1-800-222-APWU (2798)
- Home
- 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
- Prospective
MembersSHOPPING 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 2017 Federal Brochure- 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
- APWU Health
Plan MembersAPWU 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
- 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
- Health Vault
The High Option has contracted with 63,000 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.
| In-network you pay | Out-of-network you pay | |
|---|---|---|
| Retail prescription drugs - non-specialty | $10 for generic drugs, 25% preferred brand name drugs, maximum $200 per RX, 40% non-preferred brand name drugs, maximum $300 per RX, (no deductible) | 50% ($10 minimum coinsurance), (no deductible) |
| Mail order prescription drugs - non-specialty (90-day supply) |
$20 generic drugs, 25% preferred brand name, maximum $300 per RX, 40% non-preferred brand name, maximum of $500 per RX,(no deductible) | N/A |
| Retail prescription drugs - specialty | 25% generic drugs, maximum of $300 per RX, 25% preferred brand name drugs, maximum $600 per RX, 40% non-preferred brand name drugs, maximum $1,000 per RX,(no deductible) | 50% ($10 minimum coinsurance),(no deductible) |
| Mail order prescription drugs - specialty | 25% generic, maximum $150 per RX, 25% preferred brand name, maximum $300 per RX, 40% non-preferred brand name, 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.
