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- Am I Eligible?
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 Eligibility- ELIGIBILITY CHECK
- Open Season
-
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.
Compare Plan Options See Premiums See Provider Networks See 2021 Federal Brochure Virtual Open Season Health Fairs Medicare Advantage - HIGH OPTION
- CONSUMER DRIVEN OPTION
- CONVERSION OPTION
-
- Enroll
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- ENROLLMENT FACTS
- HOW TO ENROLL
- Healthy Living
TIPS AND TOOLS FOR
A HEALTHIER YOUFind health and wellness information
and tips for getting the most out of
your benefits.- HEALTH NEWS
- Already a Member
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 - 7 pm EST
Monday - Friday- FOR HIGH OPTION MEMBERS
- FOR CONSUMER DRIVEN
OPTION MEMBERS - FOR ALL MEMBERS
- Change Your Address
- Order Claim Forms
- Form 1095-B
- Conversion Option
- Drug Interaction Checker
- Medical Encyclopedia
- Symptom Checker
- HIPAA Privacy Forms
- Notice of Privacy Practices
- Advance Directives
- Complaints and Grievances
- Member Rights and Responsibilities Statement
- Beacon Health Options
- APW-ABA
- FSA Feds
- OPM.gov
- PostalEase
- NAIC.org
The High Option has contracted with 70,432 retail pharmacies throughout the country. These pharmacies belong to the Express Scripts® Health Prescription Solutions network, and the pharmacies discount their charges and bill the Health Plan automatically for you.
The High Option Plan also offers a convenient mail order program for our members with long-term prescription needs. Both programs offer no deductible and low copayments.
Diabetes medications available through mail-order
- $0 copay for generic oral medication, formulary blood glucose test strips and lancets (used to reduce blood sugar)
- $25 copay for a 30-day supply of certain insulin
- $75 copay for a 90-day supply of certain insulin
| In-network you pay | Out-of-network you pay | |
|---|---|---|
| Retail prescription drugs - non-specialty (30-day supply) |
$10 for Tier 1 drugs, 25% for Tier 2 drugs, maximum $200 per Rx, 45% for Tier 3 drugs, maximum $300 per Rx, (no deductible) |
50% ($10 minimum coinsurance), (no deductible) |
| Mail order prescription drugs - non-specialty (90-day supply) |
$20 for Tier 1 drugs, 25% for Tier 2 drugs, maximum $300 per Rx, 45% for Tier 3 drugs, maximum of $500 per Rx,(no deductible) |
N/A |
| Retail prescription drugs - specialty | 25% for Tier 1 drugs, maximum of $300 per Rx, 25% for Tier 2 drugs, maximum $600 per Rx, 45% for Tier 3 drugs, maximum $1,000 per Rx,(no deductible) |
50% ($10 minimum coinsurance),(no deductible) |
| Mail order prescription drugs - specialty | 25% for Tier 1 drugs, maximum $150 per Rx, 25% for Tier 2 drugs, maximum $300 per Rx, 45% for Tier 3 drugs, maximum $500 per Rx, (no deductible) |
N/A |
With both the mail order and the retail drug programs, there is no paperwork for the member to file. The pharmacy does the work for you.
