APWUHP Contact Information

Hospital Precertification

Please refer to the 2009 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 2009 and to the 2010 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 2010.

APWU Health Plan High Option Preferred Providers for 2010

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 almost 7,000 participating hospitals and 665,000 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.

Members are free to use any Plan PPO Provider. Anytime you leave your state of residence, call Cigna at 800/582-1314 to locate PPO providers. Cigna's number is also on your Member ID card.

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):

All states CIGNA	Hospital precertification vendor for all states. 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 Cigna	Cigna 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. Cigna's number is 1-800/582-1314, 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.