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 HMO 001
- BSW Vital Bronze EPO 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
Small Group Plans
Platinum Plans
- Platinum PPO 80 1000 BSW Plus PPO
- Platinum PPO 90 700 BSW Plus PPO
- Platinum PPO 80 350 BSW Plus PPO
- Platinum PPO Copayment 0 3500 BSW Plus PPO
- Platinum PPO 80 1000 BSW Access PPO
- Platinum PPO 90 700 BSW Access PPO
- Platinum PPO 80 350 BSW Access PPO
- Platinum PPO Copayment 0 3500
- Platinum HMO 80 1000 BSW Plus HMO
- Platinum HMO 90 700 BSW Plus HMO
- Platinum HMO 80 350 BSW Plus HMO
- Platinum HMO Copayment 0 3500 BSW Plus HMO
- Platinum HMO 80 1000 BSW Premier HMO
- Platinum HMO 90 700 BSW Premier HMO
- Platinum HMO 80 350 BSW Premier HMO
- Platinum HMO Copayment 0 3500 BSW Premier HMO
- Coming soon...
- Coming soon...
Gold Plans
- Gold PPO 90 4500 BSW Plus PPO
- Gold PPO 100 4000 BSW Plus PPO
- Gold PPO 100 3500 BSW Plus PPO
- Gold PPO HSA 3900 BSW Plus PPO
- Gold PPO HSA 3550 BSW Plus PPO
- Gold PPO 100 3000 BSW Plus PPO
- Gold PPO 80 3000 BSW Plus PPO
- Gold PPO 100 2550 BSW Plus PPO
- Gold PPO 90 2000 BSW Plus PPO
- Gold PPO 90 1900 BSW Plus PPO
- Gold PPO 80 1500 BSW Plus PPO
- Gold PPO 80 1000 BSW Plus PPO
- Gold PPO 80 750 BSW Plus PPO
- Gold PPO Copayment 0 7700 BSW Plus PPO
- Gold PPO 90 4500 BSW Access PPO
- Gold PPO 100 4000 BSW Access PPO
- Gold PPO 100 3500 BSW Access PPO
- Gold PPO HSA 3900 BSW Access PPO
- Gold PPO HSA 3550 BSW Access PPO
- Gold PPO 100 3000 BSW Access PPO
- Gold PPO 80 3000 BSW Access PPO
- Gold PPO 100 2550 BSW Access PPO
- Gold PPO 90 2000 BSW Access PPO
- Gold PPO 90 1900 BSW Access PPO
- Gold PPO 80 1500 BSW Access PPO
- Gold PPO 80 1000 BSW Access PPO
- Gold PPO 80 750 BSW Access PPO
- Gold PPO Copayment 0 7700 BSW Access PPO
- Gold HMO 90 4500 BSW Plus HMO
- Gold HMO 100 4000 BSW Plus HMO
- Gold HMO 100 3500 BSW Plus HMO
- Gold HMO HSA 3900 BSW Plus HMO
- Gold HMO HSA 3550 BSW Plus HMO
- Gold HMO 100 3000 BSW Plus HMO
- Gold HMO 80 3000 BSW Plus HMO
- Gold HMO 100 2550 BSW Plus HMO
- Gold HMO 90 2000 BSW Plus HMO
- Gold HMO 90 1900 BSW Plus HMO
- Gold HMO 80 1500 BSW Plus HMO
- Gold HMO 80 1000 BSW Plus HMO
- Gold HMO 80 750 BSW Plus HMO
- Gold HMO Copayment 0 7700 BSW Plus HMO
- Gold HMO SM 0 9750 BSW Plus HMO
- Gold HMO 90 4500 BSW Premier HMO
- Gold HMO 100 4000 BSW Premier HMO
- Gold HMO 100 3500 BSW Premier HMO
- Gold HMO HSA 3900 BSW Premier HMO
- Gold HMO HSA 3550 BSW Premier HMO
- Gold HMO 100 3000 BSW Premier HMO
- Gold HMO 80 3000 BSW Premier HMO
- Gold HMO 100 2550 BSW Premier HMO
- Gold HMO 90 2000 BSW Premier HMO
- Gold HMO 90 1900 BSW Premier HMO
- Gold HMO 80 1500 BSW Premier HMO
- Gold HMO 80 1000 BSW Premier HMO
- Gold HMO 80 750 BSW Premier HMO
- Gold HMO Copayment 0 7700 BSW Premier HMO
- Gold HMO SM 0 9750 BSW Premier HMO
- Coming soon...
- Coming soon...
Silver Plans
- Silver PPO 80 8900 BSW Plus PPO
- Silver PPO 80 7500 BSW Plus PPO
- Silver PPO 100 7300 BSW Plus PPO
- Silver PPO 90 7000 BSW Plus PPO
- Silver PPO 80 6900 BSW Plus PPO
- Silver PPO 70 6700 BSW Plus PPO
- Silver PPO 90 6500 BSW Plus PPO
- Silver PPO 80 6250 BSW Plus PPO
- Silver PPO HSA 6400 BSW Plus PPO
- Silver PPO 90 5900 BSW Plus PPO
- Silver PPO 80 5000 BSW Plus PPO
- Silver PPO HSA 5350 BSW Plus PPO
- Silver PPO 70 4500 BSW Plus PPO
- Silver PPO 80 4250 BSW Plus PPO
- Silver PPO 60 4200 BSW Plus PPO
- Silver PPO 70 3800 BSW Plus PPO
- Silver PPO 70 3600 BSW Plus PPO
- Silver PPO 60 3250 BSW Plus PPO
- Silver PPO 90 750 BSW Plus PPO
- Silver PPO 80 8900 BSW Access PPO
- Silver PPO 80 7500 BSW Access PPO
- Silver PPO 100 7300 BSW Access PPO
- Silver PPO 90 7000 BSW Access PPO
- Silver PPO 80 6900 BSW Access PPO
- Silver PPO 70 6700 BSW Access PPO
- Silver PPO 90 6500 BSW Access PPO
- Silver PPO 80 6250 BSW Access PPO
- Silver PPO HSA 6400 BSW Access PPO
- Silver PPO 90 5900 BSW Access PPO
- Silver PPO 80 5000 BSW Access PPO
- Silver PPO HSA 5350 BSW Access PPO
- Silver PPO 70 4500 BSW Access PPO
- Silver PPO 80 4250 BSW Access PPO
- Silver PPO 60 4200 BSW Access PPO
- Silver PPO 70 3800 BSW Access PPO
- Silver PPO 70 3600 BSW Access PPO
- Silver PPO 60 3250 BSW Access PPO
- Silver PPO 90 750 BSW Access PPO
- Silver HMO 80 8900 BSW Plus HMO
- Silver HMO 80 7500 BSW Plus HMO
- Silver HMO 100 7300 BSW Plus HMO
- Silver HMO 90 7000 BSW Plus HMO
- Silver HMO 80 6900 BSW Plus HMO
- Silver HMO 70 6700 BSW Plus HMO
- Silver HMO 90 6500 BSW Plus HMO
- Silver HMO 80 6250 BSW Plus HMO
- Silver HMO HSA 6400 BSW Plus HMO
- Silver HMO 90 5900 BSW Plus HMO
- Silver HMO 80 5000 BSW Plus HMO
- Silver HMO HSA 5350 BSW Plus HMO
- Silver HMO 70 4500 BSW Plus HMO
- Silver HMO 80 4250 BSW Plus HMO
- Silver HMO 60 4200 BSW Plus HMO
- Silver HMO 70 3800 BSW Plus HMO
- Silver HMO 70 3600 BSW Plus HMO
- Silver HMO 60 3250 BSW Plus HMO
- Silver HMO 90 750 BSW Plus HMO
- Silver HMO 80 8900 BSW Premier HMO
- Silver HMO 80 7500 BSW Premier HMO
- Silver HMO 100 7300 BSW Premier HMO
- Silver HMO 90 7000 BSW Premier HMO
- Silver HMO 80 6900 BSW Premier HMO
- Silver HMO 70 6700 BSW Premier HMO
- Silver HMO 90 6500 BSW Premier HMO
- Silver HMO 80 6250 BSW Premier HMO
- Silver HMO HSA 6400 BSW Premier HMO
- Silver HMO 90 5900 BSW Premier HMO
- Silver HMO 80 5000 BSW Premier HMO
- Silver HMO HSA 5350 BSW Premier HMO
- Silver HMO 70 4500 BSW Premier HMO
- Silver HMO 80 4250 BSW Premier HMO
- Silver HMO 60 4200 BSW Premier HMO
- Silver HMO 70 3800 BSW Premier HMO
- Silver HMO 70 3600 BSW Premier HMO
- Silver HMO 60 3250 BSW Premier HMO
- Silver HMO 90 750 BSW Premier HMO
- Coming soon...
- Coming soon...
Bronze Plans
- Bronze HMO 100 9450 INV BSW Plus HMO
- Bronze PPO 100 9450 INV BSW Plus PPO
- Bronze PPO 100 9450 BSW Plus PPO
- Bronze PPO 90 7900 BSW Plus PPO
- Bronze PPO 80 7500 BSW Plus PPO
- Bronze PPO HSA 7550 BSW Plus PPO
- Bronze PPO 100 9450 BSW Access PPO
- Bronze PPO 90 7900 BSW Access PPO
- Bronze PPO 80 7500 BSW Access PPO
- Bronze PPO HSA 7550 BSW Access PPO
- Bronze HMO 100 9450 BSW Plus HMO
- Bronze HMO 90 7900 BSW Plus HMO
- Bronze HMO 80 7500 BSW Plus HMO
- Bronze HMO HSA 7550 BSW Plus HMO
- Bronze HMO 100 9450 BSW Premier HMO
- Bronze HMO 90 7900 BSW Premier HMO
- Bronze HMO 80 7500 BSW Premier HMO
- Bronze HMO HSA 7550 BSW Premier HMO
- Coming soon...
- Coming soon...
POS Transitional
- Coming soon...
- Coming soon...