APWUHP Contact Information

Hospital Precertification

Please refer to the 2007 APWU Health Plan's Federal Brochure (RI 71-004) for details regarding PPO benefits and how they are used, as well as hospital precertification guidelines in 2007 and to the 2008 APWU Health Plan's Federal Brochure (RI 71-004) for details regarding PPO benefits and how they are used, as well as hospital precertification guidelines in 2008.

APWU Health Plan High Option Preferred Providers for 2008

The APWU Health Plan offers its members enhanced benefits when they voluntarily choose to utilize the services of doctors, hospitals and other providers who participate with the Plan's Preferred Provider Organization (PPO) networks. Nationwide, the Plan's PPO Network offers the services of over 5,400 participating hospitals and over 563,000 participating physicians.

The Health Plan has a PPO network available in every state, plus Washington, DC, Puerto Rico, and the U.S. Virgin Islands. The networks include primary care physicians, specialists, outpatient facilities such as labs and surgery centers, and inpatient facilities as well. Additionally, the Plan offers the services of ValueOptions, a nationwide PPO network specializing in the treatment of mental conditions and substance abuse. Members who utilize Preferred Providers receive the advantage of discounted pricing by the providers, automatic claims submission to the Health Plan, and a higher rate of payment for covered services.

To offer the best possible selection of providers for members across the country, the APWU Health Plan has contracted with different medical PPO networks in different states. Members are free to use any Plan PPO Provider. Anytime you leave your state of residence, Cigna is APWU Health Plan's TRAVEL network. When you are traveling, call Cigna at 800/582-1314 to locate PPO providers. Cigna's number is also on your Member ID card sleeve.

You can find APWU Health Plan Preferred Providers via this link: APWU Health Plan High Option PPO Network Online Directory

APWU Health Plan Precertification Vendors

Some services require prior approval (High Option) and some require pre-notification (Consumer Driven Option):

Minnesota PreferredOne	Hospital precertification vendor for members who reside in Minnesota: 1-800/451-9597
Alabama, Alaska, Arkansas, Arizona, California, Colorado, Connecticut, District of Columbia, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Idaho, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New Mexico, New York, Nevada, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Virgin Islands, Washington, West Virginia, Wisconsin and Wyoming CIGNA	Hospital precertification vendor for all states but Minnesota. For precertification of inpatient hospital stays and continued care review for long-term injuries/illnesses: 1-800/582-1314
ALL STATES: CAT/CT/MRI/NC/PET Scans MedSolutions, Inc.	MedSolutions, Inc. is responsible for precertification of CAT/CT/MRI/NC/PET Scans. Prior approval of these procedures is required. Failure to obtain required precertification can result in a $100 penalty and/or denial of the claim pending review. The new toll-free number for MedSolutions is 1-888-693-3298, found on the High Option ID Card. Have your provider call prior to these procedures.

Nominate a Provider for High Option PPO network:

Select here to nominate your provider to be a part of the High Option Cigna PPO network.

Select here to nominate your physician to be a part of the High Option Coventry Health Care (formerly First Health) PPO network.

Select here to nominate your provider to be a part of the High Option PHCS PPO network.