Consumer Driven Option for federal employees

Your own Personal Care Account (PCA) helps pay for medical expenses.

Consumer Driven Option highlights

Benefits at a glance

Personal Care Account (PCA)

Choose how to spend your healthcare dollars

The Consumer Driven Option includes a PCA that covers 100% of all eligible expenses. Each year, the Plan adds to your account: 

$1,200

for Self

$2,400

for Self Plus One and Self and Family

No upfront deductible, coinsurance, or copay until you use up the funds in your PCA.

Get a $25 wellness incentive added to your PCA for yourself and each covered family member who completes:

  • Annual physical exam
  • Mammogram
  • Cervical cancer screening

Dental and vision services are payable out of your PCA.

The plan covers 90% of care received at a Cancer Center of Excellence.

Learn more about the Consumer Driven Option:
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Consumer Driven Option premiums

Coverage level

Federal employee · Self

Consumer Driven Option

$102.63

biweekly premium

Enrollment code 474

Federal employee · Self + One

Consumer Driven Option

$223.06

biweekly premium

Enrollment code 476

Federal employee · Self & Family

Consumer Driven Option

$243.34

biweekly premium

Enrollment code 475

Important rate information

You do not need to be represented by APWU to enroll in APWU Health Plan. Eligible federal employees can enroll as APWU associate members and are charged a $35 annual membership fee, unless exempt by law.

Coverage level

Federal employee · Self

Consumer Driven Option

$222.36

monthly premium

Enrollment code 474

Federal employee · Self + One

Consumer Driven Option

$483.29

monthly premium

Enrollment code 476

Federal employee · Self & Family

Consumer Driven Option

$527.23

monthly premium

Enrollment code 475

Important rate information

Eligible federal retirees can enroll in APWU Health Plan as APWU associate members and are charged a $35 annual membership fee, unless exempt by law. Medicare-eligible retirees may also have additional Medicare coverage available through the Plan.

Download the APWU Health Plan federal flyer to learn about benefits and coverage details.

See any doctor you want but save money when you use providers in the Consumer Driven Option network.

Pharmacy

Optum Rx provides the Consumer Driven Option pharmacy benefit, with a network of 67,000+ retail pharmacies and Optum Rx Home Delivery.

Dental

Save on dental care by using dentists in the Careington Dental Discount Network and use your PCA to pay for dental care and routine checkups.

Additional benefits

Behavioral health

Health management programs

Infertility services

Cancer Centers of
Excellence

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

Download and access Health Plan resources

ALL HEALTH PLANS

View all resources

Visit the APWU Health Plan resource library.

How does a PCA lower your healthcare costs?

Your PCA covers 100% of all eligible expenses. For example, if you go to a network doctor for a $60 visit, the doctor submits your claim and the cost of the visit is deducted from your PCA. You pay nothing.

Plus, the Plan covers 100% of in-network preventive care without reducing the funds in your PCA.

DEFINITION

Wellness incentive

Receive a $25 wellness incentive added to your PCA for each family member who completes a yearly checkup or recommended screening.

DEFINITION

Coninsurance

15% coinsurance: The percentage of costs you pay after you pay the deductible.

DEFINITION

Copay

A Copay is a fixed amount you pay for a covered healthcare service, usually at the time you receive the service.

DEFINITION

Plan allowance

Plan allowance is the maximum amount a plan will pay for a covered healthcare service