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.

 

OTC Allowance

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.

 

Made-for-Me Meals

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!

 

Dental Benefits

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!

 

SilverSneakers®

Learn how the SilverSneakers® program (for members in Colorado and 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.

 


 

Online Resources

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.

 

FAQs

Answers to some of the more common questions about Medicare and Bright HealthCare.

 

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.

 

Disenrollment

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.

 


 

Want to learn more about Bright HealthCare?

We’re not a traditional health insurance company. We were founded by healthcare experts and are run by folks who care about your health and your pocketbook. With Bright HealthCare, you can feel good about health insurance – for all the bright reasons.

Learn about us

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Website Last Updated: Apr 25, 2022

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