For over 75 years, the Compass Rose Health Plan has provided eligible federal employees and their families with high-quality insurance coverage. The High Option Compass Rose Health Plan is part of the Federal Employees Health Benefits (FEHB) program and offers comprehensive benefits and services.
Highlights of the High Option Compass Rose Health Plan
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Low co-pays and deductibles
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No referrals
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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
2025 High Option Compass Rose Health Plan Rates
Enrollment Type | Enrollment Code | Biweekly Rate | Monthly Rate |
---|---|---|---|
Self Only | 421 | $124.48 | $269.71 |
Self +1 | 423 | $279.65 | $605.91 |
Self & Family | 422 | $299.95 | $649.89 |
Who Is Eligible?
The High Option Compass Rose Health Plan is part of the FEHB program and is open to federal employees and retirees.
Enroll in the High Option Compass Rose Health Plan
Plan Details
See what coverage you’ll get with the 2025 High Option Compass Rose Health Plan.The High Option Compass Rose Health Plan is powered by the UnitedHealthcare Choice Plus network. To help keep out-of-pocket costs low, our contract with UnitedHealthcare limits what doctors, hospitals and other facilities in the network are allowed to charge our members.
Our provider directory allows you to quickly search for doctors, hospitals and other health care providers in the UnitedHealthcare Choice Plus network.
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 High Option Compass Rose Health Plan 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 70% 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. The High Option Compass Rose Health Plan 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 High Option Compass Rose Health Plan 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 High Option Compass Rose Health Plan?
2025 Plan Benefits
This is a summary of the features of the High Option Compass Rose Health Plan. All benefits are subject to the definitions, limitations and exclusions outlined in the 2025 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 |
---|---|
Doctor Office Visits: Primary Care Physician | $15 |
$0 | |
Doctor Office Visits: Specialist | $25 |
Out-of-Pocket Costs | In-Network You Pay |
---|---|
Annual Deductible | $350 Self $700 Self Plus One $700 Self and Family |
Out-of-Pocket Maximum | $5,000 Self $10,000 Self Plus One $10,000 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, SPECT, CTA, PET & CT scans) | 10% of the plan allowance** |
Home Health Services† | 10% of the plan allowance (90 visits max; prior authorization required after 12th visit) |
Physical, Occupational & Speech Therapies† | 10% of the plan allowance* (90 combined visits annually; prior authorization required after 12th visit) |
Digital Exercise Therapy‡ | $0 |
Pelvic Health Program‡ | $0 |
Routine Maternity Care | $0 |
Weight Loss Program through Real Appeal®‡ | $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 |
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Inpatient Hospital Room and Board† | $200 |
Surgical Services† | 10% of the plan allowance |
Type of Care | In-Network You Pay |
---|---|
Basic Chiropractic Care | 10% of the plan allowance* (24 visits annually) |
Acupuncture for Anesthesia & Pain Relief | 10% of the plan allowance* (24 visits annually) |
Massage Therapy | Reimbursed up to $75 per visit (up to 12 visits annually) |
Wellness Rewards Program | In-Network You Pay |
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Wellness Rewards Program | Earn up to $350 by completing activities in the Wellness Rewards Program1 |
2025 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 | $50 |
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 | $100 |
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 $250 |
Non-Formulary/Non-Preferred Brand Name | 35% up to a maximum of $500 |
Eligible members entitled to Medicare Part A and/or enrolled in Medicare Part B and not currently enrolled in Compass Rose Medicare Advantage will be automatically enrolled.
Through the Compass Rose Medicare Prescription Drug Plan (PDP) EGWP, you pay lower out-of-pocket costs under each drug tier.
30-Day Network Retail Pharmacy | You Pay |
---|---|
Generic |
$1 |
Formulary/Preferred Brand Name | $25 |
Non-Formulary/Non-Preferred Brand Name |
$50 |
Specialty |
25% up to a maximum of $75 |
90-Day Retail Pharmacy & Mail Order | 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) |
The Compass Rose Medicare PDP EGWP allows you to get a 90-day supply of medications at any network retail pharmacy, in addition to CVS and Walgreens.
Out-of-Pocket Maximum
This Plan has a separate out-of-pocket maximums for medical and pharmacy costs. For individuals enrolled in the Medicare PDP EGWP, their out-of-pocket maximum is $2,000 for pharmacy and $3,000 for medical.
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.