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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.
Accessing your Personal Care Account (PCA):
- Log In: Click the ‘Sign In or Register’ button at the top right of this webpage.
- Select Plan: After logging in, you will see:
- APWU HP Postal (Medical)
- UnitedHealthcare MedicareRX for Groups (PDP)
- Choose APWU HP Postal: Select this option to proceed.
Electronic Submission for Reimbursement:
- Locate the Form: After logging in to the APWU HP Postal (Medical) website, click on the "Claims & Accounts" drop-down menu.
- Submit a Claim: Select "Submit a claim."
- Start a Claim: In the new window, click on the "HRA" box and then "Start a Claim."
- Enter Details: Fill in the claim details, upload an itemized receipt with the eligible expense identified and submit.
*Note: If the receipt is not uploaded, your claim will not be processed.
Mail or Fax for Reimbursement:
- Locate the Form: Go to myuhc.com, srcoll toward the bottom, find the "Popular Forms" section and click "View Forms."
- Download & Print Form: Click on "Health Reimbursement Account (HRA) forms" to download and print the “Health Reimbursement Account (HRA) claim form (PDF)”.
- Complete Form: Fill in the form with the claim details, including your Consumer Driven Option medical-only Member ID and Group number. Sign and date the form.
- Send Form: Mail or fax the completed form with supporting documentation (e.g., an itemized receipt with the eligible expense identified) to the location indicated on the form.
General information about your PCA:
- Eligibility: Visit the APWU Health Plan’s site to understand your eligibility for PCA.(https://www.apwuhp.com/postal-member/consumer-driven-option/)
- Reimbursement Deadline: You may request reimbursement by the end of the year after the services were rendered.
- Example: If a prescription drug expense occurred on 3/15/2025, you have until 12/31/2026 to submit for reimbursement.
- Processing Time: Once your complete claim reimbursement request is received, your reimbursement will be processed within 30 days.
- Customer Service: If you need additional assistance or have any questions about your PCA, please contact the Consumer Driven Option medical plan customer service team at 1-855-808-3003.
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.