Individual and Family forms and documents

Bright HealthCare'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 while a Bright HealthCare member.

2022 Forms and documents

$0 Copay Preventive Drug List English

Download Comprehensive Formulary

Mail Order Form (English)

Mail Order Form (Español)

Mail Order Summary

Prior Authorization Form (California)

Prescription Reimbursement Claim Form English

Prior Authorization Exception Process


Nondiscrimination Notice

English Español

Plan Brochure

California residents contact guide

Authorization to Share Personal Health Information (ASPI)

English Spanish