Claim Information

Print On-line Medical, Dental or Prescription Drug Claim Forms

APWU Health Plan is providing you the opportunity to display and print out your medical, dental, and prescription drug forms over the internet immediately. Instructions for printing provided below. If you have trouble printing, please use our online form. You can also use the online form to order the APWU Health Plan Federal Brochure.

Forms Available for Members and Providers:

• Medical Form
• Dental Form
• Prescription Drugs Form

For more information on claims, please visit our claims page.

In order to view the Medical, Dental, and Prescription forms, you will need to have Adobe Acrobat Reader installed on your computer. To download this free program, click on the Get Acrobat Reader button.