So this benefit gives you 24/7 access to online doctor and therapist visits using your phone, tablet or computer — all for a $0 copay with Braven Health’s care online program.
Braven Health is the first and only New Jersey Medicare plan built in partnership with one of the state’s most comprehensive health systems, Hackensack Meridian Health and Horizon Blue Cross Blue Shield of New Jersey, a health insurer with nearly 90 years of experience. The extras you expect from Blue Cross® Blue Shield®. Braven Health will follow Horizon BCBSNJ’s policies and procedures, including its medical policies. $35 monthly premium, no medical deductible which again brings you right into your benefits. "Today, we are proud to stand with two organizations who share our vision for enhancing the health and wellness of our state – namely Hackensack Meridian Health and Horizon – and I am confident Braven Health will yield amazing benefits for New Jersey's Medicare population.". Braven Health will also offer Medicare Advantage products to employer groups for their retirees when the headquarters of the employer group is within one of the eight New Jersey counties listed above. For this plan, the prescription deductible is $150 and is only applicable for Tiers 3, 4 and 5, which are the preferred brand, non-preferred drug and specialty tiers.
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Consistent with CMS' rules, information about the benefits and premiums of specific Braven Health Plans will be available on October 1, 2020 and applications for coverage will be accepted beginning on October 15, 2020 for coverage that will take effect on January 1, 2021. Medicare options, Take a deep dive into There are basically 4 parts to Medicare: Part A, which is your hospital coverage; Part B, which is your Medical coverage; Part D which covers your prescription drugs; and Part C, which is Medicare Advantage. Exchange POS/EPO, Applicable Products: "At RWJBarnabas Health, we are committed to enhancing access to the highest quality care for all residents of New Jersey," said Barry H. Ostrowsky, president and chief executive officer, RWJBarnabas Health.
So you will see that the cost sharing, in turn, increases as the Tiers go up. Launch the
Coverage for out-of-network services depends on the plan design.
If you do not reside in one of these counties, click the button below to view Horizon Blue Cross Blue Shield of New Jersey Medicare Advantage plan options in your area.
Next, let’s take a closer look at our Braven Medicare Freedom (PPO). You will also receive reimbursement of up to $200 a year towards any gym and/or yoga studio membership of your choosing.
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Our online Doctor & Hospital Finder indicates network participation status in Braven Health plans. savings, A focus on your total health, with doctors, specialists, nurses and your insurer all on the same team, Three plan options, including some plans featuring $0 premium, Up to $360 in yearly OTC Credits (and I’ll tell you exactly what those are), $0 dollar premium, $0 dollar medical deductible and $0 dollar prescription deductible on certain plans, $0 Telehealth copay for online doctor and therapist visits with Braven Health’s care online program, Up to $360/year in OTC card credits for over the counter health items, Up to $200/year in reimbursements for any gym and/or yoga studio membership, Up to $200/year in reimbursements for a weight loss program, activity tracker and more, and, Up to 51,000 in network doctors and health care professionals, 82 In-network hospitals and out-patient facilities, Extended in network access in 43 participating states, $0 copay for doctor office visits and online doctor or therapist visits (also known as Telehealth) through Braven Health’s care online program, It includes routine vision, dental and hearing benefits, Out-of-state network access as we discussed, Up to $280 in over-the-counter (or OTC) card credits and I will give you all of those details, and, Comprehensive Dental Coverage — all included, $0 copay for online doctor and therapist visits through your Telehealth benefit, Routine vision, dental and hearing benefits, Up to $360 in over-the-counter (OTC) card credits, And that Comprehensive Dental Coverage which again I’m going to tell you all about, $0 Copay for Primary Care Doctor visits and online doctor and therapist visits through your Telehealth benefit, This plan includes routine vision, dental and hearing benefits, Up to $280 in over-the-counter (OTC) card credits, An activity tracker like a Fitbit or Apple watch, Bathroom safety devices like bathtub rails, Therapeutic massage. We will review your Health Care Options as a Medicare beneficiary. Get your FREE Braven Health Medicare Advantage Plan Guide delivered right to you.
Worldwide emergency $90; your inpatient maximum out of pocket is $1625 per admission. Commercial HMO & POS, Update: Members Will Incur No Costs for Treatment of COVID-19 through 2020, Update: Cost-share waiver for telemedicine and COVID-19 testing extended, Cost Sharing on Claims with Multiple Diagnoses, Dates for Certain Prior Authorization Waivers Further Extended, Dates for Prior Authorization Waivers Extended, New Laboratory COVID-19 Antibody Testing Codes: 86328 and 86769, COVID-19 Update: Medical Policy Revisions & Implementations, 72 Doctors, Nurses, Pharmacists and Health Clinicians from Horizon BCBSNJ Answer Governor Murphy’s “HealthCare Professionals Call to Serve”, New Jersey Pandemic Relief Fund Efforts Get $2 Million Boost from Horizon, A special message from Howard A. Cutler, Vice President, Healthcare Delivery, Behavioral Health Continuity During the COVID-19 Public Health Emergency, Waiving Pre-Certification/Prior Authorization requirements for Physical Health Post-Acute Facility Admissions, Horizon BCBSNJ Commits $2.5 Million for Masks, Face Shields, Food and Social Services to Protect Our Communities and Our Health Professionals, COVID-19 Update: Authorizations Waived for Oxygen Following ER Discharge, Reminder to use specific codes when evaluating for COVID-19, COVID-19 Update: Telemedicine Reimbursement Policy Addenda, Provisionally Join Horizon BCBSNJ Network(s) to Assist with the COVID-19 Pandemic, Waiving Pre-Certification/Prior Authorization requirements for acute inpatient facility admissions, Providing Telephonic care with no costs to members, COVID-19 Response: Eliminating Cost-Sharing for Qualified In-Network Telemedicine Services, Eliminating Cost Sharing Related to COVID-19 Testing and Evaluation, Join a Horizon BCBSNJ or Horizon NJ Health Network (Physicians and Other Healthcare Professionals ), Join the Horizon BCBSNJ Network (Ancillary Providers), Join the Horizon NJ Health Network (Ancillary Providers), BlueCard Medical Policy/Pre-Certification Info, Braven Health℠ Electronic Data Interchange (EDI), Horizon BCBSNJ Electronic Data Interchange (EDI), Prior Authorization/Pre-Service Registration, Specialty Pharmaceuticals for Office Administration, Medicare Advantage Network Plans Overview, New Jersey Infection Prevention Partnership, Remote Patient Monitoring for COPD Provided by HGE Health, Referral Process Using the Interactive Voice Response System, Effective use of the Interactive Voice Response System, Surgical and Implantable Device Management Program, About the Surgical and Implantable Device Management Program, Surgical and Implantable Device Management Program for Cardiac Surgeries Frequently Asked Questions Updated: October 6, 2020, Surgical and Implantable Device Management Program Orthopedic Services Frequently Asked Questions Updated: October 6, 2020, Using Out-of-Network Providers in Surgical Services, CMS Audits to Validate Directory Information, Time Limits for Filing Inquiries/Complaints, Appeals of Non-Utilization Management Determinations, Appeals of Utilization Management/Medical Management Determinations, Appeals of Post Service Medical Necessity Determinations, Allowable Practice Locations for Pathologists, Appointment Availability Access Standards for Primary Care-Type Providers, ObGyns and Specialists, Behavioral Health Providers Access Standards, Credentialing and Recredentialing Policy for Ancillary and Managed Long Term Support Service (MLTSS) Providers, Credentialing and Recredentialing Policy for Participating Physicians and Healthcare Professionals, EDI and NaviNet Claims Submission Requirement, Material Adverse Change (MAC) Notification Policy, Outlier Audit Programs: Post Payment and Pre-Payment, Physician and Healthcare Professional Counseling and Termination Policy - Professional Competency, Participation Status in Products that Utilize Tiering and/or Subset of an Existing Horizon Network, Practitioner Office Site Quality and Medical Record Keeping Standards, Use of Horizon Hospital Network Performance Data, Hospital Non-Patient Laboratory Services Sample Fees, Ambulatory Electrocardiographic Monitoring, Bariatric Surgery Billed With Hiatal Hernia Repair, Billing Guidelines for Maternity Services, Cardiovascular Implant Device Monitoring Services, Claims Requiring Additional Documentation, Continuous Positive Airway Pressure or Bi-level Positive airway Pressure (CPAP/BiPAP) Supplies, Daily Management of Epidural or Subarachnoid Continuous Drug Administration, Daily Maximum Units for Surgical Pathology and Microscopic Examination, Distinct Procedural Service Modifiers (59, XE, XP, XS, XU), Duplicate Claim Logic for Independent Laboratory Services, Evaluation and Management Services with Chiropractic Manipulative Treatment, Evaluation and Management Services with Osteopathic Manipulative Treatment, Evaluation and Management Services billed with Global Radiology, Stress Test, Stress Echo, Myocardial Profusion Imaging, Frequency of Care Coordination Services and ESRD Procedures, Laser Treatment of Psoriasis or Parapsoriasis, Mutually and Non-Mutually Exclusive NCCI Supplemental Edits, Outpatient Laboratory Claims: Referring Practitioner Required, Physician Extenders Non-Surgical Services, Pulmonary Diagnostic Procedures when billed with E&M Codes, Reimbursement and Billing Guidelines for Anesthesia Claims, Removal of Impacted Cerumen Requiring Instrumentation, Screening and Diagnostic Mammography & 3D Tomosynthesis, Telemedicine Services Reimbursement Policy: Temporary Addendum for Horizon BCBSNJ Commercial/ASO plans and products, Telemedicine Services Reimbursement Policy: Temporary Addendum for Horizon Medicare Advantage, Urinalysis with Evaluation and Management (E&M) Services, PT/OT Outpatient Prior Authorization for Horizon Medicare Advantage Plans, Prior Authorization Procedure Search Tool, Prior Authorization Requirements for UHH Group #76141(Atlantic City), Prior Authorization Requirements for UHH Group 76215 76315 (New York), Prior Authorization Requirements for UHH Group #s76275 & 76307 (Food Service Plan 376), and UHH Group #s 76305 & 76306 (Food Service Plan 176), Participating Physician and Other Health Care Professional Office Manual, Policies, Procedures and General Guidelines, Radiation Therapy Medical Necessity Determination, Radiology Professional Group Assessment Tool, Drug Cost Transparency Tools Available for Boeing Group Members, You are participating with this plan if …, Braven Health℠ Electronic Data Interchange (EDI), Claims Payment Policies and Other Information, You participate in the broad Horizon Managed Care Network or the Horizon Hospital
For Braven Medicare Plus (HMO) the routine hearing exam & hearing aid services must be coordinated through HearUSA. Our licensed representatives are available Monday thru Friday from 8a.m.
There is no additional cost to sign up and shipping is free. Now here are the prescription details for our Braven Medicare Choice (PPO) plan. This plan includes: Now here are the Medical benefit details for our Braven Medicare Choice (PPO) plan.
Braven Health is a new insurance company created through a partnership with Horizon BCBSNJ and Hackensack Meridian Health (HMH).
You must have Medicare Part A and Part B. Communications are issued by Horizon Healthcare Services, Inc. d/b/a Horizon BCBSNJ in its capacity as administrator of programs and provider relations for all of its companies.