Medicare forms and documents for Greenville & Spartanburg.
Bright HealthCare's job is not complete when you enroll in a Medicare Advantage plan. We are available to help throughout your healthcare experience. View some of our additional resources you may need while a Bright HealthCare member.
2021 forms and documents
Do you want to give a friend, family member or lawyer the right to make some decisions for you? You can give someone you trust the right to act on your behalf. Just fill out this appoint a representative form and mail to the address below. The appointment lasts up to a year unless you cancel it first.
Bright Health PO Box 853959 Richardson, TX 75085-3959
Appointing a representative
Multi-language interpreter services
National Coverage Determination (NCD) Information
Notice of nondiscrimination
Medicare reimbursement claim form
Authorization to Share Personal Health Information (ASPI)
Coverage determination request form
Prior authorization criteria
Redetermination of prescription drug denial request form
Reimbursement claim form
Step therapy criteria
Safe use of opioid pain medication – information for Medicare Part D patients
Mail order summary
Mail order form
Website Last Updated: Apr 25, 2022