and it’s amazing to see her getting back to the weight she was when we first met,� Karleen said. “I am so proud of her.�

With her blood pressure back in the normal range, Helen hopes to lose another 20 pounds, but her success has already impressed her family. “It makes me proud to know that I’m setting a good example for my son and my three grandchildren,� she said. “I’m also hoping it will inspire my son to lose a little weight, too.�

FOR YOUR BENEFIT

9

Healthy Living

Diabetes Myths

that Could Be Hazardous to Your Health For more than 29 million people in the U.S. – 9.2 percent of the population – Type 2 diabetes is a fact of life. But did you know that more than 14 percent of 1199SEIU members have diabetes?

That’s about two-thirds more than the national diabetes rate, and many of us don’t even know we have the disease.

More than 14 percent of 1199SEIU members have diabetes.

Type 2 diabetes, a metabolic disorder in which the body either can’t produce enough insulin or can’t use it properly, has been in the news a lot lately, as more and more people are being diagnosed. A recent study from the Johns Hopkins Bloomberg School of Public Health showed that the rate has nearly doubled since the late ’80s and early ’90s.Yet there is still a lot of misinformation surrounding the disease, which contributes to more than 230,000 deaths a year.

Sources: American Diabetes Association; Medline Plus; WebMD; Consumer Reports, Centers for Disease Control and Prevention; Healthline

Are You at Risk?

Diagnosing and treating diabetes early on can decrease the risk of heart attack, stroke, kidney disease and other serious complications from the disease. So see your doctor if you’re experiencing the following diabetes symptoms: s s s s s s s s

&EELING HUNGRY n ESPECIALLY AFTER EATING &EELING THIRSTY &EELING EXTREMELY TIRED 5RINATING OFTEN n ESPECIALLY AT NIGHT ,OSING WEIGHT WITHOUT TRYING %XPERIENCING BLURRY VISION (AVING CUTS OR BRUISES THAT ARE SLOW TO HEAL 4INGLING PAIN OR NUMBNESS IN YOUR HANDS or feet

4HE SYMPTOMS OF 4YPE DIABETES APPEAR SLOWLY n AND SOME PEOPLE DON T EXPERIENCE ANY SYMPTOMS n SO IF YOU HAVE RISK FACTORS such as a family history or high blood pressure, you should check with your doctor to find out whether you need to get a blood test to see if YOU HAVE DIABETES 9OU CAN ALSO CALL THE 3%)5 (OUR .URSE (ELPLINE AT IF YOU HAVE ANY questions about these symptoms.

Para protegernos, debemos conocer la informaciĂłn. Estas son algunas de las ideas equivocadas mĂĄs comunes sobre la diabetes:

Mito

Las personas con diabetes tiene que comer alimentos especiales.

Realidad Con frecuencia los alimentos que se venden como “para diabĂŠticosâ€? o “dietĂŠticosâ€? no son mĂĄs saludables y a menudo cuestan mĂĄs que otros alimentos. Si tiene diabetes o riesgo de padecerla, debe seguir los mismos consejos de alimentaciĂłn saludable que cualquier otra persona. Los mĂŠdicos recomiendan una dieta rica en frutas, verduras, granos enteros, proteĂ­nas magras, productos lĂĄcteos bajos en grasas y grasas saludables como el aceite de oliva.

www.1199SEIUBenefits.org

Mito

Una vez que se tiene diabetes tipo 2, solo puede empeorar.

Mito

Realidad La diabetes tipo 2 puede tratarse y controlarse mediante la

Realidad El ejercicio realmente ayuda a las personas a controlar su diabetes:

adopciĂłn de hĂĄbitos saludables. Perder peso, hacer ejercicio, comer de forma mĂĄs saludable y ser mĂĄs activo en general puede ayudar a controlar sus sĂ­ntomas y evitar que desarrolle complicaciones graves como ataques al corazĂłn y accidentes cerebrovasculares. ÂżNo nos cree? Una encuesta de Consumer Reports descubriĂł que personas con diabetes que realizaron cambios de estilo de vida positivos tuvieron un nĂşmero significativamente menor de complicaciones y un 40 por ciento de las personas que hicieron esos cambios no informĂł ninguna complicaciĂłn.

Las personas con diabetes deben limitar su actividad fĂ­sica.

puede mantener los niveles de azĂşcar en sangre bajo control, ayudar a evitar subir de peso, reducir la presiĂłn arterial y mantener unos niveles de colesterol adecuados. De hecho, de acuerdo con

ÂĄNo Se Pierda Nuestro Taller de PrevenciĂłn y Control de la Diabetes! Ăšnase a nosotros el sĂĄbado 19 de julio en nuestro TALLER DE 0REVENCIĂ˜N Y #ONTROL DE LA $IABETES

donde un educador certificado sobre la diabetes NOS ENSEĂ—ARÉ CĂ˜MO PREVENIR Y CONTROLAR LA AFECCIĂ˜N 5N DIETISTA CERTIlCADO TAMBIĂ?N OFRECERÉ CONSEJOS para crear mejores hĂĄbitos alimenticios y compartir recetas saludables y planes de comidas. AdemĂĄs, usted aprenderĂĄ consejos prĂĄcticos para controlar EL ESTRĂ?S COTIDIANO EN NUESTRO TALLER DE #ONTROL DEL %STRĂ?S %L DĂ“A TERMINARÉ CON UNA DIVERTIDA CLASE DE 0ILATES PARA TODAS LAS EDADES Y NIVELES DE EXPERIENCIA DE MODO QUE RECUERDE LLEVAR ROPA CĂ˜MODA Y TRAER A TODA LA FAMILIA 4ODAS LAS PERSONAS QUE ASISTAN AL TALLER RECIBIRÉN UN regalo, y los miembros que tienen diabetes recibirĂĄn GLUCĂ˜METROS GRATUITOS

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un estudio reciente de la Universidad de Cambridge, el ejercicio puede incluso ayudar a las personas con diabetes a reducir su riesgo de sufrir problemas cardĂ­acos en mĂĄs de un 50 por ciento.

Pero, en ocasiones, el ejercicio fĂ­sico puede reducir demasiado el azĂşcar en sangre. Para evitar esto, no realice ejercicio con el estĂłmago vacĂ­o y lleve con usted un refrigerio recomendado por su mĂŠdico que pueda ayudarlo a recuperar su nivel de azĂşcar en sangre si comienza a sentirse dĂŠbil o mareado. Por supuesto, asegĂşrese de hablar con su mĂŠdico antes de iniciar un programa de ejercicios o aumentar la cantidad de ejercicio que hace.

sĂĄbado 19 de julio QuĂŠ: Taller de PrevenciĂłn y Control de la Diabetes CuĂĄndo: SĂĄbado, 19 de julio de 2014 La inscripciĂłn comienza a las 10:00 am Los talleres son de 10:30 am a 1:45 pm DĂłnde: 330 West 42nd Street, Piso 33 (Penthouse) Reserve su lugar llamando al (646) 473-8960, opciĂłn 2, opciĂłn 1. /FRECIDO POR 7ORKSITE -EDICAL 3ERVICES 0 #

PARA SU BENEFICIO

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Vida Saludable

Mitos Sobre la Diabetes que PodrĂ­an Ser Peligrosos para Su Salud Para casi 26 millones de personas en los EE. UU., es DECIR EL POR CIENTO DE LA POBLACIĂ˜N LA DIABETES tipo 2 forma parte de su realidad habitual. ÂżPero sabĂ­a que mĂĄs del 14 por ciento de los miembros de 1199SEIU tiene diabetes? Eso representa aproximadamente dos tercios mĂĄs que la tasa nacional de diabetes y muchos de nosotros ni siquiera sabemos que tenemos la enfermedad.

MĂĄs del 14 por ciento de los miembros de 1199SEIU tiene diabetes.

La diabetes tipo 2, un trastorno metabólico en el que el organismo no puede producir suficiente insulina o no puede usarla adecuadamente, ha tenido una gran presencia en las noticias últimamente, dado que cada vez mås personas reciben ese diagnóstico. Un estudio reciente de la Johns Hopkins Bloomberg School of Public Health demostró que la tasa se había CASI DUPLICADO DESDE lNALES DE LA D�CADA DE Y principios de la dÊcada de 1990. Sin embargo, sigue existiendo mucha información incorrecta en torno a la enfermedad, que contribuye a que se produzcan MÉS DE FALLECIMIENTOS AL A×O Fuentes: American Diabetes Association; Medline Plus; WebMD; Consumer Reports; Harvard School of Public Health; National Institutes of Health; Medscape; Centers for Disease Control and Prevention

ÂżEstĂĄ Usted en SituaciĂłn de Riesgo?

Diagnosticar y tratar la diabetes en una etapa temprana puede reducir el riesgo de un ataque al corazĂłn, accidente cerebrovascular, enfermedad renal y otras complicaciones graves de la enfermedad. Consulte a su mĂŠdico si experimenta los siguientes sĂ­ntomas de la diabetes: s 3ENTIRSE HAMBRIENTO ESPECIALMENTE

despuĂŠs de comer s 3ENTIRSE SEDIENTO s 3ENTIRSE EXTREMADAMENTE CANSADO s /RINAR CON FRECUENCIA ESPECIALMENTE POR la noche s 0ERDER PESO SIN MOTIVO s %XPERIMENTAR VISIĂ˜N BORROSA s 4ENER CORTES O HEMATOMAS QUE DEMORAN en sanarse s (ORMIGUEO DOLOR O ADORMECIMIENTO DE las manos o los pies Los sĂ­ntomas de la diabetes tipo 2 aparecen lentamente y algunas personas no experimentan ningĂşn sĂ­ntoma, por lo que si tiene factores de riesgo como antecedentes familiares o presiĂłn arterial elevada, debe consultar con su mĂŠdico para averiguar si necesita realizarse un anĂĄlisis de sangre para saber si tiene diabetes.

TambiĂŠn puede llamar a la LĂ­nea de Ayuda de EnfermerĂ­a de 1199SEIU disponible las 24 horas al (866) 935-1199 si tiene alguna pregunta sobre estos sĂ­ntomas.

To protect ourselves, we need to know the facts. Here are some of the most common misunderstandings about diabetes:

Myth

People with diabetes have to eat special foods.

Reality Often, foods that are sold as “diabetic� or “dietetic� are not healthier – and they often cost more than other foods. If you have diabetes or are at risk for the disease, you should follow the same healthy eating tips as everyone else. Doctors recommend a diet high in fruits, vegetables, whole grains, lean protein, low-fat dairy and healthy fats like olive oil.

Myth

People with diabetes should limit their physical activity.

Reality Exercise actually helps people manage their diabetes: it can keep blood sugar levels under control, help prevent weight gain, lower blood pressure and maintain good cholesterol levels. In fact, according to a recent University of Cambridge study, exercise may even help people with

www.1199SEIUBenefits.org

Myth

Once you have Type 2 diabetes, it can only get worse.

Reality Type 2 diabetes can be treated – and managed – by adopting healthier habits. Losing weight, exercising, eating more healthfully and being more active overall can help control your symptoms and prevent you from developing serious complications like heart attack and stroke. Don’t believe us?

A Consumer Reports survey found that people with diabetes who made positive lifestyle changes had significantly fewer complications – and 40 percent of the people who made those changes reported no diabetes complications at all.

Don’t Miss Our Diabetes Prevention and Management Workshop!

Join us on Saturday, July 19, for our Diabetes Prevention and Management workshop, where a certified diabetes educator will teach you how to prevent and manage the condition. A registered dietitian will also offer tips to create better eating habits and share healthy recipes and meal plans.

Plus, you’ll learn practical tips for handling everyday stress at our Stress Management workshop. The day will end with a fun Pilates class for all ages and experience levels, so remember to wear comfortable CLOTHES n AND BRING THE WHOLE FAMILY Everyone who attends the workshop will receive a gift, and members who have diabetes will receive free glucometers.

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diabetes lower their risk for heart problems by more than 50 percent. But sometimes working out can lower blood sugar too much. To avoid this, don’t work out on an empty stomach and carry a snack recommended by your doctor that can help bring your blood sugar back up if you start to feel weak or light-headed. Of course, be sure to talk to your doctor before you start an exercise program or increase the amount of exercise you do.

Saturday, July 19 What: Diabetes Prevention and Management workshop When: Saturday, July 19, 2014 Registration begins at 10:00 am Workshops are 10:30 am to 1:45 pm Where: 330 West 42nd Street, 33rd Floor (Penthouse) Reserve your spot by calling (646) 473-8960, Option 2, Option 1.

Provided by Worksite Medical Services, P.C.

FOR YOUR BENEFIT

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Healthy Eating

Serve Up Summer’s Best With so much delicious fresh produce in season, summer offers many opportunities to make healthier eating choices – from shopping at your local fruit and vegetable stand or neighborhood farmers market for locally grown foods to grilling vegetable kebabs and sweet corn for simple, healthy side dishes. Shopping for foods that are in season can even save money, so read our tips on how to summer-ize your menu.

Buy what’s in season: Always try to have the freshest produce of the season on hand. Summer fruits like strawberries, cherries, melons and plums make great low-calorie thirst quenchers. And vegetables like broccoli, cauliflower, green beans, tomatoes, summer squash and corn can be added to lean meat main courses or stand on their own.

Use flavor-friendly cooking methods: To enhance flavors while preserving nutrients, try grilling or roasting vegetables like carrots, eggplant, squash and peppers. Prep is simple – wash and cut your veggies, lightly brush with heart-healthy olive oil, sprinkle with herbs and grill.

Make it a family affair: Plan a trip to local markets. Many farmers markets also sell fish, poultry and farm-raised lean meats. Ask what’s the freshest, pair it with whatever veggies look best and then experiment with some new recipes while cooking with your family.

Pack snacks for eating on the go: For many of us, summer means vacation time, so when traveling, make sure you pack healthy snacks and meals for you and your family. Fruits, vegetables, lowfat cheese, nuts and whole grains like wheat crackers, maintain their freshness in the heat. Pack a small cooler with these foods, and you’ll be less likely to stop at fast-food restaurants when you’re hungry.

Sources: United States Department of Agriculture; National Heart, Lung and Blood Institute

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www.1199SEIUBenefits.org

De izquierda: Taramati Khemnauth, Helen Duncan, Samuel Colon, Karleen Moncreif and Christine Wattley

Helen Duncan y Karleen Moncreif, compaĂąeras de trabajo y amigas desde hace tiempo, tomaron la decisiĂłn de mejorar su salud en una feria de salud del Fondo de Beneficios del Gran Nueva York a la que asistieron en su lugar de trabajo, el Kingsbridge Heights Rehabilitation and Care Center, a finales de 2012. y eliminar las empanadas fritas, la comida basura y otras elecciones poco saludables. Helen tambiĂŠn empezĂł a caminar cerca de Kingsbridge todas las noches entre las 7:00 p. m. y las P M SU hDESCANSO PARA EL ALMUERZOv COMO TRABAJADORA DEL segundo turno. En solo unos meses, comenzĂł a notar que la ropa le quedaba mejor, tenĂ­a mĂĄs energĂ­a y, sobre todo, la horrorosa sensaciĂłn de esforzarse por respirar habĂ­a desaparecido. “Estos dĂ­as, puedo caminar, al menos, el doble de distancia en una hora de lo que podĂ­a caminar cuando empecĂŠ y no me quedo nunca sin alientoâ€?, comentĂł.

Karleen estaba muy feliz por su amiga. Las dos se han seguido apoyando la una a la otra, asistiendo incluso a una clase semanal de Zumba en el centro tan a menudo como pueden. “Conozco a Helen desde hace tiempo, y es fantĂĄstico verla recuperar el peso que tenĂ­a cuando nos conocimosâ€?, comentĂł Karleen. “Me siento muy orgullosa de ellaâ€?.

Al final del concurso para perder peso de un aĂąo de duraciĂłn, Helen habĂ­a perdido un 9.5 por ciento de su peso corporal, y un total de 46 libras hasta la fecha, y el 19 de marzo de 2014 recibiĂł el primer premio de $1,000. Otros cuatro miembros completaron los cinco primeros puestos, perdieron entre un 7

Con su presiĂłn arterial de nuevo en el rango normal, Helen espera perder otras 20 libras, pero su ĂŠxito ya ha impresionado a su familia. “Me hace sentir orgullosa saber que estoy dando un buen ejemplo a mi hijo y a mis tres nietosâ€?, comentĂł. “TambiĂŠn espero que inspire a mi hijo a perder algo de pesoâ€?.

por ciento y un 4 por ciento de su peso corporal y se llevaron a casa premios en efectivo: Samuel Colon, $400; Christine Wattley, 2AHSAAN 'RAVES Y 4ARAMATI +HEMNAUTH

PARA SU BENEFICIO

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Perfil del Miembro

Helen Duncan y Karleen Moncreif Una feria de salud en las instalaciones organizada por nuestro Departamento de Bienestar y el Programa de Asistencia a los Miembros brindĂł el llamado de atenciĂłn que estas compaĂąeras de trabajo necesitaban para realizar cambios en su estilo de vida, perder peso y mejorar su salud.

Helen Duncan y Karleen Moncreif, compaĂąeras de trabajo y amigas desde hace tiempo, tomaron la decisiĂłn de mejorar su salud en una feria de salud del Fondo de Beneficios del Gran Nueva York a la que asistieron en su lugar de trabajo, el Kingsbridge Heights Rehabilitation and Care Center, a finales de 2012. Helen, una Enfermera Auxiliar Diplomada (LPN, por sus siglas en inglĂŠs), querĂ­a perder peso y no recuperarlo, y mantener su presiĂłn arterial alta bajo control. Karleen, una Asistente de EnfermerĂ­a Certificada (CNA, por sus siglas en inglĂŠs), se inspirĂł en la feria de salud para ayudar a organizar actividades de bienestar en Kingsbridge y renovar su compromiso de conservar sus hĂĄbitos saludables y mantener su diabetes tipo 2 bajo control.

Helen, una LPN durante los Ăşltimos 25 aĂąos, siempre estĂĄ dispuesta a ofrecer sugerencias para una mejor salud a cualquier residente de Kingsbridge que pueda estar luchando con problemas de peso o experimentando dificultades para respirar. Aunque, con frecuencia, no sigue sus propios consejos. Por eso, cuando se enterĂł en la feria de salud de que su presiĂłn arterial era alta, decidiĂł hacer algo al respecto.

Se reuniĂł con un enfermero del Departamento de Bienestar durante una sesiĂłn de seguimiento, y fue allĂ­ donde, por fin, se dio cuenta del impacto de su presiĂłn arterial alta. “El enfermero me dijo que si no perdĂ­a peso, tenĂ­a muchas mĂĄs posibilidades de tener una enfermedad cardĂ­aca o un accidente cerebrovascular, sin mencionar que mi calidad de vida seguirĂ­a resintiĂŠndoseâ€?, comentĂł Helen.

Helen, que pesaba casi 250 libras en esa ĂŠpoca, comenzĂł a hacer pequeĂąos cambios por sĂ­ misma, pero luego se enterĂł de una interesante nueva oportunidad en Kingsbridge: Karleen estaba reclutando a compaĂąeros de trabajo para participar en un concurso PARA PERDER PESO QUE COMENZĂ˜ EN MARZO DE !L contar con $2,000 de la Iniciativa de Bienestar en el

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Trabajo del Fondo de Beneficios del Gran Nueva York, Kingsbridge usĂł el dinero para ofrecer premios en efectivo a los ganadores del concurso. “Me pareciĂł que el concurso serĂ­a una forma estupenda de ayudarme a mantener mi objetivoâ€?, comentĂł Helen. Para Karleen, ayudar a organizar el concurso fue una propuesta beneficiosa en sĂ­ misma, independientemente de si ganaba parte del dinero o no. Le ayudarĂ­a a seguir mejorando su salud y le brindarĂ­a una oportunidad ideal para compartir con sus compaĂąeros de trabajo la forma en que pudo mantener bajo control su diabetes tipo 2. “Tengo antecedentes familiares de diabetes y me la diagnosticaron hace dos aĂąosâ€?, comentĂł Karleen. “Pero comiendo mĂĄs sano, tomando mis medicamentos y haciendo ejercicio todos los dĂ­as, mi nivel de azĂşcar en sangre se mantiene dentro del rengo saludable. E incluso bajĂŠ de una talla 14 a una talla 10â€?.

Top 10 Snacks of the Season Any time you need a snack, reach for one of these healthful, low-calorie hunger stoppers. They also provide a nutritional bonus of Vitamins A and C.

Fruit/Vegetable

Portion Size

Strawberries Watermelon Cantaloupe Honeydew Melon Tomato Broccoli Summer Squash Carrots Bell Pepper Cauliflower

8 medium 2 cups diced 1/ medium 4 1/ medium 10 1 medium 1 medium stalk ½ medium 1 medium 1 medium 1/ medium head 6

Calories 50 80 50 50 25 45 20 30 25 25

% DV * 160% Vitamin C 30% Vitamin A 80% Vitamin C 45% Vitamin C 40% Vitamin C 220% Vitamin C 30% Vitamin C 110% Vitamin A 190% Vitamin C 100% Vitamin C

* Percent Daily Value: percent of a nutrient provided by a serving of food (based on a 2,000-calorie diet).

Source: United States Department of Agriculture

Alentada por su propio ĂŠxito, Karleen y otros compaĂąeros de trabajo y amigos apoyaron a Helen cuando comenzĂł a realizar cambios que podĂ­a mantener, como aĂąadir mĂĄs verduras y frutas a su dieta

ÂżTiene una historia saludable que compartir?

Siempre estamos buscando la oportunidad de destacar a los miembros que protegen su salud perdiendo peso, dejando de fumar, manteniendo bajo control una enfermedad crĂłnica o simplemente mejorando su estilo de vida en general. Si usted ha implementado cambios positivos en su salud, o si reciĂŠn lo estĂĄ comenzando a hacer, ÂĄqueremos tener noticias suyas! Para compartir su historia con sus compaĂąeros miembros en un nĂşmero futuro de Para su Beneficio, contacte al Fondo en: Communications@1199Funds.org.

FOR YOUR BENEFIT

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Healthy Fitness

CoordinaciĂłn de Su AtenciĂłn (ÂĄAhora Disponible en Montefiore!)

Warm-Weather

Workouts

If you want to shake up your exercise routine – or just start one – summer is a great time to try something new.

We’ve got five workouts that will get you moving and help fight boredom. Stick with a favorite, or mix them up to keep things interesting, which has the added benefit of working different muscle groups. Plus, exercising outdoors can enhance the mood boost that working out already provides. Of course, check with your doctor before you begin any exercise routine.

The Workout:

The Workout:

WALKING

SWIMMING

The most popular activity in the U.S., walking is a low-cost activity, doesn’t require special clothes or equipment (just a good pair of walking shoes) and can be done almost anywhere by just about anyone. Walking provides a long list of benefits: it lowers your risk of high blood pressure, heart disease, obesity and diabetes; strengthens your bones; and tones your muscles.

The Plan A good walking workout should have three parts: a warm-up (walking slowly for about five minutes), a brisk walk (walking at a pace of about three miles per hour or faster) and a cool-down (walking slowly for about five minutes to let your heart rate and blood pressure gradually return to normal). Aim for MINUTES OF WALKING lVE DAYS A WEEK FOR A TOTAL OF MINUTES PER WEEK )F IT S HARD TO SCHEDULE THE minutes at one time, split it up into three 10-minute walks instead.

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Swimming is a great choice in the summer because you get your workout done while keeping cool.

Swimming is gentle on joints, so many people exercise longer in water than on land without feeling tired or experiencing joint or muscle pain. And besides being a full-body aerobic activity, swimming can brighten your mood and ease feelings of depression.

The Plan You may not feel it when you’re swimming, but your body is working hard to move against the water’s resistance, so beginners should start slowly. Start with about 10 minutes of swimming, and then work up TO MINUTES )F SWIMMING LAPS ISN T FOR YOU A WATER aerobics class can be a great workout. The YMCA of Greater New York offers a variety of classes – and don’t forget that 1199SEIU members can take advantage of discounted Y memberships. If you can’t swim and want to learn, read the “Summer Workout Safety Tips� on page 15 to find swimming classes throughout the five boroughs of New York City.

La atenciĂłn centrada en el paciente constituye la “esenciaâ€? de una de las iniciativas de la Ley de Cuidado de Salud a Bajo Precio. Las Organizaciones Responsables de la AtenciĂłn estĂĄn recibiendo mucha atenciĂłn por parte de Medicare y otros pagadores por su compromiso de coordinar la atenciĂłn de sus pacientes para ayudarles a estar y mantenerse saludables.

Actualmente, el Fondo de Beneficios se ha asociado con el Sindicato y el Montefiore Medical Center para lanzar el nuevo 1199SEIU Montefiore Coordinated Care Program.

A partir del 1 de julio de 2014, todos los miembros del 1199SEIU y sus dependientes elegibles que reciban la mayor parte de sus servicios de atenciĂłn de la salud de proveedores afiliados con Montefiore estarĂĄn cubiertos por el programa. A travĂŠs de la atenciĂłn coordinada, sus proveedores trabajarĂĄn juntos de una forma mĂĄs estrecha para ayudarle a asegurarse de recibir la atenciĂłn que necesita cuando la necesita, reducir las posibilidades de duplicar pruebas y reducir el riesgo de errores mĂŠdicos.Y si estĂĄ controlando una afecciĂłn crĂłnica o recuperĂĄndose de una enfermedad grave, o ha estado en el hospital, tendrĂĄ acceso a un equipo de gestiĂłn compuesto por enfermeros, trabajadores sociales, farmacĂŠuticos y educadores mĂŠdicos que pueden ayudarlo a crear un plan mĂŠdico personalizado. Esperamos poder ofrecer esto a mĂĄs miembros de 1199SEIU a medida que las oportunidades estĂŠn disponibles.

ÂĄSus Esfuerzos Ayudaron a Su Fondo de Beneficios a Ahorrar $1,500 Millones en 10 AĂąos!

Como miembro de 1199SEIU, usted disfruta de beneficios mĂŠdicos de calidad con menos costos de bolsillo que la mayorĂ­a de los trabajadores en la actualidad, pero no podrĂ­amos brindar una cobertura tan generosa sin su compromiso de seguir las medidas de contenciĂłn de costos y de calidad del Fondo de Beneficios. Al cumplir las normas del plan, incluidos el uso de proveedores que estĂŠn dentro de nuestra red, el surtido de los medicamentos a largo plazo con The 90-Day Rx Solution y el uso de medicamentos genĂŠricos siempre que sea posible, se espera que sus esfuerzos nos ayuden a reducir el costo de brindar beneficios en mĂĄs de $1,500 millones, o un 17 por ciento, desde que los negociadores colectivos introdujeron por primera vez iniciativas de contenciĂłn de costos en el contrato de 2004. Los ahorros son una parte esencial de la forma en que protegemos sus beneficios integrales, pero no serĂ­an posibles sin su cooperaciĂłn.

Si tiene preguntas sobre los tĂŠrminos de su cobertura de salud, la descripciĂłn completa de su plan estĂĄ disponible en www.1199SEIUBenefits.org, o puede llamar a uno de nuestros 2EPRESENTANTES DE 3ERVICIOS A LOS -IEMBROS AL

PARA SU BENEFICIO

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MantĂŠngase Actualizado con Nuestra Nueva Lista de Medicamentos Preferidos Con la continua introducciĂłn de nuevos medicamentos y genĂŠricos en el mercado, los farmacĂŠuticos y mĂŠdicos de nuestro Fondo se aseguran de que nuestra Lista de Medicamentos Preferidos (PDL, por sus siglas en inglĂŠs) estĂŠ siempre actualizada. Los cambios mĂĄs recientes a la PDL entraron en vigencia el 1 de marzo de 2014. Siempre que su mĂŠdico prescribe un medicamento genĂŠrico o un medicamento de marca preferido de la PDL, usted no paga nada de su bolsillo. Sin embargo, si usted recibe un medicamento de marca no preferido cuando estĂĄ disponible un medicamento preferido, debe pagar la diferencia entre el precio del medicamento preferido y el no preferido, que puede ser una cantidad elevada.

Siempre que su mĂŠdico prescribe un medicamento genĂŠrico o un medicamento de marca preferido de la PDL, usted no paga nada de su bolsillo.

Para evitar gastos innecesarios que deba pagar de su bolsillo, puede revisar la nueva PDL en www.1199SEIUBenefits.org. Y asegĂşrese de llevar con usted una copia de la PDL vigente a todas sus citas con el mĂŠdico, para poder comprobar si su medicamento se cubre por completo. Para obtener mĂĄs informaciĂłn, comunĂ­quese con nuestro Departamento de Servicios para los -IEMBROS LLAMANDO AL

MantĂŠngase al DĂ­a de lo que estĂĄ Ocurriendo en los Fondos por Facebook 3I USTED ES UNO DE LOS MÉS DE MIEMBROS QUE PUSIERON h-E GUSTAv EN NUESTRA PÉGINA DE &ACEBOOK YA SABE que es una magnĂ­fica forma de mantenerse actualizado sobre las Ăşltimas noticias sobre beneficios y pensiĂłn, ferias de salud, talleres, consejos de bienestar, y mucho mĂĄs.Y si aĂşn no lo ha hecho, Âżpor quĂŠ no ver lo que se ha estado perdiendo? Siempre estamos agregando contenidos nuevos, por ello debe visitar www.facebook.com/1199SEIUBenefitFunds (o utilizar su smartphone para escanear el cĂłdigo QR que se encuentra a la derecha) y ponerse al dĂ­a sobre las Ăşltimas noticias de los Fondos de Beneficios y Pensiones. Comparta la pĂĄgina con sus compaĂąeros miembros, dĂŠjenos saber lo que le gustarĂ­a ver en publicaciones futuras y sobre todo, regrese con frecuencia, estamos seguros de que encontrarĂĄ mucho para marcar “Me gustaâ€?.

The Workout:

BIKING

Whether you’re riding along scenic park trails or just around your neighborhood, biking can be a relaxing, fun and efficient exercise. It’s a great cardiovascular workout that offers many benefits, including muscle strengthening, increasing your metabolism to burn fat and improving coordination.

The Plan When starting a cycling workout, it’s important to build your leg strength and lung capacity. Start with a goal of a few miles, and ride several times a week to build your fitness level. Carry a water bottle to stay hydrated, and listen to your body.

There’s a growing number of safe bike routes in New York City to choose from, and the Department of Transportation offers detailed maps on protected bike paths and bike lanes throughout the five boroughs.You can order your own map by CALLING OR VISITING WWW NYC GOV HTML DOT HTML BICYCLISTS BIKEMAPS SHTML

The Workout:

TAI CHI

Tai Chi is a centuries-old Chinese practice that calms the mind and strengthens the body with slow, gentle movements. Tai Chi is sometimes called “meditation in motion� because it blends traditions of meditation and martial arts that are believed to improve the flow of energy within the body. Health benefits include stress reduction, improved flexibility, balance, coordination and strength. It may also improve heart function and lower blood pressure.

The Plan To get started, you’ll probably want to take a few classes to learn the movements or postures. Tai Chi is usually done in a group and often takes place outdoors in a park. Fortunately, there are many classes throughout the tri-state area. To find Tai Chi classes and events in local parks throughout the five boroughs, visit www.nycgovparks.org/programs/recreation/shape-up-nyc.

The Workout:

PARK-BENCH STRENGTH TRAINING

Who needs a gym when you can use a park bench and your own body weight to get a total-body workout? Many resistance moves can be done with the help of an ordinary park bench, including those typically done on a workout bench at the gym – plus you get to do them in the great outdoors.

Summer Workout

Safety Tips For safe, stress-free summer workouts, follow these tips:

Get in gear: Whether it’s wearing protective gear like a bike helmet, swim goggles and a swim cap, or getting fitted for a propersize bike, your workouts will be safer – and more enjoyable – if you have the right equipment. If you’re a beginner, or just don’t like to fuss with much equipment, consider a walking program – all you’ll need to start is a good pair of walking shoes.

Shade yourself from the sun: Always wear sunscreen with an SPF of 15 or higher, a hat and sunglasses that block UVA and UVB rays. Plan to exercise during the early morning or evening so you’re not outside during peak sunshine hours when temperatures are hottest.

Don’t leave home without water: Make sure you bring a bottle of water with you on workouts to stay hydrated and avoid muscle cramping or heatrelated illness. Drink water before working out and about 6 to 8 ounces of water every 15 minutes during the activity.

Sources: U.S. Department of Health and Human Services; Mayo Clinic

Find a class in NYC:

To find swimming lessons or recreation centers throughout the five boroughs of The Plan New York City, visit the city’s Department With nothing more than your favorite bench in a local park, you can do triceps of Parks & Recreation website at dips, step-ups, push-ups and more. A bench is also great for doing a variety of www.BeFitNYC.org. To search for free fitness classes across the city, go to stretches.You can get started at any local park – check out the Fort Tryon Park www.nycgovparks.org/programs/ Trust website at www.forttryonparktrust.org/fitness.html for a full description For locations, times and dates for the free tax preparation events at the Food Bank For New York City and recreation/shape-up-nyc. of park-bench exercises.

Ariva sites, ask your Outreach Coordinator for a list or visit our website, www.1199SEIUBenefits.org.

Sources: Centers for Disease Control and Prevention;WebMD; UBC Medical Journal; Harvard Women’s Health Watch; American Council on Exercise

22

www.1199SEIUBenefits.org

FOR YOUR BENEFIT

15

Healthy News You Can Use

If you have Type 2 diabetes, you can reduce your chances of having a heart attack or stroke by adopting just three or four healthy behaviors, according to a recent study in Diabetes Care.

Whether it’s getting more regular exercise, quitting tobacco, taking prescribed medications or cutting back on fat and calories in your diet, it makes a difference. In fact, making these changes could be as helpful as taking medication in preventing heart problems. Researchers found that the more positive behavior changes people with diabetes made in the first year after diagnosis, the lower their risk of having heart problems. A few small changes NOW n LIKE WALKING FOR MINUTES THREE TIMES A week or eating more fruits and vegetables – can bring huge benefits down the road.

Real Food (Even Butter) Is Best A recent study out of Cambridge University has found no evidence that saturated fat, found in animal and dairy products like butter and red meat, increases our risk of heart disease. Turns out the real culprits are sugar and processed foods. While the research doesn’t give us the “green light� to overeat foods containing saturated fats, experts suggest we focus on eating more “real� foods like lean protein, nuts, olive oil, high-fiber grains and fish. If you’re not sure about a particular food, check the nutrition label – if there’s a long list of ingredients, chances are it’s a processed food that should be eaten in moderation.

16

PrĂłximamente este otoĂąo: Nueva OpciĂłn de Beneficios AyudarĂĄ a los Jubilados a Obtener lo MĂĄximo de la Cobertura del Fondo y los Intercambios MĂŠdicos

Add Three or Four Healthy Behaviors to Reduce Diabetes Heart Risk

www.1199SEIUBenefits.org

Live Longer with Seven Servings of Fruit and Vegetables a Day Summer is the perfect season to add more fruits and vegetables to your diet. But how many servings should you aim for? New research in the Journal of Epidemiology & Community Health found that eating seven portions of fruit and vegetables daily can reduce your risk of dying by 42 percent.

Seven servings of produce can also cut the risk of death from cancer by 25 percent – and from heart DISEASE BY PERCENT 7HILE VEGETABLES SHOWED THE strongest effect, fruit is also helpful. If seven portions a day seem like a lot, start by adding one or two servings, like broccoli (about five florets) or a small apple, to your diet.You’ll still get significant benefits that could add years to your life.

Si tiene al menos 55 aĂąos de edad y 10 aĂąos de servicio en una instituciĂłn o centro de 1199SEIU, es posible que estĂŠ pensando en jubilarse anticipadamente. Si es asĂ­, probablemente sepa que su Fondo brinda un beneficio limitado para esos jubilados anticipados, que cubre cuidado de la vista y medicamentos con receta. Ahora, con la Ley de Cuidado de Salud a Bajo Precio (ACA, por sus siglas en inglĂŠs), puede adquirir cobertura integral en uno de los intercambios de seguros mĂŠdicos establecidos en virtud de la ACA. Para ayudar a nuestros jubilados anticipados a obtener lo mĂĄximo de su cobertura de 1199SEIU y aprovechar todos los beneficios que ofrece el Mercado MĂŠdico, los Administradores han cambiado el plan para ofrecer un nuevo paquete de beneficios llamado Dental Plus Plan. Este plan estĂĄ diseĂąado para complementar la cobertura mĂŠdica que obtenga a travĂŠs del Mercado o reciba a travĂŠs de su cĂłnyuge u otro empleo. El nuevo Dental Plus Plan se inicia este otoĂąo y es un paquete que incluye un beneficio dental, un plan de indemnizaciĂłn por hospitalizaciĂłn y un beneficio de visiĂłn.

Esto es lo que ofrece el Dental Plus Plan: s 5N BENElCIO DENTAL POR UN MÉXIMO DE AL AĂ—O s 5N PLAN DE hINDEMNIZACIĂ˜N POR HOSPITALIZACIĂ˜Nv QUE paga $200 al dĂ­a, durante un mĂĄximo de 10 dĂ­as de estadĂ­a en el hospital s 5N BENElCIO DE VISIĂ˜N QUE PERMITE UN PAR DE ANTEOJOS O lentes de contacto una vez cada dos aĂąos Con el Dental Plus Plan, los jubilados anticipados no solo podrĂĄn adquirir cobertura integral a travĂŠs del Mercado y podrĂĄn incluso calificar para un subsidio para ayudar a pagar la prima, sino que tambiĂŠn podrĂĄn acceder a cobertura dental del Fondo, sin ningĂşn costo. (Los beneficios dentales no se subvencionan en el Mercado). Sin embargo, cualquier jubilado anticipado que forme parte del plan original de medicamentos con receta y cuidado de la vista tendrĂĄ una Ăşnica opciĂłn de cambiar a dicho paquete de beneficios. Por tanto, si estĂĄ pensando en jubilarse anticipadamente y tiene preguntas sobre el nuevo plan, comunĂ­quese con uno de nuestros Representantes de Servicios PARA *UBILADOS LLAMANDO AL O

Antes de Jubilarse: MĂĄs InformaciĂłn sobre Sus Opciones en el Mercado de Seguros MĂŠdicos Puede obtener mĂĄs informaciĂłn y elegir un plan visitando www.nystateofhealth.org o llamando al (855) 355-5777 en Nueva York; si necesita ayuda con la inscripciĂłn, comunĂ­quese con la Sociedad de Servicios Comunitarios (CSS, por sus siglas en inglĂŠs) llamando al (888) 614-5400 o envĂ­eles un mensaje de correo electrĂłnico a enroll@cssny.org para acordar una cita. Si no vive en el Estado de Nueva York, visite www.HealthCare.gov o llame al (800) 318-2596 para elegir un plan en su estado.

Sources: Diabetes Care; Journal of Epidemiology & Community Health; Annals of Internal Medicine

PARA SU BENEFICIO

21

Actualización y Noticias Sobre Beneficios

For answers to medical questions, the Benefit Fund’s Nurse Helpline is available 24 hours a day, 7 days a week. Whether you’re not sure about a medication or your child isn’t feeling well in the middle of the night, a nurse is on hand to help you. Just call (866) 935-1199.

After all, talking with one of our RNs from the comfort of your home could spare you a trip to a crowded emergency room – and the hours you’d spend waiting there.

Tome Decisiones Informadas con Información de Nuestro Socio, Consumer Health Choices Estar informado, saber cómo, dónde y cuándo acceder al cuidado médico, es la mejor forma de convertirse en su propio defensor para proteger su salud y la de su familia, así como también para proteger el dinero de beneficios del Fondo.

Cuando se trata de pruebas y tratamientos médicos, más no siempre es mejor; de hecho, muchos procedimientos, pruebas y medicamentos prescritos habitualmente en las últimas décadas se han utilizado con frecuencia en exceso, de forma innecesaria y, en algunos casos, de manera perjudicial. Por ese motivo su Fondo de Beneficios lo ayuda a acceder a información de Consumer

Reports y la ABIM Foundation a través de Consumer Health Choices, siendo ambas fuentes de confianza de análisis e información expertos para ayudarlo a tomar decisiones sensatas respecto de la atención de la salud para usted mismo y su familia. Solo tiene que visitar www.1199SEIUBenefits.org y hacer clic en el icono de “Consumer Reports” para encontrar listas de pruebas y procedimientos que pueden usarse en exceso, preguntas que puede hacerle a su médico, y folletos y videos que explican la atención adecuada recomendada por sociedades médicas especializadas.

Es una forma rápida y útil de convertirse en un paciente con más conocimientos antes de visitar a su médico.

Membership Advantages

Our 24-Hour Nurse Helpline Is There When You Need It

You can call the same number to talk to a personal health coach who can help you quit smoking or lose weight. To help you stop smoking, your coach will work with you to develop a specific plan and set achievable goals. If you’re trying to lose weight, your coach will show you how to eat healthier foods without feeling deprived – and reduce your risk of health problems, such as Type 2 diabetes, high cholesterol, high blood pressure and heart disease. So make sure you use the tools available to you: Call our Nurse Helpline today at (866) 935-1199 and get the answers and the support you need to succeed!

Our Prenatal Workshop Can Help Ensure You Have a Healthy Pregnancy Join other expectant parents at our Wellness Department’s next Prenatal workshop on September 27, where you’ll get important information about how to stay healthy during pregnancy and after your child is born, how to prepare for your due date and what to expect during labor and delivery. Whether it’s your first child or your third, you’ll also learn how to have a healthy pregnancy with fewer complications.

Partners are welcome!

What:

Prenatal workshop

When:

Saturday, September 27, 2014 10:00 am to 2:30 pm

Where: 330 West 42nd Street, 33rd Floor (Penthouse) To reserve your spot, please call (646) 473-8960, Option 2, Option 2. If you are unable to attend the workshop in person, please call us at (646) 473-8962 for information about attending by WebEx via your computer.

Provided by Worksite Medical Services, P.C.

20

www.1199SEIUBenefits.org

FOR YOUR BENEFIT

17

Mensaje de la Directora Ejecutiva Estimados miembros, Su salud y bienestar son siempre nuestra principal prioridad. Por ese motivo, siempre estamos buscando formas nuevas e innovadoras de mejorar la calidad de su atención al tiempo que protegemos el dinero de sus beneficios. No podríamos hacerlo sin su ayuda.

Cada vez que visita a un proveedor participante, elige un medicamento genérico o solicita una autorización previa para una resonancia magnética, está ayudando a ahorrar dinero esencial en los beneficios. Desde el acuerdo de negociación colectiva de 2004, esas elecciones habrán ayudado a ahorrar a nuestro Fondo de Beneficios más de $1,500 millones mientras conservaron sus beneficios a lo largo de un periodo de 10 años.

Su salud y bienestar son siempre nuestra principal prioridad.

Por ese motivo, siempre estamos buscando formas nuevas e innovadoras de mejorar la calidad de su atención al tiempo que protegemos el dinero de sus beneficios.

En este número de Para su Beneficio, leerá sobre las diferentes formas para obtener el máximo provecho de sus beneficios, tales como brindar información para sus decisiones de atención de la salud y mantenerse actualizado sobre los cambios producidos en nuestra Lista de Medicamentos Preferidos.

También resaltamos una afección crónica que afecta a muchos de nuestros miembros: la diabetes. Encontrará información valiosa sobre cómo controlar la enfermedad, junto con consejos para introducir frescos alimentos veraniegos en su dieta y aprovechar el tiempo más cálido para ejercitarse al exterior. También aprenderá cómo dos miembros aprovecharon las ventajas de una Iniciativa de Bienestar en el trabajo en su centro para perder peso y estar más sanos, al tiempo que alentaban a sus compañeros de trabajo a hacer lo mismo.Y, como siempre, hemos incluido detalles sobre otras ventajas valiosas para los miembros, como los próximos talleres de control de la diabetes y el estrés, y nuestra Línea de Ayuda de Enfermería, que está disponible para usted las 24 horas, siete días a la semana.

Esperamos que disfrute de este número de Para su Beneficio, y que aproveche todo lo que su Fondo de Beneficios tiene para ofrecer.

Atentamente,

Mitra Behroozi Directora Ejecutiva Fondos de Beneficios y Pensiones de 1199SEIU

Este número de Para su Beneficio contiene información importante sobre sus derechos en virtud de su plan de beneficios y la Ley de Seguridad de los Ingresos de Jubilación del Empleado (ERISA, por sus siglas en inglés), que debe leer y conservar para referencia en el futuro.

18

www.1199SEIUBenefits.org

Para Su Beneficio

CONTENIDOS

ACTUALIZACION Y NOTICIAS SOBRE BENEFICIOS 20 Tome Decisiones Informadas con Información de Nuestro Socio, Consumer Health Choices 21 Próximamente este otoño: Nueva Opción de Beneficios Ayudará a los Jubilados a Obtener lo Máximo de la Cobertura del Fondo y los Intercambios Médicos 22 Manténgase Actualizado con

Nuestra Nueva Lista de Medicamentos Preferidos Manténgase al Día de lo que está Ocurriendo en los Fondos por Facebook

23 Coordinación de Su Atención (¡Ahora Disponible en Montefiore!)

¡Sus Esfuerzos Ayudaron a Su Fondo de Beneficios a Ahorrar $1,500 Millones en 10 Años!

PERFIL DEL MIEMBRO 24 Helen Duncan y Karleen Moncreif

Una feria de salud en las instalaciones organizada por nuestro Departamento de Bienestar y el Programa de Asistencia a los Miembros brindó el llamado de atención que estas compañeras de trabajo necesitaban para realizar cambios en su estilo de vida, perder peso y mejorar su salud.

VERANO 2014

VIDA SALUDABLE 26 Mitos Sobre la Diabetes que Podrían Ser Peligrosos para Su Salud

COMER SALUDABLE 28 Sírvase lo Mejor del Verano PROGRAMA DE SALUD PARA MANTENERSE EN FORMA 30 Ejercicios para el Tiempo Cálido NOTICIAS SALUDABLES QUE PUEDE UTILIZAR 32 Añada Tres o Cuatro Conductas

Saludables para Reducir el Riesgo para el Corazón de la Diabetes La Comida Real (Incluso la Mantequilla) es Mejor Viva Más Tiempo con Siete Porciones de Fruta y Verduras al Día

VENTAJAS DE LA MEMBRESIA 33 Llame a Nuestra Línea de Ayuda de Enfermería Disponible las 24 Horas Acuda a Nuestro Taller Prenatal

El Fondo Nacional de Beneficios se considera un “plan de salud de derechos adquiridos” en virtud de la Ley de Cuidado de Salud a Bajo Precio. Según lo permite la Ley de Cuidado de Salud a Bajo Precio, un plan de salud de derechos adquiridos puede conservar cierta cobertura básica de salud que ya estaba vigente cuando se promulgó la ley. Ser un plan de salud de derechos adquiridos significa que este plan puede no incluir ciertas protecciones al cliente de la Ley de Cuidado de Salud a Bajo Precio que pueden aplicarse a otros planes, por ejemplo, el requisito de un proceso de revisión externo para las apelaciones de reclamos. Sin embargo, bajo la Ley de Cuidado de Salud a Bajo Precio los planes de salud de derechos adquiridos deben cumplir con otras protecciones determinadas para el consumidor, por ejemplo, la eliminación de los límites de por vida de los beneficios. Las preguntas relativas a qué protecciones se aplican y cuáles no se aplican a un plan de salud de derechos adquiridos y que podrían hacer que un plan cambie del estatus como plan de salud de derechos adquiridos pueden dirigirse al Fondo llamando al (646) 473-9200. También puede comunicarse con la Administración para la Seguridad de los Beneficios del Empleado del Departamento de Trabajo de los EE. UU. llamando al (866) 444-3272 o al www.dol.gov/ebsa/healthreform. Este sitio web tiene una tabla que resume las protecciones que se aplican y no se aplican a los planes de salud de derechos adquiridos.

PARA SU BENEFICIO

19

Mensaje de la Directora Ejecutiva Estimados miembros, Su salud y bienestar son siempre nuestra principal prioridad. Por ese motivo, siempre estamos buscando formas nuevas e innovadoras de mejorar la calidad de su atención al tiempo que protegemos el dinero de sus beneficios. No podríamos hacerlo sin su ayuda.

Cada vez que visita a un proveedor participante, elige un medicamento genérico o solicita una autorización previa para una resonancia magnética, está ayudando a ahorrar dinero esencial en los beneficios. Desde el acuerdo de negociación colectiva de 2004, esas elecciones habrán ayudado a ahorrar a nuestro Fondo de Beneficios más de $1,500 millones mientras conservaron sus beneficios a lo largo de un periodo de 10 años.

Su salud y bienestar son siempre nuestra principal prioridad.

Por ese motivo, siempre estamos buscando formas nuevas e innovadoras de mejorar la calidad de su atención al tiempo que protegemos el dinero de sus beneficios.

En este número de Para su Beneficio, leerá sobre las diferentes formas para obtener el máximo provecho de sus beneficios, tales como brindar información para sus decisiones de atención de la salud y mantenerse actualizado sobre los cambios producidos en nuestra Lista de Medicamentos Preferidos.

También resaltamos una afección crónica que afecta a muchos de nuestros miembros: la diabetes. Encontrará información valiosa sobre cómo controlar la enfermedad, junto con consejos para introducir frescos alimentos veraniegos en su dieta y aprovechar el tiempo más cálido para ejercitarse al exterior. También aprenderá cómo dos miembros aprovecharon las ventajas de una Iniciativa de Bienestar en el trabajo en su centro para perder peso y estar más sanos, al tiempo que alentaban a sus compañeros de trabajo a hacer lo mismo.Y, como siempre, hemos incluido detalles sobre otras ventajas valiosas para los miembros, como los próximos talleres de control de la diabetes y el estrés, y nuestra Línea de Ayuda de Enfermería, que está disponible para usted las 24 horas, siete días a la semana.

Esperamos que disfrute de este número de Para su Beneficio, y que aproveche todo lo que su Fondo de Beneficios tiene para ofrecer.

Atentamente,

Mitra Behroozi Directora Ejecutiva Fondos de Beneficios y Pensiones de 1199SEIU

Este número de Para su Beneficio contiene información importante sobre sus derechos en virtud de su plan de beneficios y la Ley de Seguridad de los Ingresos de Jubilación del Empleado (ERISA, por sus siglas en inglés), que debe leer y conservar para referencia en el futuro.

18

www.1199SEIUBenefits.org

Para Su Beneficio

CONTENIDOS

ACTUALIZACION Y NOTICIAS SOBRE BENEFICIOS 20 Tome Decisiones Informadas con Información de Nuestro Socio, Consumer Health Choices 21 Próximamente este otoño: Nueva Opción de Beneficios Ayudará a los Jubilados a Obtener lo Máximo de la Cobertura del Fondo y los Intercambios Médicos 22 Manténgase Actualizado con

Nuestra Nueva Lista de Medicamentos Preferidos Manténgase al Día de lo que está Ocurriendo en los Fondos por Facebook

23 Coordinación de Su Atención (¡Ahora Disponible en Montefiore!)

¡Sus Esfuerzos Ayudaron a Su Fondo de Beneficios a Ahorrar $1,500 Millones en 10 Años!

PERFIL DEL MIEMBRO 24 Helen Duncan y Karleen Moncreif

Una feria de salud en las instalaciones organizada por nuestro Departamento de Bienestar y el Programa de Asistencia a los Miembros brindó el llamado de atención que estas compañeras de trabajo necesitaban para realizar cambios en su estilo de vida, perder peso y mejorar su salud.

VERANO 2014

VIDA SALUDABLE 26 Mitos Sobre la Diabetes que Podrían Ser Peligrosos para Su Salud

COMER SALUDABLE 28 Sírvase lo Mejor del Verano PROGRAMA DE SALUD PARA MANTENERSE EN FORMA 30 Ejercicios para el Tiempo Cálido NOTICIAS SALUDABLES QUE PUEDE UTILIZAR 32 Añada Tres o Cuatro Conductas

Saludables para Reducir el Riesgo para el Corazón de la Diabetes La Comida Real (Incluso la Mantequilla) es Mejor Viva Más Tiempo con Siete Porciones de Fruta y Verduras al Día

VENTAJAS DE LA MEMBRESIA 33 Nuestra Línea de Ayuda de Enfermería las 24 Horas está Disponible cuando la Necesite

Nuestro Taller Prenatal Puede Ayudarla a Garantizar un Embarazo Saludable

El Fondo Nacional de Beneficios se considera un “plan de salud de derechos adquiridos” en virtud de la Ley de Cuidado de Salud a Bajo Precio. Según lo permite la Ley de Cuidado de Salud a Bajo Precio, un plan de salud de derechos adquiridos puede conservar cierta cobertura básica de salud que ya estaba vigente cuando se promulgó la ley. Ser un plan de salud de derechos adquiridos significa que este plan puede no incluir ciertas protecciones al cliente de la Ley de Cuidado de Salud a Bajo Precio que pueden aplicarse a otros planes, por ejemplo, el requisito de un proceso de revisión externo para las apelaciones de reclamos. Sin embargo, bajo la Ley de Cuidado de Salud a Bajo Precio los planes de salud de derechos adquiridos deben cumplir con otras protecciones determinadas para el consumidor, por ejemplo, la eliminación de los límites de por vida de los beneficios. Las preguntas relativas a qué protecciones se aplican y cuáles no se aplican a un plan de salud de derechos adquiridos y que podrían hacer que un plan cambie del estatus como plan de salud de derechos adquiridos pueden dirigirse al Fondo llamando al (646) 473-9200. También puede comunicarse con la Administración para la Seguridad de los Beneficios del Empleado del Departamento de Trabajo de los EE. UU. llamando al (866) 444-3272 o al www.dol.gov/ebsa/healthreform. Este sitio web tiene una tabla que resume las protecciones que se aplican y no se aplican a los planes de salud de derechos adquiridos.

PARA SU BENEFICIO

19

Actualización y Noticias Sobre Beneficios

For answers to medical questions, the Benefit Fund’s Nurse Helpline is available 24 hours a day, 7 days a week. Whether you’re not sure about a medication or your child isn’t feeling well in the middle of the night, a nurse is on hand to help you. Just call (866) 935-1199.

After all, talking with one of our RNs from the comfort of your home could spare you a trip to a crowded emergency room – and the hours you’d spend waiting there.

Tome Decisiones Informadas con Información de Nuestro Socio, Consumer Health Choices Estar informado, saber cómo, dónde y cuándo acceder al cuidado médico, es la mejor forma de convertirse en su propio defensor para proteger su salud y la de su familia, así como también para proteger el dinero de beneficios del Fondo.

Cuando se trata de pruebas y tratamientos médicos, más no siempre es mejor; de hecho, muchos procedimientos, pruebas y medicamentos prescritos habitualmente en las últimas décadas se han utilizado con frecuencia en exceso, de forma innecesaria y, en algunos casos, de manera perjudicial. Por ese motivo su Fondo de Beneficios lo ayuda a acceder a información de Consumer

Reports y la ABIM Foundation a través de Consumer Health Choices, siendo ambas fuentes de confianza de análisis e información expertos para ayudarlo a tomar decisiones sensatas respecto de la atención de la salud para usted mismo y su familia. Solo tiene que visitar www.1199SEIUBenefits.org y hacer clic en el icono de “Consumer Reports” para encontrar listas de pruebas y procedimientos que pueden usarse en exceso, preguntas que puede hacerle a su médico, y folletos y videos que explican la atención adecuada recomendada por sociedades médicas especializadas.

Es una forma rápida y útil de convertirse en un paciente con más conocimientos antes de visitar a su médico.

Membership Advantages

Our 24-Hour Nurse Helpline Is There When You Need It

You can call the same number to talk to a personal health coach who can help you quit smoking or lose weight. To help you stop smoking, your coach will work with you to develop a specific plan and set achievable goals. If you’re trying to lose weight, your coach will show you how to eat healthier foods without feeling deprived – and reduce your risk of health problems, such as Type 2 diabetes, high cholesterol, high blood pressure and heart disease. So make sure you use the tools available to you: Call our Nurse Helpline today at (866) 935-1199 and get the answers and the support you need to succeed!

Our Prenatal Workshop Can Help Ensure You Have a Healthy Pregnancy Join other expectant parents at our Wellness Department’s next Prenatal workshop on September 27, where you’ll get important information about how to stay healthy during pregnancy and after your child is born, how to prepare for your due date and what to expect during labor and delivery. Whether it’s your first child or your third, you’ll also learn how to have a healthy pregnancy with fewer complications.

Partners are welcome!

What:

Prenatal workshop

When:

Saturday, September 27, 2014 10:00 am to 2:30 pm

Where: 330 West 42nd Street, 33rd Floor (Penthouse) To reserve your spot, please call (646) 473-8960, Option 2, Option 2. If you are unable to attend the workshop in person, please call us at (646) 473-8962 for information about attending by WebEx via your computer.

Provided by Worksite Medical Services, P.C.

20

www.1199SEIUBenefits.org

FOR YOUR BENEFIT

17

Healthy News You Can Use

If you have Type 2 diabetes, you can reduce your chances of having a heart attack or stroke by adopting just three or four healthy behaviors, according to a recent study in Diabetes Care.

Whether it’s getting more regular exercise, quitting tobacco, taking prescribed medications or cutting back on fat and calories in your diet, it makes a difference. In fact, making these changes could be as helpful as taking medication in preventing heart problems. Researchers found that the more positive behavior changes people with diabetes made in the first year after diagnosis, the lower their risk of having heart problems. A few small changes NOW n LIKE WALKING FOR MINUTES THREE TIMES A week or eating more fruits and vegetables – can bring huge benefits down the road.

Real Food (Even Butter) Is Best A recent study out of Cambridge University has found no evidence that saturated fat, found in animal and dairy products like butter and red meat, increases our risk of heart disease. Turns out the real culprits are sugar and processed foods. While the research doesn’t give us the “green light� to overeat foods containing saturated fats, experts suggest we focus on eating more “real� foods like lean protein, nuts, olive oil, high-fiber grains and fish. If you’re not sure about a particular food, check the nutrition label – if there’s a long list of ingredients, chances are it’s a processed food that should be eaten in moderation.

16

PrĂłximamente este otoĂąo: Nueva OpciĂłn de Beneficios AyudarĂĄ a los Jubilados a Obtener lo MĂĄximo de la Cobertura del Fondo y los Intercambios MĂŠdicos

Add Three or Four Healthy Behaviors to Reduce Diabetes Heart Risk

www.1199SEIUBenefits.org

Live Longer with Seven Servings of Fruit and Vegetables a Day Summer is the perfect season to add more fruits and vegetables to your diet. But how many servings should you aim for? New research in the Journal of Epidemiology & Community Health found that eating seven portions of fruit and vegetables daily can reduce your risk of dying by 42 percent.

Seven servings of produce can also cut the risk of death from cancer by 25 percent – and from heart DISEASE BY PERCENT 7HILE VEGETABLES SHOWED THE strongest effect, fruit is also helpful. If seven portions a day seem like a lot, start by adding one or two servings, like broccoli (about five florets) or a small apple, to your diet.You’ll still get significant benefits that could add years to your life.

Si tiene al menos 55 aĂąos de edad y 10 aĂąos de servicio en una instituciĂłn o centro de 1199SEIU, es posible que estĂŠ pensando en jubilarse anticipadamente. Si es asĂ­, probablemente sepa que su Fondo brinda un beneficio limitado para esos jubilados anticipados, que cubre cuidado de la vista y medicamentos con receta. Ahora, con la Ley de Cuidado de Salud a Bajo Precio (ACA, por sus siglas en inglĂŠs), puede adquirir cobertura integral en uno de los intercambios de seguros mĂŠdicos establecidos en virtud de la ACA. Para ayudar a nuestros jubilados anticipados a obtener lo mĂĄximo de su cobertura de 1199SEIU y aprovechar todos los beneficios que ofrece el Mercado MĂŠdico, los Administradores han cambiado el plan para ofrecer un nuevo paquete de beneficios llamado Dental Plus Plan. Este plan estĂĄ diseĂąado para complementar la cobertura mĂŠdica que obtenga a travĂŠs del Mercado o reciba a travĂŠs de su cĂłnyuge u otro empleo. El nuevo Dental Plus Plan se inicia este otoĂąo y es un paquete que incluye un beneficio dental, un plan de indemnizaciĂłn por hospitalizaciĂłn y un beneficio de visiĂłn.

Esto es lo que ofrece el Dental Plus Plan: s 5N BENElCIO DENTAL POR UN MÉXIMO DE AL AĂ—O s 5N PLAN DE hINDEMNIZACIĂ˜N POR HOSPITALIZACIĂ˜Nv QUE paga $200 al dĂ­a, durante un mĂĄximo de 10 dĂ­as de estadĂ­a en el hospital s 5N BENElCIO DE VISIĂ˜N QUE PERMITE UN PAR DE ANTEOJOS O lentes de contacto una vez cada dos aĂąos Con el Dental Plus Plan, los jubilados anticipados no solo podrĂĄn adquirir cobertura integral a travĂŠs del Mercado y podrĂĄn incluso calificar para un subsidio para ayudar a pagar la prima, sino que tambiĂŠn podrĂĄn acceder a cobertura dental del Fondo, sin ningĂşn costo. (Los beneficios dentales no se subvencionan en el Mercado). Sin embargo, cualquier jubilado anticipado que forme parte del plan original de medicamentos con receta y cuidado de la vista tendrĂĄ una Ăşnica opciĂłn de cambiar a dicho paquete de beneficios. Por tanto, si estĂĄ pensando en jubilarse anticipadamente y tiene preguntas sobre el nuevo plan, comunĂ­quese con uno de nuestros Representantes de Servicios PARA *UBILADOS LLAMANDO AL O

Antes de Jubilarse: MĂĄs InformaciĂłn sobre Sus Opciones en el Mercado de Seguros MĂŠdicos Puede obtener mĂĄs informaciĂłn y elegir un plan visitando www.nystateofhealth.org o llamando al (855) 355-5777 en Nueva York; si necesita ayuda con la inscripciĂłn, comunĂ­quese con la Sociedad de Servicios Comunitarios (CSS, por sus siglas en inglĂŠs) llamando al (888) 614-5400 o envĂ­eles un mensaje de correo electrĂłnico a enroll@cssny.org para acordar una cita. Si no vive en el Estado de Nueva York, visite www.HealthCare.gov o llame al (800) 318-2596 para elegir un plan en su estado.

Sources: Diabetes Care; Journal of Epidemiology & Community Health; Annals of Internal Medicine

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MantĂŠngase Actualizado con Nuestra Nueva Lista de Medicamentos Preferidos Con la continua introducciĂłn de nuevos medicamentos y genĂŠricos en el mercado, los farmacĂŠuticos y mĂŠdicos de nuestro Fondo se aseguran de que nuestra Lista de Medicamentos Preferidos (PDL, por sus siglas en inglĂŠs) estĂŠ siempre actualizada. Los cambios mĂĄs recientes a la PDL entraron en vigencia el 1 de marzo de 2014. Siempre que su mĂŠdico prescribe un medicamento genĂŠrico o un medicamento de marca preferido de la PDL, usted no paga nada de su bolsillo. Sin embargo, si usted recibe un medicamento de marca no preferido cuando estĂĄ disponible un medicamento preferido, debe pagar la diferencia entre el precio del medicamento preferido y el no preferido, que puede ser una cantidad elevada.

Siempre que su mĂŠdico prescribe un medicamento genĂŠrico o un medicamento de marca preferido de la PDL, usted no paga nada de su bolsillo.

Para evitar gastos innecesarios que deba pagar de su bolsillo, puede revisar la nueva PDL en www.1199SEIUBenefits.org. Y asegĂşrese de llevar con usted una copia de la PDL vigente a todas sus citas con el mĂŠdico, para poder comprobar si su medicamento se cubre por completo. Para obtener mĂĄs informaciĂłn, comunĂ­quese con nuestro Departamento de Servicios para los -IEMBROS LLAMANDO AL

MantĂŠngase al DĂ­a de lo que estĂĄ Ocurriendo en los Fondos por Facebook 3I USTED ES UNO DE LOS MÉS DE MIEMBROS QUE PUSIERON h-E GUSTAv EN NUESTRA PÉGINA DE &ACEBOOK YA SABE que es una magnĂ­fica forma de mantenerse actualizado sobre las Ăşltimas noticias sobre beneficios y pensiĂłn, ferias de salud, talleres, consejos de bienestar, y mucho mĂĄs.Y si aĂşn no lo ha hecho, Âżpor quĂŠ no ver lo que se ha estado perdiendo? Siempre estamos agregando contenidos nuevos, por ello debe visitar www.facebook.com/1199SEIUBenefitFunds (o utilizar su smartphone para escanear el cĂłdigo QR que se encuentra a la derecha) y ponerse al dĂ­a sobre las Ăşltimas noticias de los Fondos de Beneficios y Pensiones. Comparta la pĂĄgina con sus compaĂąeros miembros, dĂŠjenos saber lo que le gustarĂ­a ver en publicaciones futuras y sobre todo, regrese con frecuencia, estamos seguros de que encontrarĂĄ mucho para marcar “Me gustaâ€?.

The Workout:

BIKING

Whether you’re riding along scenic park trails or just around your neighborhood, biking can be a relaxing, fun and efficient exercise. It’s a great cardiovascular workout that offers many benefits, including muscle strengthening, increasing your metabolism to burn fat and improving coordination.

The Plan When starting a cycling workout, it’s important to build your leg strength and lung capacity. Start with a goal of a few miles, and ride several times a week to build your fitness level. Carry a water bottle to stay hydrated, and listen to your body.

There’s a growing number of safe bike routes in New York City to choose from, and the Department of Transportation offers detailed maps on protected bike paths and bike lanes throughout the five boroughs.You can order your own map by CALLING OR VISITING WWW NYC GOV HTML DOT HTML BICYCLISTS BIKEMAPS SHTML

The Workout:

TAI CHI

Tai Chi is a centuries-old Chinese practice that calms the mind and strengthens the body with slow, gentle movements. Tai Chi is sometimes called “meditation in motion� because it blends traditions of meditation and martial arts that are believed to improve the flow of energy within the body. Health benefits include stress reduction, improved flexibility, balance, coordination and strength. It may also improve heart function and lower blood pressure.

The Plan To get started, you’ll probably want to take a few classes to learn the movements or postures. Tai Chi is usually done in a group and often takes place outdoors in a park. Fortunately, there are many classes throughout the tri-state area. To find Tai Chi classes and events in local parks throughout the five boroughs, visit www.nycgovparks.org/programs/recreation/shape-up-nyc.

The Workout:

PARK-BENCH STRENGTH TRAINING

Who needs a gym when you can use a park bench and your own body weight to get a total-body workout? Many resistance moves can be done with the help of an ordinary park bench, including those typically done on a workout bench at the gym – plus you get to do them in the great outdoors.

Summer Workout

Safety Tips For safe, stress-free summer workouts, follow these tips:

Get in gear: Whether it’s wearing protective gear like a bike helmet, swim goggles and a swim cap, or getting fitted for a propersize bike, your workouts will be safer – and more enjoyable – if you have the right equipment. If you’re a beginner, or just don’t like to fuss with much equipment, consider a walking program – all you’ll need to start is a good pair of walking shoes.

Shade yourself from the sun: Always wear sunscreen with an SPF of 15 or higher, a hat and sunglasses that block UVA and UVB rays. Plan to exercise during the early morning or evening so you’re not outside during peak sunshine hours when temperatures are hottest.

Don’t leave home without water: Make sure you bring a bottle of water with you on workouts to stay hydrated and avoid muscle cramping or heatrelated illness. Drink water before working out and about 6 to 8 ounces of water every 15 minutes during the activity.

Sources: U.S. Department of Health and Human Services; Mayo Clinic

Find a class in NYC:

To find swimming lessons or recreation centers throughout the five boroughs of The Plan New York City, visit the city’s Department With nothing more than your favorite bench in a local park, you can do triceps of Parks & Recreation website at dips, step-ups, push-ups and more. A bench is also great for doing a variety of www.BeFitNYC.org. To search for free fitness classes across the city, go to stretches.You can get started at any local park – check out the Fort Tryon Park www.nycgovparks.org/programs/ Trust website at www.forttryonparktrust.org/fitness.html for a full description For locations, times and dates for the free tax preparation events at the Food Bank For New York City and recreation/shape-up-nyc. of park-bench exercises.

Ariva sites, ask your Outreach Coordinator for a list or visit our website, www.1199SEIUBenefits.org.

Sources: Centers for Disease Control and Prevention;WebMD; UBC Medical Journal; Harvard Women’s Health Watch; American Council on Exercise

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Healthy Fitness

CoordinaciĂłn de Su AtenciĂłn (ÂĄAhora Disponible en Montefiore!)

Warm-Weather

Workouts

If you want to shake up your exercise routine – or just start one – summer is a great time to try something new.

We’ve got five workouts that will get you moving and help fight boredom. Stick with a favorite, or mix them up to keep things interesting, which has the added benefit of working different muscle groups. Plus, exercising outdoors can enhance the mood boost that working out already provides. Of course, check with your doctor before you begin any exercise routine.

The Workout:

The Workout:

WALKING

SWIMMING

The most popular activity in the U.S., walking is a low-cost activity, doesn’t require special clothes or equipment (just a good pair of walking shoes) and can be done almost anywhere by just about anyone. Walking provides a long list of benefits: it lowers your risk of high blood pressure, heart disease, obesity and diabetes; strengthens your bones; and tones your muscles.

The Plan A good walking workout should have three parts: a warm-up (walking slowly for about five minutes), a brisk walk (walking at a pace of about three miles per hour or faster) and a cool-down (walking slowly for about five minutes to let your heart rate and blood pressure gradually return to normal). Aim for MINUTES OF WALKING lVE DAYS A WEEK FOR A TOTAL OF MINUTES PER WEEK )F IT S HARD TO SCHEDULE THE minutes at one time, split it up into three 10-minute walks instead.

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Swimming is a great choice in the summer because you get your workout done while keeping cool.

Swimming is gentle on joints, so many people exercise longer in water than on land without feeling tired or experiencing joint or muscle pain. And besides being a full-body aerobic activity, swimming can brighten your mood and ease feelings of depression.

The Plan You may not feel it when you’re swimming, but your body is working hard to move against the water’s resistance, so beginners should start slowly. Start with about 10 minutes of swimming, and then work up TO MINUTES )F SWIMMING LAPS ISN T FOR YOU A WATER aerobics class can be a great workout. The YMCA of Greater New York offers a variety of classes – and don’t forget that 1199SEIU members can take advantage of discounted Y memberships. If you can’t swim and want to learn, read the “Summer Workout Safety Tips� on page 15 to find swimming classes throughout the five boroughs of New York City.

La atenciĂłn centrada en el paciente constituye la “esenciaâ€? de una de las iniciativas de la Ley de Cuidado de Salud a Bajo Precio. Las Organizaciones Responsables de la AtenciĂłn estĂĄn recibiendo mucha atenciĂłn por parte de Medicare y otros pagadores por su compromiso de coordinar la atenciĂłn de sus pacientes para ayudarles a estar y mantenerse saludables.

Actualmente, el Fondo de Beneficios se ha asociado con el Sindicato y el Montefiore Medical Center para lanzar el nuevo 1199SEIU Montefiore Coordinated Care Program.

A partir del 1 de julio de 2014, todos los miembros del 1199SEIU y sus dependientes elegibles que reciban la mayor parte de sus servicios de atenciĂłn de la salud de proveedores afiliados con Montefiore estarĂĄn cubiertos por el programa. A travĂŠs de la atenciĂłn coordinada, sus proveedores trabajarĂĄn juntos de una forma mĂĄs estrecha para ayudarle a asegurarse de recibir la atenciĂłn que necesita cuando la necesita, reducir las posibilidades de duplicar pruebas y reducir el riesgo de errores mĂŠdicos.Y si estĂĄ controlando una afecciĂłn crĂłnica o recuperĂĄndose de una enfermedad grave, o ha estado en el hospital, tendrĂĄ acceso a un equipo de gestiĂłn compuesto por enfermeros, trabajadores sociales, farmacĂŠuticos y educadores mĂŠdicos que pueden ayudarlo a crear un plan mĂŠdico personalizado. Esperamos poder ofrecer esto a mĂĄs miembros de 1199SEIU a medida que las oportunidades estĂŠn disponibles.

ÂĄSus Esfuerzos Ayudaron a Su Fondo de Beneficios a Ahorrar $1,500 Millones en 10 AĂąos!

Como miembro de 1199SEIU, usted disfruta de beneficios mĂŠdicos de calidad con menos costos de bolsillo que la mayorĂ­a de los trabajadores en la actualidad, pero no podrĂ­amos brindar una cobertura tan generosa sin su compromiso de seguir las medidas de contenciĂłn de costos y de calidad del Fondo de Beneficios. Al cumplir las normas del plan, incluidos el uso de proveedores que estĂŠn dentro de nuestra red, el surtido de los medicamentos a largo plazo con The 90-Day Rx Solution y el uso de medicamentos genĂŠricos siempre que sea posible, se espera que sus esfuerzos nos ayuden a reducir el costo de brindar beneficios en mĂĄs de $1,500 millones, o un 17 por ciento, desde que los negociadores colectivos introdujeron por primera vez iniciativas de contenciĂłn de costos en el contrato de 2004. Los ahorros son una parte esencial de la forma en que protegemos sus beneficios integrales, pero no serĂ­an posibles sin su cooperaciĂłn.

Si tiene preguntas sobre los tĂŠrminos de su cobertura de salud, la descripciĂłn completa de su plan estĂĄ disponible en www.1199SEIUBenefits.org, o puede llamar a uno de nuestros 2EPRESENTANTES DE 3ERVICIOS A LOS -IEMBROS AL

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Perfil del Miembro

Helen Duncan y Karleen Moncreif Una feria de salud en las instalaciones organizada por nuestro Departamento de Bienestar y el Programa de Asistencia a los Miembros brindĂł el llamado de atenciĂłn que estas compaĂąeras de trabajo necesitaban para realizar cambios en su estilo de vida, perder peso y mejorar su salud.

Helen Duncan y Karleen Moncreif, compaĂąeras de trabajo y amigas desde hace tiempo, tomaron la decisiĂłn de mejorar su salud en una feria de salud del Fondo de Beneficios del Gran Nueva York a la que asistieron en su lugar de trabajo, el Kingsbridge Heights Rehabilitation and Care Center, a finales de 2012. Helen, una Enfermera Auxiliar Diplomada (LPN, por sus siglas en inglĂŠs), querĂ­a perder peso y no recuperarlo, y mantener su presiĂłn arterial alta bajo control. Karleen, una Asistente de EnfermerĂ­a Certificada (CNA, por sus siglas en inglĂŠs), se inspirĂł en la feria de salud para ayudar a organizar actividades de bienestar en Kingsbridge y renovar su compromiso de conservar sus hĂĄbitos saludables y mantener su diabetes tipo 2 bajo control.

Helen, una LPN durante los Ăşltimos 25 aĂąos, siempre estĂĄ dispuesta a ofrecer sugerencias para una mejor salud a cualquier residente de Kingsbridge que pueda estar luchando con problemas de peso o experimentando dificultades para respirar. Aunque, con frecuencia, no sigue sus propios consejos. Por eso, cuando se enterĂł en la feria de salud de que su presiĂłn arterial era alta, decidiĂł hacer algo al respecto.

Se reuniĂł con un enfermero del Departamento de Bienestar durante una sesiĂłn de seguimiento, y fue allĂ­ donde, por fin, se dio cuenta del impacto de su presiĂłn arterial alta. “El enfermero me dijo que si no perdĂ­a peso, tenĂ­a muchas mĂĄs posibilidades de tener una enfermedad cardĂ­aca o un accidente cerebrovascular, sin mencionar que mi calidad de vida seguirĂ­a resintiĂŠndoseâ€?, comentĂł Helen.

Helen, que pesaba casi 250 libras en esa ĂŠpoca, comenzĂł a hacer pequeĂąos cambios por sĂ­ misma, pero luego se enterĂł de una interesante nueva oportunidad en Kingsbridge: Karleen estaba reclutando a compaĂąeros de trabajo para participar en un concurso PARA PERDER PESO QUE COMENZĂ˜ EN MARZO DE !L contar con $2,000 de la Iniciativa de Bienestar en el

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Trabajo del Fondo de Beneficios del Gran Nueva York, Kingsbridge usĂł el dinero para ofrecer premios en efectivo a los ganadores del concurso. “Me pareciĂł que el concurso serĂ­a una forma estupenda de ayudarme a mantener mi objetivoâ€?, comentĂł Helen. Para Karleen, ayudar a organizar el concurso fue una propuesta beneficiosa en sĂ­ misma, independientemente de si ganaba parte del dinero o no. Le ayudarĂ­a a seguir mejorando su salud y le brindarĂ­a una oportunidad ideal para compartir con sus compaĂąeros de trabajo la forma en que pudo mantener bajo control su diabetes tipo 2. “Tengo antecedentes familiares de diabetes y me la diagnosticaron hace dos aĂąosâ€?, comentĂł Karleen. “Pero comiendo mĂĄs sano, tomando mis medicamentos y haciendo ejercicio todos los dĂ­as, mi nivel de azĂşcar en sangre se mantiene dentro del rengo saludable. E incluso bajĂŠ de una talla 14 a una talla 10â€?.

Top 10 Snacks of the Season Any time you need a snack, reach for one of these healthful, low-calorie hunger stoppers. They also provide a nutritional bonus of Vitamins A and C.

Fruit/Vegetable

Portion Size

Strawberries Watermelon Cantaloupe Honeydew Melon Tomato Broccoli Summer Squash Carrots Bell Pepper Cauliflower

8 medium 2 cups diced 1/ medium 4 1/ medium 10 1 medium 1 medium stalk ½ medium 1 medium 1 medium 1/ medium head 6

Calories 50 80 50 50 25 45 20 30 25 25

% DV * 160% Vitamin C 30% Vitamin A 80% Vitamin C 45% Vitamin C 40% Vitamin C 220% Vitamin C 30% Vitamin C 110% Vitamin A 190% Vitamin C 100% Vitamin C

* Percent Daily Value: percent of a nutrient provided by a serving of food (based on a 2,000-calorie diet).

Source: United States Department of Agriculture

Alentada por su propio ĂŠxito, Karleen y otros compaĂąeros de trabajo y amigos apoyaron a Helen cuando comenzĂł a realizar cambios que podĂ­a mantener, como aĂąadir mĂĄs verduras y frutas a su dieta

ÂżTiene una historia saludable que compartir?

Siempre estamos buscando la oportunidad de destacar a los miembros que protegen su salud perdiendo peso, dejando de fumar, manteniendo bajo control una enfermedad crĂłnica o simplemente mejorando su estilo de vida en general. Si usted ha implementado cambios positivos en su salud, o si reciĂŠn lo estĂĄ comenzando a hacer, ÂĄqueremos tener noticias suyas! Para compartir su historia con sus compaĂąeros miembros en un nĂşmero futuro de Para su Beneficio, contacte al Fondo en: Communications@1199Funds.org.

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Healthy Eating

Serve Up Summer’s Best With so much delicious fresh produce in season, summer offers many opportunities to make healthier eating choices – from shopping at your local fruit and vegetable stand or neighborhood farmers market for locally grown foods to grilling vegetable kebabs and sweet corn for simple, healthy side dishes. Shopping for foods that are in season can even save money, so read our tips on how to summer-ize your menu.

Buy what’s in season: Always try to have the freshest produce of the season on hand. Summer fruits like strawberries, cherries, melons and plums make great low-calorie thirst quenchers. And vegetables like broccoli, cauliflower, green beans, tomatoes, summer squash and corn can be added to lean meat main courses or stand on their own.

Use flavor-friendly cooking methods: To enhance flavors while preserving nutrients, try grilling or roasting vegetables like carrots, eggplant, squash and peppers. Prep is simple – wash and cut your veggies, lightly brush with heart-healthy olive oil, sprinkle with herbs and grill.

Make it a family affair: Plan a trip to local markets. Many farmers markets also sell fish, poultry and farm-raised lean meats. Ask what’s the freshest, pair it with whatever veggies look best and then experiment with some new recipes while cooking with your family.

Pack snacks for eating on the go: For many of us, summer means vacation time, so when traveling, make sure you pack healthy snacks and meals for you and your family. Fruits, vegetables, lowfat cheese, nuts and whole grains like wheat crackers, maintain their freshness in the heat. Pack a small cooler with these foods, and you’ll be less likely to stop at fast-food restaurants when you’re hungry.

Sources: United States Department of Agriculture; National Heart, Lung and Blood Institute

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De izquierda: Taramati Khemnauth, Helen Duncan, Samuel Colon, Karleen Moncreif y Christine Wattley

Helen Duncan y Karleen Moncreif, compañeras de trabajo y amigas desde hace tiempo, tomaron la decisión de mejorar su salud en una feria de salud del Fondo de Beneficios del Gran Nueva York a la que asistieron en su lugar de trabajo, el Kingsbridge Heights Rehabilitation and Care Center, a finales de 2012. y eliminar las empanadas fritas, la comida basura y otras elecciones poco saludables. Helen también empezó a caminar cerca de Kingsbridge todas las noches entre las 7:00 p. m. y las 8:00 p. m., su “descanso para el almuerzo” como trabajadora del segundo turno. En solo unos meses, comenzó a notar que la ropa le quedaba mejor, tenía más energía y, sobre todo, la horrorosa sensación de esforzarse por respirar había desaparecido. “Estos días, puedo caminar, al menos, el doble de distancia en una hora de lo que podía caminar cuando empecé y no me quedo nunca sin aliento”, comentó.

por ciento y un 4 por ciento de su peso corporal y se llevaron a casa premios en efectivo: Samuel Colon, $400; Christine Wattley, $300; Rahsaan Graves, $200; y Taramati Khemnauth, $100.

Al final del concurso para perder peso de un año de duración, Helen había perdido un 9.5 por ciento de su peso corporal, y un total de 46 libras hasta la fecha, y el 19 de marzo de 2014 recibió el primer premio de $1,000. Otros cuatro miembros completaron los cinco primeros puestos, perdieron entre un 7

Con su presión arterial de nuevo en el rango normal, Helen espera perder otras 20 libras, pero su éxito ya ha impresionado a su familia. “Me hace sentir orgullosa saber que estoy dando un buen ejemplo a mi hijo y a mis tres nietos”, comentó. “También espero que inspire a mi hijo a perder algo de peso”.

Karleen estaba muy feliz por su amiga. Las dos se han seguido apoyando la una a la otra, asistiendo incluso a una clase semanal de Zumba en el centro tan a menudo como pueden. “Conozco a Helen desde hace tiempo, y es fantástico verla recuperar el peso que tenía cuando nos conocimos”, comentó Karleen. “Me siento muy orgullosa de ella”.

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Vida Saludable

Mitos Sobre la Diabetes que Podrían Ser Peligrosos para Su Salud Para más de 29 millones de personas en los EE. UU., es decir, el 9.2 por ciento de la población, la diabetes tipo 2 forma parte de su realidad habitual. ¿Pero sabía que más del 14 por ciento de los miembros de 1199SEIU tiene diabetes? Eso representa aproximadamente dos tercios más que la tasa nacional de diabetes y muchos de nosotros ni siquiera sabemos que tenemos la enfermedad.

Más del 14 por ciento de los miembros de 1199SEIU tiene diabetes.

La diabetes tipo 2, un trastorno metabólico en el que el organismo no puede producir suficiente insulina o no puede usarla adecuadamente, ha tenido una gran presencia en las noticias últimamente, dado que cada vez más personas reciben ese diagnóstico. Un estudio reciente de la Johns Hopkins Bloomberg School of Public Health demostró que la tasa se había casi duplicado desde finales de la década de 1980 y principios de la década de 1990. Sin embargo, sigue existiendo mucha información incorrecta en torno a la enfermedad, que contribuye a que se produzcan más de 230,000 fallecimientos al año.

Fuentes: American Diabetes Association; Medline Plus; WebMD; Consumer Reports; Centers for Disease Control and Prevention; Healthline

¿Está Usted en Situación de Riesgo?

Diagnosticar y tratar la diabetes en una etapa temprana puede reducir el riesgo de un ataque al corazón, accidente cerebrovascular, enfermedad renal y otras complicaciones graves de la enfermedad. Consulte a su médico si experimenta los siguientes síntomas de la diabetes: s 3ENTIRSE HAMBRIENTO ESPECIALMENTE

después de comer s 3ENTIRSE SEDIENTO s 3ENTIRSE EXTREMADAMENTE CANSADO s /RINAR CON FRECUENCIA ESPECIALMENTE POR la noche s 0ERDER PESO SIN MOTIVO s %XPERIMENTAR VISIØN BORROSA s 4ENER CORTES O HEMATOMAS QUE DEMORAN en sanarse s (ORMIGUEO DOLOR O ADORMECIMIENTO DE las manos o los pies Los síntomas de la diabetes tipo 2 aparecen lentamente y algunas personas no experimentan ningún síntoma, por lo que si tiene factores de riesgo como antecedentes familiares o presión arterial elevada, debe consultar con su médico para averiguar si necesita realizarse un análisis de sangre para saber si tiene diabetes.

También puede llamar a la Línea de Ayuda de Enfermería de 1199SEIU disponible las 24 horas al (866) 935-1199 si tiene alguna pregunta sobre estos síntomas.

To protect ourselves, we need to know the facts. Here are some of the most common misunderstandings about diabetes:

Myth

People with diabetes have to eat special foods.

Reality Often, foods that are sold as “diabetic” or “dietetic” are not healthier – and they often cost more than other foods. If you have diabetes or are at risk for the disease, you should follow the same healthy eating tips as everyone else. Doctors recommend a diet high in fruits, vegetables, whole grains, lean protein, low-fat dairy and healthy fats like olive oil.

Myth

People with diabetes should limit their physical activity.

Reality Exercise actually helps people manage their diabetes: it can keep blood sugar levels under control, help prevent weight gain, lower blood pressure and maintain good cholesterol levels. In fact, according to a recent University of Cambridge study, exercise may even help people with

www.1199SEIUBenefits.org

Myth

Once you have Type 2 diabetes, it can only get worse.

Reality Type 2 diabetes can be treated – and managed – by adopting healthier habits. Losing weight, exercising, eating more healthfully and being more active overall can help control your symptoms and prevent you from developing serious complications like heart attack and stroke. Don’t believe us?

A Consumer Reports survey found that people with diabetes who made positive lifestyle changes had significantly fewer complications – and 40 percent of the people who made those changes reported no diabetes complications at all.

Don’t Miss Our Diabetes Prevention and Management Workshop!

Join us on Saturday, July 19, for our Diabetes Prevention and Management workshop, where a certified diabetes educator will teach you how to prevent and manage the condition. A registered dietitian will also offer tips to create better eating habits and share healthy recipes and meal plans.

Plus, you’ll learn practical tips for handling everyday stress at our Stress Management workshop. The day will end with a fun Pilates class for all ages and experience levels, so remember to wear comfortable clothes – and bring the whole family!

Everyone who attends the workshop will receive a gift, and members who have diabetes will receive free glucometers.

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diabetes lower their risk for heart problems by more than 50 percent. But sometimes working out can lower blood sugar too much. To avoid this, don’t work out on an empty stomach and carry a snack recommended by your doctor that can help bring your blood sugar back up if you start to feel weak or light-headed. Of course, be sure to talk to your doctor before you start an exercise program or increase the amount of exercise you do.

Saturday, July 19 What: Diabetes Prevention and Management workshop When: Saturday, July 19, 2014 Registration begins at 10:00 am Workshops are 10:30 am to 1:45 pm Where: 330 West 42nd Street, 33rd Floor (Penthouse) Reserve your spot by calling (646) 473-8960, Option 2, Option 1.

Provided by Worksite Medical Services, P.C.

FOR YOUR BENEFIT

11

Healthy Living

Diabetes Myths

that Could Be Hazardous to Your Health For more than 26 million people in the U.S. – 9.2 percent of the population – Type 2 diabetes is a fact of life. But did you know that more than 14 percent of 1199SEIU members have diabetes?

That’s about two-thirds more than the national diabetes rate, and many of us don’t even know we have the disease.

More than 14 percent of 1199SEIU members have diabetes.

Type 2 diabetes, a metabolic disorder in which the body either can’t produce enough insulin or can’t use it properly, has been in the news a lot lately, as more and more people are being diagnosed. A recent study from the Johns Hopkins Bloomberg School of Public Health showed that the rate has NEARLY DOUBLED SINCE THE LATE S AND EARLY S 9ET there is still a lot of misinformation surrounding the disease, which contributes to more than

DEATHS A YEAR Sources: American Diabetes Association; Medline Plus; WebMD; Consumer Reports, Centers for Disease Control and Prevention; Harvard School of Public Health; National Institutes of Health; Medscape

Are You at Risk?

Diagnosing and treating diabetes early on can decrease the risk of heart attack, stroke, kidney disease and other serious complications from the disease. So see your doctor if you’re experiencing the following diabetes symptoms: s s s s s s s s

&EELING HUNGRY n ESPECIALLY AFTER EATING &EELING THIRSTY &EELING EXTREMELY TIRED 5RINATING OFTEN n ESPECIALLY AT NIGHT ,OSING WEIGHT WITHOUT TRYING %XPERIENCING BLURRY VISION (AVING CUTS OR BRUISES THAT ARE SLOW TO HEAL 4INGLING PAIN OR NUMBNESS IN YOUR HANDS or feet

The symptoms of Type 2 diabetes appear SLOWLY n AND SOME PEOPLE DON T EXPERIENCE ANY SYMPTOMS n SO IF YOU HAVE RISK FACTORS such as a family history or high blood pressure, you should check with your doctor to find out whether you need to get a blood test to see if you have diabetes.

You can also call the 1199SEIU 24-Hour Nurse Helpline at (866) 935-1199 if you have any questions about these symptoms.

Para protegernos, debemos conocer la informaciĂłn. Estas son algunas de las ideas equivocadas mĂĄs comunes sobre la diabetes:

Mito

Las personas con diabetes tiene que comer alimentos especiales.

Realidad Con frecuencia los alimentos que se venden como “para diabĂŠticosâ€? o “dietĂŠticosâ€? no son mĂĄs saludables y a menudo cuestan mĂĄs que otros alimentos. Si tiene diabetes o riesgo de padecerla, debe seguir los mismos consejos de alimentaciĂłn saludable que cualquier otra persona. Los mĂŠdicos recomiendan una dieta rica en frutas, verduras, granos enteros, proteĂ­nas magras, productos lĂĄcteos bajos en grasas y grasas saludables como el aceite de oliva.

www.1199SEIUBenefits.org

Mito

Una vez que se tiene diabetes tipo 2, solo puede empeorar.

Mito

Realidad La diabetes tipo 2 puede tratarse y controlarse mediante la

Realidad El ejercicio realmente ayuda a las personas a controlar su diabetes:

adopciĂłn de hĂĄbitos saludables. Perder peso, hacer ejercicio, comer de forma mĂĄs saludable y ser mĂĄs activo en general puede ayudar a controlar sus sĂ­ntomas y evitar que desarrolle complicaciones graves como ataques al corazĂłn y accidentes cerebrovasculares. ÂżNo nos cree? Una encuesta de Consumer Reports descubriĂł que personas con diabetes que realizaron cambios de estilo de vida positivos tuvieron un nĂşmero significativamente menor de complicaciones y un 40 por ciento de las personas que hicieron esos cambios no informĂł ninguna complicaciĂłn.

Las personas con diabetes deben limitar su actividad fĂ­sica.

puede mantener los niveles de azĂşcar en sangre bajo control, ayudar a evitar subir de peso, reducir la presiĂłn arterial y mantener unos niveles de colesterol adecuados. De hecho, de acuerdo con

ÂĄNo Se Pierda Nuestro Taller de PrevenciĂłn y Control de la Diabetes! Ăšnase a nosotros el sĂĄbado 19 de julio en nuestro taller de PrevenciĂłn y Control de la Diabetes, donde un educador certificado sobre la diabetes nos enseĂąarĂĄ cĂłmo prevenir y controlar la afecciĂłn.

Un dietista certificado tambiĂŠn ofrecerĂĄ consejos para crear mejores hĂĄbitos alimenticios y compartir recetas saludables y planes de comidas. AdemĂĄs, usted aprenderĂĄ consejos prĂĄcticos para controlar el estrĂŠs cotidiano en nuestro taller de Control del EstrĂŠs. El dĂ­a terminarĂĄ con una divertida clase de Pilates para todas las edades y niveles de experiencia, de modo que recuerde llevar ropa cĂłmoda y traer a toda la familia.

Todas las personas que asistan al taller recibirĂĄn un regalo, y los miembros que tienen diabetes recibirĂĄn glucĂłmetros gratuitos.

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un estudio reciente de la Universidad de Cambridge, el ejercicio puede incluso ayudar a las personas con diabetes a reducir su riesgo de sufrir problemas cardĂ­acos en mĂĄs de un 50 por ciento.

Pero, en ocasiones, el ejercicio fĂ­sico puede reducir demasiado el azĂşcar en sangre. Para evitar esto, no realice ejercicio con el estĂłmago vacĂ­o y lleve con usted un refrigerio recomendado por su mĂŠdico que pueda ayudarlo a recuperar su nivel de azĂşcar en sangre si comienza a sentirse dĂŠbil o mareado. Por supuesto, asegĂşrese de hablar con su mĂŠdico antes de iniciar un programa de ejercicios o aumentar la cantidad de ejercicio que hace.

sĂĄbado 19 de julio QuĂŠ: Taller de PrevenciĂłn y Control de la Diabetes CuĂĄndo: SĂĄbado, 19 de julio de 2014 La inscripciĂłn comienza a las 10:00 am Los talleres son de 10:30 am a 1:45 pm DĂłnde: 330 West 42nd Street, Piso 33 (Penthouse) Reserve su lugar llamando al (646) 473-8960, opciĂłn 2, opciĂłn 1.

Ofrecido por Worksite Medical Services, P.C.

PARA SU BENEFICIO

27

Comer Saludable

SĂ­rvase lo Mejor del Verano Con tantos deliciosos productos frescos de temporada, el verano ofrece muchas oportunidades para realizar elecciones saludables de alimentaciĂłn, desde comprar alimentos cultivados de manera local en su mercado de productores del barrio o en su puesto local de frutas y verduras hasta asar a la parrilla kebabs de verduras y maĂ­z dulce para preparar acompaĂąamientos sencillos y saludables. Comprar alimentos de temporada incluso le puede ahorrar dinero, asĂ­ que lea nuestros consejos sobre cĂłmo vestir de verano su menĂş.

Compre lo que estĂŠ de temporada: Trate siempre de conseguir los productos mĂĄs frescos de temporada. Las frutas de verano como las fresas, cerezas, melones y ciruelas son un excelente remedio para la sed con bajo contenido de calorĂ­as. Cualquier verdura como brĂłcoli, coliflor, frijoles verdes, tomates, calabacĂ­n y maĂ­z puede aĂąadirse a platos principales de carne magra o consumirse de forma independiente.

Use mĂŠtodos de cocciĂłn que respeten el sabor: Para potenciar los sabores al tiempo que se conservan los nutrientes, trate de preparar a la parrilla o a las brasas verduras como zanahoria, berenjena, calabacĂ­n y pimiento. La preparaciĂłn es sencilla: lave y corte las verduras, pincĂŠlelas ligeramente con aceite de oliva saludable para el corazĂłn, rocĂ­elas con hierbas y ĂĄselas a la parrilla.

ConviĂŠrtalo en su asunto familiar: Planifique visitas a los mercados locales. Muchos mercados de productores tambiĂŠn venden pescado, pollo y carnes magras de granja. Pregunte cuĂĄl es la mĂĄs fresca, combĂ­nela con las verduras que tengan el mejor aspecto y luego pruebe nuevas recetas mientras cocina con su familia.

Empaquete refrigerios para comer sobre la marcha: Para muchos de nosotros, el verano significa tiempo de vacaciones, de modo que cuando estĂŠ de viaje, asegĂşrese de empaquetar refrigerios y comidas saludables para usted y su familia. Frutas, verduras, queso bajo en grasa, frutos secos y cereales enteros, como galletas saladas de trigo, se mantienen frescos con el calor. Lleve una pequeĂąa nevera con estos alimentos y serĂĄ menos probable que se detenga en restaurantes de comida rĂĄpida cuando tenga hambre.

Fuentes: United States Department of Agriculture; National Heart, Lung and Blood Institute

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www.1199SEIUBenefits.org

From left: Taramati Khemnauth, Helen Duncan, Samuel Colon, Karleen Moncreif and Christine Wattley

Co-workers and longtime friends Helen Duncan and Karleen Moncreif can trace their decision to improve their health back to a Greater New York Benefit Fund health fair they attended at their worksite, Kingsbridge Heights Rehabilitation and Care Center, in late 2012.

At the end of the yearlong weight-loss competition, Helen had lost 9.5 percent of her body weight – and a total of 46 pounds to date – and on March 19, 2014, she was awarded the first place prize of $1,000. Four other members rounded out the top five, losing between 7 percent and 4 percent of their body weight and taking home cash prizes: Samuel Colon, $400; Christine Wattley, 2AHSAAN 'RAVES AND 4ARAMATI +HEMNAUTH

Karleen couldn’t be happier for her friend. The two have continued to support each other, even taking a weekly Zumba

class at the center as often as they can. “I’ve known Helen a long time, and it’s amazing to see her getting back to the weight she was when we first met,� Karleen said. “I am so proud of her.�

With her blood pressure back in the normal range, Helen hopes to lose another 20 pounds, but her success has already impressed her family. “It makes me proud to know that I’m setting a good example for my son and my three grandchildren,� she said. “I’m also hoping it will inspire my son to lose a little weight, too.�

FOR YOUR BENEFIT

9

Member Profile

Helen Duncan and Karleen Moncreif An onsite health fair hosted by our Wellness Department and Member Assistance Program provided the wake-up call that these co-workers needed to make lifestyle changes, lose weight and improve their health.

Co-workers and longtime friends Helen Duncan and Karleen Moncreif can trace their decision to improve their health back to a Greater New York Benefit Fund health fair they attended at their worksite, Kingsbridge Heights Rehabilitation and Care Center, in late 2012.

Helen, a Licensed Practical Nurse (LPN), wanted to lose weight – and keep it off – and get her high blood pressure under control. Karleen, a Certified Nursing Assistant (CNA), was inspired by the health fair to help organize wellness activities at Kingsbridge and renew her commitment to maintaining healthy habits and keeping her Type 2 diabetes under control.

An LPN for the past 25 years, Helen is always quick to offer suggestions for better health to a Kingsbridge resident who may be struggling with weight issues or experiencing shortness of breath.Yet she often didn’t follow her own advice, so when she learned at the health fair that her blood pressure was high, she was determined to do something about it. She met with a Wellness Department nurse during a followup session, where the full impact of her high blood pressure finally sunk in. “The nurse told me that if I didn’t lose weight, I had a much higher chance of heart disease or stroke, not to mention that my quality of life would continue to suffer,� Helen said.

Nearly 250 pounds at the time, Helen started making small changes on her own, but then she heard about an exciting new opportunity at Kingsbridge: Karleen was recruiting fellow members to take part in a WEIGHT LOSS CONTEST WHICH BEGAN IN -ARCH Awarded $2,000 from the Greater New York Benefit Fund’s Workplace Wellness Initiative, Kingsbridge was using the money to offer cash awards to the contest winners. “I thought the competition would be a good way to help me stick with it,� Helen said. For Karleen, helping to organize the competition was a “win-win� proposition – whether or not she ended up sharing any of the prize money. It would help her continue to improve her health and provide her with an ideal

8

www.1199SEIUBenefits.org

opportunity to share with her co-workers how she was able to get her Type 2 diabetes under control. “I have a family history of diabetes and was diagnosed myself about two years ago,� Karleen said. “But by eating healthier, taking my medication and exercising every day, my blood sugar level is within a healthy range. I’ve even dropped from a size 14 to a size 10.�

Encouraged by her own success, Karleen – and other co-workers and friends – supported Helen as she began making changes she could maintain, like adding more vegetables and fruits to her diet and eliminating fried dumplings, fast food and other unhealthy choices.

Helen also started walking near Kingsbridge every NIGHT BETWEEN PM AND PM HER hLUNCH break� as a second shift worker. In just a few months, she began to notice that her clothes fit better, she had more energy and most of all, the awful feeling of struggling to catch her breath had vanished. “These days, I can walk at least twice as far in an hour than I could when I started – and I never get short of breath,� she said.

Los 10 Refrigerios de Temporada Principales En cualquier momento que necesite un refrigerio, utilice alguno de estos alimentos saludables y bajos en calorĂ­as que calman el hambre. TambiĂŠn brindan un aporte nutritivo de vitaminas A y C.

Fruta/verdura

PorciĂłn TamaĂąo

Fresas SandĂ­a MelĂłn cantalupo MelĂłn rocĂ­o de miel Tomate BrĂłcoli CalabacĂ­n Zanahorias Pimiento dulce Coliflor

8 medianas 2 tazas en trocitos 1/ mediano 4 1/ mediano 10 1 mediano 1 tallo mediano ½ mediano 1 mediana 1 mediano 1/ cabeza mediana 6

CalorĂ­as 50 80 50 50 25 45 20 30 25 25

% VD * 160% vitamina C 30% vitamina A 80% vitamina C 45% vitamina C 40% vitamina C 220% vitamina C 30% vitamina C 110% vitamina A 190% vitamina C 100% vitamina C

* Porcentaje de Valor Diario: el porcentaje de nutrientes que brinda una porciĂłn del alimento que toma (sobre la base de una dieta de 2,000 calorĂ­as).

Fuente: United States Department of Agriculture

Do you have a healthy story to share?

We’re always looking for the opportunity to spotlight members who are protecting their health by losing weight, quitting smoking, bringing a chronic condition under control or just improving their lifestyle in general. If you have made positive changes in your health – or are just starting to – we want to hear from you! To share your story with your fellow members in an upcoming issue of For Your Benefit, please contact the Fund at Communications@1199Funds.org.

PARA SU BENEFICIO

29

Programa de Salud para Mantenerse en Forma

Coordinating Your Care (Now Available at Montefiore!)

Ejercicios para el Tiempo CĂĄlido Si quiere variar su rutina de ejercicios o simplemente empezar una, el verano es una ĂŠpoca fantĂĄstica para probar algo nuevo. Le ofrecemos cinco ejercicios que lo mantendrĂĄn en movimiento y le ayudarĂĄn a combatir el aburrimiento. Realice uno de sus ejercicios favoritos o combĂ­nelos para que la cosa sea interesante, lo que tiene el beneficio aĂąadido de trabajar diferentes grupos de mĂşsculos. AdemĂĄs, hacer ejercicio en el exterior puede mejorar el estĂ­mulo para el estado de ĂĄnimo que el ejercicio brinda por sĂ­ mismo. Por supuesto, consulte con su mĂŠdico antes de comenzar cualquier rutina de ejercicios.

El Ejercicio:

El Ejercicio:

CAMINAR

NADAR

Caminar, que es la actividad mĂĄs popular en los EE. UU., es una actividad de bajo costo, que no requiere vestimenta ni equipos especiales (solo un par de buenos zapatos para caminar) y que casi cualquier persona puede hacer en casi cualquier parte. Caminar brinda una larga lista de beneficios: reduce su riesgo de presiĂłn arterial alta, enfermedad cardĂ­aca, obesidad y diabetes, fortalece sus huesos, y tonifica sus mĂşsculos.

El Plan

Un buen plan de ejercicio para caminar debe contar con tres partes: un calentamiento (caminar lentamente durante unos cinco minutos), una marcha enĂŠrgica (caminar a un ritmo de tres millas por hora o mĂĄs rĂĄpido) y un enfriamiento (caminar lentamente durante unos cinco minutos para permitir que su ritmo cardĂ­aco y su presiĂłn arterial vuelvan gradualmente a los valores normales). Trate DE CAMINAR DURANTE MINUTOS CINCO DĂ“AS A LA semana, para un total de 150 minutos por semana.

3I LE RESULTA COMPLICADO PROGRAMAR LOS MINUTOS seguidos, divĂ­dalos en tres caminatas de 10 minutos.

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www.1199SEIUBenefits.org

Nadar es una excelente opciĂłn en verano porque hace ejercicio mientras se refresca. Nadar es un ejercicio suave para las articulaciones, por lo que mucha gente hace ejercicio durante mĂĄs tiempo en el agua que en tierra sin sentirse cansada o experimentar dolor articular o muscular.Y, ademĂĄs, al tratarse de una actividad aerĂłbica para todo el cuerpo, nadar puede mejorar su estado de ĂĄnimo y aliviar los sentimientos de depresiĂłn.

El Plan

Puede que no lo sienta mientras nada, pero su cuerpo estĂĄ trabajando duramente para moverse venciendo la resistencia del agua, de modo que los principiantes deben empezar lentamente. Empiece con unos 10 minutos DE NATACIĂ˜N Y LUEGO AUMENTE HASTA MINUTOS 3I NADAR largos de la piscina no es para usted, una clase de aerobic en el agua puede ser un excelente ejercicio. El YMCA del Gran Nueva York ofrece una amplia variedad de clases y no se olvide de que los miembros de 1199SEIU pueden aprovechar membresĂ­as con descuentos. Si no puede nadar y desea aprender, lea los “Consejos de Seguridad para Hacer Ejercicio en Veranoâ€? en la PÉGINA PARA ENCONTRAR CLASES DE NATACIĂ˜N EN LOS cinco distritos de la Ciudad de Nueva York.

Patient-centered care is at the “center� of one of the Affordable Care Act’s initiatives.

Accountable Care Organizations are getting a lot of attention from Medicare and other payers because of their commitment to coordinating their patients’ care to help them get and stay healthy. Now, the Benefit Fund is teaming up with the Union and Montefiore Medical Center to launch the new 1199SEIU Montefiore Coordinated Care Program. Beginning July 1, 2014, all 1199SEIU members and their eligible dependents who receive most of their healthcare services from providers affiliated with Montefiore will be covered by the program. Through coordinated care, your providers will work together more closely to help ensure you get the care you need when you need it, reduce the chance of duplicate testing and lower the risk of medical errors. And if you’re managing a chronic condition, recovering from a serious illness or have been in the hospital, you’ll have access to a management team of nurses, social workers, pharmacists and health educators who can help you create a customized health plan. We hope to be able to offer this to more 1199SEIU members as opportunities become available.

Your Efforts Helped Your Benefit Fund Save $1.5 Billion in 10 Years!

As an 1199SEIU member, you enjoy quality health benefits with fewer out-of-pocket costs than most of today’s workforce, but we couldn’t provide such generous coverage without your commitment to following the Benefit Fund’s quality and cost containment measures. By adhering to the rules of the plan – including using providers who are in our network, filling long-term medications with The 90-Day Rx Solution and using generic drugs whenever possible – your efforts are projected to help us reduce the cost of providing benefits by over $1.5 billion, or 17 percent, since cost-containment initiatives were first introduced by the collective bargainers in the 2004 contract. The savings are an essential part of how we protect your comprehensive benefits, but they wouldn’t be possible without your cooperation!

If you have questions about the terms of your health coverage, the full description of your plan is available at www.1199SEIUBenefits.org, or you can call one of our -EMBER 3ERVICE 2EPRESENTATIVES AT

FOR YOUR BENEFIT

7

Stay Up to Date with Our New Preferred Drug List

El Ejercicio:

With new medications and generics coming on the market all the time, our Funds’ pharmacist and clinicians make sure our Preferred Drug List (PDL) is always up to date. The most current changes to the PDL took effect on March 1, 2014. As long as your doctor prescribes a generic drug or preferred brand medication from the PDL, you pay nothing out of pocket. However, if you get a non-preferred brand when a preferred drug is available, you must pay the difference between the preferred and non-preferred drug price, which can be a lot.

El Plan

As long as your doctor prescribes a generic drug or preferred brand medication from the PDL, you pay nothing out of pocket.

To avoid paying unnecessary out-of-pocket expenses, you can review the new PDL at www.1199SEIUBenefits.org. And be sure to bring a copy of the current PDL with you to all of your doctor appointments so you can check that your medication is fully covered. For more information, please CALL OUR -EMBER 3ERVICES $EPARTMENT AT

ANDAR EN BICICLETA

Ya sea que recorra pintorescos senderos de parques o simplemente pasee por su vecindario, andar en bicicleta puede ser relajante, divertido y un ejercicio eficaz.

Es un excelente ejercicio cardiovascular que ofrece muchos beneficios, incluido el fortalecimiento de los mĂşsculos, el aceleramiento del metabolismo para quemar las grasas y la mejora de la coordinaciĂłn.

Cuando empiece a hacer ejercicio en bicicleta, es importante fortalecer sus piernas y su capacidad pulmonar. Comience con un objetivo de pocas millas y ande varias veces a la semana para conseguir un nivel de estado fĂ­sico adecuado. Lleve con usted una botella de agua para mantenerse hidratado y escuche a su cuerpo. Existe un nĂşmero cada vez mayor de rutas seguras para andar en bicicleta en la Ciudad de Nueva York entre las que puede escoger, y el Departamento de Transporte ofrece mapas detallados sobre rutas y carriles protegidos para ciclistas a lo largo de los CINCO DISTRITOS 0UEDE SOLICITAR SU PROPIO MAPA LLAMANDO AL O VISITANDO www.nyc.gov/html/dot/html/bicyclists/bikemaps.shtml.

El Ejercicio:

TAI CHI

El Tai Chi es una prĂĄctica milenaria procedente de China que calma la mente y fortalece el cuerpo con movimientos lentos y suaves. En ocasiones se llama al Tai Chi “meditaciĂłn en movimientoâ€? porque combina tradiciones de meditaciĂłn y artes marciales que se cree que mejoran el flujo de energĂ­a dentro del cuerpo. Los beneficios para la salud incluyen la reducciĂłn del estrĂŠs, la mejora de la flexibilidad, el equilibrio, la coordinaciĂłn y la fortaleza. TambiĂŠn puede mejorar la funciĂłn cardĂ­aca y reducir la presiĂłn arterial.

El Plan

Para comenzar, probablemente quiera tomar unas pocas clases para aprender los movimientos o posturas. El Tai Chi normalmente se hace en grupo y con frecuencia al aire libre en un parque. Afortunadamente, hay muchas clases por todo el ĂĄrea triestatal. Para encontrar clases de Tai Chi y eventos en parques locales en los cinco distritos, visite www.nycgovparks.org/programs/recreation/shape-up-nyc.

Keep Up with What’s Happening at the Funds on Facebook )F YOU RE AMONG THE MORE THAN MEMBERS WHO h,IKEv OUR &ACEBOOK PAGE YOU ALREADY KNOW THAT IT S A great way to stay up to date on the latest benefit and pension news, health fairs, workshops, wellness tips and more. And if you haven’t checked it out yet, why not see what you’ve been missing?

We’re always adding new content, so visit www.facebook.com/1199SEIUBenefitFunds (or use your smartphone to scan the QR code at right) and catch up on the latest news from the Benefit and Pension Funds. Share the page with your fellow members, let us know what you’d like to see in future posts and most of all, come back often – we’re sure you’ll find a lot to “Like�!

El Ejercicio:

ENTRENAMIENTO DE RESISTENCIA EN UN BANCO DEL PARQUE

ÂżQuiĂŠn necesita un gimnasio cuando puede usar un banco del parque y su propio peso corporal para conseguir un ejercicio para todo el cuerpo? Muchos movimientos de resistencia pueden hacerse con la ayuda de un simple banco de parque, incluidos los que se hacen habitualmente en un banco de ejercicios en el gimnasio; ademĂĄs, tiene la ventaja de hacerlos al aire libre.

Consejos de Seguridad para Hacer Ejercicio en Verano Para hacer ejercicio en verano de forma segura y sin estrĂŠs, siga estos consejos: PĂłngase en marcha con el equipo adecuado: Ya sea que se trate de un equipo protector como un casco de ciclista, gafas de nataciĂłn y un gorro de nataciĂłn o de contar con una bicicleta del tamaĂąo adecuado, sus ejercicios serĂĄn mĂĄs seguros y los disfrutarĂĄ mĂĄs si dispone del equipo adecuado. Si es un principiante o simplemente no desea demasiado equipamiento, considere la posibilidad de realizar un programa de caminatas: todo lo que necesita es un buen par de zapatos para caminar.

ProtĂŠjase del sol: PĂłngase siempre una pantalla solar con un FPS de 15 o superior, un sombrero y gafas de sol que bloqueen los rayos UVA y UVB. Planifique hacer ejercicio a primera hora de la maĂąana o por la noche, de modo que no estĂŠ fuera a las horas de mĂĄs sol cuando las temperaturas son mĂĄs altas.

No salga de casa sin agua: AsegĂşrese de llevar una botella de agua con usted durante los ejercicios para mantenerse hidratado y evitar calambres musculares o trastornos relacionados con el calor. Beba agua antes de empezar el ejercicio y unas 6 a 8 onzas de agua cada 15 minutos durante la actividad.

Fuentes: U.S. Department of Health and Human Services; Mayo Clinic

Encuentre una clase en la Ciudad de Nueva York:

Para aprender a nadar o encontrar centros recreativos en los cinco distritos de la Ciudad de Nueva York, visite el sitio web del Sin otra cosa que su banco favorito en un parque local, puede hacer flexiones de Departamento de Parques y RecreaciĂłn de la trĂ­ceps, step-ups o ejercicios de escalĂłn, flexiones de brazos y mucho mĂĄs. Un banco tambiĂŠn es estupendo para hacer una amplia variedad de estiramientos. Puede ciudad en www.BeFitNYC.org. Para encontrar For locations, times andlocal; dates for the freeweb taxde preparation events Foodgratuitas Bank For New York City and comenzar en cualquier parque consulte el sitio Fort Tryon Park Trustat theclases de acondicionamiento fĂ­sico Ariva sites, ask your Outreach Coordinator foruna a list or visit completa our website, www.1199SEIUBenefits.org. en www.forttryonparktrust.org/fitness.html para conseguir descripciĂłn en toda la ciudad, visite www.nycgovparks. de los ejercicios que se pueden realizar con un banco del parque. org/programs/recreation/shape-up-nyc.

El Plan

Fuentes: Centers for Disease Control and Prevention;WebMD; UBC Medical Journal; Harvard Women’s Health Watch; American Council on Exercise

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Noticias Saludables Que Puede Utilizar

AĂąada Tres o Cuatro Conductas Saludables para Reducir el Riesgo para el CorazĂłn de la Diabetes Si tiene diabetes tipo 2, puede reducir sus posibilidades de sufrir un ataque al corazĂłn o un accidente cerebrovascular adoptando solo tres o cuatro conductas saludables, de acuerdo con un estudio reciente de Diabetes Care.Ya sea que haga ejercicio con mĂĄs regularidad, dejar el tabaco, tome los medicamentos recetados o reduzca las grasas y calorĂ­as en su dieta, puede marcar una diferencia.

De hecho, hacer estos cambios podrĂ­a ser tan Ăştil como tomar un medicamento para prevenir los problemas cardĂ­acos. Los investigadores descubrieron que cuantos mĂĄs cambios de conductas positivas realizaron las personas con diabetes en el primer aĂąo despuĂŠs del diagnĂłstico, menor fue su riesgo de tener problemas cardĂ­acos. Unos pocos cambios menores AHORA COMO CAMINAR DURANTE MINUTOS TRES VECES a la semana o comer mĂĄs fruta y verduras, pueden aportar enormes beneficios a la larga.

La Comida Real (Incluso la Mantequilla)

es Mejor

Un reciente estudio de la Universidad de Cambridge no ha descubierto ninguna evidencia de que las grasas saturadas, que se encuentran en los productos lĂĄcteos y carnes de animales como la mantequilla y las carnes rojas, aumenten nuestro riesgo de enfermedad cardĂ­aca. Por el contrario, los verdaderos culpables son el azĂşcar y los alimentos procesados. Aunque la investigaciĂłn no nos concede “luz verdeâ€? para comer en exceso alimentos que contengan grasas saturadas, los expertos sugieren que debemos centrarnos en comer mĂĄs alimentos “realesâ€? como proteĂ­nas magras, frutos secos, aceite de oliva, granos ricos en fibra y pescado. Si no estĂĄ seguro respecto de un alimento en particular, verifique la etiqueta nutricional; si hay una larga lista de ingredientes, es probable que sea un alimento procesado que debe comerse con moderaciĂłn.

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Coming this Fall:

New Benefit Option Will Help Early Retirees Get the Most Out of Fund Coverage and the Health Exchanges

Viva MĂĄs Tiempo con Siete Porciones de Fruta y Verduras al DĂ­a El verano es la estaciĂłn perfecta para aĂąadir mĂĄs frutas y verduras a su dieta. Pero, ÂżcuĂĄntas porciones debe tratar de consumir? Una nueva investigaciĂłn del Journal of Epidemiology & Community Health demostrĂł que comer siete porciones de fruta y vegetales al dĂ­a puede reducir su riesgo de morir en un 42 por ciento.

Siete porciones de alimentos tambiĂŠn pueden reducir el riesgo de morir de cĂĄncer en un 25 POR CIENTO Y DE ENFERMEDAD CARDĂ“ACA EN UN por ciento. Aunque las verduras generaron el efecto mĂĄs intenso, las frutas tambiĂŠn son Ăştiles. Si siete porciones al dĂ­a le parecen mucho, empiece aĂąadiendo una o dos porciones, como brĂłcoli (unas cinco cabezas) o una manzana pequeĂąa, a su dieta. Aun asĂ­ recibirĂĄ importantes beneficios que podrĂ­an aĂąadir aĂąos a su vida.

If you are at least 55 years old with 10 years of service at an 1199SEIU institution or facility, you may be thinking about retiring early. If so, you probably know that your Fund provides a limited benefit to these early retirees, which covers prescription and vision care. Now, under the Affordable Care Act (ACA), you can purchase comprehensive coverage on one of the health insurance exchanges established under the ACA. To help our early retirees get the most out of their 1199SEIU coverage and take advantage of all the benefits the Health Marketplace offers, the Trustees have changed the plan to offer a new benefit package, called the Dental Plus Plan. This plan is designed to supplement medical coverage you purchase through the Marketplace or receive through your spouse or another job. The new Dental Plus Plan starts this fall and is a package that includes a dental benefit, a hospital indemnity plan and a vision benefit.

Here’s what the Dental Plus Plan offers: s ! DENTAL BENElT OF UP TO A YEAR s ! hHOSPITAL INDEMNITYv PLAN WHICH PAYS PER DAY

up to 10 days per hospital stay s ! VISION BENElT THAT ALLOWS FOR ONE PAIR OF GLASSES OR contact lenses once every two years With the Dental Plus Plan, early retirees will not only be able to purchase comprehensive coverage through the Marketplace – and may even qualify for a subsidy to help pay for the premium – they may also access Fund dental coverage, at no cost. (Dental benefits are not subsidized in the Marketplace.)

However, any early retirees who were counting on the original prescription and vision plan will have a one-time option to switch to that benefit package. So if you are planning on retiring early and have questions about the new plan, please contact one of our Retiree Services Representatives at OR

Before You Retire: Learn More about Your Options in the Health Insurance Marketplace You can get more information and choose a plan by visiting www.nystateofhealth.org or calling (855) 355-5777 in New York; if you need assistance with enrolling, contact the Community Service Society (CSS) at (888) 614-5400 or email them at enroll@cssny.org to schedule an appointment. If you do not live in New York State, visit www.HealthCare.gov or call (800) 318-2596 to choose a plan in your state.

Fuentes: Diabetes Care; Journal of Epidemiology & Community Health; Annals of Internal Medicine

FOR YOUR BENEFIT

5

Benefits Update & News

Para obtener respuestas a sus preguntas médicas, la Línea de Ayuda de Enfermería del Fondo de Beneficios está disponible las 24 horas del día, los 7 días de la semana. Si no está seguro sobre un medicamento o si su hijo/a no se siente bien en el medio de la noche, una enfermera está disponible para ayudarle. Solo tiene que llamar al (866) 935-1199.

Después de todo, hablar con una de nuestras enfermeras registradas desde la comodidad de su hogar le puede ahorrar un viaje a una concurrida sala de emergencias, y las horas que perdería esperando allí.

Make Informed Decisions with Information from Our Partner, Consumer Health Choices Being informed – knowing how, where and when to access medical care – is the best way to become your own advocate in protecting your and your family’s health, as well as protecting your Fund’s benefit dollars.

When it comes to medical tests and treatments, more is not always better; in fact, many procedures, tests and medications prescribed regularly in the last few decades have been frequently overused, unnecessary and in some cases, harmful. That’s why your Benefit Fund is helping you access information from Consumer Reports and the ABIM

Foundation through Consumer Health Choices – both of which are trusted sources of expert analysis and reporting – to assist you in making sound healthcare decisions for yourself and your family. Just visit www.1199SEIUBenefits.org and click on the “Consumer Reports” icon to find lists of tests and procedures that may be overused, questions to ask your physician and brochures and videos that explain appropriate care recommended by medical specialty societies. It’s a quick and helpful way to become a more educated patient before you visit your doctor.

Puede llamar al mismo número para hablar con un entrenador de salud personal que le puede ayudar a dejar de fumar o a bajar de peso. Para ayudarle a dejar de fumar, su entrenador colaborará con usted para desarrollar un plan específico y establecer metas alcanzables. Si está tratando de bajar de peso, su entrenador le enseñará cómo comer alimentos más saludables sin sentirse privado, y reducir su riesgo de tener problemas de salud, tales como diabetes de Tipo 2, colesterol alto, presión arterial elevada y enfermedades cardíacas. Por ello debe asegurarse de utilizar las herramientas a su disposición: ¡Llame a nuestra Línea de Ayuda de Enfermería hoy mismo al (866) 935-1199 y obtenga las respuestas y el apoyo que necesita para tener éxito!

Ventajas De La Membresía

Nuestra Línea de Ayuda de Enfermería las 24 Horas está Disponible cuando la Necesite

Nuestro Taller Prenatal Puede Ayudarla

a Garantizar un Embarazo Saludable

El 27 de septiembre, únase a otros futuros padres en nuestro siguiente Taller Prenatal del Departamento de Bienestar, donde recibirá información importante sobre cómo mantenerse saludable durante el embarazo y después de que nazca su hijo/a, cómo prepararse para la fecha de parto y qué puede esperar durante la labor de parto y el alumbramiento. Tanto si es su primer hijo como si es el tercero, también aprenderá cómo tener un embarazo saludable con menos complicaciones. ¡Su pareja será bienvenida también!

Qué:

Taller Prenatal

Cuándo: Sábado, 27 de septiembre de 2014 De 10:00 am a 2:30 pm Dónde:

330 West 42nd Street, Piso 33 (Penthouse)

Para reservar su lugar, llame al (646) 473-8960, opción 2, opción 2. Si no puede asistir al taller en persona, sírvase llamarnos al (646) 473-8962 para obtener información sobre cómo asistir por WebEx por medio de su computadora.

Ofrecido por Worksite Medical Services, P.C.

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33

1199SEIU NATIONAL BENEFIT FUND FOR HEALTH AND HUMAN SERVICE EMPLOYEES SUMMARY OF MATERIAL MODIFICATIONS This Summary of Material Modifications describes changes that affect your welfare benefit plan and updates the Summary Plan Description (“SPD”) that was previously distributed to you. You should keep this summary with your current SPD until the booklet is updated to reflect the changes discussed herein. ___________________________________________________________________________ Effective April 1, 2014, the following changes to the 1199SEIU National Benefit Fund for Health & Human Service Employees (“Benefit Fund”) SPD apply: 1.

All of the following Wage Class III benefits described in the current SPD are hereby eliminated: Hospital Care, Hospice Care, Emergency Room Care, Program for Behavioral Health, Surgery, Anesthesia, Maternity Care and Hearing Aids (and any benefits that would qualify as “minimum essential coverage” under regulations pursuant to the Patient Protection and Affordable Care Act); 2.

Any other Wage Class III benefits that would qualify as “minimum essential coverage” under regulations pursuant to the Patient Protection and Affordable Care Act and are not otherwise excepted under the law are hereby eliminated; 3.

Wage Class III shall include a per diem “hospital indemnity” benefit, with the following limitations: a.

Member only coverage; b.

Payable to members admitted to a hospital; c.

Limited to $200 per day of hospital admission; and d.

Limited to a maximum of 10 days per hospital stay.

4.

Wage Class III shall be eligible for the Member Choice dental benefits described in Section II.K of the Current SPD (for members only); 5.

Coverage shall be extended for an additional thirty days for Wage Class I and II participants who, due to a reduction in earnings, would otherwise be reduced to Wage Class III benefits under the terms of the Current SPD; and 6.

SPD Sections VI.B, C and D shall (i) provide that if you live in New York City, Nassau County, Suffolk County, or designated counties in Florida, you must enroll in the Benefit Fund Medicare Program in order to receive retiree health benefits through the Benefit Fund and (ii) clarify that retirees with Wage Class III-equivalent coverage are excluded from the Benefit Fund’s Medicare Program.

Effective May 1, 2014, prior authorization is required for molecular and genomic laboratory tests. Please note that admissions to Partial Hospitalization and Intensive Outpatient Programs also must be pre-certified.

Effective October 1, 2014, to establish for certain Early Retirees a non-minimum essential coverage benefit package for members and spouses only, Early Retirees between the ages of 55 and 64 with at least 10 years of Pension Fund Credits (SPD Section VI.F) and their spouses, and the eligible pre-Medicare spouses of Medicareeligible members as described in Sections VI. C, D and E of the SPD (together, “Early Retirees”), may choose

The National Benefit Fund believes it is a “grandfathered health plan” under the Patient Protection and Affordable Care Act (the Affordable Care Act). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain basic health coverage that was already in effect when that law was enacted.

Being a grandfathered health plan means that this plan may not include certain consumer protections of the Affordable Care Act that apply to other plans, for example, the requirement for an external review process for claims appeals. However, grandfathered health plans must comply with certain other consumer protections in the Affordable Care Act, for example, the elimination of lifetime limits on benefits. Questions regarding which protections apply and which protections do not apply to a grandfathered health plan and what might cause a plan to change from grandfathered health plan status can be directed to the plan administrator at (646) 473-9200. You may also contact the Employee Benefits Security Administration, U.S. Department of Labor at (866) 444-3272 or www.dol.gov/ebsa/healthreform. This website has a table summarizing which protections do and do not apply to grandfathered health plans.

The plan sponsor of the1199SEIU National Benefit Fund for Health & Human Service Employees reserves the right to amend or terminate the 1199SEIU National Benefit Fund for Health & Human Service Employees, or any part of it, at any time.

1199SEIU HEALTH CARE EMPLOYEES PENSION FUND SUMMARY OF MATERIAL MODIFICATIONS This Summary of Material Modifications describes changes that affect your pension plan and updates the Summary Plan Description (“SPD”) that was previously distributed to you. You should keep this summary with your current SPD until the booklet is updated to reflect the changes discussed herein. ___________________________________________________________________________

For Plan purposes, your “Spouse” is a the person of the opposite gender to whom you are legally married, as recognized under applicable law, (determined in accordance with the laws of the jurisdiction in which you live) when your pension begins.

A former Spouse may be treated as your Spouse if required by law (for example, under a court Qualified Domestic Relations Order (QDRO), as defined on page 91). A former Spouse can be assigned a portion of your pension as an “Alternate Payee” in accordance with a QDRO.

The 1199SEIU Health Care Employees Pension Fund (“Plan”) is amended by adding the following underlined language and removing the following stricken language:

The SPD is hereby amended by adding the following underlined language and removing the following stricken language: SECTION VI. B RULES REGARDING ALL BENEFIT OPTIONS Pg. 69 ABOUT YOUR SPOUSE

Dear Members, Your health and well-being are always our top priority. That is why we are always working to find new, innovative ways to improve the quality of your care while protecting your benefit dollars – and we could not do it without your help. Every time you visit a participating provider, choose a generic medication or request a prior authorization for an MRI, you are helping to save critical benefit dollars. Since the 2004 collective bargaining agreement, those choices will have helped our Benefit Fund save over $1.5 billion while preserving your benefits over a 10-year period.

This summary only highlights the key changes made to the 1199SEIU National Benefit Fund for Health & Human Service Employees. Summaries of material modifications together with the Summary Plan Description make up your official plan descriptions; please keep them together and refer to them as necessary. We have made every attempt to insure the accuracy of the information in this summary and the Summary Plan Description. However, if there is any discrepancy between them and the plan document, insurance contracts or other legal documents, the legal documents will always govern. If you would like to review the plan document or have any questions, please contact the Fund’s Member Services Representatives at (646) 473-9200.

As a result of a historic Supreme Court decision holding that the federal law restricting the definition of “spouse” to opposite-sex couples was unconstitutional, the trustees amended the Plan to recognize same-sex spouses married under state law.

SECTION 1 DEFINITIONS Pg. 141 1.42 Wherever used in this Plan, the term “spouse” means the person of the opposite gender to whom a Participant is legally married, as recognized under applicable law, (as determined in accordance with the laws of the jurisdiction in which he resided) and the term “marriage” shall refer to the marriage of a Participant and his or her “spouse.” A former spouse may be treated as a Participant’s spouse to the extent required under a Qualified Domestic Relations Order, as defined in Section 414(p) of the Code. ___________________________________________________________________________

Message from the Executive Director

either the benefit package they are entitled to under the Current SPD or the following benefit package: 1.

Vision Care as described in SPD Section VI.F. 2.

A per diem “hospital indemnity” benefit, with the following limitations: a.

Payable to members and spouses admitted to a hospital; b.

Limited to $200 per day of hospital admission; and c.

Limited to a maximum of 10 days per hospital stay.

3.

Member Choice dental benefits described in Section II.K of the Current SPD. 4.

Upon the Early Retiree becoming eligible for Medicare, benefits revert to the retiree health benefits described in the Current SPD as applicable. ___________________________________________________________________________

SECTION XII KEY TERMS AND DEFINITIONS Pg. 126 Spouse A person of the opposite gender to whom you are legally married, as recognized under applicable law (determined in accordance with the laws of the state in which you live). For Plan purposes, a former Spouse may be treated as your Spouse to the extent required by law (for example, under a Qualified Domestic Relations Order, as defined in the Internal Revenue Code.) ___________________________________________________________________________

This summary only highlights the key changes made to the 1199SEIU Health Care Employees Pension Fund.

Summaries of material modifications together with the Summary Plan Description make up your official plan descriptions; please keep them together and refer to them as necessary. We have made every attempt to insure the accuracy of the information in this summary and the Summary Plan Description. However, if there is any discrepancy between them and the plan document of other legal documents, the plan document and other legal documents will always govern. If you would like to review the plan document or have any questions, please contact the Fund’s Member Services Representatives at (646) 473-9200. The plan sponsor of the 1199SEIU Health Care Employees Pension Fund reserves the right to amend or terminate the 1199SEIU Health Care Employees Pension Fund, or any part of it, at any time.

Your health and well-being are always our top priority.

That is why we are always working to find new, innovative ways to improve the quality of your care while protecting your benefit dollars.

In this issue of For Your Benefit, you will read about the different ways we make it easier for you to get the most out of your benefits, such as providing information to support your healthcare decisions and keeping you updated on changes to our Preferred Drug List.

We also highlight a chronic condition that affects so many of our members – diabetes.

You will find valuable information about managing the disease, along with tips for working fresh summer foods into your diet and taking advantage of the warm weather to move your workout outside.You will also learn how two members took advantage of a Worksite Wellness Initiative at their facility to lose weight and become healthier, while encouraging their co-workers to do the same. And as always, we have included details about other valuable member advantages, like upcoming diabetes and stress management workshops, and our Nurse Helpline, which is available to you 24 hours a day, seven days a week.

We hope you enjoy this issue of For Your Benefit, and that you take advantage of all that your Benefit Fund has to offer!

Sincerely,

Mitra Behroozi Executive Director 1199SEIU Benefit and Pension Funds

1199SEIU GREATER NEW YORK BENEFIT FUND SUMMARY OF MATERIAL MODIFICATIONS This Summary of Material Modifications describes changes that affect your welfare benefit plan and updates the Summary Plan Description (“SPD”) and Summary of Benefits and Coverage (“SBC”) that was previously distributed to you. You should keep this summary with your SPD until the SPD is updated to reflect the changes discussed herein. ___________________________________________________________________________ Effective April 1, 2014, the SPD and SBC shall be amended as follows: 1.

All of the following Eligibility Class III benefits described in the Current SPD are eliminated:

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2.

Hospital Care, Hospice Care, Emergency Room Care, Program for Behavioral Health, Surgery, Anesthesia, Hearing Aids and Maternity Care (and any benefits that would qualify as “minimum essential coverage” under regulations pursuant to the Patient Protection and Affordable Care Act); Eligibility Class III shall include a per diem “hospital indemnity” benefit, with the following limitations: a.

Member only coverage; b.

Payable to members admitted to a hospital; c.

Limited to $200 per day of hospital admission; and d.

Limited to a maximum of 10 days per hospital stay.

This issue of For Your Benefit contains important information about your rights under your benefit plan and the Employment Retirement Income Security Act (ERISA), which you should read and retain for future reference.

FOR YOUR BENEFIT

3

For Your Benefit

CONTENTS

SUMMER 2014

HEALTHY LIVING

4 Make Informed Decisions with

10 Diabetes Myths that Could Be

5 Coming this Fall: New Benefit

Option Will Help Early Retirees Get the Most Out of Fund Coverage and the Health Exchanges

6 Stay Up to Date with Our New Preferred Drug List

Keep Up with What’s Happening at the Funds on Facebook

7 Coordinating Your Care (Now Available at Montefiore!)

Your Efforts Helped Your Benefit Fund Save $1.5 Billion in 10 Years!

MEMBER PROFILE

Hazardous to Your Health

HEALTHY EATING 12 Serve Up Summer’s Best HEALTHY FITNESS 14 Warm-Weather Workouts HEALTHY NEWS YOU CAN USE 16 Add Three or Four Healthy Behaviors to Reduce Diabetes Heart Risk Real Food (Even Butter) Is Best Live Longer with Seven Servings of Fruit and Vegetables a Day

8 Helen Duncan and Karleen Moncreif An onsite health fair hosted by our Wellness Department and Member Assistance Program provided the wake-up call that these co-workers needed to make lifestyle changes, lose weight and improve their health.

MEMBERSHIP ADVANTAGES 17 Our 24-Hour Nurse Helpline Is

www.1199SEIUBenefits.org

5.

Effective October 1, 2014, the SPD and SBC shall be amended to permit Non-Medicare eligible Retirees (SPD Sections VI.E and VI.F) the option to refuse the current Retiree Benefit package and instead opt for a non-minimum essential coverage benefit package consisting of the following: 1.

Vision Care as described in Sections VI.E and VI.F of the Current SPD. 2.

A per diem “hospital indemnity� benefit, with the following limitations: a.

Payable to Early Retirees admitted to a hospital; b.

Limited to $200 per day of hospital admission; and c.

Limited to a maximum of 10 days per hospital stay.

3.

Dental benefits described in Section II.K of the Current SPD. 4.

Upon the Retiree becoming eligible for Medicare, benefits revert to the retiree health benefits described in the Current SPD as applicable.

Effective January 1, 2014, the following changes to the SPD and SBC applied: l.

Outpatient mental health and substance abuse co-payments shall be no greater than that Plan’s primary care visit co-payment. ll.

The SPD shall add the following underlined bold language and omit the following bold strikethrough language: Section: I.B: Pg. 29 WHEN YOUR COVERAGE BEGINS IF YOU ARE A NEW EMPLOYEE You can start receiving benefits from the Benefit Fund after:

s 9OU ARE HIRED BY A #ONTRIBUTING %MPLOYER ALREADY PARTICIPATING IN THE "ENElT &UND

s 9OU HAVE ENROLLED IN THE "ENElT &UND AND

s 9OU HAVE COMPLETED THE WAITING PERIOD specific to your employer specified in your employer’s collective bargaining agreement (in most cases 90 days) and your employer has made 30 consecutive days of contributions to the Benefit Fund based on your employment (in no event can the total exceed the period permitted by the Patient Protection and Affordable Care Act). or

s On the first day of the month following 30 consecutive days of employer contributions made to the Benefit Fund based upon your employment.

Section II.E: Pg. 74 BENEFIT BRIEF Mental Health

s /UTPATIENT TREATMENT PLANS

s Up to 30 inpatient days per calendar year Medically necessary inpatient treatment Alcohol/Substance Abuse

s Up to 7 days within a 12-month period for Medically necessary inpatient detoxification, maximum twice per lifetime

s Up to 30 days within a 12-month period for Medically necessary inpatient rehabilitation, maximum twice per lifetime

Outpatient Mental Health and Alcohol/Substance Abuse s 50 Medically necessary outpatient visits combined Eligibility Class I: Family Eligibility Class II: Family Eligibility Class III: Member ‌ Pg. 75 MENTAL HEALTH BENEFITS Outpatient Care You are covered for 50 medically necessary outpatient visits (combined mental health and substance abuse visits).

Inpatient Care You are covered for the reasonable cost of diagnosis and treatment for up to 30 days per calendar year in a nongovernmental hospital for medically necessary mental health admissions.

The Benefit Fund may provide up to an additional 30 days of benefits that are medically necessary.

Partial Hospitalization and Intensive Outpatient Programs You are covered for medically necessary partial hospitalization and intensive outpatient programs for mental health and substance abuse treatment. You must pre-certify these services by calling the Fund at (646) 473-6868.

YOUR RIGHTS UNDER THE MENTAL HEALTH PARITY ACT The Benefit Fund complies with federal law in that, which generally requires group health plans to ensure that financial requirements and treatment limitations applicable to mental health or substance use disorder benefits are no more restrictive than the predominant requirements or limitations applied to substantially all medical/surgical benefits. the maximum dollar amount the Benefit Fund will pay for the mental health benefits is not less than the maximum dollar amount that the Benefit Fund pays for medical and surgical benefits.

ALCOHOL/SUBSTANCE ABUSE BENEFITS When medically necessary, you are covered for diagnosis and treatment of:

s !LCOHOLISM OR

s 3UBSTANCE ABUSE Outpatient Care

s 9OU ARE COVERED FOR 50 medically necessary outpatient visits (combined mental health and substance abuse visits).

Inpatient Care

s Up to 7 days within a 12-month period for Medically necessary inpatient detoxification, maximum twice per lifetime; or

s Up to 30 days within a 12-month period for Medically necessary inpatient rehabilitation services, maximum twice per lifetime. ___________________________________________________________________________

This summary only highlights the key changes made to the 1199SEIU Greater New York Benefit Fund.

Summaries of material modifications together with the Summary Plan Description make up your official plan descriptions; please keep them together and refer to them as necessary. We have made every attempt to insure the accuracy of the information in this summary and the Summary Plan Description.

However, if there is any discrepancy between them and the plan document, insurance contracts or other legal documents, the legal documents will always govern. If you would like to review the plan document or have any questions, please contact the Fund’s Member Services Representatives at (646) 473-9200.

The plan sponsor of 1199SEIU Greater New York Benefit Fund reserves the right to amend or terminate the 1199SEIU Greater New York Benefit Fund, or any part of it, at any time.

As a result of a historic Supreme Court decision holding that the federal law restricting the definition of “spouse� to opposite-sex couples was unconstitutional, the trustees amended the Plan to recognize same-sex spouses married under state law.

1199SEIU GREATER NEW YORK PENSION FUND SUMMARY OF MATERIAL MODIFICATIONS This Summary of Material Modifications describes changes that affect your pension plan and updates the Summary Plan Description (“SPD�) that was previously distributed to you. You should keep this summary with your current SPD until the booklet is updated to reflect the changes discussed herein. ___________________________________________________________________________

There When You Need It

The 1199SEIU Greater New York Pension Fund (“Plan�) is amended by adding the following underlined language and removing the following stricken language:

Our Prenatal Workshop Can Help Ensure You Have a Healthy Pregnancy

ARTICLE 1 DEFINITIONS Pg. 73 SECTION 1.29: SPOUSE “Spouse� means a person of the opposite gender to whom the Participant is legally married, as recognized under applicable law, at the commencement of his benefits or to whom he was legally married, as recognized under applicable law, at the time of his death if his death occurs prior to the commencement of his benefit and, if and to the extent provided in a qualified domestic relations order (as defined in Code Section 414(p)) a Participant’s former Spouse. ___________________________________________________________________________

The National Benefit Fund believes it is a “grandfathered health plan� under the Patient Protection and Affordable Care Act (the Affordable Care Act). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain basic health coverage that was already in effect when that law was enacted. Being a grandfathered health plan means that this plan may not include certain consumer protections of the Affordable Care Act that apply to other plans, for example, the requirement for an external review process for claims appeals. However, grandfathered health plans must comply with certain other consumer protections in the Affordable Care Act, for example, the elimination of lifetime limits on benefits. Questions regarding which protections apply and which protections do not apply to a grandfathered health plan and what might cause a plan to change from grandfathered health plan status can be directed to the plan administrator at (646) 473-9200. You may also contact the Employee Benefits Security Administration, U.S. Department of Labor at (866) 444-3272 or www.dol.gov/ebsa/healthreform. This website has a table summarizing which protections do and do not apply to grandfathered health plans.

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Eligibility Class III shall be eligible for the Dental Benefits described in Section II.K of the Current SPD (for members only); and Coverage shall be extended for an additional thirty days for Eligibility Class I and II participants who, due to a reduction in earnings, would otherwise be reduced to Eligibility Class III benefits under the terms of the Current SPD. SPD Sections VI.B, C and D shall (i) provide that if you live in New York City, Nassau County or Suffolk County, you must enroll in the Benefit Fund Medicare Program in order to receive retiree health benefits through the Benefit Fund, and (ii) clarify that retirees with Eligibility Class IIIequivalent coverage are excluded from the Benefit Fund’s Medicare Program.

Effective May 1, 2014, prior authorization is required for molecular and genomic laboratory tests. Please note that admissions to Partial Hospitalization and Intensive Outpatient Programs also must be pre-certified.

BENEFITS UPDATE AND NEWS Information from Our Partner, Consumer Health Choices

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The SPD is hereby amended by adding the following underlined language and removing the following stricken language:

BENEFITS TO SURVIVORS Pg. 38 WHAT IS A JOINT-AND-SURVIVOR PENSION? HERE IS AN EXAMPLE OF THE AMOUNTS AN EMPLOYEE AND HIS WIFE SPOUSE MIGHT RECEIVE UNDER THE 50% JOINT-AND-SURVIVOR PENSION. If an employee, age 65, is entitled to a Regular Pension of $925 per month before the reduction for the Joint-and-Survivor Pension, and if the employee’shis wife spouse is also age 65, the reduction is 7%. Therefore, the benefit payable to the retiree is $925 per month ($925 x 93% = $860.25).

Upon the death of the pensioner, the amount to be paid to the surviving spouse would be $430.13 per month, which is 50% of the pension that the pensioner had received during his lifetime (rounded up to the nearest $0.50). The surviving spouse would receive this monthly amount of $430.13 for the remainder of his or her life. ___________________________________________________________________________

This summary only highlights the key changes made to the 1199SEIU Greater New York Pension Fund.

Summaries of material modifications together with the Summary Plan Description make up your official plan descriptions; please keep them together and refer to them as necessary. We have made every attempt to insure the accuracy of the information in this summary and the Summary Plan Description. However, if there is any discrepancy between them and the plan document of other legal documents, the plan document and other legal documents will always govern. If you would like to review the plan document or have any questions, please contact the Fund’s Member Services Representatives at (646) 473-9200.

The plan sponsor of the 1199SEIU Greater New York Pension Fund reserves the right to amend or terminate the 1199SEIU Greater New York Pension Fund, or any part of it, at any time.

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1199SEIU Benefit and Pension Funds 330 West 42nd Street New York, NY 10036-6977 www.1199SEIUBenefits.org

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Important Benefit Notices Inside this Issue

DEDICATED TO THE HEALTH & WELL-BEING OF 1199SEIU MEMBERS

For Your Benefit

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Avisos Importantes sobre Beneficios en este Número

Join Fellow Members on Our Facebook Page

Meet Our Featured Members

Our 1199SEIU Benefit and Pension Funds’ Facebook page is helping thousands of members stay up to date on the latest benefit and pension news, health fairs, workshops, wellness news and more. If you’re not yet one of them, just visit www.facebook.com/1199SEIUBenefitFunds and click on “Like.” We think you’ll be glad you did.

An onsite health fair provided the wake-up call these co-workers needed to make lifestyle changes, lose weight and improve their health.

Únase a los Compañeros Miembros en Nuestra Página de Facebook La página de Facebook de nuestros Fondos de Beneficios y Pensiones de 1199SEIU está ayudando a miles de miembros a mantenerse al día de las últimas novedades sobre beneficios y pensiones, ferias de salud, talleres, noticias sobre bienestar y mucho más. Si usted todavía no es uno de ellos, simplemente visite www.facebook.com/1199SEIUBenefitFunds y haga clic en “Like” (Me gusta). Estamos seguros de que se alegrará de hacerlo.

SUMMER 2014

Helen Duncan & Karleen Moncreif

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Diabetes Myths that Could Be Hazardous to Your Health