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- Am I Eligible?
FOR ALL
FEDERAL WORKERS
AND RETIREESAll federal and postal employees and retirees who are eligible to enroll in the FEHB Program may become members of APWU Health Plan.
Check Eligibility- ELIGIBILITY CHECK
- Open Season
SHOPPING FOR A PLAN?
START HERE.APWU Health Plan is a National Preferred Provider Organization (PPO) offering both a fee-for-service High Option Health Plan and a Consumer Driven Option Health Plan. We have been proudly serving America's workforce since 1960.
Compare Plan Options See Premiums See Provider Networks See 2020 Federal Brochure- HIGH OPTION
- CONSUMER DRIVEN OPTION
- CONVERSION OPTION
- Enroll
KEY ENROLLMENT
DATESNew members can enroll during Open Season in the fall, or within 60 days of new employment, or for a qualifying life event.
How to Enroll- ENROLLMENT FACTS
- HOW TO ENROLL
- Healthy Living
TIPS AND TOOLS FOR
A HEALTHIER YOUFind health and wellness information
and tips for getting the most out of
your benefits.- HEALTH NEWS
- APWU Health
Plan MembersAPWU HEALTH
PLAN IS PROUD
TO SERVE YOU.YOU CAN CONTACT US AT
1-800-222-APWU (2798)
1-800-622-2511 (TDD)
8:30 am - 7 pm EST
Monday - Friday- FOR HIGH OPTION MEMBERS
- Manage your benefits
- Service dates as of January 1, 2018
- eHealthRecord PLUS
- Service dates prior to January 1, 2018
- eHealthRecord
- My Tools
- Customer Service
- 2019 Benefits at a Glance
- Precertification
- Premiums
- Pharmacy
- Dental
- Behavioral Health
- Health Management Programs
- Hearing
- Cancer Centers of Excellence
- Retirees/Medicare
- FAQ
- FOR CONSUMER DRIVEN
OPTION MEMBERS - FOR ALL MEMBERS
- Change Your Address
- Order Claim Forms
- Conversion Option
- Drug Interaction Checker
- Medical Encyclopedia
- Symptom Checker
- HIPAA Privacy Forms
- Notice of Privacy Practices
- Advance Directives
- Complaints and Grievances
- Member Rights and Responsibilities Statement
- Beacon Health Options
- APW-ABA
- FSA Feds
- OPM.gov
- PostalEase
- Health Vault
- NAIC.org
Please refer to the current APWU Health Plan Federal Brochure (RI 71-004) for details about PPO benefits and how they are used, as well as hospital precertification guidelines.
APWU Health Plan precertification vendors
For emergency or maternity admissions, precertification must take place within 48 hours of the admission, even if the patient has been discharged. If a newborn remains in the hospital past the mother’s discharge, these extra days must be precertified. Planned stays must be precertified at least 48 hours prior to the admission.
Durable medical equipment, rehabilitative therapy and nursing services also must also be precertified.
All therapies and nursing must be preauthorized by the provider of service.
For inpatient mental health and substance misuse disorder, at least two business days before admission of services requiring prior authorization, the physician or hospital must call: Beacon Health Options, 1-888-700-7965.
Some services require prior approval (High Option) and some require pre-notification (Consumer Driven Option):
High Option
All states
Cigna
Cigna
Hospital precertification vendor for all states.
For precertification of inpatient hospital stays and continued care review for long-term injuries/illnesses, call 1-800-582-1314.
All states: CAT/CT/MRI/PET scans
Cigna
Cigna
Cigna is responsible for precertification of CAT/CT/MRI/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. The provider must call prior to these procedures.
Consumer Driven Option
Call UnitedHealthcare at 1-800-718-1299.