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Bright HealthCare

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3.7

Overall Score

Author: Kaitlyn Short

LAST UPDATED: April 19th, 2022

Bright HealthCare offers several types of health plans in 13 states. Depending on your state, you can find employer-sponsored plans, Medicare Advantage plans, and individual and family health plans.

The primary advantage of choosing Bright HealthCare is the assistance you can receive with enrollment. You can visit one of its Authorized Enrollment Centers and work with Individual & Family Health Insurance Marketplace navigators.

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The Good

  • Competitive Health Plans
  • Helpful Enrollment Assistance
  • Member Benefits

Competitive Health Plans

Bright HealthCare offers Medicare Advantage plans, employer-sponsored health plans, and health plans for individuals and families.

Both plans include access to a network of care providers, which Bright HealthCare refers to as Care Partners. Most health plans have provider networks, though Bright HealthCare's Care Partner terminology is unique.

Bright HealthCare offers off-exchange health plans that meet Affordable Care Act guidelines. With these plans, you can benefit from telehealth services through Doctor on Demand. Access to telehealth services is becoming a more common offering from health insurers.

The company's Medicare Advantage plans don't have copays for specialist and generalist doctors. They also don't have copays for commonly prescribed Tier 1 Preferred Generic and Tier 6 Select Maintenance medications.

Additional benefits of these plans include coverage for preventive dental care, routine eye and hearing exams, fitness programs, and meal delivery after a hospital stay.

Employers can find small group coverage that's compliant with the Affordable Care Act. Bright HealthCare offers a nationwide network option that is beneficial for employers with remote employees throughout the United States.

Helpful Enrollment Assistance

Another advantage of working with Bright HealthCare is the range of enrollment assistance available. Many health insurance companies have insurance agents available to assist. However, Bright HealthCare stands out for its Authorized Enrollment Centers where you can receive answers to questions and help enrolling in a plan.

Bright HealthCare also offers access to Individual & Family Health Insurance Marketplace navigators who are trained to offer unbiased enrollment assistance.

With Medicare, you can also benefit from assistance through these Authorized Enrollment Centers. Beyond this in-person assistance, you can find virtual events to learn more about Medicare Advantage plans.

Member Benefits

Whatever plan you have, you can benefit from online policy management and an online directory for finding an in-network provider. With the company's individual and family plans, you can get cash rewards for doing things like choosing a primary care doctor.

Medicare plan members can benefit from Bright HealthCare's Medication Management Program for assistance with prescriptions.

If you're switching from a prescription drug plan to a Medicare Advantage plan, Bright HealthCare offers a program to help with the transition if one of your typical prescriptions won't be covered by your new Medicare Advantage plan.

You can also see if you qualify for financial assistance with Medicare from Bright HealthCare's site.

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The Bad

  • Limited Customer Service Hours
  • Not All Prescriptions May Be Covered
  • Limited Availability
  • Low Number of Customer Reviews

Limited Customer Service Hours

Bright HealthCare offers customer service by phone from 8:00 a.m. to 8:00 p.m. Central Standard Time. Although some members may prefer 24/7 customer service, these customer service hours aren't limited to business hours.

With these hours Bright HealthCare strikes a good balance between meeting member needs and caring for employees.

Not All Prescriptions May Be Covered

Check your plan's formulary to make sure that your medications are covered. Most health plans have drug formularies that list which drugs are covered by the plan. Although it can be frustrating if a plan doesn't cover your medications, formularies are a common practice for Medicare plans and health insurance.

Limited Availability

Bright HealthCare is not available in every state. If you're not in one of the 13 states it serves, you'll need to find another health insurance company.

Low Number of Customer Reviews

Best Company has not received many Bright HealthCare customer reviews, so insight on the customer experience is not available.

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The Bottom Line

Although more customer insight would be helpful, Bright HealthCare is worth considering for its competitive health plans and member benefits. The insurer's Medicare Advantage plan features like meal delivery after a hospital stay and coverage for preventive dental care are also competitive for the industry.

Employers with remote employees throughout the United States can benefit from the insurer's Nationwide Network option.

Bright HealthCare goes above and beyond with enrollment assistance. From unbiased Individual & Family Health Insurance Marketplace navigators and Authorized Enrollment Centers to virtual information sessions on Medicare, you can be confident when you're enrolling in health insurance.

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Star Rating

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1.1

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18 Reviews

Review Breakdown

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4 grade

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2 grade

6%

1 grade

94%

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Henry Goldberg New York, NY

Medicare advantage plan - Since I live in Manhattan I can access many providers within the Mount Sinai system - BUT the insurance websites frequently fail and there is no IT department to call - they probably call a plumber to fix their technology. I had a bill that took ME 2 1/2 years to resolve and their customer service was NEVER able to directly intercede for me - nice people, but useless system. They seem to be unhappy with every drug plan they have as the part D component. Forget the dental benefits - the worst inexperienced and money grubbing dental groups cannot compare with highly experienced dentists we have all over New York City. It's a waste of my Medicare dollars on this extra service. I should get a rebate on my part B social security deductions. I should be offered a free hearing aid if I need it. And what is the company doing with all the hundreds of millions those investors put in the company?

5 years ago

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Ashley Stoker Plano, TX

Bright has friendly but useless customer service and a highly inaccurate provider list. Looking for an in-network counselor took me over 10 hours and still no luck! 3 phone calls to customer service, hours on the MemberHub provider search to find an in-network provider (all of the ones I found on their site, or were given by customer service did not accept the insurance. Several of them had never even heard of the company). Finally was told I could go through Doc on Demand, and scheduled an appointment for 3 weeks later. I was given a notification my estimated cost would be $0 with my insurance, but after my appointment the claim was denied by Bright. The same customer service department that said to use Doc on Demand told me it was out of network. Now I'm too nervous to even use the insurance, because I don't trust them to uphold the plan!

4 years ago

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Ashley Anthony Birmingham, AL

This insurance is literally useless. They show you one thing before signing up, and after. It only covers the most random things (won't cover antibiotics, but will cover sleep aids?) The coverage for my Chiropractor is non-existent because they charge less than the minimum on the insurance. I cannot find a provider for GP, Internal Medicine that isn't a long drive. I'm going to be so glad when my new insurance kicks in for my job. Several physicians have said their patients drop this once they see how limited you are. It's a $350 plan through healthcare.gov that does nothing. Glad I'm not paying anywhere near that amount thanks to the credit I received.

4 years ago

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Anise Dnyez Banks Kansas City, MO

No stars bright health care denied my hip replacement surgery because of BMI with is designed and made by a white man and to say the least antiquated. They also said I need PT. I had my Physical therapist told therapy is not going to help with Avascular Necrosis. I am excruciating pain my hip bone ball is crumbling. And the customer service and prior auth lines is horrible. I am looking to sue them for pain and suffering because I meet the bmi requirements. And have given them letters of necessity oh and they denied also be the didn’t know if I smoke my h&p says clearly no and what does that do with a hip replacement . I regret my decision picking them as my insurance company. I knew there plans were too good to be true. I worry because I have a rare blood disorder that can be deadly if not treated asap. I’m in remission now but that change any day. I am very upset with bright healthcare and their lies

4 years ago

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FlowerPower Mesa, AZ

3 years with them and the I regret I didn't switch to a different company. The last 2 years were the most costly health insurance years for my family, not because of illness thank god, but because Bright Health is really bad. On top I feel that some fishy things are going on. Never signed up for auto pay, yet, at some point they started to take the money from my account without permission. Billed me for things they didn't need, and worst, I spent hours with them and customer service is pretty lame, supervisors are mean and heartless, and will not try to help at all!!! Just will let you know that this is how it is, and there is nothing they can do. This is definitely the last year with Bright Health. I wish Kaiser will come to Arizona, this is how health insurance should be.

4 years ago

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Jwan Wynn Raleigh, NC

I called this company to cancel coverage back in June of 2021 to cancel coverage however they are saying they do not have a call log . They produced a 1095 indicated I had coverage most of 2021 . Now the IRS is looking for the tax credit back . I NEVER used the insurance and had full coverage on my job . Stay away from these people if you can . I would rate them a 0 however that option is not available .

4 years ago

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Denton Taylor Denver, CO

I liked the rewards that they had to offer but they made it very difficult to cancel and charged me for the service even though I had changed insurance providers. They have some friendly people on their support but in the 6 months that we had Bright, I have spent close to 40 hours on calls trying to get everything taken care of. I ended up with surprise bills because of out-of-network issues or mislabeling. While their monthly premium was reasonable, the number of headaches and stress trying to work with them is unacceptable. I would not recommend this service to anyone!

4 years ago

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Kelly-jo B7458 Phoenix, AZ

I need a neurologist but can't find one. My fiancé went to the sight with me since I had a stroke a few years ago and still can't hear right. We called some foreign person who told us a number to call at a neurologist office. We called the number and they told us we're out of network... I've been through the ringer ever since my stroke that I thought having insurance would help... but instead I get lied to. I can barely move but I don't think they give a s**t. They just want their money and that's it. This is by far the worst insurance I would ever have again.

4 years ago Edited March 14, 2022

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Chris Hall Louisville, CO

This company is inept. You will be insured. That is true. But the cost savings will be quickly chewed up and lost by spending countless hours on the phone and within their lame messaging system. This company must be staffed with people who clearly do not care or do not know how to do their job or are incapable of providing any thing rising to the level of service commensurate with the premiums you pay. I would avoid this company if possible. If not, you sincerely have my sympathy. I desperate position one would need to be in to put up with such poor a poorly run organization.

4 years ago

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Rachel Carnes Austin, TX

Horrendous! Zero response to messages sent via online customer portal, hours on hold to receive the most unhelpful, uncaring, incredibly useless insight from their representatives. The provider directory is am absolute joke, very out of date, no links to provider sites, no reviews, no credentials, no information whatsoever in the modge-podge jumble of supposed in-network providers, whom 98% of do NOT even accept Bright Healthcare and have no clue why they would be listed in their provider directory as theyve NEVER accepted Bright! What an absolute dumpster fire of a company.

4 years ago

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Angela Morgan Dallas, TX

When I got with this company I ask would anything change with my dr or meds huh!! Soon as I get with them their pharmacy want approve my meds so my pharmacy can fill them. which I never had an insurance company that went through medipact I think is their name now I'm having to pay for my meds that helps the most with my pain that there's no cure for,I can't wait to dump this insurance I don't like surprises especially when I'm paying my money and you come in and override what my dr says pissed!!!

4 years ago Edited February 18, 2022

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Noxy Mondragon Houston, TX

I don’t recommend this insurance Bright Health Care is a Fraud !!! When we use healthCare Market place we look in which plan best suit our income and family. We choose one that said PCP will be $0 copay I look to see what other benefits it had and compare it to another plan. When I got my insurance Card it said $0 just for the first visit then after I will pay $50. It never said that when shopping in the market place so please be aware of their scam

4 years ago

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Chariti F Brandon, FL

I do not recommend this company. I could waste an hour writing about how they have failed me in so many ways. However, I have already wasted hours trying to get medical care with them blocking me from getting it, so I don't have the time to tell you anything other than to go elsewhere for medical insurance if you can.

4 years ago

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Lisa Gies Tucson, AZ

Not only have I been disappointed, but the physician offices also tell me it's a horrible plan and to pick another one next time. It is a cheap plan where the patient gets billed for things they never did before. My mammograms are usually covered but I was sent a bill for the radiologist who read the image.

6 years ago

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USA Tickets Conroe, TX

Worst insurance company I have dealt with. It's impossible to find a DR through these guys. I am pretty much not going to be covered for the rest of the year. Never again! This company is a scam!!

4 years ago

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anon Hollywood, FL

This company is awful, almost no one accepts them and if you cancel, good luck getting a refund even after they say you will receive the pro-rated amount you won't. Terrible customer service, very unresponsive.

4 years ago

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Dillon Nichols Dallas, TX

you will not get a dr i am crying rn i am i so much pain and i cant get a PCP there sytemfor finding drs is HORBBILE yu put primary care and get a million other specialist bright health care was a trap

4 years ago

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Chava Miller Jacksonville, FL

Bright Health Care is a Fraud !!! Customer service unacceptable.

4 years ago Edited January 31, 2022