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APWU Health Plan: Choices You Can Trust

APWU News Bulletin #18-2004, October 12 , 2004 | PDF

APWU members get the choice of two outstanding health plan options with the APWU Health Plan. Offering healthcare you can trust, and peace of mind, both the Health Plan’s Consumer-driven Option and the High Option are standouts this Federal Employees Health Benefits Open Season (Nov. 8 to Dec. 13).

Consumer-driven Option

APWU Health Plan’s Consumer-driven Option continues to score high marks with consumers. The Health Plan’s newest option gives control and more direct access to doctors. It’s an alternative to Managed Care that offers more power during the healthcare decision-making process.

2005 Consumer-driven Option Premiums
Active Postal Members	Self Only	Self & Family
	(474)	(475)
USPS Pays	$145.18	$338.08
You Pay Biweekly	$18.40	$42.85
Retirees	Self Only	Self & Family
	(474)	(475)
Government Share	$265.82	$619.01
You Pay Monthly	$88.60	$206.34

 

Consumer-driven Option

• 100 percent in-network preventive-care coverage
• No co-pays or upfront deductibles
• Dental and vision-care coverage up to $400/year for individual or $800/year for family; CAREington Dental, a new network, offers opportunities for discounted services
• 100 percent coverage for your first $1,200 (individual) or $2,400 (family) of medical and pharmacy expenses in a Personal Care Account (PCA)
• If you don’t use all of your PCA dollars in a year, you have no out-of-pocket expenses, and your unused PCA balance rolls over to the next year for your future use
• If you exceed your PCA, you’re protected with Traditional Health Coverage after you meet your Member Responsibility

High Option

APWU Health Plan’s High Option carries on its tradition of excellence. This year, the High Option earned top ratings in member satisfaction, and is a terrific value for 2005. The High Option has been providing quality care since 1960, and has long been at the forefront in innovation.

2005 High Option Premiums
Active Postal Members	Self Only	Self & Family
	(471)	(472)
USPS Pays	$154.74	$352.08
You Pay Biweekly	$36.06	$66.66
Retirees	Self Only	Self & Family
	(471)	(472)
Government Share	$284.01	$646.17
You Pay Monthly	$129.39	$261.10

 

High Option

• A prescription drug program with no deductible and low co-payments for generic drugs
• Expansive nationwide network of Preferred Providers – almost 600,000 outpatient providers and more than 4,000 hospitals
• 100 percent coverage for accidental injury
• 100 percent coverage for children’s immunizations and checkups when PPOs are used
• Cost-free programs to help improve health and patient safety, such as a voluntary Disease Management Program for those with certain chronic diseases, and a RationalMed® Program to improve health and safety with prescription drugs
• 24-hour nurse advisory line
• A history of customer-service excellence

Here’s How to Enroll

Complete a Health Benefits Registration Form (SF 2809), which is available from your postmaster or local personnel office, or by calling PostalEASE at 877-477-3273 and following the prompts. In order to enroll, you must have a Personal Identification Number (the prompts will advise you about how to obtain a PIN). If you have access to the USPS Intranet (Blue Pages), you also can enroll through the PostalEASE Employee Web. Questions about any method of enrolling can by answered by your personnel office.

Enrollment options for APWU Health Plan are: High Option Self Only (Code 471); High Option Self & Family (Code 472); Consumer-driven Option Self Only (Code 474); Consumer-driven Option Self & Family (Code 475).

Open Season Hotline: 800-PIC-APWU (800-742-2798) 800-622-2511 (TDD-Hearing Impaired)

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