APWU Health Plan – Review plan benefits
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Review plan benefits & costs

Get a quick overview of your plan benefits and costs, and find more detailed information about additional coverage and benefit services.

UnitedHealthcare® Medicare Advantage (PPO) 


Benefits and costs

UnitedHealthcare Medicare Advantage (PPO)

Part B premium subsidy $50 per month

Annual medical deductible


Annual out-of-pocket maximum


Office and clinic visits

$0 copay for primary care, specialist visits or virtual visits/telemedicine

Hospital services (inpatient)

$0 copay 

Hospital services (outpatient)

$0 copay

Ambulance services $0 copay
Emergency room $0 copay
Urgent care $0 copay
Durable medical equipment $0 copay
Prosthetics $0 copay
Diabetic Supplies (test strips, lancets, glucose monitors) $0 copay
Preventive services $0 copay
Routine podiatry $0 copay
Hearing aid allowance $0 copay
$1,500 allowance for unlimited aids every 3 years. Allowance is combined for both ears.

Class 1 Preventive & Diagnostic (P&D): 100%

Class 2 Minor: 80%

Class 3 Major: 50%

Deductible (P&D not included): $50

Annual Calendar Maximum: $1,000

Reimbursement Schedule: Maximum Allowable Charge

Note: preventive and diagnostic services do not apply to the annual maximum.

Prescription drug coverage

Retail (Note: 90-day retail supply is available for 3x copay amount)

Tier 1 (Generic): $10 copay
Tier 2 (Preferred Brand): $30 copay
Tier 3 (Non-Preferred Brand): $45 copay
Tier 4 (Specialty Tier): $60 copay
Generic oral diabetic medications: $0copay


Mail Order (up to 90-day supply)

Tier 1 (Generic): $20 copay
Tier 2 (Preferred Brand): $60 copay
Tier 3 (Non-Preferred Brand): $90 copay
Tier 4 (Specialty Tier): $120 copay

Specialty benefits Learn more about additional support and programs available at no additional cost to you.

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American Postal Workers Union Health Plan

Group retiree benefits for APWU Health Plan

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2021 Open Season

Began: 11/9/2020
Ended: 12/14/2020


View APWU Health Plan’s Virtual Open Season Health Fair Schedule »


Virtual Education Center

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Last updated: 09.03.2021 at 12:01 AM CT  H2001_021121GMR