BSW Plus HMO, BSW Plus PPO, BSWH Employee Plan

Insurance providers not listed are considered out-of-network. If you would like to be seen out of network, we can provide you with a completed HCFA form for you to submit to your insurance provider for potential out-of-network coverage and reimbursement. Please note that submission of this form does not guarantee coverage or reimbursement, as benefits vary by provider and individual policy.