Member Resources: Medicare Advantage

As a Bright Health member, you’re our highest priority – and our services go far beyond filing and paying insurance claims. Of course, we do that too.

Using Your Plan

Know Your Network

Using Bright Health in-network care providers keeps your out-of-pocket costs down. Our carefully selected Care Partners provide everything from regular check-ups to urgent care needs, while giving you the personalized care you deserve.

 

Medication Management Program

From finding the right prescriptions and pharmacies, to finding new ways to help you save more money, these Bright Health resources and benefits add real value to your Medicare Advantage plan.

 

Drug Transition Policy

We want to make the transition of your Medicare Part D coverage as seamless as possible. So, if you’re currently taking a medication that’s not covered by our plan or are entering/leaving a long-term care facility, we help you work with your doctors to avoid disruption of your treatment and ensure coverage for a temporary supply of medication.

 


 

Online Resources

Forms and Documents

Need to change your coverage or file a claim? Or just need more information about your Medicare Advantage plan? You’ll find a full library of useful forms and other materials here.

 

Quality Assurance (QA) and Utilization Management (UM)

Bright Health offers QA and UM programs at no extra cost to our Part D members. Designed to ensure the safe and appropriate use of prescription medications covered, these programs help identify potential risks and opportunities to improve your medication therapy.

 

Out of Network Coverage Rules

Your Bright Health plan includes coverage for services provided by healthcare professionals outside of our network – including emergency services outside the U.S. But certain rules apply. Please familiarize yourself with these guidelines before contacting an out-of-network provider.

 

Part D Appeals & Grievances

Has a claim for your Part D prescription coverage been denied? Having trouble with another aspect of your Part D plan? This section of our site provides you with information about filing an appeal or grievance to resolve the issue.

 

File a Grievance

If you’re ever dissatisfied with decisions or actions regarding your Medicare Advantage plan, the Bright Health team is pledged to help you any way we can. You’ll find guidance and resources for filing a formal grievance here.

 

Disenrollment

We value you as a member and a person, so we hope you’ll contact Member Services at 844-221-7736 TTY: 711 before you ever cancel your plan. But if you’ve decided to disenroll, this section of our site will provide you with the steps for doing so.

 


 

Want to learn more about Bright Health?

We’re not a traditional health insurance company. We were founded by healthcare experts and are run by folks who care about your health and your pocketbook. With Bright Health, you can feel good about health insurance – for all the bright reasons.

Learn about us

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Website Last Updated: Oct 25 2020

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