Bright Health Company of Arizona'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 as a 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.

Arizona Individual and Family Forms and Documents - Bright HealthCare

2022 Forms and documents 

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

$0 Copay Preventive Drug List [English](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_IFP_PreventiveDrugList_.pdf) 

[$0 Generic Drug List for IFP](https://cdn1.brighthealthplan.com/docs/formulary/2022_IFP_0_DrugList.pdf)

Prescription Reimbursement Claim Form
[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_reimbursement_claim_ifp.pdf)

[Prior Authorization Form](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022-pa-auth.pdf)

[Prior Authorization Exception Process](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_pa_exception_process.pdf)

[Mail Order Summary](https://cdn1.brighthealthplan.com/docs/2022-mof-summary.pdf)

[Mail Order Form (English)](https://cdn1.brighthealthplan.com/docs/2022-mof-en.pdf)

[Mail Order Form (Español)](https://cdn1.brighthealthplan.com/docs/2022-mof-es.pdf)


Pharmacy documents


Nondiscrimination Notice

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/IFP22_LegacyMarkets_1557NonDiscrim_EN.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/commercial-resources/IFP22_LegacyMarkets_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_Legacy_Form.pdf) [Spanish](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_BH_IFP_ASPI_Legacy_Form_SP.pdf)

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Grievance Form

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/grievance_form_legacy.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_87247_20220101.pdf)

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[Plan Brochure](https://cdn1.brighthealthplan.com/docs/commercial-resources/IFP2022_PlanBrochure_AZ_en_es.pdf)

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

Individual and Family forms and documents

2022 Forms and documents

Pharmacy documents

Additional resources

Products

Company

Individual Resources

Medicare Resources

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