For more than 75 years, the Compass Rose Health Plan has provided health coverage to federal employees, retirees, and their families. The Compass Rose Health Plan High Option is a Federal Employees Health Benefits (FEHB) plan option that offers comprehensive benefits and services.
Compass Rose Health Plan High Option Highlights
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Low copays and deductibles
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No referrals for specialists
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Worldwide coverage
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Up to $350 per year in Wellness Rewards
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Free unlimited telehealth visits
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Coverage for massage therapy
2027 Compass Rose Health Plan High Option Rates
| Enrollment Type | Enrollment Code | Biweekly Rate | Monthly Rate |
|---|---|---|---|
| Self Only | 421 | $149.97 | $324.94 |
| Self +1 | 423 | $336.89 | $729.93 |
| Self & Family | 422 | $361.03 | $782.23 |
Who Is Eligible?
The Compass Rose Health Plan High Option is part of the FEHB program and is open to federal employees and retirees.
Compass Rose Health Plan High Option Details
See what coverage you’ll get with the 2027 Compass Rose Health Plan High Option.The Compass Rose Health Plan uses the UnitedHealthcare Choice Plus national provider network. This network includes doctors, hospitals, and other facilities that have agreed to contracted rates, which can help keep your out-of-pocket costs low.
The Compass Rose Health Plan is independent of UnitedHealthcare. While we contract with one of their provider networks, Compass Rose sets its own benefits and coverage, including which services are covered and which may require prior authorization.
Out-of-network providers are not under a contract, meaning they have not agreed to a negotiated fee-for-services. While you are still covered under the Compass Rose Health Plan High Option if you choose to use an out-of-network provider, you will likely end up paying more.
Out-of-network, you are responsible for paying 30% of the plan allowance plus the difference between the plan allowance and the billed amount.
The plan allowance is typically equal to 200% of the current Medicare rate for professional and facility expenses.
When work or travel takes you overseas, our High Option plan has you covered. Compass Rose Health Plan High Option members can see any health care provider or visit any hospital and be reimbursed at the in-network level of benefits.
When you use a provider outside the United States, you will pay them up front, then submit the receipt and detailed billing invoice for claims processing and reimbursement.
The Compass Rose Health Plan High Option coordinates with Medicare Parts A and B for even better coverage and protection. Though enrolling in Medicare is not required, dual enrollment can help significantly decrease out-of-pocket health care costs.
Learn How We Coordinate with Medicare
For even more perks, retirees enrolled in Medicare Parts A and B can combine the power of our high-option FEHB Plan with Original Medicare by enrolling in Compass Rose Medicare Advantage, a UnitedHealthcare® Group Medicare Advantage PPO Plan.
Ready to Enroll in the Compass Rose Health Plan High Option?
2027 Compass Rose Health Plan High Option Benefits
This is a summary of the features of the Compass Rose Health Plan High Option. All benefits are subject to the definitions, limitations and exclusions outlined in the 2027 FEHB Plan Brochure.
- Preventive Care
- Office Visits
- Out-of-Pocket Costs
- Services
- Emergency Care
- Hospital Care
- Alternative Care
- Rewards Program
| Plan Benefit | In-Network You Pay |
|---|---|
| Well Child Care | $0 |
| Adult Annual Routine Exam | $0 |
| Immunizations | $0 |
| Preventive Screenings | $0 |
| Contraceptive Care | $0 |
| Visit Type | In-Network You Pay |
|---|---|
| Primary Care Physician Office Visit | $15 |
| $0 | |
| Specialist Office Visit | $30 |
| Mental Health Office Visit | $15 |
| Out-of-Pocket Costs | In-Network You Pay |
|---|---|
| Annual Deductible | $350 Self $700 Self Plus One $700 Self and Family |
| Out-of-Pocket Maximum | $6,000 Self $12,000 Self Plus One $12,000 Self and Family |
| Service | In-Network You Pay |
|---|---|
| Lab Work through LabCorp & Quest Diagnostics | $0 |
| Simple Diagnostic Testing (X-ray, Ultrasound) | $0 in free-standing imaging center 10% of the plan allowance outside the free-standing imaging center* |
| Advanced Imaging† (MRI, MRA, CTA, & CT scans) | Free-standing imaging center: 10% of the Plan Allowance In other settings: 10% of the Plan Allowance* plus $250 per occurrence copay |
| Advanced Imaging† (SPECT & PET Scans) | 10% of the Plan Allowance, deductible applies outside of free-standing imaging center |
| Home Health Services† | 10% of the plan allowance (90 visits max; prior authorization required after 12th visit) |
| Physical, Occupational, & Speech Therapies† | $15 (90 combined visits annually; prior authorization required after 12th visit) |
| Routine Maternity Care | $0 |
| Digital Exercise Therapy‡ | $0 |
| Pelvic Health Program‡ | $0 |
Weight Loss & Lifestyle Management Program‡ |
$0 |
| Tobacco Cessation | $0 |
| Type of Care | In-Network You Pay |
|---|---|
| Urgent Care | $35, waived if admitted |
| Emergency Room | 10% of the Plan Allowance, waived if admitted* |
| Type of Care | In-Network You Pay |
|---|---|
| Inpatient Hospital Room and Board† | $200 per day, up to $1,000 |
| Surgical Services† | 10% of the plan allowance |
| Enhanced Surgical Benefit | $0 |
| Type of Care | In-Network You Pay |
|---|---|
| Basic Chiropractic Care | $15 (24 visits annually) |
| Acupuncture for Anesthesia & Pain Relief | $15 (24 visits annually) |
| Massage Therapy | Reimbursed up to $75 per visit (up to 12 visits annually) |
| Doula Services certified through DONA International | Plan pays up to $1,500 per calendar year |
| Wellness Rewards Program | In-Network You Pay |
|---|---|
| Wellness Rewards Program | You and your spouse can each earn up to $350 by completing activities in the Wellness Rewards Program |
* Deductible applies
† Precertification required
‡ Eligibility restrictions apply
All benefits are subject to the definitions, limitations, and exclusions set forth in the FEHB Plan brochure.
2027 High Option Prescription Drug Benefits
Our prescription drug benefits are provided through Optum Rx®. Optum Rx ensures you have access to high-quality, cost-effective medications through a network of retail pharmacies or convenient home delivery.
Visit Optum Rx to see whether your prescription is covered and compare costs at pharmacies near you.
| 30-Day Network Retail Pharmacy | You Pay |
|---|---|
| Generic | $5 |
| Formulary/Preferred Brand Name | $75 |
| Non-Formulary/Non-Preferred Brand Name | $75 or 40%, whichever is greater |
| 90-Day Retail Pharmacy & Home Delivery | You Pay |
|---|---|
| Generic | $10 |
| Formulary/Preferred Brand Name | $150 |
| Non-Formulary/Non-Preferred Brand Name | $150 or 40%, whichever is greater |
| 30-Day Specialty Home Delivery | You Pay |
|---|---|
| Generic | 10% up to a maximum of $100 |
| Formulary/Preferred Brand Name | 25% up to a maximum of $300 |
| Non-Formulary/Non-Preferred Brand Name | 35% up to a maximum of $600 |
Through the Compass Rose Medicare Prescription Drug Plan (PDP) EGWP, members pay lower out-of-pocket costs under each drug tier. Plus, you can get a 90-day supply of non-specialty medications at any network retail pharmacy, in addition to CVS and Walgreens.
High Option members who are entitled to Medicare Part A and/or enrolled in Medicare Part B — and who are not enrolled in Compass Rose Medicare Advantage — may be automatically enrolled in our Medicare PDP EGWP.
| Network Retail Pharmacy - Up to a 30-Day Supply | You Pay |
|---|---|
Generic |
$1 |
| Formulary/Preferred Brand Name | $25 |
Non-Formulary/Non-Preferred Brand Name |
$50 |
Specialty |
25% up to a maximum of $75 |
| Network Retail Pharmacy & Mail Order - Up to 90-Day Supply | You Pay |
|---|---|
| Generic | $2 |
Formulary/Preferred Brand Name |
$50 |
Non-Formulary/Non-Preferred Brand Name |
$100 |
Specialty |
25% up to a maximum of $75 (limited to a 30-day supply) |
Prescription Drug (Part D) Out-of-Pocket Maximum
The annual Part D out-of-pocket maximum is $2,400.
You have several options for getting prescriptions:
- A local in-network retail pharmacy, like CVS or Walgreens
- Optum Home Delivery (for maintenance drugs, prescribed for at least a three-month supply, up to one year)
Get a three-month supply of your prescription for the cost of two months through Optum Home Delivery, CVS, or Walgreens.