Individual and Family forms and documents

Bright HealthCare's job is not complete when you enroll in an Individual and Family plan. We are available to help throughout your healthcare experience. View some of our additional resources you may need while a Bright HealthCare member.

2022 Forms and Documents



$0 Copay Preventive Drug List English


Download Comprehensive Formulary


Mail Order Form (English)


Mail Order Form (Español)


Mail Order Summary


Prior Authorization Form (California)


Prescription Reimbursement Claim Form English


Prior Authorization Exception Process




GRIEVANCE FORM (California)


Nondiscrimination Notice

English Español


Plan Brochure


California residents contact guide