Compass Rose
Health Plan

Your partner in health

The Compass Rose Health Plan

 

The Compass Rose Health Plan is a high option Federal Employees Health Benefits (FEHB) fee-for-service plan. Since 1948, we have offered comprehensive benefits to an exclusive group of Federal employees.

Join the Compass Rose Health Plan and enjoy low co-pays, deductibles and a nationwide network powered by the UnitedHealthcare Choice Plus network. Plus, as a preferred provider organization (PPO), you have the freedom to choose your doctor and hospital without needing any referrals. The Compass Rose Health Plan is committed to offering you and your family affordable, high-quality health care coverage to help keep members and their families healthy.

Plan Highlights

 

We pride ourselves on offering individual attention to each insured employee and their family. Our mission is to provide you with a health plan that best meets your personal needs. Here is an at-a-glance overview of the 2018 Compass Rose Health Plan.

NETWORK COVERAGE

The Compass Rose Health Plan offers nationwide coverage through UnitedHealthcare’s Choice Plus network as well as overseas coverage.


    • We contract with the UnitedHealthcare Choice Plus network of doctors, hospitals and other facilities to limit what they will bill — helping to lower your out-of-pocket costs. When using a UnitedHealthcare Choice Plus provider in-network benefits apply and you are only responsible for a copayment or 10% of the plan allowance after meeting your deductible.
    • If you go out-of-network, you are still covered but are responsible for paying 70% of the Plan Allowance PLUS the difference between the Plan Allowance and the billed amount. The Plan Allowance is the maximum amount we will pay for a covered health care service; typically, the amount that providers we contract with have agreed to accept as payment in full. Out-of-network providers are not under a contract, meaning they have not agreed to a negotiated fee-for-services — so you will likely end up paying more.
    • If you receive health care from a provider outside of the 50 United States, generally your claim is paid as in-network — with one caveat. You pay the provider first, up front. Then, you submit your receipt and the detailed billing invoice for claims processing and reimbursement using our overseas claim form.

2019 HEALTH PLAN RATES

Enrollment Type      Enrollment Code      Biweekly Rate           Monthly Rate            
Self Only 421 $91.18 $197.56
Self Plus One 423 $214.73 $465.24
Self and Family 422 $245.95 $532.90
Self Only       
Enrollment Code Biweekly Rate Monthly Rate
421 $91.18 $197.56

Self Plus One   
Enrollment Code Biweekly Rate Monthly Rate
423 $214.73 $465.24

Self and Family   
Enrollment Code Biweekly Rate Monthly Rate
422 $245.95 $532.90

PLAN BENEFITS

 
Preventive Care In-Network You Pay
Well Child Care $0
Adult Annual Routine Exam $0
Immunizations $0
Preventive Screenings $0
Routine Maternity Care $0
Office Visits In-Network You Pay
Doctor Office Visits: Primary Care Physician                       $15 co-pay*
Telehealth through Doctor On Demand $0 co-pay*
Doctor Office Visits: Specialist $25 co-pay*
Allergy Care Office Visit $15 co-pay primary care provider*
$25 co-pay specialist*
Out-of-Pocket Costs In-Network You Pay
Annual Deductible $350 Self
$700 Self Plus One
$700 Self and Family
Out-of-Pocket Maximum $4,000 Self
$5,000 Self Plus One
$5,000 Self and Family
Services In-Network You Pay
Lab Work through Labcorp $0
X-Ray and Other Diagnostic Services 10% of the plan allowance
Home Health Services1 10% of the plan allowance
(90 visits max)
Physical, Occupational and Speech Therapies1 10% of the plan allowance
(90 combined visits max)
Emergency Care In-Network You Pay
Urgent Care $50 co-pay* waived if admitted
Emergency Room $100 co-pay* waived if admitted 
Hospital Care In-Network You Pay
Inpatient Hospital Care1 $200 co-pay*
Surgical Services1 10% of the plan allowance*
Alternative Care In-Network You Pay
Basic Chiropractic Care $20 co-pay*
(20 visits max)
Acupuncture for Anesthesia
and Pain Relief
10% of the plan allowance
(24 visits max)
Prescriptions Drugs
In-Network Retail Pharmacy
(30-Day supply)
Tier 1 (Generics):
$5 co-pay*
Tier 2 (Formulary/Preferred Brand Name):
$35 co-pay*
Tier 3 (Non-Formulary/Non-Preferred Brand Name):
$50 co-pay of 30%, whichever is greater*
Home Delivery — Mail-Order
(90-Day Supply)
Tier 1 (Generics): 
$10 co-pay*
Tier 2 (Formulary/Preferred Brand Name): 
$70 co-pay*
Tier 3 (Non-Formulary/Non-Preferred Brand Name): 
$100 co-pay of 30%, whichever is greater*
Specialty Pharmacy 
(30-Day Supply)
Generics: 20% up to a maximum of $150*
Formulary/Preferred Brand Name:
20% up to a maximum of $200*
Non-Formulary/Non-Preferred Brand Name: 25% up to a maximum of $300*

* No deductible applied.
1 Precertification required.


This is a summary of the benefits and features offered by the Compass Rose Health Plan. Please refer to the full 2019 FEHB Plan Brochure for complete benefit information.

Health Plan Brochures & Info

  • 2019 FEHB Plan Brochure

    View full plan details, definitions, limitations and exclusions in our FEHB Plan Brochure.


  • 2019 Summary of Benefits and Coverage

    Get a short, easy-to-read summary about the Compass Rose Health Plan’s medical coverage.

  • 2019 Compass Rose Health Plan Overview

    Take a moment to learn about the Compass Rose Health Plan with this brief overview.

  • 2018 FEHB Plan Brochure

    View full plan details, definitions, limitations and exclusions from last year’s FEHB Plan Brochure.


    • View full plan details, definitions, limitations and exclusions in our FEHB Plan Brochure.

    • Get a short, easy-to-read summary about the Compass Rose Health Plan’s medical coverage.

    • Take a moment to learn about the Compass Rose Health Plan with this brief overview.

    • View full plan details, definitions, limitations and exclusions from last year’s FEHB Plan Brochure.


Are my doctors in network?

Search for doctors, hospitals and other health care providers within the UnitedHealthcare Choice Plus network using our Provider Directory.

 

No content found

No content found

No content found

No content found

No content found