Services for Welfare Funds

Admission Certification and Case Management:

TCS helps funds control their health care costs by serving as the gatekeeper and case manager for behavioral health admissions. The TCS staff regularly direct plan participants away from high cost out of network programs and redirects them to lower cost, high quality TCS contracted facilities.

TCS Treatment Network:

TCS has direct contracts with a variety of inpatient and outpatient behavioral health facilities throughout the Metro New York area and beyond. The rates that have been negotiated by TCS are typically hundreds of dollars per day lower than the rates of other networks. For self-insured funds the elect to self-pay claims, the claims from TCS-contracted facilities are sent directly to the welfare fund to insure that the Fund receives 100% of the savings.

Discount Programs:

TCS offers member funds a variety of cost savings opportunities that can produce significant savings of health care dollars. In addition to its direct treatment facility contracts, TCS has preferred pricing agreements for medical management and other services and participates in a large national coalition and brings the discounted arrangements from that coalition to TCS member funds with no coalition membership fees.