Braven Health
Braven Health is a New Jersey-focused Medicare Advantage plan administrator and subsidiary brand of Horizon Blue Cross Blue Shield of New Jersey, serving Medicare-eligible NJ residents and veterans across all 21 counties with PPO and HMO plans, supplemental benefits, and a 4-star CMS rating.
- Company typePrivate
- Founded2021
- HeadquartersNewark, United States
- Headcount5,001–10,000
- GTM typeB2C
- OfferingServices
What Braven Health does
Braven Health is a New Jersey-focused Medicare Advantage plan administrator launched in 2021 as a dedicated subsidiary and consumer brand of Horizon Blue Cross Blue Shield of New Jersey, itself an independent licensee of the Blue Cross Blue Shield Association. The company began selling plans in 2022 and, for plan year 2023, achieved statewide coverage across all 21 NJ counties and earned a 4-star quality rating from the Centers for Medicare & Medicaid Services (CMS). It also holds NCQA Health Plan Accreditation and operates under a renewable Medicare contract.
The product portfolio centers on a family of PPO Medicare Advantage plans — Braven Medicare Choice, Choice Plus, Freedom, Group w/Rx, Salute NoRx (for veterans with TRICARE or VA benefits), and a Medicare Plus HMO — all built around a $0 in-network Primary Care Physician visit, $0 medical deductible, and a bundle of supplemental benefits (vision, hearing, dental, telehealth, behavioral health, case management, insulin savings, the YMCA discount, and Healthy Journey wellness rewards). A distinguishing engagement feature is the Braven Health &more Benefits Prepaid Mastercard, issued by Avidia Bank, which loads allowances for OTC items, fitness, and eyewear. Pharmacy benefits are administered through Prime Therapeutics, providing access to more than 66,000 in-network pharmacies. The company does not describe any proprietary technology platform; its member-facing tools consist of a web portal, provider and drug search, and the MyCabinet prescription mobile app.
The business model is recurring per-member-per-month Medicare Advantage premiums (Part C and Part D), supplemented by the rebate economics of the 4-star CMS rating and partnership revenue from the &more Card. Distribution is broker-led for both individual and group enrollment, supported by dedicated Account Managers; a direct member-services phone line and a member self-service portal serve as secondary channels. Horizon BCBSNJ operates as administrator of programs and provider relations, providing shared infrastructure, and refers Medicare Supplement and standalone Part D shoppers to its own complementary products, positioning Braven Health as the Medicare Advantage-only brand within the Horizon family.
Braven Health firmographics
Firmographics- Name
- Braven Health
- Legal name
- Braven Health
- Website
- https://bravenhealth.com
- Company type
- Private
- Founded year
- 2021
- Operating status
- Operating
- Headcount range
- 5,001–10,000 employees
- Short description
- Braven Health is a New Jersey-focused Medicare Advantage plan administrator and subsidiary brand of Horizon Blue Cross Blue Shield of New Jersey, serving Medicare-eligible NJ residents and veterans across all 21 counties with PPO and HMO plans, supplemental benefits, and a 4-star CMS rating.
- Ownership category
- akta.pro rank
Braven Health industry classification
Industry- Product category
- Medicare Advantage Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Medicare Advantage (MA) Plans (FSAIAGAA)
- akta.pro secondary industry
- Medicare Part D Prescription Drug Plans (PDP) (FSAIAGAC)
Keywords
Where Braven Health is headquartered
LocationHeadquarters
- HQ city
- Newark
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Braven Health business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Medicare Advantage Plan Premiums: Braven Health earns revenue through Medicare Advantage plan premiums paid by members (Part C) and potentially through Medicare Part D prescription drug plan premiums. Enrollment in Braven Health depends on contract renewal with CMS. The company also generates revenue through the Braven Health &more Benefits Prepaid Mastercard program partnered with Avidia Bank.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Braven Medicare Salute – NoRx (PPO) — $0 premium plan for NJ veterans |
| Subscription | Monthly | Core PPO Plans — $0 PCP visits, $0 deductible across all plans |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels7 records
Braven Health product offering
Product offeringCore offering
Braven Health administers and sells Medicare Advantage health insurance plans to Medicare-eligible New Jersey residents, including PPO plans (Braven Medicare Choice, Choice Plus, Freedom, Group w/Rx, and Salute NoRx) and an HMO plan (Medicare Plus). All plans feature $0 in-network Primary Care Physician visits, $0 medical deductibles, Part D prescription drug coverage, and supplemental benefits including dental, vision, hearing, telehealth, the Braven Health &more prepaid Mastercard, and the Healthy Journey wellness program. The company operates as an independent licensee of the Blue Cross Blue Shield Association and is backed by Horizon Blue Cross Blue Shield of New Jersey.
Product overview
Braven Health is a Medicare Advantage plan provider in New Jersey offering a portfolio of PPO and HMO plans. The core product lineup includes Braven Medicare Choice, Choice Plus, Freedom, Group w/Rx, Salute NoRx (for veterans), and Medicare Plus HMO. All plans feature $0 in-network PCP visits, $0 medical deductible, and extra benefits including vision, hearing, and dental coverage. The Braven Health &more Card provides prepaid Mastercard benefits for OTC items, fitness, and eyewear. Related affiliate products include Horizon NJ TotalCare (D-SNP) and Horizon Medicare Blue Supplement plans. Additional services include Telehealth, Case Management, Behavioral Health, Medication Therapy Management, and the Healthy Journey wellness program.
Differentiator
Problem solved
Functional benefit
Brands
- Braven Medicare Choice (PPO): PPO Medicare Advantage plan with $0 in-network Primary Care Physician visits and additional benefits.
- Braven Medicare Choice Plus (PPO)
- Braven Medicare Freedom (PPO)
- Braven Medicare Group w/Rx (PPO)
- Braven Medicare Salute – NoRx (PPO)
- Braven Health &more Card
Products and services
- Braven Medicare Choice (PPO) Medicare Advantage PPO plan offering $0 in-network Primary Care Physician visits, $0 medical deductible, vision, hearing, and dental benefits, and a Braven Health &more Card. Available to Medicare-eligible individuals in New Jersey.
- Braven Medicare Choice Plus (PPO) Enhanced Medicare Advantage PPO plan with expanded benefits beyond the standard Choice plan, including $0 in-network PCP visits and additional coverage features. Available to Medicare-eligible individuals in New Jersey.
- Braven Medicare Freedom (PPO) Medicare Advantage PPO plan providing members flexibility in choosing healthcare providers with comprehensive benefit coverage, including $0 in-network PCP visits, vision, hearing, and dental benefits. Available to Medicare-eligible individuals in New Jersey.
- Braven Medicare Group w/Rx (PPO) Employer-group Medicare Advantage PPO plan with prescription drug coverage, designed for group enrollment by New Jersey employers for retired employees. Sold through certified brokers with dedicated Group Medicare Account Managers.
- Braven Medicare Salute – NoRx (PPO) Medicare Advantage PPO plan specifically designed to complement TRICARE or Veterans Affairs (VA) benefits for NJ veterans. Features $0 premium, $75/month Part B premium reduction, enhanced vision and dental benefits, and allowances for OTC items, fitness, and eyewear. Not available in Morris, Somerset, Sussex, or Warren counties.
- Braven Health Medicare Plus (HMO) Health Maintenance Organization Medicare Advantage plan offering coordinated care through a network of providers for Medicare-eligible New Jersey residents. Not available in Passaic County.
Quantifiable outcome
- 4-Star CMS Rating for 2023 — indicating above-average quality and member satisfaction compared to national benchmarks
- +1 more outcomes
Companies that use Braven Health
Customer profileSegments3 records
Ideal customer profiles3 records
Braven Health technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration3 records
Braven Health partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered core.
- Horizon Blue Cross Blue Shield of New JerseycoreHorizon BCBSNJ is the parent/affiliate organization behind Braven Health. Braven Health is an independent licensee of the Blue Cross Blue Shield Association. Horizon BCBSNJ serves as administrator of programs and provider relations for Braven Health companies. Horizon also refers members to Braven Health for Medicare Advantage plans and offers complementary Medicare Supplement and standalone Prescription Drug Plans through Horizonblue.com/Medicare.
- Prime TherapeuticscorePrime Therapeutics provides Braven Health's pharmacy benefit management services, including the Find Covered Prescription Drugs and Find In-Network Pharmacies tools (covering more than 66,000 pharmacies). Prime Therapeutics manages formulary, prior authorization, step therapy, and insulin savings programs.
- Avidia BankcoreAvidia Bank issues the Braven Health &more Benefits Prepaid Mastercard, a prepaid card preloaded with extra benefits for plan members. The card is governed by the Cardholder Agreement with Avidia Bank, issued pursuant to a Mastercard license.
- Blue Cross Blue Shield AssociationcoreBraven Health is an independent licensee of the Blue Cross Blue Shield Association. The company uses the Blue Cross and Blue Shield brand names and symbols under license from the BCBSA. This affiliation provides brand recognition and network access within the Blue Cross Blue Shield ecosystem.
Scale indicators6 records
Recent moves6 records
Expansion highlights6 records
Braven Health competitors and assessment
Company assessmentDirect peers
- EmblemHealth: Regional health insurer serving New York and Connecticut with Medicare Advantage and other health plans. Comparable as a regional Blues-affiliated insurer offering MA products through similar broker channels to Medicare-eligible populations in the Northeast.
- AmeriHealth New Jersey: New Jersey-based health insurer offering Medicare Advantage and other health plans. Directly competes with Braven Health in the same NJ market with similar broker-mediated distribution and PPO/HMO plan structures for Medicare-eligible NJ residents.
Broad incumbents
- Humana: One of the top Medicare Advantage carriers nationally with strong PPO and HMO plan offerings. Competes with Braven Health in New Jersey through broker channels and offers comparable supplemental benefits including dental, vision, and fitness programs.
- Cigna: National Medicare Advantage carrier with NJ market presence. Competes with Braven Health in PPO Medicare Advantage plans and offers similar supplemental benefits to Medicare-eligible NJ residents through broker channels.
- Aetna (CVS Health): Major national Medicare Advantage carrier with significant NJ presence. Offers PPO and HMO MA plans with integrated pharmacy benefits through CVS. Competes for the same Medicare-eligible NJ population as Braven Health via broker networks.
- Molina Healthcare: Government-focused health insurer offering Medicare Advantage and dual-eligible plans across multiple states. Comparable in focus on Medicare-eligible populations and competes for similar dual-eligible and low-income subsidy members in NJ-adjacent markets.
- Anthem Blue Cross Blue Shield (Elevance Health): Multi-state Blues-affiliated carrier that competes with regional Blues plans like Braven Health/Horizon. Operates Medicare Advantage plans across multiple states and offers similar PPO/HMO structures to Medicare-eligible consumers.
- Horizon Blue Cross Blue Shield of New Jersey: Braven Health's parent company and the dominant NJ Blues licensee. Horizon offers Medicare Supplement, standalone Part D, and other health insurance products across NJ and serves as administrator for Braven Health. Directly comparable as a NJ-focused health insurer serving Medicare-eligible populations.
- UnitedHealthcare (AARP Medicare Advantage): The largest Medicare Advantage carrier nationally with significant New Jersey market presence. Offers PPO and HMO MA plans similar to Braven Health, with AARP co-branding, and competes directly for NJ brokers and members in the same plan year.
Emerging players
- Clover Health: Technology-focused Medicare Advantage carrier using clinical data and software to manage member health. Competes with traditional MA plans like Braven Health by emphasizing care coordination and supplemental benefits, particularly in regional markets.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Braven Health social profiles
Digital presenceBraven Health compliance and trust
Trust signalCompliance3 records
Braven Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Braven Health leadership team
Management profileNumber of profiles
Profiles1 record
Braven Health funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Braven Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Braven Health
What does Braven Health do?
Braven Health administers and sells Medicare Advantage health insurance plans to Medicare-eligible New Jersey residents, including PPO plans (Braven Medicare Choice, Choice Plus, Freedom, Group w/Rx, and Salute NoRx) and an HMO plan (Medicare Plus). All plans feature $0 in-network Primary Care Physician visits, $0 medical deductibles, Part D prescription drug coverage, and supplemental benefits including dental, vision, hearing, telehealth, the Braven Health &more prepaid Mastercard, and the Healthy Journey wellness program. The company operates as an independent licensee of the Blue Cross Blue Shield Association and is backed by Horizon Blue Cross Blue Shield of New Jersey.
Is Braven Health a public or private company?
Braven Health is a private company. It is classified as corporate owned and is currently operating.
When was Braven Health founded?
Braven Health was founded in 2021. It employs 5,001 to 10,000 people.
Where is Braven Health based?
Braven Health is headquartered in Newark, United States, in the North America region.
How does Braven Health make money?
One revenue line is on record: medicare Advantage Plan Premiums.
Who are Braven Health's main competitors?
Direct peers on record are EmblemHealth and AmeriHealth New Jersey. Broad incumbents are Humana, Cigna, Aetna (CVS Health), Molina Healthcare, Anthem Blue Cross Blue Shield (Elevance Health), Horizon Blue Cross Blue Shield of New Jersey and UnitedHealthcare (AARP Medicare Advantage). Clover Health is listed as an emerging player.
Does Braven Health have an API?
No public API is recorded for Braven Health.
What industry is Braven Health in?
Braven Health's product category is Medicare Advantage Insurance. Its primary akta.pro industry code is FSAIAGAA, Medicare Advantage (MA) Plans, with a secondary code of FSAIAGAC, Medicare Part D Prescription Drug Plans (PDP). Its NAICS code is 524114 and its SIC code is 6324.