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Braven Medicare Choice (PPO)

H0885 - 005 - 0
3.5 out of 5 stars (3.5 / 5)

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

This page features plan details for 2025 Braven Medicare Choice (PPO) H0885 – 005 – 0 available in Burlington, Camden, Cumberland, Gloucester, Salem.

Locations

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

Burlington County, New Jersey
Camden County, New Jersey
Cumberland County, New Jersey

Click to see more locations

Plan Overview

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

Insurer:Braven Health
Health Plan Deductible:$0
MOOP:$12,000 In and Out-of-network
$7,550 In-network
Drugs Covered:Yes

Ready to sign up for Braven Medicare Choice (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

Premium Breakdown

Braven Medicare Choice (PPO) has a monthly premium of $0.00. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.
Part B Part C Part D Part B Give Back Total
$185.00 $0.00 $0.00 $ $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.
  • You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.

Drug Info

Braven Medicare Choice (PPO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible: $200.00
Drug Out-Of-Pocket maximum: $2,000.00
Drug Benefit Type: Enhanced Alternative

Part D Premium Reduction

The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.

The table below shows how the LIS impacts the Part D premium of this plan.

Part DLIS Full
$0.00$0.00

Initial Coverage Phase

After you pay your $200.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $2,000.00. Once you reach that amount, you will enter the next coverage phase.

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2,000.00, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit. Please note, that this plan has a Enhanced Alternative benefit type.

Additional Benefits

Braven Medicare Choice (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: 50 Coins – No Co pay
  • Oral and Maxillofacial Surgery
    • In-Network: 50 Coins – No Co pay
  • Periodontics
    • In-Network: 50 Coins – No Co pay
  • Restorative Services
    • In-Network: 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 radiology services (e.g., MRI)
    • In-Network: $0-175 copay (Authorization Required)
  • Outpatient x-rays
    • In-Network: $0-20 copay (Authorization Required)
    • Out-of-Network: $40 copay (Authorization Required)
  • Diagnostic radiology services (e.g., MRI)
    • Out-of-Network: $0-190 copay (Authorization Required)
  • Lab services
    • In-Network: $0 copay (Authorization Required)
  • Diagnostic tests and procedures
    • In-Network: $0-50 copay (Authorization Required)
    • Out-of-Network: $0-110 copay (Authorization Required)
  • Lab services
    • Out-of-Network: $20-50 copay (Authorization Required)

Doctor visits

  • Specialist
    • Out-of-Network: $40 copay per visit (Authorization Required)
  • Primary
    • In-Network: $0 copay
    • Out-of-Network: $10 copay per visit
  • Specialist
    • In-Network: $25 copay per visit (Authorization Required)

Emergency care/Urgent care

  • Emergency
    • $110 copay per visit (always covered)
  • Urgent care
    • $30 copay per visit (always covered)

Foot care (podiatry services)

  • Foot exams and treatment
    • In-Network: $25 copay
    • Out-of-Network: $40 copay
  • Routine foot care
    • Not covered

Ground ambulance

    • In-Network: $250 copay
    • Out-of-Network: $250 copay or 20% coinsurance

Health plan deductible

    • $0

Hearing

  • Hearing aids
    • Out-of-Network: $299-1,199 copay (Limits Apply)
  • Hearing aids OTC
    • Not covered
  • Fitting/evaluation
    • In-Network: $0 copay (Limits Apply)
    • Out-of-Network: $40 copay (Limits Apply)
  • Hearing aids
    • In-Network: $299-1,199 copay (Limits Apply)
  • Medicare-Covered Hearing Exam
    • In-Network: $25 copay
    • Out-of-Network: $40 copay

Inpatient hospital coverage

    • Out-of-Network: $390 per day for days 1 through 5
      $0 per day for days 6 and beyond (Authorization Required)
    • In-Network: $390 per day for days 1 through 5
      $0 per day for days 6 through 90
      $0 per day for days 91 and beyond (Authorization Required)

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

    • $12,000 In and Out-of-network
      $7,550 In-network

Medical equipment/supplies

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

Medicare Part B drugs

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

Mental health services

  • Inpatient hospital – psychiatric
    • Out-of-Network: $385 per day for days 1 through 5
      $0 per day for days 6 through 90 (Authorization Required)
  • Outpatient group therapy visit with a psychiatrist
    • In-Network: $25 copay
    • Out-of-Network: $40 copay
  • Outpatient group therapy visit
    • In-Network: $25 copay
    • Out-of-Network: $40 copay
  • Outpatient individual therapy visit
    • In-Network: $25 copay
    • Out-of-Network: $40 copay
  • Inpatient hospital – psychiatric
    • In-Network: $385 per day for days 1 through 5
      $0 per day for days 6 through 90 (Authorization Required)
  • Outpatient individual therapy visit with a psychiatrist
    • In-Network: $25 copay
    • Out-of-Network: $40 copay

Optional supplemental benefits

    • No

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • Out-of-Network: $455 copay per visit (Authorization Required)
    • In-Network: $355 copay per visit (Authorization Required)

Preventive care

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

Rehabilitation services

  • Occupational therapy visit
    • In-Network: $20-35 copay (Authorization Required)
  • Physical therapy and speech and language therapy visit
    • Out-of-Network: $30-50 copay (Authorization Required)
  • Occupational therapy visit
    • Out-of-Network: $30-50 copay (Authorization Required)
  • Physical therapy and speech and language therapy visit
    • In-Network: $20-35 copay (Authorization Required)

Skilled Nursing Facility

    • Out-of-Network: 20% per stay
      20% per day for days 1 through 100 (Authorization Required)
    • In-Network: $0 per day for days 1 through 20
      $214 per day for days 21 through 100 (Authorization Required)

Transportation

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

Vision

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

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

    • Covered

Ready to sign up for Braven Medicare Choice (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

Table of Contents

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