A non-government entity
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 West and South 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:
Sign up for Braven Medicare Salute - No Rx (PPO)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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 comprehensive coverage with no copay and no coinsurance for primary care visits, preventive services, and home health care. For specialized care, members pay a $30 copay for specialist visits and a $20 copay for physical and occupational therapy. Inpatient hospital stays require a daily copay of $325 for the first five days with no copay for additional days, while outpatient hospital services carry a $295 copay. This plan also includes valuable supplemental benefits, featuring dental care with no copays, no coinsurance for preventive services, and up to a $2,500 annual limit. Routine vision exams range from no copay to a $30 copay alongside a $200 annual allowance for eyewear, while hearing aids are covered with copays starting at $299. Additionally, members benefit from an over-the-counter allowance of up to $75 every three months and no copay for unlimited acupuncture and chronic illness meals.
Inpatient Hospital See details
Inpatient hospital services are partially covered by Braven Medicare Salute - No Rx (PPO) with no coinsurance, though upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered. Acute stays require a $325 daily copay for days 1 through 5 and no copay for additional days, while psychiatric stays require a $416 daily copay for days 1 through 5 and no copay for days 6 through 90.
Outpatient Services See details
Outpatient services are covered under the Braven Medicare Salute - No Rx (PPO) plan with no coinsurance, featuring a $295 copay for outpatient hospital and observation services and a $225 copay for ambulatory surgical center services. Outpatient substance abuse sessions require a $30 copay with no coinsurance, while outpatient blood services are covered with no copay, no coinsurance, and no deductible.
Partial Hospitalization See details
Braven Medicare Salute - No Rx (PPO) covers partial hospitalization services with a $60.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by Braven Medicare Salute - No Rx (PPO), with ground and air ambulance services requiring prior authorization and a $330 copay with no coinsurance. Unlimited one-way transportation to any health-related location via bus or subway is covered with no copay and no coinsurance, but transportation to plan-approved health-related locations 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 with no coinsurance and copays waived if admitted to the hospital within 24 hours. Worldwide emergency, urgent, and transportation services are also covered with no coinsurance and copays ranging from $115 to $330, up to a $100,000 maximum benefit limit.
Primary Care See details
Braven Medicare Salute - No Rx (PPO) covers primary care and telehealth services with no copay and no coinsurance, while specialist and mental health visits require a $30 copay and no coinsurance. Physical and occupational therapies are available for a $20 copay and no coinsurance, though podiatry services are not covered.
Preventive Services See details
Braven Medicare Salute - No Rx (PPO) covers preventive services, including annual physical exams and kidney disease education, with no copay and no coinsurance. Additional preventive benefits are partially covered with no copay and no coinsurance, but do not cover health education, in-home safety assessments, personal emergency response systems, and alternative therapies.
Hearing Services See details
Hearing services are covered by Braven Medicare Salute - No Rx (PPO), which offers annual routine hearing exams and fitting evaluations for a $30 copay and no coinsurance. Prescription hearing aids are partially covered with copays ranging from $299 to $1,199 and no coinsurance, though inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
Braven Medicare Salute - No Rx (PPO) partially covers vision services, as other eye exam services are not covered. Routine eye exams are covered once yearly with a copay ranging from no copay up to $30 and no coinsurance, while covered eyewear features no copay, no coinsurance, and a $200 annual maximum benefit for frames or contact lenses.
Dental Services See details
Braven Medicare Salute - No Rx (PPO) partially covers dental services with no copays, a $2,500 annual maximum benefit, 20% coinsurance for Medicare-covered dental, no coinsurance for preventive care, and 0% to 50% coinsurance for comprehensive care. Non-covered services include other diagnostic, other preventive, maxillofacial prosthetics, implants, and orthodontics.
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, Medicare Part B insulin drugs have a $0.00 to $35.00 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs require a 0% to 20% 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 medical equipment with no copays, though prior authorization is required. Durable medical equipment carries an 18% coinsurance, prosthetics and medical supplies require a 20% coinsurance, and diabetic supplies range from no coinsurance to 20% coinsurance, though diabetic therapeutic shoes and inserts are not covered.
Diagnostic and Radiological Services See details
Braven Medicare Salute - No Rx (PPO) partially covers diagnostic services, requiring prior authorization with no coinsurance and a copay ranging from no copay to $50 for diagnostic procedures and tests, while lab services are not covered. Covered radiological services also require prior authorization, featuring no copay for diagnostic radiological services, a $25 copay for outpatient X-ray services, and a minimum 20% coinsurance for therapeutic radiological services.
Home Health Services See details
Home Health Services are covered under the Braven Medicare Salute - No Rx (PPO) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Braven Medicare Salute - No Rx (PPO) covers some cardiac rehabilitation services with a $10 copay and no coinsurance. However, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
Braven Medicare Salute - No Rx (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, a prior three-day hospital stay is not needed for admission, and additional days beyond the standard Medicare-covered period are not covered.
Other Services See details
Other services under the Braven Medicare Salute - No Rx (PPO) plan are partially covered with no copay and no coinsurance for unlimited acupuncture, chronic illness meal benefits, and up to $75 every three months in over-the-counter item reimbursements. However, some services are not covered under this benefit, including nicotine replacement therapy, naloxone, and other miscellaneous services.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved