Bright Advantage plan details in Alabama

Selecting a Bright Advantage plan in Alabama gives our members access to our unique Care Partner model with Brookwood Baptist Health, with no referrals needed for in-network visits. Oh, and added benefits like dental, vision, and a free gym membership for a $0 monthly premium.

Bright Advantage (HMO)

Monthly Plan Premium


Your Selected Plan Add-ons


Total Monthly Premium


Plan Details

Monthly Plan Premium


Annual Medical Deductible


Annual Prescription Drug Deductible


Primary Care Visit

$0 copay

Specialist Visit

$25 copay

Preventive Care

$0 copay

Annual Physical

$0 copay

Annual Max Out-Of-Pocket


Emergency Care

$90 copay

Urgent Care

$30 copay

Outpatient Surgery

$200 copay

Diagnostic Radiology Services

$75 copay

Lab Services

$0 copay

Outpatient X-rays

$15 copay


$250/day for days 1-5

$0/day for days 6-90

$0/day for days 90+

Outpatient Surgery (Ambulatory)

$250 copay

Prescription Drug Coverage Details

Annual Prescription Drug Deductible


Costs For Initial Coverage Period


Retail pricing (30 or 90 day supply)

Mail order pricing (90 day supply)

Tier 1: Preferred Generic

Retail pricing (30 or 90 day supply)


Mail order pricing (90 day supply)


Tier 2: Generic

Retail pricing (30 or 90 day supply)


Mail order pricing (90 day supply)


Tier 3: Preferred Brand

Retail pricing (30 or 90 day supply)


Mail order pricing (90 day supply)


Tier 4: Non-Preferred Drug

Retail pricing (30 or 90 day supply)


Mail order pricing (90 day supply)


Tier 5: Specialty Tier

Retail pricing (30 or 90 day supply)


Mail order pricing (90 day supply)


Coverage Gap

After your total yearly drug cost (including what our plan has paid and what you have paid) reaches $3,820, you will enter the coverage gap (also called the "donut hole"). This means that there's a temporary change in what you will pay for your drugs. Not everyone will enter the coverage gap. If you enter the coverage gap, you'll pay 25% of the plan's cost for covered brand name drugs and 37% of the plan's cost for covered generic drugs until your costs total $5,100, which is the end of the coverage gap.

Catastrophic Coverage

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $5,100, you will pay the greater of:

  • 5% of the cost, or
  • a $3.40 copay for a generic drug or a drug that’s treated like a generic and a $8.50 copay for all other drugs

Bright Extra Benefits

Preventive Dental

Copay for X-rays


Copay for oral exam


Copay for cleaning


Want more coverage? Upgrade to enhanced dental coverage

• Copays vary depending on services you receive


Hearing Services

Routine Hearing Exam & Hearing Aid Fitting/Evaluation


Hearing Aid Allowance

$2,000 every three years

Preventive and Enhanced Vision Coverage

Routine Eye Exam


Materials Allowance

$130 every two years

Included Extra Benefits


Additional Plan Resources

Summary of Benefits

Annual Notice of Changes (ANOC)

Enrollment Form

Evidence of Coverage (EOC)

LIS Premium Summary Chart

If you qualify for Extra Help, you may be eligible for discounted monthly premiums. Learn more about Bright Health plans with Extra Help

Still have questions?
We'd love to hear from you!

Last Updated: Fri Nov 23 2018


Bright Health plans are HMOs and PPOs with a Medicare contract. Our plans are issued through Bright Health Insurance Company or one of its affiliates. Enrollment in our plans depends on contract renewal.

This information is not a complete description of benefits. Call 844-667-5502 | TTY:711 for more information.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

You must continue to pay your Medicare Part B premium.

Every year, Medicare evaluates plans based on a 5-star rating system.

Medicare beneficiaries may also enroll in Bright Health Medicare Advantage plans through the CMS Medicare Online Enrollment Center located at 

Bright Health Medicare Advantage plans are plans with a network of doctors, hospitals, pharmacies, and other providers. Out-of-network/noncontracted providers are under no obligation to treat Bright Health members, except in emergency situations.

Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. You must generally use network pharmacies to fill your prescriptions for covered Part D drugs.

Other providers are available in our network. Most network providers participate through our Care Partner.

Bright Advantage Special Care (HMO SNP) has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) through 2021 based on a review of Bright Advantage Special Care (HMO SNP) Model of Care.

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