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.

Individual and Family forms and documents

Find useful documents and links related to Bright HealthCare Individual and Family to make your healthcare experience as simple and surprise-free as possible.

Texas Individual and Family Forms and Documents - Bright HealthCare

2023 Forms and documents 

[Download Comprehensive Formulary](/individual-and-family/drug-search)

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[View more pharmacy documents](/individual-and-family/drug-search)


Pharmacy documents

__Certificate of Coverage__  

[98312TX0060003-00](https://cdn1.brighthealthplan.com/docs/2023_COCs/COC_98312_20230101.pdf)

[98312TX0040005-00](https://cdn1.brighthealthplan.com/docs/2023_COCs/COC_98312_20230101.pdf)

[98312TX0040009-00](https://cdn1.brighthealthplan.com/docs/2023_COCs/COC_98312_20230101.pdf)

[98312TX0040095-00](https://cdn1.brighthealthplan.com/docs/2023_COCs/COC_98312_20230101.pdf)

[98312TX0040099-00](https://cdn1.brighthealthplan.com/docs/2023_COCs/COC_98312_20230101.pdf)

__Schedule of Benefits__  

[98312TX0060003-00](https://cdn1.brighthealthplan.com/docs/2023_SOBs/SOB_ENG_BRIGHTHEALTH_98312TX0060003_00_20230101.pdf)

[98312TX0040005-00](https://cdn1.brighthealthplan.com/docs/2023_SOBs/SOB_ENG_BRIGHTHEALTH_98312TX0040005_00_20230101.pdf)

[98312TX0040009-00](https://cdn1.brighthealthplan.com/docs/2023_SOBs/SOB_ENG_BRIGHTHEALTH_98312TX0040009_00_20230101.pdf)

[98312TX0040095-00](https://cdn1.brighthealthplan.com/docs/2023_SOBs/SOB_ENG_BRIGHTHEALTH_98312TX0040095_00_20230101.pdf)

[98312TX0040099-00](https://cdn1.brighthealthplan.com/docs/2023_SOBs/SOB_ENG_BRIGHTHEALTH_98312TX0040099_00_20230101.pdf)

__Summary of Benefits__  

[98312TX0060003-00](https://cdn1.brighthealthplan.com/docs/2023_SBCs/SBC_ENG_BRIGHTHEALTH_98312TX0060003_00_20230101.pdf)

[98312TX0040005-00](https://cdn1.brighthealthplan.com/docs/2023_SBCs/SBC_ENG_BRIGHTHEALTH_98312TX0040005_00_20230101.pdf)

[98312TX0040009-00](https://cdn1.brighthealthplan.com/docs/2023_SBCs/SBC_ENG_BRIGHTHEALTH_98312TX0040009_00_20230101.pdf)

[98312TX0040095-00](https://cdn1.brighthealthplan.com/docs/2023_SBCs/SBC_ENG_BRIGHTHEALTH_98312TX0040095_00_20230101.pdf)

[98312TX0040099-00](https://cdn1.brighthealthplan.com/docs/2023_SBCs/SBC_ENG_BRIGHTHEALTH_98312TX0040099_00_20230101.pdf)


Plan documents

Nondiscrimination Notice

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/IFP22_NewMarkets_1557NonDiscrim_EN.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/commercial-resources/IFP22_NewMarkets_1557NonDiscrim_SP.pdf)

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Authorization to Share Personal Health Information (ASPI)

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_BH_IFP_ASPI_Form.pdf) [Spanish](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_BH_IFP_ASPI_Form_SP.pdf)

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Grievance Form

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/grievance_form_new.pdf)

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[Network Access Plan](https://cdn1.brighthealthplan.com/docs/commercial-resources/Network-Access-Plan.pdf)

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[Transparency in Coverage](/individual-and-family/resource/transparency-of-coverage)

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[Your Rights and Protections Against Surprise Medical Bills](https://cdn.bhgplatforms.io/docs/commercial-resources/surprise-billing-model-notice_TX.pdf)

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[Wellness Visit - MedArrive](https://medarrive.com/bright-health-wellness)  


Additional resources

2022 Forms and documents 

Nondiscrimination Notice

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/IFP22_NewMarkets_1557NonDiscrim_EN.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/commercial-resources/IFP22_NewMarkets_1557NonDiscrim_SP.pdf)

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Authorization to Share Personal Health Information (ASPI)

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_BH_IFP_ASPI_Form.pdf) [Spanish](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_BH_IFP_ASPI_Form_SP.pdf)

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Grievance Form

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/grievance_form_new.pdf)

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[Network Access Plan](https://cdn1.brighthealthplan.com/docs/commercial-resources/Network-Access-Plan.pdf)

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[Transparency in Coverage](/individual-and-family/resource/transparency-of-coverage)


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[Certificate of Coverage](https://cdn1.brighthealthplan.com/docs/2022_COCs/COC_98312_20220101.pdf)

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[Plan Brochure](https://cdn1.brighthealthplan.com/docs/commercial-resources/IFP2022_PlanBrochure_TX_en_es.pdf)

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[Your Rights and Protections Against Surprise Medical Bills](https://cdn.bhgplatforms.io/docs/commercial-resources/surprise-billing-model-notice_TX.pdf)

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[Wellness Visit - MedArrive](https://medarrive.com/bright-health-wellness)  

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2022 Broker Commission Program  

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_broker_commission_program.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_broker_commission_program_es.pdf)
