Bright Health

I am writing this review to express my utter frustration with this company. Currently I’m waiting to have some potentially malignant moles removed and biopsied. My provider told me the removal needs prior authorization from Bright Health. Almost a month after my initial office visit (I was told it shouldn’t be longer than two weeks) and there is still no update on the authorization. When I called bright health to inquire about this I was curtly told “for CPT codes 11102 and 11103 you don’t need authorization”. Thankfully I’m familiar with what a CPT code is, otherwise I would have been completely lost. When I replied that I’m not sure whether those CPT codes referred to the office visit or the mole removal (no experience with dermatological CPT codes) the woman I spoke with was not helpful at all; she just kept asking for the CPT code of the procedure. As the patient, how am I supposed to know the exact CPT code the provider will use for coding a procedure? As far as I know, the average patient isn’t even aware of what a CPT code is. I checked into these particular codes after my uneventful phone call, and I believe these are for the actual removal of the moles. Upon calling my provider again, they reaffirmed that a prior authorization is required from my insurance. So the small amount of information I did get from Bright Health is apparently untrue. Now I’m left back where I started, with no update or information, just waiting.

I joined Bright Health during open enrollment 2019. I signed up for their Advantage Plus (HMO) plan which cost $9.00/monthly from my Social Security.
My main complaint is being charged $116.20 copay for my Annual Wellness Visit on 5/6/19 by Centura Health, which is St. Anthony's hospital.
Bright Health and Medicare is suppose to pay an Annual Wellness visit without copay. When I disputed the charge; I was told it was for use of the hospital facility. My appointment was at their medical plaza, not the hospital. The bill is coded as "HC New Outpatient Visit Level 5".
At my Wellness Visit I met my Primary Care Physician for the first time. I was never told there is a charge for meeting a doctor in Bright Health's Network for the first time.
Several attempts have been made to resolve the problem with Bright Health. Each time customer service assures me they have pay the bill and to disregard any bills received from Centura Health. The bill keeps coming and Centura has even sent paperwork to file for financial help. I'm not paying for my Annual Wellness! I also intend on reporting Bright Health to Medicare since they are new in the State of Colorado. They should be removed from Medicare Book and annual enrollment. I do not recommend this health plan.

Bright Health is the WORST Medicare Advantage partner imaginable.
First, in NYC they use the Mount Sinai logo on all their communications, implying that they are connected with that hospital. Only after you sign up do you find out that they have contracted with VERY FEW doctors at Mt Sinai. The small handful of doctors who signed on with Bright are so overbooked, it takes 2 months to get a wellness appointment.
Second, even the doctors signed on with them are not aware that they exist. I've had to make multiple phone calls for every appointment, trying to convince office managers that this bogus company actually exists.
Third, their billing is a mess -- they are double-billing me for things that Medicare is also billing me for.
Finally, the dental group they list as affiliates is not even connected to Bright Health, never heard of them, and refuses to accept their card.
I can't wait for 2020 so I can get off Bright Health and onto a legitimate insurance carrier.

My wife had signed up with Bright Health Colorado on January 10, 2019, for a full coverage for the rest of the year. She started to receive various email and USPS mail on Welcome flyer, auto pay deductions, etc. This continued till February 11th when another auto pay deduction email was received. She had no need to question the efficacy of the enrollment process with all the communication from the company. However her pharmacy informed her of not being on the insurance on February 13th, after which Bright Health claimed their file does not show that she had enrolled. My wife was asked to provide evidence such as the name of the agent, new ID number, etc. on her part to possibly review the situation. Why is the burden of proof always on the consumer? Bright Health is adamant that their file system is infallible therefore my wife (and I) must be in error. Why would Bright Health send out an email detailing a 2-month premium withdrawal via auto pay if not on the same day that we had created a direct enrollment with them. I can understand a system hiccup or a a poor follow up documentation by an agent or a myriad of reasons why their system has failed at least in this instance. With all the miscommunication, we have missed the annual enrollment deadline as well as the 30-day grace period if we had any earlier inkling. To top it off, on February 13th, after we had been talking to their membership department, an email stating the direct withdrawal plan was being terminated effective January 20th was received. Coincidence? That's a full 24 days after the effective date! I can almost imagine parts of their system workflow logic being jammed up in a Minneapolis rush hour grid lock.

I signed up for insurance for my family during open enrollment, paid my premium and got my insurance cards. In January, I got an email about my autopay that showed a credit. Somehow, Bright Health took my family off the account and just left me. I've called no less than 5 times to try to resolve this and each time the person either says they will take care of their error or have someone call me back who can. Each time they also assure me that my family is still covered. Today I demanded a supervisor (and of course they are all in a meeting) and the person said they would transfer me to their voicemail, disconnected me and didn't call me back. This person also told me my family isn't currently covered. I tried to call back and it goes to voicemail. I cannot find any way to get a person to help me and to get my family covered as originally set up. I have done nothing to change anything on my end and yet I cannot get any person in the company to fix this problem.

Every year in November Bright Health cancels your current plan and gives you the option of continuing coverage under a new plan with a higher deductible, and usually also a higher premium. They indicate that if you do not accept the new plan, your coverage will be canceled. This year I had finally had enough, so I decided not to re-enroll with Bright Health. I got health insurance which started January 1st under a short-term plan through ***. I can provide proof of coverage and proof of the effective date.

Even though Bright Health indicated that if I did not accept their new plan my coverage would be canceled, they are predictably now coming after me for another $600 premium payment for January 2019. I neither needed or wanted their coverage for this month, which is why I arranged for other coverage.

I signed up with Bright Health to provide me with healthcare coverage on 11/30/2018, through Healthcare.gov.I provided payment with the enrollment on the same day. Almost immediately the issues started: a few days later, I learned that the enrollment was cancelled. After several phonecalls the I was reinstated.Then, my insurance card had not being mail. Last Friday, after receiving an email reminder that a payment was due on the 1/20/2019, I called again, to complained that I had not received my cards.I received an email with a screenshot of their system that included my member id in formation. Today, I tried to login into their system to make a payment and also to get information to give to my primary care physician, and I could not login and when I tried to use the Member ID lookup link, it returned that that there was an issue with my account.I proceeded to called Member Services and after speaking with a supervisor in Enrollment/Billing (Amber,ext ***) I found out that that my information never flowed through their system, and is stuck in their Enrollment/Billing Dept. The supervisor contacted IT to resolve the issue, which cannot by resolve immediately.After 5 lenghty and tedious phonecalls, I have realize how poorly run this company is.

Used a website to set up insurance figured soon after that my old insurance was still good, called bright to cancel before the insurance plan even started was assured a refund would be here in 7 to 10 buisness days, called back in after 11 buisness days was informed it was on it's way on it's way. Called again 2days later was informed refund will not be given. I never even recieved insurance cards because I cancled so soon after.

As far as I am concerned, Bright Health Insurance is in breach of our contract as Bright Health is REFUSING to pay their part for an in office procedure involving the use of an X-Ray Machine for Diagnostic purposes. I paid the copay, and have been on time with my monthly premium payments. In addition to this refusal to maintain their part of the agreement, and thus sticking me with the bill for the X-Ray, Bright Health has demonstrated a severe incapacity to take care of simple clerical procedures. It Literally took 5 months for Bright Health to process a Change of Address Notification.

DO NOT GIVE THIS COMPANY A DIME!! They are a startup (just raised Series B) and operate like one. They do not understand their own policies and the staff is sophomoric at best. I pay thousands a year for coverage, and thousands a year out of pocket. Yet, Im healthy and have only one issue, a medical eye condition.

I had prepaid for the month of January but moved states so I canceled my insurance effective January 1st. Despite receiving a confirmation of the cancelation and multiple promises to pay back my money, I continue to not receive any checks. In a bizarre twist the only letter I have received is a failure to pay notice for February for a policy already canceled on January 1st.

Bright Health refuses to terminate my coverage and reimburse a premium retroactive to 10/31/17. They were billed for a blood test on 11/30/17 but made no payment for the test saying it was due to not meeting a deductible. I sent them information on 12/8/17 regarding approval of a SSD claim which I received via USPS on 12/7/17. This was originally filed in March 2015 and I have not been able to work since then. The letter said I was approved for Medicare retro to 9/1/17 and back premiums were taken for 5 months in the amount of $134.00/mo. I was paying Bright Health $733.28/mo. and the last bill they paid was for $208.00 in Sept. 2017. They termed coverage 11/30/17 but would not term. back to 10/31/17. I had no control over when I received notice. They said they are not legally required to refund or terminate a premium. I feel this is unfair since I gave them notice immediately when I received it; I sent them the letter and supporting documentation saying back premiums were charged at $134/month retro to 9/1/17; I still had to pay Bright $733.28/month; They paid and incurred no expenses for my 11/30/17 blood test. I feel for an insurance company this is unfair for me to pay double premiums for something beyond my control. I have worked with health plans before who were fair to bills and premiums when it was expenses beyond my control. I believe this is unethical and unprofessional behavior for a Director of Bright Health. Bright Health has all of my documentation and appeals via e-mail. They also have the responses I received via e-mail saying basically there is nothing to discuss and I am not legally required to do anything for you. Not exactly caring and professional treatment from a Director of a Health Insurance Company.