Your Plan Documents
Quickly and easily view only the plan documents that apply to you in our Member Portal. Custom plan documents are not included on this page, but can also be found in the Member Portal.
All Documents
Primary Care Physician (PCP) referrals are not required for any of our plans.
Individual Plans
Gold Plans
- BSW Elite Gold HMO 001
- BSW Elite Gold HMO 001
- BSW Elite Gold HMO 001 - Native American Zero
- BSW Elite Gold HMO 001 - Native American Limited
- BSW Elite Gold HMO 004
- BSW Elite Gold HMO 004
- BSW Elite Gold HMO 004 - Native American Zero
- BSW Elite Gold HMO 004 - Native American Limited
- BSW Elite Gold HMO 012
- BSW Elite Gold HMO 012
- BSW Elite Gold HMO 012 - Native American Zero
- BSW Elite Gold HMO 012 - Native American Limited
- BSW Diabetes Care Gold 014
- BSW Diabetes Care Gold 014
- BSW Diabetes Care Gold 014 - Native American Zero
- BSW Diabetes Care Gold 014 - Native American Limited
- BSW Elite Gold HMO 002
- BSW Elite Gold HMO 001
- BSW Elite Gold HMO 001
- BSW Elite Gold HMO 001 - Native American Zero
- BSW Elite Gold HMO 001 - Native American Limited
- BSW Elite Gold HMO 004
- BSW Elite Gold HMO 004
- BSW Elite Gold HMO 004 - Native American Zero
- BSW Elite Gold HMO 004 - Native American Limited
- BSW Elite Gold HMO 012
- BSW Elite Gold HMO 012
- BSW Elite Gold HMO 012 - Native American Zero
- BSW Elite Gold HMO 012 - Native American Limited
- BSW Diabetes Care Gold 014
- BSW Diabetes Care Gold 014
- BSW Diabetes Care Gold 014 - Native American Zero
- BSW Diabetes Care Gold 014 - Native American Limited
- BSW Elite Gold HMO 002
- Coming soon...
Silver Plans
- BSW Prime Silver HMO 008
- BSW Prime Silver HMO 008
- BSW Prime Silver HMO 008 - Native American Zero
- BSW Prime Silver HMO 008 - Native American Limited
- BSW Prime Silver HMO 008 - CSR 73% AV
- BSW Prime Silver HMO 008 - CSR 87% AV
- BSW Prime Silver HMO 008 - CSR 94% AV
- BSW Prime Silver HMO 003
- BSW Prime Silver HMO 003
- BSW Prime Silver HMO 003 - Native American Zero
- BSW Prime Silver HMO 003 - Native American Limited
- BSW Prime Silver HMO 003 - CSR 73% AV
- BSW Prime Silver HMO 003 - CSR 87% AV
- BSW Prime Silver HMO 003 - CSR 94% AV
- BSW Prime Silver HMO 005
- BSW Prime Silver HMO 005
- BSW Prime Silver HMO 005 - Native American Zero
- BSW Prime Silver HMO 005 - Native American Limited
- BSW Prime Silver HMO 005 - CSR 73% AV
- BSW Prime Silver HMO 005 - CSR 87% AV
- BSW Prime Silver HMO 005 - CSR 94% AV
- BSW Prime Silver HMO 010
- BSW Prime Silver HMO 011
- BSW Prime Silver HMO 015
- BSW Prime Silver HMO 008
- BSW Prime Silver HMO 008
- BSW Prime Silver HMO 008 - Native American Zero
- BSW Prime Silver HMO 008 - Native American Limited
- BSW Prime Silver HMO 008 - CSR 73% AV
- BSW Prime Silver HMO 008 - CSR 87% AV
- BSW Prime Silver HMO 008 - CSR 94% AV
- BSW Prime Silver HMO 003
- BSW Prime Silver HMO 003
- BSW Prime Silver HMO 003 - Native American Zero
- BSW Prime Silver HMO 003 - Native American Limited
- BSW Prime Silver HMO 003 - CSR 73% AV
- BSW Prime Silver HMO 003 - CSR 87% AV
- BSW Prime Silver HMO 003 - CSR 94% AV
- BSW Prime Silver HMO 005
- BSW Prime Silver HMO 005
- BSW Prime Silver HMO 005 - Native American Zero
- BSW Prime Silver HMO 005 - Native American Limited
- BSW Prime Silver HMO 005 - CSR 73% AV
- BSW Prime Silver HMO 005 - CSR 87% AV
- BSW Prime Silver HMO 005 - CSR 94% AV
- BSW Prime Silver HMO 010
- BSW Prime Silver HMO 011
- BSW Prime Silver HMO 015
- Coming soon...
Bronze Plans
- BSW Savers Bronze HMO H S A 006
- BSW Savers Bronze HMO H S A 006
- BSW Savers Bronze HMO 006 - Native American Zero
- BSW Savers Bronze HMO H S A 006 - Native American Limited
- BSW Savers Bronze HMO H S A 007
- BSW Savers Bronze HMO H S A 007
- BSW Savers Bronze HMO H S A 007 - Native American Zero
- BSW Savers Bronze HMO H S A 007 - Native American Limited
- BSW Savers Bronze HMO H S A 009
- BSW Savers Bronze HMO H S A 009
- BSW Savers Bronze HMO H S A 009 - Native American Zero
- BSW Savers Bronze HMO H S A 009 - Native American Limited
- BSW Vital Bronze HMO 001
- BSW Vital Bronze EPO 001
- BSW Savers Bronze HMO H S A 006
- BSW Savers Bronze HMO H S A 006
- BSW Savers Bronze HMO 006 - Native American Zero
- BSW Savers Bronze HMO H S A 006 - Native American Limited
- BSW Savers Bronze HMO H S A 007
- BSW Savers Bronze HMO H S A 007
- BSW Savers Bronze HMO H S A 007 - Native American Zero
- BSW Savers Bronze HMO H S A 007 - Native American Limited
- BSW Savers Bronze HMO H S A 009
- BSW Savers Bronze HMO H S A 009
- BSW Savers Bronze HMO H S A 009 - Native American Zero
- BSW Savers Bronze HMO H S A 009 - Native American Limited
- BSW Vital Bronze HMO 001
- BSW Vital Bronze EPO 001
- Coming soon...
MyPlan PPO Transitional
- MYPLAN 70 50 2500
- MYPLAN 70 50 5000
- MYPLAN 80 50 1500
- MYPLAN 80 50 2500
- MYPLAN 80 50 5000
- MYPLAN 80 50 7500
- MYPLAN 80 50 10000
- MYPLAN 100 70 7500
- MYPLAN 100 70 10000
- MYPLAN 100 70 15000
- MYPLAN 100 70 20000
- MYPLAN 100 70 HDHP 2500
- MYPLAN 100 70 HDHP 3500
- MYPLAN 100 70 HDHP 5000
- MYPLAN 80 50 500
- MYPLAN 80 50 750
- MYPLAN 80 50 1000
- MYPLAN 70 50 2500
- MYPLAN 70 50 5000
- MYPLAN 80 50 1500
- MYPLAN 80 50 2500
- MYPLAN 80 50 5000
- MYPLAN 80 50 7500
- MYPLAN 80 50 10000
- MYPLAN 100 70 7500
- MYPLAN 100 70 10000
- MYPLAN 100 70 15000
- MYPLAN 100 70 20000
- MYPLAN 100 70 HDHP 2500
- MYPLAN 100 70 HDHP 3500
- MYPLAN 100 70 HDHP 5000
- MYPLAN 80 50 500
- MYPLAN 80 50 750
- MYPLAN 80 50 1000