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Braven Medicare Salute (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Braven Medicare Salute (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Braven Medicare Salute (PPO) in 2025, please refer to our full plan details page.
Braven Medicare Salute (PPO) is a PPO plan offered by Horizon Mutual Holdings, Inc available for enrollment in 2025 to people living in Eastern New Jersey. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that Braven Medicare Salute (PPO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Braven Medicare Salute (PPO).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For Braven Medicare Salute (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $50.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $6700.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $6700.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
Prescription drugs are not covered by Braven Medicare Salute (PPO).
Additional Benefits
The Braven Medicare Salute (PPO) plan offers a range of benefits, including coverage for inpatient hospital stays with copays ranging from $0 to $300. Outpatient services, emergency services, primary care, hearing, vision, and dental services are also covered with varying copays and coinsurance. Preventive services have no copay, and the plan includes additional benefits like home health services with no copay and coverage for durable medical equipment with 20% coinsurance. However, some services like cardiac rehabilitation and certain dental and vision services are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits are covered under the Braven Medicare Salute (PPO) plan. For Inpatient Hospital-Acute, you will pay a $300 copay for days 1-7, and no copay for days 8-90; Additional Days for Inpatient Hospital-Acute has no copay for days 91-999. Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute are not covered. Inpatient Hospital Psychiatric has a $295 copay for days 1-7, and no copay for days 8-60, and Additional Days for Inpatient Hospital Psychiatric and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services, including all outpatient hospital services and observation services, are covered with a $300 copay. Ambulatory Surgical Center (ASC) Services are covered with a $225 copay, and Outpatient Substance Abuse Services are covered with a $40 copay for both individual and group sessions. Outpatient Blood Services are also covered.
Partial Hospitalization See details
Partial Hospitalization is covered under the Braven Medicare Salute (PPO) plan. This benefit requires prior authorization and has a $60 copay.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Braven Medicare Salute (PPO) plan. Ground and Air Ambulance Services have a $275 copay, and there is no coinsurance. Transportation Services to a health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered under the Braven Medicare Salute (PPO) plan. Emergency Services and Worldwide Emergency Coverage have a $110 copay, Urgently Needed Services have a $55 copay, and Worldwide Emergency Transportation has a $275 copay.
Primary Care See details
The Braven Medicare Salute (PPO) plan covers primary care physician services, chiropractic services, occupational therapy services, physician specialist services, mental health specialty services, other health care professional services, psychiatric services, physical therapy, speech-language pathology services, additional telehealth benefits, and opioid treatment program services. Chiropractic services have a $15 copay, physician specialist services have a $30 copay, and mental health specialty services have a $40 copay for individual and group sessions.
Preventive Services See details
Preventive services are covered, including Medicare-covered services with no copay. Some additional preventive services are not covered, including Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, Home and Bathroom Safety Devices and Modifications, and Counseling Services. The plan also covers a fitness benefit up to $250 per year, and covers Remote Access Technologies.
Hearing Services See details
Hearing Services are covered, including routine hearing exams with a $30 copay. Prescription Hearing Aids (all types) are covered with a copay between $299 and $1199, while Fitting/Evaluation for Hearing Aids are covered. However, Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, Prescription Hearing Aids - Over the Ear, and OTC Hearing Aids are not covered.
Vision Services See details
The Braven Medicare Salute (PPO) plan covers vision services, including eye exams with a copay of $0-$30. The plan also covers eyewear, including contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades.
Dental Services See details
The Braven Medicare Salute (PPO) plan covers dental services with 20% coinsurance for Medicare dental services. Other dental services, including oral exams, dental x-rays, cleaning, fluoride treatments, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics, and oral surgery, are covered with 50% coinsurance, while maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. Medicare Part B Insulin Drugs have a copay between $0 and $35. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Braven Medicare Salute (PPO) plan. There is a 20% coinsurance for this benefit.
Medical Equipment See details
Medical equipment coverage includes durable medical equipment, prosthetics, medical supplies, and diabetic equipment. Durable Medical Equipment has a 20% coinsurance, and Durable Medical Equipment for use outside the home is not covered. Prosthetic devices and medical supplies have a 20% coinsurance, while diabetic supplies have between 0% and 20% coinsurance, and diabetic therapeutic shoes/inserts are not covered.
Diagnostic and Radiological Services See details
The Braven Medicare Salute (PPO) plan covers diagnostic and radiological services, including diagnostic procedures/tests with a copay between $0 and $75, and diagnostic radiological services with a copay up to $300. Therapeutic radiological services have a 20% coinsurance, and outpatient X-ray services have a $40 copay. Lab services are not covered.
Home Health Services See details
Home Health Services are covered by the Braven Medicare Salute (PPO) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Braven Medicare Salute (PPO) plan. The plan does not cover any of the sub-services including Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Braven Medicare Salute (PPO) plan, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $214. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
The Braven Medicare Salute (PPO) plan's "Other Services" benefit covers over-the-counter items with a maximum benefit of $70 every three months. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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