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High Option 2024
Consumer Driven Option 2024
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High Option
Consumer Driven Option
All Members
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- Form 1095-B
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- Member Rights and Responsibilities Statement
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- Surprise Billing Notice
- APW-ABA(external link)
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- OPM.gov(external link)
- PostalEase(external link)
Since 1960, APWU Health Plan High Option has offered comprehensive benefits to America’s workforce. With low copays, deductibles and a nationwide UnitedHealthcare network, the High Option is the premier plan in the Federal Employees Health Benefits Program. APWU Health Plan prides itself on being the right choice by providing innovative and affordable options that work to keep members and their families healthy.
What's new for 2024
- UnitedHealthcare replaces Cigna Healthcare as the provider network for the High Option plan
- Members have access to 1.7+ million providers in the UnitedHealthcare network
- Coverage now includes artificial insemination, infertility medications and IVF-related drugs
- Skilled nursing care has increased from 25 visits to 50 visits per calendar year
- Access 16,000+ gyms and studios through One Pass Select
- Get free virtual support for pregnancy, postpartum and returning to work after parental leave through Maven
- Save on hearing aids through UnitedHealthcare Hearing
- Receive Medicare Part D coverage at no extra cost through Express Scripts Medicare (PDP)
Plan highlights
- $25 copay for office visits, including specialists
- $10 copay for 24/7 Virtual Visits with Teladoc®
- $30 copay for all urgent care centers
- $10 copay for Tier 1 drugs
- $450 deductible for Self or $800 for Self Plus One and Self and Family, in network
- Routine dental coverage
- 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 and non-insulin drugs to treat diabetes
- Cancer Centers of Excellence paid at 95%
- Hearing aid benefit
Covered 100%
When you choose network doctors.
- Preventive care and screenings
- 100% coverage for in-network mammograms:
- Age 35–39, one during this five-year period
- From age 40 on, one every calendar year
- Maternity care and support
- Accidental injury outpatient services within 72 hours
- Lab tests (covered blood work performed at LabCorp and Quest Diagnostics)
- Tobacco cessation program
- Visits to a registered dietician/nutritionist