Policies and forms for your health plan
Access the forms, medical policies, and privacy policies you need to make the most of your APWU Health Plan benefits.
Policies & Forms
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Request for Restriction
Limit the information we disclose about you for medical treatment.
Confidential Communications
Choose how you receive messages about your protected health information.
Accounting of Disclosures of Protected Health Information
Understand when and where APWU Health Plan has shared your PHI.
Request to Access PHI
Obtain copies of your protected health information from APWU Health Plan.
Designation of Personal Representative
Authorize a person to act on your behalf in making healthcare decisions.
Authorization for Release of Protected Health Information
Allow a designated individual to have access to your PHI.
Privacy Policy
Review how we collect and handle your personal information.
Notice of Privacy Practices
Review how we may use and disclose your personal health information.
Send a Claim Status Inquiry
Ask a question about your APWU Health Plan insurance claim.