Keeping Your Membership Information Up to Date

Help Us Help You Have the Best Experience With Your Plan

The doctors, hospitals, pharmacists and other providers in Braven Health’s network need to have accurate information about you. These network providers use your membership record to know which services and drugs are covered in your plan along with your cost-sharing amounts. It’s very important that you help us keep your information up to date.

Please let us know about these changes.

• Changes to your name, your address or your phone number
• Changes in any other health insurance coverage you have (like from your employer, your spouse’s employer, Workers’ Compensation or Medicaid)
• If you have any liability claims, like claims from a car accident
• If you’ve been admitted to a nursing home
• If you receive care in an out-of-area or out-of-network hospital or emergency room
• If your designated responsible party (like a caregiver) changes

If you move – even within New Jersey – we need to know.

This way, we can keep your membership record current and know how to contact you. Since Braven Health Medicare Advantage plans can vary by county, you may have to enroll in a different Braven Health Medicare Advantage plan if you move to a different county in New Jersey.

If you move your primary residence to outside of New Jersey, you may not be able to remain a member of Braven Health.

Unless you're enrolled in a Braven Health Medicare Advantage plan offered by your former employer, you'll need to enroll in a new Medicare Advantage plan offered in your new state, or you can return to Original Medicare. Your primary residence would be the state you live in for most of the year. This would also be the state where you have your driver's license, voter registration and taxes applied.

You can tell us where you want your mail sent.

If you want Braven Health to send mail to an address other than your primary residence, let us know. For example, if you want mail sent to a family member or caregiver who helps you with your health care, we can accommodate that.

It’s also important to contact Social Security.

Medicare works with the Social Security Administration (SSA) to maintain your records, so sometimes you have to contact the SSA to update your information. If you have Medicare, even if you don’t get Social Security benefits, you should still contact them to update your address with Medicare.

If you move or change your primary residence or mailing address, call Social Security at 1-800-772-1213 (TTY 1-800-325-0778) from 8 a.m. to 7 p.m., weekdays. You can also use Social Security’s automated telephone services to get recorded information and conduct some business 24 hours a day.

Contacting the Railroad Retirement Board.

The Railroad Retirement Board is an independent Federal agency that administers comprehensive benefit programs for the nation’s railroad workers and their families. If you receive your Medicare through the Railroad Retirement Board, it's important that you let them know if you move or change your mailing address.

Call 1-877-772-5772 (TTY 1-312-751-4701) If you press “0,” you may speak with an RRB representative from 9:00 am to 3:30 pm, Monday, Tuesday, Thursday and Friday, and from 9:00 am to 12:00 pm on Wednesday. If you press “1,” you may access the automated RRB HelpLine and recorded information 24 hours a day, including weekends and holidays.

Help us keep our information about your drug payments up to date.

To keep track of your drug costs and payments you make for drugs, we use records we get from pharmacies. Here's how you can help:

• Show your membership card every time you get a prescription filled. This helps ensure we know about the medicines you’re filling and how much you’re paying.
• Make sure we have the information we need. Sometimes you may pay for the entire cost of a prescription drug. In these cases, we will not automatically get the necessary information to track your out-of-pocket expenses. To help us keep track of your out-of-pocket costs, share copies of your receipts.

  Here are examples of when you should share copies of your drug receipts:

  • When you buy a covered drug at a network pharmacy at a special price or using a discount card, that is not part of our plan’s benefit.
  • When you made a copayment for drugs provided under a drug manufacturer patient assistance program.
  • Any time you’ve bought covered drugs at out-of-network pharmacies, or other times you’ve paid the total price for a covered drug under special circumstances.
  • If you’re billed for a covered drug, you can ask your plan to pay our share of the cost.
• Please send us information about the payments others have made for you. Payments made by certain other individuals and organizations also count toward your out-of-pocket costs. For example, payments made by these groups count toward them:
  • A State Pharmaceutical Assistance Program
  • An AIDS drug assistance program (ADAP)
  • The Indian Health Service
  • Most charities

  Keep a record of these payments and send them to us so we can track your costs.

• Check the written report we send you. When you receive a Part D Explanation of Benefits (EOB), look it over to be sure the information is complete and correct. If you think something is missing or you have any questions, please call Member Services.

When you need to give us an update, contact Member Services.

• Call 1-833-272-8360 (TTY 711). Hours of Operation: October 1 – March 31: Monday – Sunday, 8:00 a.m. to 8:00 p.m., ET; and April 1 – September 30: Monday – Friday, 8:00 a.m. to 8:00 p.m., ET.

• You can also write us at:

  Braven Health Member Services
  P.O. Box 1609
  Newark, NJ 07101-1609