A non-government entity
Network Health Bravo (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Network Health Bravo (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Network Health Bravo (PPO) in 2026, please refer to our full plan details page.
Network Health Bravo (PPO) is a PPO plan offered by Network Health, Inc. available for enrollment in 2025 to people living in Southeast Wisconsin. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Network Health Bravo (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 Network Health Bravo (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 Network Health Bravo (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 $15.00. 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 $8000.00 (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 $8000.00 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 Network Health Bravo (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 Network Health Bravo (PPO).
Additional Benefits
The Network Health Bravo (PPO) plan offers comprehensive medical coverage featuring no copay and no coinsurance for primary care visits, preventive services, and home health care. For inpatient hospital stays, members pay a $295 daily copay for the first six days and no copay thereafter, while outpatient hospital services require a $275 copay. Emergency room visits carry a $130 copay, and specialists are accessible with a $40 copay, both with no coinsurance. Additional benefits include robust dental coverage up to a $5,000 annual limit with no copay and no coinsurance for preventive and comprehensive care. Routine hearing and vision exams require a $40 copay, though the plan provides up to a $400 yearly allowance for covered eyewear with no copay. Members also benefit from a $100 quarterly over-the-counter item allowance and skilled nursing facility stays with no copay for the first 20 days.
Inpatient Hospital See details
Network Health Bravo (PPO) partially covers inpatient hospital services with no coinsurance, though prior authorization is required and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered. For acute care, you pay a $295 daily copay for days 1 through 6 and no copay thereafter, while psychiatric stays require a $395 daily copay for days 1 through 4 and no copay for days 5 through 90.
Outpatient Services See details
Network Health Bravo (PPO) covers outpatient services with no coinsurance, though prior authorization is required for most treatments. Outpatient hospital and observation services require a $275 copay and no coinsurance, while ambulatory surgical center services have a $225 copay and no coinsurance. Outpatient substance abuse sessions have a $20 copay and no coinsurance, and outpatient blood services are covered with no copay, no coinsurance, and no deductible.
Partial Hospitalization See details
Network Health Bravo (PPO) covers partial hospitalization services with a $40 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by Network Health Bravo (PPO), featuring a $300 copay and no coinsurance for prior-authorized ground and air ambulance services. While some transportation services are covered, transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
Emergency services are covered by Network Health Bravo (PPO) with a $130 copay (waived if admitted within 24 hours) and no coinsurance, while urgently needed services require a $45 copay and no coinsurance. Worldwide emergency and urgent services are partially covered up to a $100,000 maximum limit with a $130 copay and no coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
Network Health Bravo (PPO) covers primary care visits with no copay and no coinsurance, telehealth services with a $0 to $40 copay and no coinsurance, and specialist and other healthcare professional visits with a $40 copay and no coinsurance. Therapy services require a $30 copay and mental health, psychiatric, and opioid treatments require a $20 copay—all with no coinsurance—while chiropractic and podiatry services are not covered.
Preventive Services See details
Network Health Bravo (PPO) offers preventive services with no copay and no coinsurance, covering annual physical exams, kidney disease education, and memory fitness. Additional preventive benefits are only partially covered, as services such as health education, in-home safety assessments, and weight management programs are not covered.
Hearing Services See details
Network Health Bravo (PPO) offers partially covered hearing services with no deductible, featuring a $40 copay and no coinsurance for annual routine hearing exams and fitting evaluations. Prescription hearing aids are covered with no coinsurance and a copay between $495 and $1,695, but OTC hearing aids and inner ear, outer ear, and over the ear prescription aids are not covered.
Vision Services See details
Network Health Bravo (PPO) partially covers vision services, offering routine eye exams with a $40 copay and no coinsurance up to a $40 annual limit, while other eye exams are not covered. Covered eyewear, including contact lenses and eyeglasses, has no copay and no coinsurance up to a $400 yearly maximum, though individual eyeglass lenses and frames are not covered.
Dental Services See details
Network Health Bravo (PPO) partially covers dental services, excluding orthodontics, up to a combined annual maximum of $5,000. Medicare-covered dental services require a $40 copay and no coinsurance, while all other covered preventive and comprehensive dental services are available with no copay and no coinsurance.
Home Infusion bundled Services See details
Network Health Bravo (PPO) covers home infusion bundled services with no copay, while associated Medicare Part B drugs, including chemotherapy and insulin, have a coinsurance ranging from no coinsurance to 20% and a $35 copay specifically for insulin.
Dialysis Services See details
Dialysis services are covered by Network Health Bravo (PPO) with no copay and a 20% coinsurance.
Medical Equipment See details
Network Health Bravo (PPO) partially covers medical equipment, with diabetic supplies excluded from coverage. Covered durable medical equipment (DME) and medical supplies carry no copay and 0% to 20% coinsurance, while prosthetic devices have no copay and 20% coinsurance, and diabetic therapeutic shoes require a $10 copay with no coinsurance.
Diagnostic and Radiological Services See details
Network Health Bravo (PPO) covers diagnostic and radiological services with prior authorization required, offering lab services with no copay and diagnostic services with no coinsurance. Members pay a $20 copay for diagnostic procedures, a minimum $20 copay for diagnostic radiological services, a $35 copay for outpatient X-rays, and a minimum 20% coinsurance for therapeutic radiological services.
Home Health Services See details
Home Health Services are covered under the Network Health Bravo (PPO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Network Health Bravo (PPO) covers some cardiac rehabilitation services with no coinsurance. However, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered and require a $15 copayment.
Skilled Nursing Facility (SNF) See details
Network Health Bravo (PPO) covers skilled nursing facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 to 20 and days 46 to 100, while a $218 daily copay applies for days 21 to 45, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Network Health Bravo (PPO) provides partial coverage for other services, which includes over-the-counter (OTC) items with a $100 quarterly limit and select lab tests (lipid profile, fasting blood sugar, and CBC) with no copay and no coinsurance. However, acupuncture, meal benefits, and other additional services are not covered under this plan.
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