Bright Health

Silver 6700 ($0 Telehealth + $0 Primary Care + $0 Specialist + $0 Mental Health + $0 Prescription List)

Prescription Drug Information

Inpatient Coverage

Emergency and Urgent Care

Major Dental Care

Links

Plan Overview

Combined Medical and Drug Deductible	Individual: $6,700 Family: $13,400 Per Person: $6,700
Combined Medical and Drug Out of Pocket Maximum	Individual: $8,700 Family: $17,400 Per Person: $8,700

Office Visit

Primary Doctor	CoPay: No Charge CoInsurance: Not Applicable Covered: Covered
Specialist	CoPay: No Charge CoInsurance: Not Applicable Covered: Covered Benefit Explanation: In Network (Tier 1) cost share applies to the first 2 visits. In Network (Tier 2) cost share applies to additional visits.

Prescription Drug Information

Preferred Brand Drugs	CoPay: $90.00 CoInsurance: Not Applicable Covered: Covered
Non Preferred Brand Drugs	CoPay: $150.00 CoInsurance: Not Applicable Covered: Covered
Generic Drugs	CoPay: No Charge CoInsurance: Not Applicable Covered: Covered Benefit Explanation: No charge applies for certain generic drugs. For a list of generics available for no charge, open a new browser window and copy/paste this link into your browser: https://cdn1.brighthealthplan.com/docs/formulary/2022_IFP_0_DrugList.pdf. Cost share may apply for other generic drugs.
Specialty Drugs	CoPay: Not Applicable CoInsurance: 40.00% Coinsurance after deductible Covered: Covered

Inpatient Coverage

Hospital Services	CoPay: Not Applicable CoInsurance: 40.00% Coinsurance after deductible Covered: Covered Benefit Explanation: Services require pre-authorization.
Inpatient Services	CoPay: Not Applicable CoInsurance: 40.00% Coinsurance after deductible Covered: Covered Benefit Explanation: Services require pre-authorization.

Emergency and Urgent Care

Emergency Room	CoPay: Not Applicable CoInsurance: 40.00% Coinsurance after deductible Covered: Covered
Urgent Care Facility	CoPay: $50.00 CoInsurance: Not Applicable Covered: Covered

Maternity

Labor and Delivery Hospital Stay	CoPay: Not Applicable CoInsurance: 40.00% Coinsurance after deductible Covered: Covered Benefit Explanation: Delivery stays exceeding 48 hours for vaginal delivery or 96 hours for cesarean delivery require pre-authorization.
Pre and Postnatal Office Visit	CoPay: No Charge CoInsurance: Not Applicable Covered: Covered

Vision

Routine Eye Exams For Children

CoPay: No Charge
CoInsurance: Not Applicable
Covered: Covered
Limit Quantity: 1
Limit Unit : Exam(s) per Year
Benefit Explanation: Benefits are available up to the end of the month in which the dependent child turns 19.

Major Dental Care

Routine Dental Checkups for Children	CoPay: No Charge CoInsurance: Not Applicable Covered: Covered Benefit Explanation: Benefits are available up to the end of the month in which the dependent child turns 19.
Basic Dental Care - Adult	Benefit Explanation: Benefits are available up to the end of the month in which the dependent child turns 19.
Basic Dental Care - Child	CoPay: Not Applicable CoInsurance: 50% Coinsurance after deductible Covered: Covered Benefit Explanation: Benefits are available up to the end of the month in which the dependent child turns 19.
Major Dental Care - Child	CoPay: Not Applicable CoInsurance: 50% Coinsurance after deductible Covered: Covered Benefit Explanation: Benefits are available up to the end of the month in which the dependent child turns 19.

Related Articles

You may be interested in these relevant articles from across the HealthMarkets.com network.

Hand calluses hurt? 5 smart tips to treat and prevent calluses

Hand calluses hurt? If you lift weights, play guitar, or work with your hands…Read More

Read More

How To Be An Alzheimer’s Caregiver: 5 Things You Need To Know

Are you an Alzheimer’s caregiver for a spouse, family member, or friend? You’re not…Read More

Read More

What Does Basic Health Insurance Cost?

Shopping for healthcare can be time-consuming and feel overwhelming. And one frustrating part can…Read More

Read More