Frequently Asked Questions
Postal retirees and their dependents who are retired, with Medicare A and/or B, and enrolled in the APWU Health Plan Consumer Driven Option plan.
There is no additional premium to enroll in the MedicareRx Part D Prescription Drug plan. You must continue to pay your APWU Health Plan Consumer Driven Option premium and your Medicare premiums. Note: if you opt out of your Part D plan, your premium will remain the same cost, but you will no longer have prescription drug coverage in the PSHB program until next open season.
You will lose your prescription drug coverage as part of the Consumer Driven Option Plan but will continue to pay the same premium.
Yes, you must be entitled to Medicare Part A and/or enrolled in Medicare Part B to enroll in this plan. If you currently have Part B you must continue paying your Medicare Part B premium to Social Security in order to be eligible for coverage under the UnitedHealthcare MedicareRx (PDP) plan.
IRMAA is an amount Social Security determines you may need to pay in addition to your monthly Part B and D premium if your modified adjusted gross income on your IRS tax return from 2 years ago is above a certain limit. The UnitedHealthcare® MedicareRx plan is a Part D plan therefore if you currently have a part B IRMAA then you may incur an additional part D IRMAA when enrolled in this plan.
Once you become a UnitedHealthcare® MedicareRx (PDP) plan for APWU Health Plan member, you will receive a letter to confirm you have had continuous prescription drug coverage. If you had coverage through the APWU Health plan or another FEHB or PSHB plan since you became Medicare eligible, you had what is known as “creditable coverage” and a penalty will not apply. You simply need to respond to the letter as quickly as possible to avoid an unnecessary penalty.
Click on the Resources tab in the menu at the top of your screen, then on the Appeals & Grievances link. This page provides detailed information about the appeals process.
This information is accessible within the member portion of the site. Once logged in, click the "Claims" link in the menu at the top of your screen. The Claims page will enable you to search for medical and/or drug claims by date range and will provide an overview of each claim searched.
Each year that you are a member of a UnitedHealthcare Medicare Part D Prescription Drug plan, you will receive an Annual Notice of Changes (ANOC) about six weeks before your plan's effective date. The ANOC explains any changes in coverage, costs, and benefits that will be effective for the upcoming year. You may also call the customer service number listed on your member ID card with any questions.
This information is accessible within the member portion of the site. Once logged in, click on the "View and Print Member ID Card" link on the home page.
If you are unable to find the links noted above, please call customer service using the number listed on your plan materials or the number noted for Plan Members on the Contact Us page.