We’ve developed a variety of plans to provide flexibility in finding a plan best suited for you. Use this quick reference guide to lead yourself towards the plan tailored for you. As an added benefit – all Bright plans offer preventive dental, vision, and a hearing aid benefit. For more details and help finding a plan, give us a call at 844-667-5502.
This is our core plan in Ohio. As an HMO plan, value is driven by close coordination between Bright Health and our Care Partner, Mercy Health. This relationship helps lower the overall cost of care and is perfect for anyone who gets excited about not needing referrals. The $0 monthly premium makes our Bright Advantage plan attractive to those wanting to take advantage of our unique Care Partner model and low out-of-pocket maximum without spending extra on additional benefits.
Like our core plan, Bright Advantage Plus plans take full advantage of our close coordination with Mercy Health to keep costs low without needing referrals for in-network care. What differentiates this plan are lower copayments for selected services and our lowest out-of-pocket maximum, which makes Bright Advantage Plus great for planners. In exchange for a small monthly premium, members receive extra benefits while cutting down on surprise costs.
As the name implies, this PPO plan type offers our members additional flexibility by adding a level of out-of-network coverage. Bright Advantage Flex provides freedom for those who may have a favorite specialist outside of Mercy Health's network or are more risk averse and want a Plan B in case of medical need away from their usual provider. With the $0 premium option, this plan is designed for those who value network flexibility over benefits such as comprehensive dental.
This plan builds on Bright Advantage Flex and is for those who want flexibility without giving up additional coverage and benefits. With no referrals needed in-network, an out-of-network benefit, and Bright Extras like comprehensive vision, this plan is designed for those who want to know they’re covered. In exchange for a slightly higher monthly premium, the Bright Advantage Flex Plus plan comes with lower copays for selected services and the peace of mind of coverage that’s there when you need it.
Bright Health designed Bright Advantage Assist to provide members eligible for a Low Income Subsidy (LIS) a benefit fueled plan. With a full subsidy, this plan provides extras like comprehensive vision, preventive dental, and hearing coverage for a $0 monthly premium. If you have an LIS this is likely the plan for you.
Give us a call for some hands-on help. We're happy to answer questions and get you covered. 844-667-5502 (TTY: 711)
Last Updated: Tues Oct 1 2019
Bright Health plans are HMOs and PPOs with a Medicare contract. Bright Health’s New York D-SNP plan is an HMO with a Medicare contract and a Coordination of Benefits Agreement with New York State Department of Health. Our plans are issued through Bright Health Insurance Company or one of its affiliates. Bright Health Insurance Company is a Colorado Life and Health company that issues indemnity products, including EPOs offered through Medicare Advantage. An EPO is an exclusive provider organization plan that may be written on an HMO license in some states and on a Life and Health license in some states, including Colorado. 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 http://www.medicare.gov
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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