Explore 2026 insurance benefits for the Postal Service Health Benefits (PSHB) Program

The PSHB Program is a health plan within the Federal Employees Health Benefits (FEHB) Program that covers eligible United States Postal Service employees, retirees, and family members.

What are my health plan options?

APWU Health Plan offers a fee-for-service High Option and a Consumer Driven Option paired with a Personal Care Account.

Benefits

High Option

Low copays, low deductibles, and 100% coverage for many in-network services

Consumer Driven Option

A Personal Care Account, low costs, and 100% coverage for many in-network services

Health plan for postal support employee (PSE)

Nationwide provider network

100% coverage for many in-network services

Personal Care Account (PCA)

Wellness incentives

Preferred drug coverage

Eligible for Medicare Advantage

Low deductible & low copays

Eligible for Medicare Part D prescription drug plan (PDP)

Free lab tests

Free accidental injury coverage

Low premiums

High Option

For more information on each plan, see plan details.

For a detailed comparison of all benefits, visit the health plan comparisons page.

Consumer Driven Option

Eligibility and enrollment

Most postal employees and retirees are eligible to enroll in and become members of APWU Health Plan. 

Postal Service employees in the APWU bargaining unit must become dues-paying members of the APWU, except where exempt by law. 

Are you outside of the bargaining unit?

USPS employees in non-APWU bargaining units—including letter carriers, mail handlers, and rural carriers—may enroll in APWU Health Plan by becoming an associate member of the union for only $35.

Ready to enroll?

New employees, employees who are newly eligible, and those who have a qualifying life event (QLE)—such as marriage, divorce, or birth—may enroll within 60 days of becoming eligible or within 60 days of the QLE. Postal employees can enroll by fax or website. Make sure to have your employee identification number and USPS PIN before you begin.

The APWU has negotiated for non-career PSEs to have access to the PSHB Program.

As a PSE, after one year of service, when you enroll in the Consumer Driven Option, the USPS pays up to 75% of your premium. With other plans, you’re responsible for paying 100% of the premium.

Ready to enroll?

To enroll online, download and complete the required PSE enrollment forms.

All postal retirees who are eligible to enroll in the PSHB Program are welcome to choose APWU Health Plan.

Ready to enroll?

Visit opm.gov to complete the PSHB Health Benefits Election Form.

Need help finding a health plan that’s right for you?

Download and access Health Plan resources

2026 PSHB High Option Summary of Benefits and Coverage (SBC)

2026 PSHB Consumer Driven Option Summary of Benefits and Coverage (SBC)

2026 Postal Brochure

Review the 2026 APWU Health Plan brochure detailing postal employee benefit options.

Postal Health Plan online resources