COMING SOON: Explore benefits and coverage for our federal health plans.
Find a health plan that’s right for you
We’re here to help you figure out which plan is right for you. Let’s get started.
Find a plan that’s right for you
We’re here to help you figure out which plan is right for you. Let’s get started.
Access our wide network of providers
Local doctors, care facilities, and providers in our extensive networks.
Home > Federal Health Plans > Federal Consumer Driven Option Plan
Your own Personal Care Account (PCA) helps pay for medical expenses.
Benefits at a glance
The Consumer Driven Option includes a PCA that covers 100% of all eligible expenses. Each year, the Plan adds to your account:
for Self
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:
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:
Watch Our Video
Consumer Driven Option
$102.63
biweekly premium
Enrollment code 474
Consumer Driven Option
$223.06
biweekly premium
Enrollment code 476
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.
Consumer Driven Option
$222.36
monthly premium
Enrollment code 474
Consumer Driven Option
$483.29
monthly premium
Enrollment code 476
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.
Optum Rx provides the Consumer Driven Option pharmacy benefit, with a network of 67,000+ retail pharmacies and Optum Rx Home Delivery.
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.
Behavioral health
Infertility services
Cancer Centers of
Excellence
Federal Health Plans
COMING SOON: Explore benefits and coverage for our federal health plans.
High Option
Consumer Driven Option
Federal Health Plans
View a summary of benefits and coverage (SBC) for your plan.
Consumer Driven Option
All Health Plans
COMING SOON: View a list of prescription drugs covered by your health plan.
Consumer Driven Option
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
Receive a $25 wellness incentive added to your PCA for each family member who completes a yearly checkup or recommended screening.
DEFINITION
15% coinsurance: The percentage of costs you pay after you pay the deductible.
DEFINITION
A Copay is a fixed amount you pay for a covered healthcare service, usually at the time you receive the service.
DEFINITION
Plan allowance is the maximum amount a plan will pay for a covered healthcare service