Consumer Driven Option for postal 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
  • Colonoscopy or Cologuard

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

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

Consumer Driven Option

$51.70

biweekly premium

Enrollment code23D

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

Consumer Driven Option

$114.87

biweekly premium

Enrollment code23F

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

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

Consumer Driven Option

$100.21

biweekly premium

Enrollment code23D

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

Consumer Driven Option

$217.81

biweekly premium

Enrollment code23F

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

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

Consumer Driven Option

$100.21

biweekly premium

Enrollment code23D

Manager or other crafts · Self + One

Consumer Driven Option

$217.81

biweekly premium

Enrollment code23F

Manager or other crafts · Self & Family

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

Consumer Driven Option

$217.13

monthly premium

Enrollment code23D

Retiree · Self + One

Consumer Driven Option

$471.92

monthly premium

Enrollment code23F

Retiree · Self & Family

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.

Download APWU Health Plan postal flyers 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. Dental coverage is also available by enrolling in the APWU Health Plan Dental Insurance Plan.

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.

Special Rates During Open Season Enrollment

Important Notice:
The PSHB Enrollment system will not show the APWU contractually negotiated rates for the Consumer Driven Option.

If you are eligible, your biweekly 2026 plan year rates are as follows:

  • $30.16 for Self Only
  • $70.60 for Self Plus One
  • $82.48 for Self & Family

The correct rates will be applied when USPS sets up your payroll deductions.

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