Bright Health

Bright Health withdraws from my bank my premium of $847.30 monthly for the worse policy (bronze), and the only time that I used was on August 31/2022 for an MRI, and the claim was denied because according to the EOB, I was not coverage on that day!
I can understand that they make a mistake in processing the claim, but it is unacceptable, that I spent around one hour trying to talk over the phone to someone around 2 months ago, and the person told me that the claim was going to be reprocessed. Still has not been reprocessed, and University of Miami wants to send me for collection.
I wrote a ticket in my portal, and when I try the check, the function is not working.
Finally, I try to call the company today and when I was waiting for answer, the call got disconnected twice.
This situation is very frustrating, I feel that the company is avoiding to pay, specially now that is leaving FL.

I called on 6/22/2020 to ask if the Little Clinic near home was in-network.
Jen S. was wonderful! She answered my question plus she took the time to show me how to navigate the online website for Bright Health to find additional information .
She was patient, friendly and SUPER helpful!
If I could give her a 10 Star , I would!
I don't know if you reward staff, if so please reward her .
If you don't please start rewarding wonderful staff members like her!
Thank you again Jen S. !!!!

Horrible at processing and paying claims. Network in Denver area is not good. Our daughter had Breight Health and was diagnosed with cancer. When she went to have her surgery, there wasn't a GYN ONC on their plan that operated at a hospital covered by their plan. How crazy is that! Had to postpone surgery until we could get a prior authorization approved and that was just a comedy of errors on the part of Bright Health. We mailed in a complete claim with the all the proper codes and bills for her wig - which was covered up to $500. When I called because the claim had not been paid, they had no idea who the person was who signed for certified letter. So I faxed them to claim. Then they found the mailed claim and didn't process either one of them because they were "duplicate" claims! They keep telling me they need more info to process the claim - like the NPI of the doctor and the Tax ID of the wig provide - all clearly stated on the receipt and prescription along with the proper billing and procedure codes. It's now been 6 months still have not received a dime and received yet another call from Natasha asking for the same info I've given Mya and Jen. Their people are very nice on the phone, but honestly their training and knowledge level in processing claims is horrendous! I would steer clear of them. Honestly, I think they give you the run around just so they don't have to pay your claim. They're playing the odds, hoping most people will just give up. Our daughter changed insurance companies, thankfully! She now has Cigna. Much better to deal with I am filing this complaint for our daughter because she is too ill to do it herself, let alone fight with Bright Health to get her claim paid.

My insurance plan with Brighthealth was purchased through the government marketplace. The Marketplace has my plan as an effective date of 3/1/2020. Brighthealth has my effective date as 2/1/2020. They are demanding payment for the month of February when I had no coverage as per the Marketplace. I have had numerous 3 way phone conversations with both entities resulting in the Marketplace stating and filing escalations reiterating the 3/1/2020 effective date. Every month Brighthealth bounces the date back to 2/1/2020 expecting payment for the month of February. This is a monthly occurrence and no amount of speaking with supervisors in various departments of Brighthealth have resolved the issue.

I noticed that 2 different prices were reflected on my account. One for $191.63 (x2) 12/23/19, one for $191.63 for 1/22/20. The next several payments were $181.63. When I signed up in December 2019, I understood a one time membership fee of $6.00, not a fee every month. I signed up for this policy on Connect for Health Colorado.

I saw a charge on my bank account from this business without ever having an account set up with them. I contacted Connect for Health Colorado and they did not know the company and I was never referred to by them to use this service. Somehow they got my information and charged me two monthly charges for health insurance. I called the number I found online for them and they could not find me in their system. I disputed it through my bank and only one charge was removed. I'd like them to be investigated for stealing personal information.

Bright Health chose to terminate my coverage rather than apply my premium payment during a grace period. I paid 2 months of premiums in December 2019 and still have not received these funds returned. Bright Heath admitted these funds were owed to me but still have not issued the refund after more than 30 business days. My bank will not process a dispute because it is not fraud. I would argue this is fraud - they collected funds and appear to have no intention of returning them while denying all health care costs from even in-network providers.

We are very pleased with Bright Health. We love the provider network which is considered the best in our state. My daughters primary care Dr. and OBGYN are in this network. My daughter is pregnant. When all is said and done, she will have very little out of pocket costs including low co-pays and affordable premium. My daughter will get free rides to and from the hospital when the baby is born and for follow up checks. She will also get free meals on this plan when the baby is born. She is thrilled! It has a great drug/pharmacy plan too, low cost affordable meds. The member service line is very knowledgable, helpful and always pleasant to work with. If I have questions about the plan I just call the member service line or go to my member portal online. I also get money back for doing things on the member portal. The broker my daughter worked with who got her on this plan was a great resource for finding great health care. Good experience and coverage so far.

I work for ***. I obtain prior authorization from insurance companies to provider service to a patient. I have been trying to get prior auth for Chemotherapy for a life threating diagnosis for 3 months now from Bright Health Plan. I have submitted all the documentation they requested and now I can't get them to return my calls. I have called a total of 6 times and have received only 2 call backs with no resolution. The patients treatment has now been withheld for 3 months due to not being able to obtain the prior authorization from the insurance company. This is unacceptable. Like I said, the patient has a life threatening illness and Bright Health Plan is hindering her care.

Bright Health has through glitches and mistakes hurt us. Husband was denied a ct scan. Then we were approved a ct scan. Weeks passed. We called for updates and told to just wait. Then we got told there was a glitch were the ct scan was being denied even though it had been approved, In the meantime my husband is too sick to stand up for more than 10 minutes at a time. He can't work. On my off days, I call Bright Health and weep. Nothing happens, Supposedly now we are approved, but nothing has happened yet.
In addition we need to see an Ear, Nose, and Throat doctor, but there isn't one in our network. In theory a contract signed by a doctor and sent back to Bright Health. I sit and wait and weep as my husband gets sicker.

We have paid the Bright Health monthly payment on time for the last 3 months and have yet to receive health care benefits. Every time we try to use our healthcare benefit we are told that the policy is cancelled. We have receipts to show that we have paid, which the company agrees with. (they can see it on their computer). Payment made to: Bright Health Ins Co, *** Denver CO 80256 Multiple call to them have yielded promises that it is fixed each time but we are still denied service.
*** submitting for my spouse

This was the worst health plan ever. I paid my premiums in 2019 and every claim was denied. Took too many phone calls to try and straighten out. Still waiting for a return call from 2019!

I was a victim of this plan's surprise medical bill. I called before I saw a dermatologist, they said everything was " covered". 3 months later the dermatologist sends a bill for $382.74. Bright health plan paid .17 cents. I paid them $6563.00 in premiums in 2019. They still say I was covered.

I would give them negative stars if I could.

So when shopping for new insurance, I saw they said they covered the prescription drug I need and the price was close to what I had been paying. Using this insurance is very difficult. Over 1 month and counting to get pre authorization for a drug the doctor prescribed. Held hostage so I had to pay for prescription out of pocket the last2 months. I only have this insurance for this drug and if I have a bad accident. This pre authorization tactic is BS! Try to get people to just give up on it and pay themselves. I would not recommend bright health. They want you to die so they can collect premiums.

This review is for Bright Health Insurance Member services, I have now been on hold for over an hour and the line keeps telling me “...please keep holding and we’ll be right back with you” this is ridiculous and waste of customers time. The option to have a call back doesn’t work. I would love the Revdex.com to Publish my review.

Antti

I really love this company! The drug plan was better than I thought - they paid almost everything. Very extensive network.

They now use 5 separate deductibles in their Affordable care act coverage. EACH one of these is a $6850 deductible: Primary care, specialty care, ER, Urgent care and inpatient. If you were to have a catastrophe and use even just 4 of these, your ACTUAL deductible would be $27,400! I get the subsidies to reduce premiums but it would take a year for me to pay off this amount.

We signed up for a health plan to begin January 1st as part of open enrollement. The plan costs well over $700. They have charged us teice for January 1st and when we called about it, they said they could return it but it would take 30 business days. That is completely unacceptable for a payment of that amount. It completely leaves us in trouble for January rent payments due to their mistake. It seems to be a tactic as they really wanted us to just apply the payment to February instead. We want our money back.

Does not appear to be an ethical company. My local lab has submitted bills to them for 5 months & have not even received the courtesy of a response. I am going with a non-profit next year. I no longer trust Bright Health.

Bright Health has been deceptive about their policies and billing. I paid a $35 co-pay for an office visit. The lab work was done in the doctor's office. I had three more lab tests done at the doctor's office, three separate visits. A few months later I received a separate bill for the lab work from a different business. Bright Health stated that the lab work was in-network, but since I hadn't reached my full deductible amount, they wouldn't pay the lab bills, almost $4,000. For four blood tests. If the lab operation is a separate business, inside the doctor's office, it should be clear to the patients that this is the case. I've been blindsided by this little arrangement they have, and so far am on the hook for an outrageously high lab bill. The previous Bright Health representative, months ago, stated that I pay the amounts from the column on the Bright Health website, under "claims" where it says "you still owe", which I did. Two different stories, another scammed consumer. I see that others have similar complaints about not-so-Bright Health. Not surprising, as the industry is a multi-billion dollar wrecking ball scam of all scams. People are dying because of it. I suppose consumers are "lucky" if it only ends up in a bankruptcy.

I signe up for Bright Health insurance through the Colorado health insurance marketplace. I went to receive assistance in signing up as well. After reviewing all plans I chose this plan because I can go to the doctor 2 times/year with a $35 copay, and if anything else happens I would have a $75 co pay for urgent care. On every piece of information provided it states that urgent care is a $75 co pay. I looked up the urgent care facility before going to it to make sure that they are in network for Bright Health insurance, and they confirmed they are. I paid my $75 co pay directly to the facility when I received treatment. I talked to both Bright Health and the facility and they both confirmed that all of the procedures performed do fall under the Urgent Care Visit. I received a bill from the urgent care facility. I called them and they said that the bill I have is not my bill and that they have to work it out with the health insurance company. The next thing I know I received a bill for $357.27 from a collection agency. I called Bright Health to figure out what is going on. The man told me that the only thing covered under my $75 co pay is walking in the door. If I want to see a doctor in urgent care then that is not covered and that falls under a $40% co insurance. I told him that nothing that I read prior to signing, nor any of the information they sent me states that their definition of an Urgent Care visit does not include getting to see the doctor. He told me he would send me where it states that information. I have not received this information. Currently I am being harassed by this collection company for the $356.27 that Bright Health is refusing to pay the Urgent Care Facility. Please help me resolve this issue. I pay my premium, and I paid my co payment. I should not be strong-armed into paying additional bills that are supposed to be covered.