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FOR ALL
FEDERAL WORKERS
AND RETIREESAll federal and postal employees and retirees who are eligible to enroll in the FEHB Program may become members of APWU Health Plan.
Check EligibilityELIGIBILITY CHECK
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SHOPPING FOR A PLAN?
START HERE.APWU Health Plan is a National Preferred Provider Organization (PPO) offering both a fee-for-service High Option Health Plan and a Consumer Driven Option Health Plan. We have been proudly serving America's workforce since 1960.
HIGH OPTION
CONSUMER DRIVEN OPTION
CONVERSION OPTION
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KEY ENROLLMENT
DATESNew members can enroll during Open Season in the fall, or within 60 days of new employment, or for a qualifying life event.
How to Enroll -
TIPS AND TOOLS FOR
A HEALTHIER YOUFind health and wellness information
and tips for getting the most out of
your benefits.HEALTH NEWS
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APWU HEALTH
PLAN IS PROUD
TO SERVE YOU.YOU CAN CONTACT US AT
1-800-222-APWU (2798)
1-800-622-2511 (TDD)
8:30 am – 6:30 pm ET
Monday - FridayFOR HIGH OPTION MEMBERS
FOR CONSUMER DRIVEN
OPTION MEMBERSFOR ALL MEMBERS
- Change Your Address
- Order Claim Forms
- Form 1095-B
- Conversion Option
- Health Risk Assessments
- Health Management Programs
- Drug Interaction Checker
- Medical Encyclopedia
- Symptom Checker
- HIPAA Privacy Forms
- Notice of Privacy Practices
- (file download link)Advance Directives
- (file download link)Complaints and Grievances
- (file download link)Member Rights and Responsibilities Statement
- (file download link)Surprise Billing Notice
- Healthier at Home(external link)
- APW-ABA(external link)
- FSA Feds(external link)
- OPM.gov(external link)
- PostalEase(external link)
- NAIC.org(external link)
Every member who enrolls in the APWU Health Plan Consumer Driven Option (CDHP) receives a Personal Care Account. Each year, the Plan adds to your account:
$1,200 per year for Self Only enrollmentor
$2,400 per year for Self Plus One and Self and Family enrollment
Your PCA covers all eligible expenses at 100%. For example, if you are ill and go to a network doctor for a $60 visit, the doctor will submit your claim and the cost of the visit will be deducted automatically from your PCA. You pay nothing.
And the best news? In-network preventive care covered under CDHP Section 5 does not count against your PCA.
Example
| Balance in PCA (Self Only) | $1,200 |
|---|---|
| Minus the cost of your visit | - 60 |
| Balance remaining in PCA | $1,140 |
Notes
- In-network preventive care covered under CDHP Section 5 does NOT count against your PCA.
- See pages 83-85 of the 2022 Federal Brochure.
You control your PCA
If you do not want your PCA to automatically pay your medical claims:
- Log onto myuhc.com
- Select Claims and Accounts
- Select Health Reimbursement Account
- Select Automatic Payment
- Select Change Automatic Payment Settings
Note
Your pharmacy claims will always be paid automatically by your PCA.
