Patient Information and Forms
Thank you for choosing Midwest Center for Women’s HealthCare! We know you have choices for women’s health, and we truly value you as our patient.
Patient Forms
Health Insurance
Midwest Center for Women’s HealthCare (MCWHC) is pleased to participate in a wide variety of insurance plans and welcome new patients.
Important: Insurance plans and participation can change. Patients are responsible for contacting their insurance provider prior to their visit to confirm coverage, benefits, and that their preferred provider and location are in-network. Please note that not all care centers or providers participate in every plan.
When contacting your insurance company, please reference our Federal Tax Identification Number (TIN): 04-3634290 for all MCWHC physicians and locations. Coverage may vary for services performed outside our offices, such as at hospitals.
Tip: After confirming benefits with your insurance company, ask for a call reference number and share it with our office for your records.
Accepted Major Insurance Carriers
- Aetna
- Blue Cross Blue Shield of Illinois (BCBS – IL)
- Cigna
- GlobalExcel
- HealthLink (Unicare/HealthLink)
- HealthSmart
- Humana
- MultiPlan
- Partners Direct Health
- Sana Benefits
- TriWest Healthcare Alliance (Tricare)
- United Healthcare
- United Healthcare Optum
- Zelis
If you don’t see your plan listed or have any additional questions, feel free to reach out to our care centers.
Medical Records
- Medical Records Release Form – Use this form to obtain your medical records from MCWHC or have them sent to MCWHC from another health provider.
- Park Ridge Breast Center Mammography Release Form
- Skokie Breast Center Mammography Release Form
- South Elgin Breast Center Mammography Release Form
* Former patients of Dr. Benson, Dr. Schreiber and Chanelle Nsangou use this form for your Medical Records Release.
Billing and Insurance
For billing and insurance questions, please call 847-562-1410
- For appointments and refills, please call your your doctor’s office.