Member Resources: Medicare Advantage
As a Bright HealthCare 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
Fast & convenient telehealth services
Bright HealthCare members have convenient access to phone or video appointments through our partnership with Doctor on Demand. See quality caregivers from the comfort of your home or…anywhere.
Know Your Network
Using Bright HealthCare 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.
Use the Member Hub to manage your care
Just log in to the Member Hub to get the scoop on your health plan benefits and summaries, update your primary care provider (PCP), find an in-network provider in your neighborhood, track your care costs and much more.
Medication Management Program
From finding the right prescriptions and pharmacies, to finding new ways to help you save more money, these Bright HealthCare 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.
Silver&Fit Exercise Program
Bright HealthCare makes staying fit simple. Join a fitness center or work out at home at no cost to you.
Learn more about how the Bright HealthCare OTC allowance can help you save on everyday over-the-counter products and health-related items – with delivery right to your home.
Health Dollars Card
The Health Dollars card allows you to pay for over-the-counter products and dental services. Use at your favorite retailers and online.
Healthy eating program that includes fully prepared meals delivered to your home.
Rides to Appointments and Pharmacies
Private rides to doctor's appointments and pharmacies with 1 companion allowed to ride along.
Vision and Hearing Benefits
Bright Health Plans offer access to thousands of approved hearing and vision providers. Simply search for a provider near you and make an appointment!
Bright Medicare Advantage dental coverage grants you access to an extensive network of dental providers. Enjoy annual cleanings, $0 copay for in-network preventative services, and more!
Learn how the SilverSneakers® program (for members in Florida) can help you improve your health, gain confidence, and connect with your community.
Healthy Food Programs
Learn how our new Healthy Foods program can help you make healthy choices using your Healthy Foods card to buy eligible items each month.
Personal Emergency Response System
Learn more about our partnership with Aloe Care Health to provide our members with a mobile medical alert system to keep you safe and alert your loved ones if you ever fall.
Medicare Advantage Premium Payment Options
Learn about the various options for paying your premium bill, such as social security deductions, bank account deductions, or a check.
As a Bright HealthCare member, you can earn Rewards+ dollars for taking simple actions that improve your health.
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.
Answers to some of the more common questions about Medicare and Bright HealthCare.
Whether you’re brand new to Medicare or have had some coverage for years, this brief page can be very helpful. It includes a simple explanation of how all the “parts” fit together, everything they cover, and definitions of commonly used terms.
Bright HealthCare’s people and programs can help you find new ways to make your Medicare Advantage plan and benefits more practical and affordable. Your health insurance agent is also a great resource for insights and advice.
Depending upon your current income, you might qualify for Medicare’s “Extra Help” program – a special option designed to lower your costs for prescription medication and other healthcare services.
Quality Assurance (QA) and Utilization Management (UM)
Bright HealthCare 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 HealthCare 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 HealthCare team is pledged to help you any way we can. You’ll find guidance and resources for filing a formal grievance here.
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.
Website Last Updated: Oct 14, 2022