2024 Health Benefits Open Season is November 13 - December 11

November 6, 2023

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NEW 2024 NETWORK!

Choose between two smart medical plans that feature a nationwide UnitedHealthcare network of 1.7+ million providers; 7,000 hospitals and healthcare facilities; and no referrals are needed.

Premiums for Tribal employees are shown under the monthly premium rate column. The amount shown is the maximum you will pay. Your Tribal employer may choose to contribute a higher portion of your premium. Please contact your Tribal Benefits Officer for exact rates. 

High Option

With low copays and low deductibles, the High Option is a premier plan in the Federal Employees Health Benefits (FEHB) Program.

100% Coverage for in-network services

  • Preventative care and screenings
  • Lab tests (covered blood work performed at LabCorps and Quest Diagnostics)
  • Maternity care and support
  • Breast cancer screenings
  • Tobacco cessation program
  • Accidental injury outpatient services within 72 hours
  • Generic oral diabetes medications
  • Visits to a registered dietician/nutritionist
  • No primary care provider (PCP) requirement
  • Freedom to use network and out-of-network providers

 

 

Consumer Driven Option

The Consumer Driven Option is a proactive alternative to conventional healthcare that can save you money.

100% Coverage for in-network services

  • Your own Personal Care Account (PCA) helps pay for medical expenses
  • Preventative care and screenings
  • Maternity care and support
  • Breast cancer screenings
  • Tobacco cessation program
  • No primary care provider (PCP) requirement
  • Freedom to use network and out-of-network providers

HEALTH AND WELLNESS PROGRAMS
One Pass Gym Discount Maven United Hearing
One Pass Select is a fitness and well-being subscription-based network that provides access to over 16,000 gyms and studios Maven provides free, 24/7 virtual support for pregnancy, postpartum and returning to work after parental leave.  United Hearing members can access over 2,000 name-brand models and styles of hearing aids at significant savings through UnitedHealthcare Hearing.

 

2024 High Option Premium Rates

Low copays: $10 for 24/7 virtual visits; $25 for office visits, including specialists; $30 for urgent care; $10 for retail non-specialty tier 1 drugs.

Self Only
enrollment code 471

Bi-weekly

$124.52

 Monthly   

$269.79

 

 

 

Self Plus One
enrollment code 473

Bi-weekly

$244.95

 Monthly   

$530.73

 

 

 

Self & Family
enrollment code 472

Bi-weekly

$304.05

Monthly    

$658.77

 

 

 

2024 Consumer Driven Option - Premium Rates

Your own Personal Care Account (PCA) helps pay for medical expenses. In January, the Health Plan funds a PCA members can use for covered medical services. Members are covered 100% until the PCA is exhausted. The Plan funds the PCA at $1,200 for Self Only and $2,400 for Self Plus One and Self & Family.

Self Only
enrollment code 474

Bi-weekly

$76.78

  Monthly  

$166.36

 

 

 

Self Plus One
enrollment code 476

Bi-weekly

$166.88

  Monthly  

$361.58

 

 

 

Self & Family
enrollment code 475

Bi-weekly

$182.05

  Monthly  

$394.45

 

 

 

APWU Special Rates Bi-weekly

Special rates (charged bi-weekly) apply to APWU Career Bargaining Unit Employees for the Consumer Driven Option.

Self Only
enrollment code 474
 

APWU career less than 1 year in FEHB

 

$76.78

PSE

 

 

 

$76.78

APWU career more then 1 year in FEHB

 

$15.36

 

Self Plus One
enrollment code 476
 

APWU career less than 1 year in FEHB

 

$166.88

PSE

 

 

 

$166.88

APWU career more then 1 year in FEHB

 

$33.38

 

Self & Family
enrollment code 475
 

APWU career less than 1 year in FEHB

 

$182.05

PSE

 

 

 

$182.05

APWU career more then 1 year in FEHB

 

$36.41

OPEN SEASON HOTLINE:

1-(800) PIC-APWU or 1-(800) 742-2798
(hotline opens November 13)

email: virtualopenseason@apwuhp.com
(response within 48 hours)

for more information, visit: www.apwuhp.com

Disclaimer: This is a summary of benefits and features offered by the APWU Health Plan. All benefits are subject to the definitions, limitations, and exclusions set forth in the Plan's Brochure (RI 71-004).

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