Apwu133 Posted November 12, 2023 Share Posted November 12, 2023 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). Link to comment Share on other sites More sharing options...
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