The following information is needed to process your inquiry request. * Indicates a required item.

• *Your Name:
  
• Your Your Relation to Plan Member:
  Self
  Spouse
  Provider
  Other, please specify:
  
  Not Presently a Member


• *Nine Digit Member ID Number of Plan Member: (not the patient's) (if applicable)
  
• *Date of Birth of Plan Member: (not the patient)
  
• Patient's Name: (if applicable)
  
• Date of Service: (if applicable)
  
• Claim Amount: (if applicable)
  
• Provider of Care: (if applicable)
  
• Type of information you are requesting:
  Basic Coverage Questions - Medical/Surgical/Maternity/Mental/Nervous/ Substance Abuse/Dental/Accidental Injury/ Effective & Cancellation Dates/etc.
  Other Coverage Questions - Explanation Letter/Clarified Service/ Charges Billed in Error/Complaint or Appeal/ Add or Drop Dependent/Open Season Inquiry/etc.
  Coverage Program Questions - PPO/America's Health Plan/ Affordable Health Care Compare/ Mail Order Drug/Retail Pharmacy/MEDCO/ Electronically Submitted Claim/ Wellness/Well Child/Smoke Cessation/ Regular Plan/etc.
  Misc. Coverage Questions - Medicare/Other Insurance Carrier/ Visiting Nursing Services/Therapies/ Durable Medical Equipment & Supplies/ Hospice & Skilled Nursing Facilities/ Precertification/Prior Authorization/ Medically Underserved States/Subrogation/etc.


• Description of Coverage Inquiry:
  
• *How do you want to receive your response?
  Email
• If so, enter your email address:
• Phone
• If so, enter the phone number where you can be reached during normal business hours:
• Fax
• If so, enter your fax number:
• Mail
• If so, enter your mailing address if different than that on file:
  
• *Day Phone:
  
• *Evening Phone:
  

Press submit to send your inquiry to APWU Health Plan's Customer Service Department.
We will respond to your request within 24 to 48 hours.

Please note that transfer times on the internet are generally timely, but in some instances they can take days.