Compare 2027 postal health plans

Review benefits, costs, and plan features for our High Option and Consumer Driven Option.

Choose how you want to manage your healthcare benefits

Both plans provide nationwide in-network coverage.

High Option

Premiums for predictability

Consumer Driven Option

Premium savings with PCA support

Quick comparison

Key plan features

Benefit

High Option

Low copays and low deductibles

Consumer Driven Option

A Personal Care Account and low costs

Free accidental injury coverage

Health plan for postal support employee (PSE)

Eligible for Medicare Advantage

Personal Care Account (PCA)

Wellness incentives

Free lab tests

Low deductible & low copays

Low premiums

What both plans have in common

View premiums

Select your employment status and coverage to see rates.

Coverage level

Career, bargaining unit, employee: 1+ year in PSHB · Self

High Option

$142.97

biweekly premium

Enrollment code23A

Consumer Driven Option

$51.70

biweekly premium

Enrollment code23D

Career, bargaining unit, employee: 1+ year in PSHB · Self + One

High Option

$279.13

biweekly premium

Enrollment code23C

Consumer Driven Option

$114.87

biweekly premium

Enrollment code23F

Career, bargaining unit, employee: 1+ year in PSHB · Self & Family

High Option

$358.28

biweekly premium

Enrollment code23B

Consumer Driven Option

$129.12

biweekly premium

Enrollment code23E

Important rate information

Special biweekly Consumer Driven Option rates are available to eligible career employees in an APWU bargaining-unit position who have been enrolled in PSHB for more than one year. These rates apply only to the Consumer Driven Option and are tied to the applicable PSHB enrollment requirement, not simply to length of employment with USPS.

Coverage level

Career, bargaining unit, employee: 1st year in PSHB · Self

High Option

$142.97

biweekly premium

Enrollment code23A

Consumer Driven Option

$100.21

biweekly premium

Enrollment code23D

Career, bargaining unit, employee: 1st year in PSHB · Self + One

High Option

$279.13

biweekly premium

Enrollment code23C

Consumer Driven Option

$217.81

biweekly premium

Enrollment code23F

Career, bargaining unit, employee: 1st year in PSHB · Self & Family

High Option

$358.28

biweekly premium

Enrollment code23B

Consumer Driven Option

$237.61

biweekly premium

Enrollment code23E

Important rate information

These rates apply to eligible career employees in an APWU bargaining-unit position who have been enrolled in PSHB for one year or less. “First year” refers to time enrolled in PSHB, not length of employment with USPS.

Coverage level

Manager or other crafts · Self

High Option

$142.97

biweekly premium

Enrollment code23A

Consumer Driven Option

$100.21

biweekly premium

Enrollment code23D

Manager or other crafts · Self + One

High Option

$279.13

biweekly premium

Enrollment code23C

Consumer Driven Option

$217.81

biweekly premium

Enrollment code23F

Manager or other crafts · Self & Family

High Option

$358.28

biweekly premium

Enrollment code23B

Consumer Driven Option

$237.61

biweekly premium

Enrollment code23E

Important rate information

These rates apply to eligible postal employees in management, non-bargaining positions, or other postal crafts. APWU Health Plan enrollment requirements still apply.

Coverage level

PSE after 360 days · Self

Consumer Driven Option

$100.21

biweekly premium

Enrollment code23D

PSE after 360 days · Self + One

Consumer Driven Option

$217.81

biweekly premium

Enrollment code23F

PSE after 360 days · Self & Family

Consumer Driven Option

$237.61

biweekly premium

Enrollment code23E

Important rate information

After completing one year of service, eligible PSEs may enroll in the APWU Health Plan Consumer Driven Option, with USPS contributing up to 75% of the premium. If a PSE chooses another PSHB plan, they are responsible for the full employee and government premium for that plan.

Coverage level

Retiree · Self

High Option

$309.77

monthly premium

Enrollment code23A

Consumer Driven Option

$217.13

monthly premium

Enrollment code23D

Retiree · Self + One

High Option

$604.78

monthly premium

Enrollment code23C

Consumer Driven Option

$471.92

monthly premium

Enrollment code23F

Retiree · Self & Family

High Option

$776.27

monthly premium

Enrollment code23B

Consumer Driven Option

$514.82

monthly premium

Enrollment code23E

Important rate information

Retiree premiums are shown as monthly rates. Medicare-eligible retirees may have additional coverage through the Plan, including Medicare Advantage for eligible High Option members and Medicare Part D prescription drug coverage.

Coverage details

View costs for key benefits

High Option amounts apply to what you pay for in-network care. Consumer Driven Option amounts indicate your costs after you meet the deductible.

Medical visits

Benefit

High Option

Consumer Driven Option

Office/specialist visits

$25 copay

Virtual visits

$0 for first 2 visits

$10 copay

15% of Plan allowance

Benefit

High Option

Consumer Driven Option

PCA funds

None

$1,200 (Self) / $2,400 (Self+One or Family) deposited annually; 100% covered until spent

Benefit

High Option

Consumer Driven Option

Well-child, immunizations, annual exams, screenings

$0

$0 + $25 wellness incentive per completed annual physical exam, mammogram, cervical cancer screening, or colonoscopy/Cologuard

Benefit

High Option

Consumer Driven Option

Routine dental

30% of Plan allowance

20–50% savings via Careington Dental Discount Network

Benefit

High Option

Consumer Driven Option

Generic meds/test strips, insulin

Meds/strips $0 mail-order; insulin $25

Benefit

High Option

Consumer Driven Option

Complete maternity care

$0

$0 (no PCA used)

Benefit

High Option

Consumer Driven Option

Diagnostic tests or imaging

15% ($0 for LabCorp/Quest bloodwork)

15% of Plan allowance

Outpatient surgery

15% of Plan allowance

15% of Plan allowance

Inpatient surgery

15% of Plan allowance

15% of Plan allowance

Cancer Center of Excellence

5% of Plan allowance

10% of Plan allowance

Benefit

High Option

Consumer Driven Option

Diagnostic and treatment services

15% of Plan allowance

15% of Plan allowance

Benefit

High Option

Consumer Driven Option

Accidental injury (within 72 hrs)

$0 outpatient

15% of Plan allowance

Urgent care

$30 copay

15% of Plan allowance

Emergency room

15% of Plan allowance

15% of Plan allowance

Ambulance

15%

15% of Plan allowance

Benefit

High Option

Consumer Driven Option

Diagnostic hearing tests

15% every 2 years

15% every 2 years

Hearing aids

Charges above $1,500 (every 3 yrs)

Charges above $1,500 (every 3 yrs)

Benefit

High Option

Consumer Driven Option

Office visits

$25 copay

15% of Plan allowance

Outpatient/diagnostic/inpatient

15% of Plan allowance

15% of Plan allowance

Benefit

High Option

Consumer Driven Option

Chiropractic care

$25 copay, up to 24 visits/yr

15% of Plan allowance, up to 24 visits/yrg

Acupuncture

$25 copay, up to 26 visits/yr

15% of Plan allowance

PT/OT/speech therapy

15%, up to 60 visits/yr

15%, up to 60 visits/yr

Benefit

High Option

Consumer Driven Option

Retail (30-day)

$10 Tier 1

25% Tier 2 (max $200)

45% Tier 3 (max $300)

25% Tier 1 (min $15, max $200)

25% Tier 2 (min $15, max $200)

40% Tier 3  (min $15, max $300)

Mail-order (90-day)

$20 Tier 1

25% Tier 2 (max $300)

45% Tier 3 (max $500)

GLP-1 drugs for weight loss covered 50% per prescription

25% Tier 1 (min $10, max $600)

25% Tier 2 (min $10, max $600)

40% Tier 3  (min $10, max $900)

GLP-1 drugs for weight loss covered 50% per prescription

Learn how to enroll and get additional support

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Enroll as a Postal Service employee

Access enrollment details for career employees, managers, and employees represented by another union.

Enroll as a PSE

Access enrollment details for postal support employees.

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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