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Braven Medicare Salute (PPO)

H0885 - 011 - 0

(3.5 / 5)

Braven Medicare Salute (PPO) is a Medicare Advantage Plan by Braven Health.

This page features plan details for 2025 Braven Medicare Salute (PPO) H0885 – 011 – 0.

IMPORTANT: This page features the 2025 version of this plan. See the 2025 version using the link below:

Locations

Braven Medicare Salute (PPO) is offered in the following locations.

Atlantic County, New Jersey

Burlington County, New Jersey

Camden County, New Jersey

Click to see more locations

Plan Overview

Braven Medicare Salute (PPO) offers the following coverage and cost-sharing.

Insurer:	Braven Health
Health Plan Deductible:	$0
MOOP:	$6,700 In and Out-of-network $6,300 In-network
Drugs Covered:	No

Ready to sign up for Braven Medicare Salute (PPO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Medicare Part B Give Back Benefit

The Part B Premium Reduction (Medicare Part B Give Back Benefit) lowers the cost of some Medicare Advantage plans.

Braven Medicare Salute (PPO) qualifies for a monthly Medicare Give Back Benefit of $50.00.

Premium Reduction:

$50.00

Premium Breakdown

Braven Medicare Salute (PPO) has a monthly premium of $0.00. This amount includes your Part C premium but does not include your Part B premium.

Part B	Part C	Part B Give Back	Total
$185.00	$0.00	$50.00	$

Please Note:

Your Part B premium may differ based on factors including late enrollment, income, and disability status.

Additional Benefits

Braven Medicare Salute (PPO) also provides the following benefits.

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

- In-Network: No

Comprehensive Dental

Adjunctive General Services
- In-Network: 50 Coins – No Co pay
Endodontics
- In-Network: No Coins – No Co pay
- Out-of-Network: No Coins – No Copay
Oral and Maxillofacial Surgery
- In-Network: 50 Coins – No Co pay
Periodontics
- In-Network: No Coins – No Co pay
- Out-of-Network: No Coins – No Copay
Prosthodontics, fixed
- In-Network: 50 Coins – No Co pay
Prosthodontics, removable
- In-Network: 50 Coins – No Co pay
Restorative Services
- In-Network: 0-50 Coins – No Co pay

Diagnostic and Preventive Dental

Dental X-Rays
- In-Network: No Coins – No Copay
- Out-of-Network: No Coins – No Copay
Fluoride Treatment
- In-Network: No Coins – No Copay
- Out-of-Network: No Coins – No Copay
Oral Exams
- In-Network: No Coins – No Copay
- Out-of-Network: No Coins – No Copay
Prophylaxis (cleaning)
- In-Network: No Coins – No Copay
- Out-of-Network: No Coins – No Copay

Diagnostic procedures/lab services/imaging

Diagnostic tests and procedures
- Out-of-Network: $0-110 copay (Authorization Required)
Lab services
- In-Network: $0 copay (Authorization Required)
Diagnostic radiology services (e.g., MRI)
- Out-of-Network: $0-180 copay (Authorization Required)
Lab services
- Out-of-Network: $20-55 copay (Authorization Required)
Outpatient x-rays
- In-Network: $40-100 copay (Authorization Required)
- Out-of-Network: $60-100 copay (Authorization Required)
Diagnostic tests and procedures
- In-Network: $0-55 copay (Authorization Required)
Diagnostic radiology services (e.g., MRI)
- In-Network: $0-180 copay (Authorization Required)

Doctor visits

Specialist
- In-Network: $40 copay per visit (Authorization Required)
- Out-of-Network: $40 copay per visit (Authorization Required)
Primary
- In-Network: $0 copay
- Out-of-Network: $0 copay

Emergency care/Urgent care

Emergency
- $110 copay per visit (always covered)
Urgent care
- $55 copay per visit (always covered)

Foot care (podiatry services)

Foot exams and treatment
- In-Network: $40 copay
Routine foot care
- Not covered
Foot exams and treatment
- Out-of-Network: $40 copay

Ground ambulance

- Out-of-Network: $275 copay or 20% coinsurance
- In-Network: $275 copay

Health plan deductible

- $0

Hearing

Hearing aids
- In-Network: $299-1,199 copay (Limits Apply)
- Out-of-Network: $299-1,199 copay (Limits Apply)
Fitting/evaluation
- Out-of-Network: $40 copay (Limits Apply)
- In-Network: $0 copay (Limits Apply)
Medicare-Covered Hearing Exam
- In-Network: $40 copay
- Out-of-Network: $40 copay
Hearing aids OTC
- Not covered

Inpatient hospital coverage

- In-Network: $295 per day for days 1 through 7
  $0 per day for days 8 through 90
  $0 per day for days 91 and beyond (Authorization Required)
- Out-of-Network: $295 per day for days 1 through 7
  $0 per day for days 8 and beyond (Authorization Required)

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

- $6,700 In and Out-of-network
  $6,300 In-network

Medical equipment/supplies

Diabetes supplies
- In-Network: 0-20% coinsurance per item (Authorization Required)
Durable medical equipment (e.g., wheelchairs, oxygen)
- In-Network: 18% coinsurance per item (Authorization Required)
Prosthetics (e.g., braces, artificial limbs)
- In-Network: 20% coinsurance per item (Authorization Required)
Diabetes supplies
- Out-of-Network: 20% coinsurance per item (Authorization Required)
Durable medical equipment (e.g., wheelchairs, oxygen)
- Out-of-Network: 18% coinsurance per item (Authorization Required)
Prosthetics (e.g., braces, artificial limbs)
- Out-of-Network: 20% coinsurance per item (Authorization Required)

Medicare Part B drugs

Chemotherapy
- Out-of-Network: 20% coinsurance (Authorization Required)
Other Part B drugs
- Out-of-Network: 20% coinsurance (Authorization Required)
Chemotherapy
- In-Network: 0-20% coinsurance (Authorization Required)
Other Part B drugs
- In-Network: 0-20% coinsurance (Authorization Required)

Mental health services

Inpatient hospital – psychiatric
- Out-of-Network: $295 per day for days 1 through 7
  $0 per day for days 8 through 90 (Authorization Required)
Outpatient group therapy visit
- In-Network: $40 copay
Outpatient group therapy visit with a psychiatrist
- In-Network: $40 copay
Outpatient individual therapy visit
- Out-of-Network: $50 copay
Inpatient hospital – psychiatric
- In-Network: $295 per day for days 1 through 7
  $0 per day for days 8 through 90 (Authorization Required)
Outpatient individual therapy visit with a psychiatrist
- Out-of-Network: $50 copay
Outpatient group therapy visit
- Out-of-Network: $50 copay
Outpatient individual therapy visit
- In-Network: $40 copay
Outpatient group therapy visit with a psychiatrist
- Out-of-Network: $50 copay
Outpatient individual therapy visit with a psychiatrist
- In-Network: $40 copay

Optional supplemental benefits

- No

Other health plan deductibles?

- In-Network: No

Outpatient hospital coverage

- In-Network: $295 copay per visit (Authorization Required)
- Out-of-Network: $295 copay per visit (Authorization Required)

Preventive care

- In-Network: $0 copay
- Out-of-Network: $0-10 copay

Rehabilitation services

Occupational therapy visit
- Out-of-Network: $10-35 copay (Authorization Required)
- In-Network: $10-35 copay (Authorization Required)
Physical therapy and speech and language therapy visit
- In-Network: $10-35 copay (Authorization Required)
- Out-of-Network: $10-35 copay (Authorization Required)

Skilled Nursing Facility

- In-Network: $0 per day for days 1 through 20
  $188 per day for days 21 through 100 (Authorization Required)
- Out-of-Network: $188 per stay
  $0 per day for days 1 through 20
  $188 per day for days 21 through 100 (Authorization Required)

Transportation

- Not covered

Vision

Eyeglass lenses
- In-Network: $0 copay (Limits Apply)
- Out-of-Network: 0-50% coinsurance (Limits Apply)
Eyeglasses (frames and lenses)
- In-Network: $0 copay (Limits Apply)
Other
- Not covered
Upgrades
- In-Network: $0 copay (Limits Apply)
Contact lenses
- Out-of-Network: 0-50% coinsurance (Limits Apply)
Eyeglass frames
- In-Network: $0 copay (Limits Apply)
Eyeglasses (frames and lenses)
- Out-of-Network: 0-50% coinsurance (Limits Apply)
Routine eye exam
- In-Network: $0 copay (Limits Apply)
- Out-of-Network: 0-50% coinsurance (Limits Apply)
Upgrades
- Out-of-Network: 0-50% coinsurance (Limits Apply)
Contact lenses
- In-Network: $0 copay (Limits Apply)
Eyeglass frames
- Out-of-Network: 0-50% coinsurance (Limits Apply)

Wellness programs (e.g., fitness, nursing hotline)

- Covered