Alabama Bright Advantage Plus (HMO) - 2018
To see a full list of benefits, including any limitations, please see the Evidence of coverage (PDF) or Summary of benefits (PDF) in the Additional plan resources section below.
Prescription coverage details
Annual prescription drug deductible$0
Initial Coverage Stage
Retail pricing (30 day/90 day supply)
After your total yearly drug cost (including what our plan has paid and what you have paid) reaches $3,750, 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 35% of the plan's cost for covered brand name drugs and 44% of the plan's cost for covered generic drugs until your costs total $5,000, which is the end of the coverage gap.
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $5,000, you will pay the greater of:
- 5% of the cost, or
- a $3.35 copay for a generic drug or a drug that’s treated like a generic and a $8.35 copay for all other drugs
Bright Extra Benefits
Preventive vision coverage
Copay for one exam every 12 months
Want more coverage?
$4/monthUpgrade to Optional enhanced vision coverage• $130 towards eyeglass frames or contact lenses.
• Includes coverage for basic lenses and lens enhancements.
Preventive dental coverage
Copay for one cleaning & one exam every 12 months
Copay for Bitewing X-rays every 12 months
Want more coverage?
$20/monthUpgrade to Optional enhanced dental coverage• You pay only $100 out-of-pocket before your benefits kick in
• $1500 benefit maximum per year
• 30-50% coinsurance for basic and major services
Preventive and enhanced hearing coverage
Copay for annual hearing aid fitting and evaluation
Hearing aid allowance every 3 years
No fees for membership at a participating Silver&Fit® facility
Additional plan resources
|Summary of benefits||English|
|Evidence of coverage||English|
|LIS premium summary chart||English|
|Prior authorization criteria||English|
|Step therapy criteria||English|
|Bright Extra Benefits (Optional) Enrollment Form||English|