If the provider you see now isn't in our network, or there are no providers near you, you can ask us to add them. Just fill out a Provider Nomination Form.
How to Nominate a Provider
On your benefits page, select the type of provider you want to see.
Select Forms.
Scroll down and select View Form next to Provider Nomination Form
Print the form and fill it out
Send it to us by mail, fax, or email:
Mail: SimpleMSK, P.O. Box 25220, Fresno, CA 93729-5220
Fax: 888-439-4819
Email: [email protected]
You can also download the form at the bottom of this article.
What Happens Next?
Nominations take 4–6 weeks to process. Submitting a form doesn't guarantee your provider will be added. We'll let you know the outcome.
Questions?
Call 877-519-8839.