가입자가 개인 및 가족 플랜에 가입했다고 해서 Bright HealthCare의 역할이 끝나는 것이 아닙니다. Bright HealthCare는 가입자의 의료 경험 전반에 걸쳐 도움을 드릴 수 있습니다. Bright HealthCare 가입자에게 필요할 수 있는 추가 자료를 확인해보세요.

개인 및 가족 플랜 양식 및 서류

Bright HealthCare 개인 및 가족 플랜과 관련하여 가입자의 의료 경험을 최대한 간단하고 저렴하게 만들어 줄 유용한 서류와 링크를 찾아보세요.

텍사스주 개인 및 가족 플랜 양식 및 서류 - Bright HealthCare

2023년 양식 및 서류

[전체 보장 처방약 목록 다운로드](https://ko.brighthealthcare.com/individual-and-family/drug-search)

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[더 많은 약국 서류 보기](https://ko.brighthealthcare.com/individual-and-family/drug-search)


약국 서류

__보장 증서__  

[98312TX0060001-00](https://cdn1.brighthealthplan.com/docs/2023_COCs/COC_98312_20230101.pdf)

[98312TX0040041-00](https://cdn1.brighthealthplan.com/docs/2023_COCs/COC_98312_20230101.pdf)

[98312TX0040045-00](https://cdn1.brighthealthplan.com/docs/2023_COCs/COC_98312_20230101.pdf)

__보험수가__  

[98312TX0060001-00](https://cdn1.brighthealthplan.com/docs/2023_SOBs/SOB_ENG_BRIGHTHEALTH_98312TX0060001_00_20230101.pdf)

[98312TX0040041-00](https://cdn1.brighthealthplan.com/docs/2023_SOBs/SOB_ENG_BRIGHTHEALTH_98312TX0040041_00_20230101.pdf)

[98312TX0040045-00](https://cdn1.brighthealthplan.com/docs/2023_SOBs/SOB_ENG_BRIGHTHEALTH_98312TX0040045_00_20230101.pdf)

__보험 급여 요약__  

[98312TX0060001-00](https://cdn1.brighthealthplan.com/docs/2023_SBCs/SBC_ENG_BRIGHTHEALTH_98312TX0060001_00_20230101.pdf)

[98312TX0040041-00](https://cdn1.brighthealthplan.com/docs/2023_SBCs/SBC_ENG_BRIGHTHEALTH_98312TX0040041_00_20230101.pdf)

[98312TX0040045-00](https://cdn1.brighthealthplan.com/docs/2023_SBCs/SBC_ENG_BRIGHTHEALTH_98312TX0040045_00_20230101.pdf)

플랜 서류

차별금지 고지

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/IFP22_NewMarkets_1557NonDiscrim_EN.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/commercial-resources/IFP22_NewMarkets_1557NonDiscrim_SP.pdf)

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개인 건강 정보 공유 승인(ASPI)

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_BH_IFP_ASPI_Form.pdf) [Spanish](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_BH_IFP_ASPI_Form_SP.pdf)

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불만 제기 양식

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/grievance_form_new.pdf)

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[네트워크 액세스 플랜](https://cdn1.brighthealthplan.com/docs/commercial-resources/Network-Access-Plan.pdf)

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[보장 범위 투명성](https://ko.brighthealthcare.com/individual-and-family/resource/transparency-of-coverage)

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[Your Rights and Protections Against Surprise Medical Bills](https://cdn.bhgplatforms.io/docs/commercial-resources/surprise-billing-model-notice_TX.pdf)

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[건강 관리 방문 - MedArrive](https://medarrive.com/bright-health-wellness)  


추가 자료

2022년 양식 및 서류

차별금지 고지

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/IFP22_NewMarkets_1557NonDiscrim_EN.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/commercial-resources/IFP22_NewMarkets_1557NonDiscrim_SP.pdf)

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개인 건강 정보 공유 승인(ASPI)

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_BH_IFP_ASPI_Form.pdf) [Spanish](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_BH_IFP_ASPI_Form_SP.pdf)

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불만 제기 양식

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/grievance_form_new.pdf)

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[네트워크 액세스 플랜](https://cdn1.brighthealthplan.com/docs/commercial-resources/Network-Access-Plan.pdf)

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[보장 범위 투명성](https://ko.brighthealthcare.com/individual-and-family/resource/transparency-of-coverage)


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[보장 증서](https://cdn1.brighthealthplan.com/docs/2022_COCs/COC_98312_20220101.pdf)

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[Plan Brochure](https://cdn1.brighthealthplan.com/docs/commercial-resources/IFP2022_PlanBrochure_TX_en_es.pdf)

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[Your Rights and Protections Against Surprise Medical Bills](https://cdn.bhgplatforms.io/docs/commercial-resources/surprise-billing-model-notice_TX.pdf)

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[건강 관리 방문 - MedArrive](https://medarrive.com/bright-health-wellness)  

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2022 브로커 커미션 프로그램

[English](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_broker_commission_program.pdf)
[Español](https://cdn1.brighthealthplan.com/docs/commercial-resources/2022_broker_commission_program_es.pdf)
