Your PCA covers both in-network and out-of-network services. However, you can save money by staying in the network because network providers discount their fees.
APWU Health Plan covers most out-of-network services at 50% of the Plan allowance, while members pay 50%.
Receive a $25 wellness incentive—added to your PCA—for each family member who completes:
If you have funds available in your PCA, claims will be paid out of your PCA first. If you want to use a different pre-tax benefit account to pay your medical bills, you can turn off your PCA online. In some cases, you may have to pay the cost of the services upfront.
Pharmacy claims will always be paid out of your PCA, as long as you have funds available.
OptumRx manages your pharmacy benefits and offers home delivery.
Protect your well-being and live a healthier life, usually with no out-of-pocket costs.
Your plan covers preventive care, medical visits, dental care, mental health, and more.
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Net deductible = Plan deductible – PCA
APWU Health Plan Holiday Office Hours
The Health Plan will be closed on Wednesday, January 1. We will reopen at 8:30 a.m. ET on Thursday, January 2.
Manage your High Option or Consumer Driven Option health plan 24/7 with your postal member portal or federal member portal.
