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Braven Medicare Salute - No Rx (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Braven Medicare Salute - No Rx (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 - No Rx (PPO) in 2026, please refer to our full plan details page.
Braven Medicare Salute - No Rx (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 4 out of 5 stars in 2026.
It's important to know that Braven Medicare Salute - No Rx (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 - No Rx (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 - No Rx (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 $75.00. 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 $10000.00 (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 $10000.00 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 - No Rx (PPO).
Additional Benefits
The Braven Medicare Salute - No Rx (PPO) plan offers robust medical coverage with affordable out-of-pocket costs, featuring no coinsurance and no copays for several essential services. Members enjoy no copays and no coinsurance for primary care, telehealth, home health, and routine preventive services, alongside a $275 annual fitness allowance. Specialist visits, outpatient procedures, and inpatient hospital stays are covered with fixed copayments and no coinsurance, helping you keep healthcare costs predictable. Additionally, the plan provides strong support for everyday health needs like dental, vision, hearing, and over-the-counter items. Preventive dental care is available with no copay, while routine eye exams, comprehensive dental, and hearing aids are covered with low copays or coinsurance. Members also benefit from a $75 quarterly over-the-counter allowance and no-copay transportation options for unlimited bus or subway trips to health-related locations.
Inpatient Hospital See details
Inpatient hospital services are partially covered by Braven Medicare Salute - No Rx (PPO), featuring no coinsurance for both acute and psychiatric stays. Acute stays require a $375 copay for days 1 to 5 (with no copay for days 6 and beyond), and psychiatric stays require a $416 copay for days 1 to 5 (with no copay for days 6 to 90), but upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Braven Medicare Salute - No Rx (PPO) covers outpatient services with no coinsurance, featuring a $300 copay for outpatient hospital and observation services, and a $225 copay for ambulatory surgical center services. Outpatient substance abuse individual and group sessions require a $30 copay with no coinsurance, while outpatient blood services are covered with no copay or coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by Braven Medicare Salute - No Rx (PPO) with a $60.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Braven Medicare Salute - No Rx (PPO) covers ground and air ambulance services with a $310 copay and no coinsurance. Transportation services are partially covered with no copay and no coinsurance for unlimited one-way bus or subway trips to any health-related location, though plan-approved health-related location transportation is not covered.
Emergency Services See details
Braven Medicare Salute - No Rx (PPO) covers emergency services with a $115 copay and urgently needed services with a $40 copay, both featuring no coinsurance and waived copays if admitted to the hospital within 24 hours. Worldwide emergency, urgent, and transportation services are covered up to a $100,000 maximum with no coinsurance, requiring copays of $115 for emergency or urgent care and $310 for emergency transportation.
Primary Care See details
Braven Medicare Salute - No Rx (PPO) provides primary care and telehealth services with no copay and no coinsurance, while specialists, therapies, mental health, psychiatric, and opioid treatment services require a $30 copay and no coinsurance. Podiatry is not covered, and while some chiropractic services are covered with a $15 copay and no coinsurance, routine and other chiropractic services are not covered.
Preventive Services See details
Braven Medicare Salute - No Rx (PPO) covers preventive services, such as annual physical exams, kidney disease education, and diabetes self-management training, with no copay and no coinsurance. Additional preventive benefits are partially covered with no copay or coinsurance, which includes nutritional counseling and a fitness benefit up to $275 annually, though services like health education, in-home safety assessments, and personal emergency response systems are not covered.
Hearing Services See details
Hearing services are partially covered by Braven Medicare Salute - No Rx (PPO), featuring annual routine hearing exams and fitting evaluations for a $30 copay and no coinsurance. Prescription hearing aids are covered with no coinsurance and copays ranging from $299 to $1,199 for up to two devices per year, but OTC, inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Braven Medicare Salute - No Rx (PPO) offers partially covered vision services, excluding other eye exam services. Routine eye exams have a copay of $0 to $30 and no coinsurance, while covered eyewear has no copay, no coinsurance, and no deductible, with up to a $200 annual maximum benefit for contacts or frames.
Dental Services See details
Braven Medicare Salute - No Rx (PPO) provides partially covered dental services, including Medicare-covered dental care with no copay and 20% coinsurance, and preventive care with no copay and no coinsurance. Comprehensive dental benefits are covered with no copay and 50% coinsurance up to a $2,000 yearly maximum, while other diagnostic, other preventive, maxillofacial prosthetics, implants, and orthodontics are not covered.
Home Infusion bundled Services See details
Braven Medicare Salute - No Rx (PPO) covers Home Infusion bundled Services with no copay, though prior authorization is required. Under this benefit, Part B chemotherapy, radiation, and other drugs require a 0% to 20% coinsurance, while Part B insulin is covered with a copay of $0 to $35 and no coinsurance.
Dialysis Services See details
Braven Medicare Salute - No Rx (PPO) covers Dialysis Services with no copay and a 20% coinsurance.
Medical Equipment See details
Braven Medicare Salute - No Rx (PPO) covers durable medical equipment, prosthetics, and medical supplies with no copay and 20% coinsurance, though prior authorization is required. Diabetic equipment is partially covered with no copay and 0% (no coinsurance) to 20% coinsurance for supplies, while diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are partially covered under Braven Medicare Salute - No Rx (PPO), as lab services are not covered. Diagnostic procedures and tests require prior authorization and have no coinsurance with copays ranging from no copay to $50, while radiological services require prior authorization and feature no copay for diagnostic radiology, a $25 copay for X-rays, and a 20% coinsurance for therapeutic radiology.
Home Health Services See details
Braven Medicare Salute - No Rx (PPO) offers coverage for home health services with no copay and no coinsurance. Prior authorization is required to receive these covered services.
Cardiac Rehabilitation Services See details
Braven Medicare Salute - No Rx (PPO) covers cardiac rehabilitation services with no coinsurance. Members will pay a $15 copay for cardiac, intensive cardiac, and pulmonary rehabilitation services, and a $20 copay for supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by Braven Medicare Salute - No Rx (PPO) with no coinsurance, requiring no copay for days 1 through 20 and a $218 copay for days 21 through 100. Prior authorization is required, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Braven Medicare Salute - No Rx (PPO) covers other services including acupuncture, chronic illness meal benefits, and over-the-counter (OTC) items with no copay and no coinsurance. The OTC benefit is partially covered, offering a $75 reimbursement allowance every three months, though Nicotine Replacement Therapy (NRT) and Naloxone are not covered.
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