Your health and wellness is our mission. That’s why the Compass Rose Health Plan has been serving our members with a high-quality Federal Employees Health Benefits (FEHB) plan for over 75 years and counting.
As a Compass Rose Health Plan member enrolled in our High Option plan, you have access to a comprehensive suite of benefits and personalized service.
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
See 2025 High Option rates and benefits.
2024 High Option Plan Rates
Enrollment Type | Enrollment Code | Biweekly Rate | Monthly Rate |
---|---|---|---|
Self Only |
421 | $104.52 | $226.46 |
Self +1 | 423 | $240.59 | $521.28 |
Self & Family | 422 | $256.11 | $554.90 |
Plan Details
Our goal is to help you understand your benefits so you can take charge of your health and well-being. Below is an overview of the 2024 High Option Compass Rose Health Plan.
The 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 you.
Our provider directory allows you to quickly search for providers in the UnitedHealthcare Choice Plus network.
Out-of-network providers are not under a contract with UnitedHealthcare, meaning they have not agreed to a negotiated fee-for-services. While you are still covered under the High Option 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 provider’s 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, the High Option Compass Rose Health Plan has you covered. You can see any health care provider or visit any hospital and you will 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.
Your High Option 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 your out-of-pocket healthcare costs.
Learn How Your Plan Coordinates With Medicare
For even more perks, retirees enrolled in Medicare Parts A and B can combine the power of our FEHB Plan with Original Medicare by enrolling in Compass Rose Medicare Advantage, a UnitedHealthcare® Group Medicare Advantage PPO Plan.
Your Compass Rose Health Plan benefits extend beyond the doctor’s office. Achieve your health and wellness goals with free programs designed to help you live a healthier life and manage your health wherever you are. Programs under the High Option Plan include:
- Virtual Visits Through Doctor On Demand
- Virtual physical and pelvic care through
- Sword and Bloom
- Wellness Rewards Program
- Real Appeal® Weight Loss Program
- Fitness Discounts
- And More!
2024 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 2024 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 |
Telehealth through Doctor On Demand & Primary Care Provider | $0 |
Doctor Office Visits: Specialist | $25 |
Out-of-Pocket Costs | In-Network You Pay |
---|---|
Annual Deductible | $350 Self |
Out-of-Pocket Maximum | $5,000 Self $9,000 Self Plus One $9,000 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 freestanding 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) |
Virtual Physical Care from Sword Health‡ | $0 |
Digital Pelvic Health from Bloom‡ | $0 |
Routine Maternity Care | $0 |
Weight Loss Program through Real Appeal®‡ | $0 |
Tobacco Cessation | $0 |
Type of Care | In-Network You Pay |
---|---|
Urgent Care | $50, waived if admitted |
Emergency Room | $200, waived if admitted |
Type of Care | In-Network You Pay |
---|---|
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 $60 per visit (up to 12 visits annually) |
Wellness Rewards Program | In-Network You Pay |
---|---|
Wellness Rewards Program | Earn up to $350 by completing activities in the Wellness Rewards Program1 |
2024 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. The 2024 Optum Rx Formulary includes a list of commonly prescribed medications covered under our plan.
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 |
You have several options for getting prescriptions:
- A local 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)
Learn More About Home Delivery, Specialty Medications & Prior Authorization