Home › Consumer Driven Option › Page 3

APWU Health Plan FAQ

APWU Health Plan has been offering affordable, comprehensive coverage to postal workers, federal employees, and retirees since 1960. We’re here to help you choose a plan that’s right for you and make the most of your benefits.

If you can’t find an answer to your question, contact us to speak with a customer service representative:

1-800-222-2798 | 1-800-622-2511 (TTY)

Monday – Friday, 8:30 am – 6:30 pm ET

Displaying FAQs for Consumer Driven Option

Do I need a referral to see a specialist?

You do not need a referral to see a specialist when you are a member of APWU Health Plan. You are free to choose your covered providers without seeking our permission.

How do I locate a Cancer Center of Excellence?

When you enroll in the APWU Health Plan, you will have access to designated Cancer Centers of Excellence around the country.

High Option: With pre-approval, you pay only 5% of the treatment costs at these in-network designated centers.

Consumer Driven Option: If you decide to use a designated Cancer Center of Excellence, you may receive prior approval for travel and lodging costs. With pre-approval and in the network, you pay 10% of the Plan allowance.

Locate Cancer Centers of Excellence

Does APWU Health Plan provide gender-affirming care?

APWU Health Plan recognizes that transgender, non-binary, and other gender-diverse members require healthcare delivered by providers experienced in gender-affirming health.

Gender-affirming services include therapy to address feelings of gender dysphoria and medical treatments that help you achieve physical characteristics that better align with your gender identity.

Gender affirming surgery requires prior approval. Under the High Option and Consumer Driven Option, members need to call UnitedHealthcare before receiving gender-affirming surgery. Failure to do so will result in a minimum $500 penalty for an inpatient hospital stay.

See the postal or federal brochure for complete details.

Does APWU Health Plan cover treatment for infertility?

Infertility is a struggle. When you want to start or expand your family but have been unable to conceive within a reasonable period of time, it can affect your emotional health.

For members who are ready to seek medical help on the journey to becoming a parent, the APWU Health Plan High Option and Consumer Driven Option cover a range of services to diagnosis and treat infertility.

See the postal brochure or federal brochure for complete details.

What health management programs are available to APWU Health Plan members?

As an APWU Health Plan High Option or Consumer Driven Option member, you have access to a number of programs that can help you protect your health and well-being:

Rally® is a digital health experience that offers personalized recommendations to help you move more, eat better, and feel great. It even rewards your progress with Rally Coins, which you can use to contribute to a charity.

Call 1-866-569-2064 — or visit Rally

One Pass Select is a fitness and well-being subscription-based network that provides access to over 16,000 gyms and studios. Members can use multiple locations during the same month and change locations at any time. Choose from five membership tiers, with the option to change tiers monthly.

Visit One Pass Select — or visit Rally

Maven provides free, 24/7 virtual support for pregnancy, postpartum, and returning to work after parental leave.

Call 1-866-569-2064

Quit For Life® helps you move beyond tobacco and take control of your health. The program includes counseling by phone, group therapy sessions, or educational sessions with a doctor. FDA-approved prescription drugs and over-the-counter drugs to treat tobacco dependence are also available for those age 18 or older.

Call 1-866-569-2064 — or visit Quitnow

See the postal brochure or federal brochure for complete details.

Does APWU Health Plan cover hearing tests and hearing aids?

APWU Health Plan covers diagnostic hearing tests every two years and hearing aids every three years. For hearing tests, members pay 15% of the Plan allowance, while hearing aids are covered up to $1,500.

High Option and Consumer Driven Option members can access more than 2,000 name-brand models and styles of hearing aids at significant savings through UnitedHealthcare Hearing. Choose virtual care with hearing aid home delivery or in-person care at more than 7,000 hearing providers nationwide. Plus, get in-person or virtual support for every stage or your hearing health journey.

See the postal brochure or federal brochure for complete details.

Does APWU Health Plan offer mental health and substance use benefits?

To help you feel better and more in control of your emotional well-being, APWU Health Plan offers mental health and substance use services through Behavioral Health Solutions. If you or a loved one are facing emotional struggles or substance use issues, you’re not alone. Behavioral Health Solutions offers confidential assistance to help you find the support you need to do all of this and more:

Manage stress and anxiety
Cope with depression
Address the challenges of adoption
Access caregiver support
Treat substance use disorders

With Virtual Behavioral Health Care, you can talk to a behavioral health professional without leaving home. Help is completely confidential.

See the postal brochure or federal brochure for complete details.

Does APWU Health Plan cover preventive care and routine screenings?

Yes, as a member of the High Option or Consumer Driven Option, you’ll enjoy 100% coverage for in-network preventive care:

Wellness checkups

Annual adult routine exams and immunizations
Well-child exams and immunizations

Recommended screenings

High blood pressure screenings
Diabetes screenings
Cervical cancer screenings
Colorectal cancer screenings
Breast cancer screenings

Care and support

Maternity care
Contraception

See the postal brochure for complete details.

How do I download the mobile app?

The APWU Health Plan member app give you the tools you need to manage your health plan benefits, access your claims and health records, and get on the path to healthier living.

High Option mobile app

The myapwuhp member app helps you manage your health plan. See your claims, year-to-date information, prescriptions, and more.

Download on the App Store®

Get it on Google Play™

Consumer Driven Option mobile app

The UnitedHealthcare app® helps you find care, price medications, review and manage claims, view and share your digital Health Plan ID card and more—all from your mobile device.

Download on the App Store®

Get it on Google Play™

The UnitedHealthcare® app is available for download for iPhone® or Android®. iPhone is a registered trademark of Apple, Inc. Android is a registered trademark of Google LLC.

How do I log in to the member portal?

The APWU Health Plan member portal gives you the tools you need to manage your health plan benefits, access your claims and health records, and get on the path to healthier living.

High Option member portal

Your myapwuhp member portal features resources to keep you healthy and tools to help you get the most from your plan. Log in to your portal to:

Access deductibles, copays, and maximums
Check the provider network to find a doctor
Print or request an ID card
View or print claims and authorizations
See benefit and eligibility information

Consumer Driven Option member portal

Access your Health Plan 24/7. After you’re signed in, you’ll have easy access to tools and resources that can help you understand your benefits and make informed decisions about your care:

Find care and compare costs with the provider search and cost estimate tool
Get estimates for treatments and procedures
Price medications, explore lower cost options, and order refills
View claims and Personal Care Account (PCA) balances
Access Virtual Visits

Postal Member Portal

Federal Member Portal

What are the PSHB enrollment codes for APWU Health Plan?

Use these PSHB codes when you enroll in APWU Health Plan:

High Option

Self — PSHB enrollment code 23A
Self Plus One — PSHB enrollment code 23C
Self & Family — PSHB enrollment code 23B

Consumer Driven Option

Self — PSHB enrollment code 23D
Self Plus One — PSHB enrollment code 23F
Self & Family — PSHB enrollment code 23E

How do I find out if my doctor is in the APWU Health Plan network?

As a member, APWU Health Plan provides you with access to a comprehensive network of doctors, hospitals, and healthcare providers.

You can choose between two smart medical plans—the High Option and Consumer Driven Option—that feature a nationwide UnitedHealthcare network of 1.7+ million providers and 7,000 hospitals and care facilities—with no need for referrals.

You also have access to: