Welcome to Bright Health

1 Welcome to Bright Health2021 Provider Guide Prefiere leer esta gu a en espa ol? Visite , a partir de oto Bright Health Journey to Your CommunityLet s grow togetherBright Health knows that it s more important than ever to make quality care affordable and accessible. We re excited to partner and grow with your practice. Here are some of the ways we work hard to grow our membership and bring you new patients: We developed a creative marketing strategy that has gained industry recognition for its innovative approach to consumer engagement We proactively guide our members to in-network care, so they can easily navigate to our carefully selected group of Health systems and providers in each communityA new approach to Health insuranceLet s make healthcare better, Health is putting the focus in healthcare back where it belongs on the patient and their provider.

2 Our exclusive network brings our members coordinated care from quality providers like you. Together, we work hand-in-hand to bring our members the best possible care at the best possible , personal, affordableWe respect the close relationship between a provider and their patients. To support the provider-patient connection, we built our plans around three core principles:Simple: We created a close network of high-performing providers and hospitals to give our members access to superior , quality care. For our providers, our streamlined online access to the information and services you need helps you create the best care experience for your : We take pride in being there for you and your patients, where and when you need it. Live support is always available through our Member and Provider Services hotlines, and we have dedicated local Provider Relations Representatives who understand your community and needs.

3 Affordable: Our carefully selected networks help improve Health outcomes and promote efficient use of resources. We pass these savings along to our members, which lowers their out-of-pocket costs and reduces barriers to care. We also focus on copays instead of coinsurance, so you can collect payment at point of solutions designed with our provider partners in mindWe never require a referral to send a Bright Health member to an in-network specialist. This helps reduce the administrative burden for providers and their front office staff, as well as the wait time for your patient to get the care they need.$0 copays for routine preventative care visits encourage patients to visit their provider regularly and to maintain their high network retention rates improve our network quality, enhance care affordability, and support appropriate benefit use.

4 Bright Health quickly becomes a trusted partner for our providers!We offer electronic claims management, a streamlined prior authorization process, and easy eligibility and benefit checks so your staff can spend less time on paperwork and more time on patients.$0 We believe the foundation of good healthcare is a strong relationship between people and their doctors. -Bob Sheehy, Bright Co-founder and Executive ChairmanOur 2017 marketsOur 2020 marketsBright Health was founded in 2016 on the idea that we could make healthcare more simple, personal, and affordable through close, collaborative relationships with Care 2017, we introduced our first Health insurance plans in Colorado, offering a new and affordable way for individuals and families to get access to great care in their next step was to expand and prove that our Care Partner concept would work in other areas, and it did!

5 As of 2020, we re serving 12 states. Next year, we re coming to your ProductsHere at Bright Health , we offer a variety of Health insurance plans designed to be simple, personal, and affordable. Specific plans vary by market because we custom tailor them to meet the needs of each community we serve. The Bright Health NetworkWe design our network to offer the best possible care at the best possible price. We collaborate closely with a select group of provider partners in each community and guide our members to seek care exclusively with those partners. For most plans, Bright Health does not cover out-of-network services, except for emergency Health outcomes through coordinated careBright Health s personalized Care Partner networks means we can work closely with members to help them find the right care, which improves Health outcomes. Care is better coordinated, leading to fewer readmissions and emergency room visits, a reduction in duplicate testing, and a more seamless care out-of-pocket costs for membersIn 2019, we saved our members $43 million dollars on their care, compared to what they would have paid out-of-network.

6 And those savings have increased every year since help guide members to in-network careBright Health members get great rates on nearly every kind of care when they stay in-network. To help our members seek care with our Care Partners, we: Offer live care navigation support to help our members find in-network providers Proactively reach out to members who may need additional support finding in-network care Redirect out-of-network requests to in-network providers Reach out to members with a high risk of going out-of-network Educate members who go out-of-network and help transition them back to in-network care Collaborate with providers to better understand their capabilities and support available to membersLearn more about the plans Bright Health is offering in your community at 2021 plan information will be available October 2020!How you can helpYou can help your patients save money with the right in-network care.

7 Use our online Provider Finder tool at to: Confirm if a provider or facility is in-network Find the right in-network doctor, specialist, or facility based on patient preferencesWe never require referrals for Bright Health members to see in-network specialists. We always encourage members to connect with a Primary Care Provider (PCP) early and talk to them regularly. But if a member needs a specialist, they can see any doctor in our network without a referral. Some services may require a prior authorization to confirm that both the provider and the place of service are & Family PlansBright Health offers multiple qualified Individual & Family Plans (IFP) to consumers across the United States. We partner with Health systems to deliver a high-quality experience that makes dealing with Health insurance simpler for our members, at an affordable IFP PlansGoldSilverBronzeCatastrophicSilver PlusBronze PlusBronze HSAM edicare Advantage PlansBright Health offers Medicare Advantage plans to Medicare eligible consumers in certain markets.

8 We design plans to meet the needs of Medicare patients and help them get great access to care that fits their budgets. Sample Medicare Advantage PlansBright Advantage Choice (HMO) BrightBright Advantage Flex Choice (PPO)Advantage Plus (HMO) Bright Advantage Flex Plus (PPO) Bright Advantage Assist (PPO)67 Let s get startedWe re excited to partner with you to deliver a unique care experience for your patients and our members. We ve developed extensive resources and tools to ease administrative burden and support seamless, quality care. Here are some things you can do to get your practice up and for your 2021 in-network participationHere are three easy steps to ensure our partnership gets off to a healthy the news with your staffMake sure your whole team knows you are now a participating provider with Bright Health , so they are prepared to answer patient your practice data up to date with NPPESAs of this year, you can attest to the accuracy of your information in one place for all your payors through your NPPES profile.

9 Simply log into your NPPES profile at and make sure all the information is up to date. Keeping your profile current can help prevent delays in claim payments and prior with your patientsWe re new in town, so patients may not know about Bright Health or that you re a participating provider. List Bright Health on your practice website as an accepted plan for 2021 and prepare to tell patients Yes, we do accept Bright Health plans! Your key is a multipayer platform that allows Bright Health to integrate with your practice in a secure, streamlined way. It offers a wide range of tools and resources to make your life 9/1/2020, log into and select Bright Health from the Payer Spaces tab. You can: View news, tools, and resources such as the Provider Manual and Quick Reference Guide Verify member eligibility and view benefit details Submit electronic prior authorization requests Obtain prior authorization forms File electronic claims, check claim status, and view remittance Bright Health website is your best resource to: Learn more about Bright Health s insurance plans Search for in-network providers or facilities using our Provider Finder Tool View formularies and identify low-cost medication with our Drug Finder toolWe re here for in September, visit our Provider Resources website to find the information and resources you need to get ready for Bright Health members.

10 You can: Download our Quick Reference Guide Get updates to our policies and procedures Get prior authorization and claims forms View sample ID cards for your so much more!Provider ServicesGet fast, live support through Provider Services. Once you start seeing Bright Health members, you can also inquire about eligibility and benefits, claim status, or prior & Family Plans: 855-453-0434 Medicare Advantage: 844-201-0677 Your Provider Relations RepresentativeYour dedicated, local Provider Relations Representative is here to support you and your patients. See page 13 of this guide for their contact Health local educational programsLocal educational programs are available to your staff to help you get up to speed and to provide ongoing support once you begin seeing Bright Health programs include: Meet Bright Health Educating Patients about Bright Health Coding and Claims 101To schedule a session, reach out to your Provider Relations that extends outside the clinicBright Health integrates closely with our provider partners to offer seamless, coordinated care management, including extra support for those who need it About Bright Health , Plans, and ResourcesWhen can I start seeing Bright Health patients?