There are 59 Medicare Advantage plans meeting your criteria.
Click on the plan name or details button below to access plan details and contact information.
2023 / 2024 Medicare Advantage Plan Information
Click here to jump to the Chart Legend |
Plan Name |
Monthly Premium |
Part A&B Maximum Out-Of Pocket |
Part D Deduct- ible |
(Donut Hole) Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Formulary Drugs |
Cust. Service Rating |
Member Plan Exper. |
RxCost Info Rating |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Patriot (HMO-POS)
| $0.00 |
$6,700 |
No Rx Coverage |
H0755 -037 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 AARP Medicare Advantage Patriot No Rx NJ-MA01 (HMO-POS)
| $0.00 |
$6,300 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Aetna Medicare Eagle (HMO)
| $0.00 |
$7,550 |
No Rx Coverage |
H3152 -045 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 Aetna Medicare Eagle (HMO)
| $0.00 |
$7,550 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 Humana Honor (PPO)
| $0.00 |
$4,500 |
No Rx Coverage |
H5216 -174 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 Humana USAA Honor (PPO)
| $0.00 |
$4,500 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Patriot No Premium (HMO)
| $0.00 |
$7,550 |
No Rx Coverage |
H0913 -020 -0 | This plan does NOT include Prescription Drug coverage. | |
|
|
|
|
2024 Wellcare Patriot No Premium (HMO)
| $0.00 |
$7,550 |
No Rx Coverage | This plan does NOT include Prescription Drug coverage. | |
|
2023 AARP Medicare Advantage Plan 1 (HMO-POS)
| $0.00 |
$6,900 |
$0 | Yes, some additional gap coverage. |
H0755 -038 -0 | $0.00 | $12.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)
| $0.00 |
$6,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 AARP Medicare Advantage Choice (PPO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. |
H8768 -022 -0 | $0.00 | $12.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC NJ-0004 (PPO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Aetna Medicare Elite 3 (HMO)
| $0.00 |
$7,550 |
$300 | Yes, some additional gap coverage. |
H3152 -088 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Elite 3 (HMO)
| $0.00 |
$8,500 |
$300 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 Aetna Medicare Explorer Elite (HMO)
| $0.00 |
$7,550 |
$250 | Yes, some additional gap coverage. |
H3152 -084 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Explorer Elite (HMO)
| $0.00 |
$8,500 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 Aetna Medicare Prime Credit (PPO)
| $0.00 |
$7,550 |
$350 | Yes, some additional gap coverage. |
H5521 -277 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Prime Credit (PPO)
| $0.00 |
$8,850 |
$300 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Aetna Medicare Prime Value (HMO-POS)
| $0.00 |
$7,550 |
$250 | Yes, some additional gap coverage. |
H3152 -080 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Prime Value (HMO-POS)
| $0.00 |
$7,550 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 Aetna Medicare Prime Value (PPO)
| $0.00 |
$7,550 |
$250 | Yes, some additional gap coverage. |
H5521 -392 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Prime Value (PPO)
| $0.00 |
$8,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | 20% | 20% | 3,633 2024 Formulary |
|
2023 Aetna Medicare Value Plan (PPO)
| $0.00 |
$7,550 |
$300 | Yes, some additional gap coverage. |
H5521 -390 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Value Plan (PPO)
| $0.00 |
$7,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | 20% | 20% | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Braven Medicare Choice (PPO)
| $0.00 |
$6,700 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H0885 -001 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,067
2023 Formulary |
|
|
|
|
2024 Braven Medicare Choice (PPO)
| $0.00 |
$7,050 |
$200 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,219 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H7849 -129 -0 | | | | | |
|
|
|
|
2024 Cigna True Choice Medicare (PPO)
| $0.00 |
$7,550 |
$0 | Yes, some additional gap coverage. | $0.00 | $4.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
|
2023 Clover Health Choice (PPO)
| $0.00 |
$7,550 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H5141 -004 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,375
2023 Formulary |
|
|
|
|
2024 Clover Health Choice (PPO)
| $0.00 |
$8,499 |
$150 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,406 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Clover Health Classic (HMO)
| $0.00 |
$8,300 |
$150 | No additional gap coverage, only the Donut Hole Discount |
H8010 -002 -0 | $0.00 | $10.00 | $40.00 | $40.00 | 3,375
2023 Formulary |
|
|
|
|
2024 Clover Health Classic (HMO)
| $0.00 |
$8,550 |
$0 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | $47.00 | $47.00 | 3,406 2024 Formulary |
|
2023 Clover Health Premier (PPO)
| $0.00 |
$8,300 |
$300 | No additional gap coverage, only the Donut Hole Discount |
H5141 -054 -0 | $0.00 | 22% | 22% | 22% | 3,375
2023 Formulary |
|
|
|
|
2024 Clover Health Premier (PPO)
| $0.00 |
$8,499 |
$300 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | 25% | 25% | 3,406 2024 Formulary |
|
2023 Humana Gold Plus H6622-063 (HMO)
| $0.00 |
$6,500 |
$225 | Yes, some additional gap coverage. |
H6622 -063 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 Humana Gold Plus H6622-063 (HMO)
| $0.00 |
$8,850 |
$225 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice H5216-169 (PPO)
| $0.00 |
$7,400 |
$275 | No additional gap coverage, only the Donut Hole Discount |
H5216 -169 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-169 (PPO)
| $0.00 |
$7,995 |
$275 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 HumanaChoice H5216-172 (PPO)
| $0.00 |
$7,550 |
$295 | Yes, some additional gap coverage. |
H5216 -172 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,270
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-172 (PPO)
| $0.00 |
$7,995 |
$295 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5216 -319 -0 | | | | | |
|
|
|
|
2024 HumanaChoice H5216-319 (PPO)
| $0.00 |
$7,550 |
$545 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Wellcare Giveback (HMO)
| $0.00 |
$8,300 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H0913 -021 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Giveback (HMO)
| $0.00 |
$8,850 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium (HMO-POS)
| $0.00 |
$8,300 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H0913 -002 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare No Premium (HMO-POS)
| $0.00 |
$8,300 |
$350 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare No Premium Focus (HMO)
| $0.00 |
$6,900 |
$75 | No additional gap coverage, only the Donut Hole Discount |
H0913 -017 -0 | $0.00 | $0.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare No Premium Focus (HMO)
| $0.00 |
$6,900 |
$375 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H5521 -455 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Bronze Plan (PPO)
| $15.00 |
$4,300 |
$250 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
|
2023 Wellcare Assist (HMO)
| $14.90 |
$7,550 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0913 -015 -0 | $0.00 | $20.00 | $47.00 | $47.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Assist (HMO)
| $27.10 |
$7,550 |
$410 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
2023 UnitedHealthcare Nursing Home Plan (HMO I-SNP)
| $31.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3113 -001 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Nursing Home Plan NJ-F001 (HMO I-SNP)
| $30.70 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Clover Health Premier Value (PPO)
| $35.00 |
$8,300 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5141 -055 -0 | $0.00 | 22% | 22% | 22% | 3,375
2023 Formulary |
|
|
|
|
2024 Clover Health Premier Value (PPO)
| $31.30 |
$8,499 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | 23% | 23% | 3,406 2024 Formulary |
|
2023 UnitedHealthcare Nursing Home Plan (PPO I-SNP)
| $35.30 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0710 -026 -0 | | | | | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Nursing Home Plan EX-F003 (PPO I-SNP)
| $33.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Amerivantage ESRD Care (HMO-POS C-SNP)
| $35.00 |
n/a |
$160 | No additional gap coverage, only the Donut Hole Discount |
H3240 -017 -0 | $3.00 | $10.00 | $42.00 | $42.00 | 3,579
2023 Formulary |
|
|
|
|
2024 Wellpoint Kidney Care (HMO-POS C-SNP)
| $33.90 |
n/a |
$160 | No additional gap coverage, only the Donut Hole Discount | $3.00 | $10.00 | $42.00 | $42.00 | 3,562 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 UnitedHealthcare Assisted Living Plan (PPO I-SNP)
| $31.10 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount |
H0710 -056 -0 | $2.00 | $12.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
-- |
|
|
2024 UHC Care Advantage NJ-E001 (PPO I-SNP)
| $34.00 |
n/a |
$0 | No additional gap coverage, only the Donut Hole Discount | $2.00 | $12.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Aetna Medicare Explorer Premier Plus (PPO)
| $35.00 |
$7,550 |
$300 | Yes, some additional gap coverage. |
H5521 -278 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Discover Value Plan (PPO)
| $35.00 |
$8,500 |
$0 | Yes, some additional gap coverage. | $0.00 | $0.00 | 20% | 20% | 3,633 2024 Formulary |
|
2023 Braven Medicare Freedom (PPO)
| $35.00 |
$6,500 |
$100 | No additional gap coverage, only the Donut Hole Discount |
H0885 -002 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,067
2023 Formulary |
|
|
|
|
2024 Braven Medicare Freedom (PPO)
| $35.00 |
$6,825 |
$200 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,219 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
-- This plan not offered in 2023 --
|
H7849 -130 -0 | | | | | |
|
|
|
|
2024 Cigna True Choice Plus Medicare (PPO)
| $35.00 |
$7,550 |
$300 | Yes, some additional gap coverage. | $0.00 | $4.00 | $45.00 | $45.00 | 3,535 2024 Formulary |
|
2023 Amerivantage Dual Coordination (HMO D-SNP)
| $29.40 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3240 -013 -0 | $0.00 | $0.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
|
|
|
2024 Wellpoint Full Dual Advantage (HMO D-SNP)
| $35.60 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $0.00 | $47.00 | $47.00 | 3,581 2024 Formulary |
|
2023 Clover Health Value (HMO)
| $35.00 |
$8,300 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8010 -003 -0 | $2.00 | 22% | 22% | 22% | 3,375
2023 Formulary |
|
|
|
|
2024 Clover Health Value (HMO)
| $35.80 |
$8,300 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | 23% | 23% | 3,406 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Choice Premier (PPO)
| $35.00 |
$7,550 |
$300 | Yes, some additional gap coverage. |
H8768 -035 -0 | $0.00 | $12.00 | $45.00 | $45.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC NJ-0005 (PPO)
| $38.00 |
$7,550 |
$300 | Yes, some additional gap coverage. | $0.00 | $12.00 | $45.00 | $45.00 | 3,634 2024 Formulary |
|
2023 Longevity Health Plan (PPO I-SNP)
| $35.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H9942 -001 -0 | | | | | 3,970
2023 Formulary |
|
-- |
|
|
2024 Longevity Health Plan (PPO I-SNP)
| $38.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 4,149 2024 Formulary |
|
2023 Aetna Medicare Prime Premier (PPO)
| $57.00 |
$7,550 |
$350 | Yes, some additional gap coverage. |
H5521 -275 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Prime Premier (PPO)
| $39.00 |
$7,550 |
$300 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice H5216-170 (PPO)
| $32.00 |
$6,500 |
$250 | No additional gap coverage, only the Donut Hole Discount |
H5216 -170 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
2024 HumanaChoice H5216-170 (PPO)
| $39.00 |
$6,500 |
$250 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $5.00 | $47.00 | $47.00 | 3,448 2024 Formulary |
|
2023 Aetna Assure Premier Plus (HMO D-SNP)
| $18.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H6399 -001 -0 | | | | | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Assure Premier Plus (HMO D-SNP)
| $39.10 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,633 2024 Formulary |
|
2023 AARP Medicare Advantage Plan 2 (HMO-POS)
| $33.00 |
$6,900 |
$0 | Yes, some additional gap coverage. |
H0755 -044 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)
| $41.00 |
$6,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Clover Health Choice Value (PPO)
| $35.00 |
$6,600 |
$480 | No additional gap coverage, only the Donut Hole Discount |
H5141 -007 -0 | $2.00 | 22% | 22% | 22% | 3,375
2023 Formulary |
|
|
|
|
2024 Clover Health Choice Value (PPO)
| $42.40 |
$8,499 |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $8.00 | 23% | 23% | 3,406 2024 Formulary |
|
2023 Wellcare Premium Enhanced Open (PPO)
| $70.00 |
$8,300 |
$350 | No additional gap coverage, only the Donut Hole Discount |
H8711 -004 -0 | $0.00 | $10.00 | $37.00 | $37.00 | 3,392
2023 Formulary |
|
-- |
|
|
2024 Wellcare Low Premium Open (PPO)
| $43.00 |
$8,850 |
$500 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $10.00 | $42.00 | $42.00 | 3,371 2024 Formulary |
|
2023 Wellcare Dual Liberty (HMO D-SNP)
| $14.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H0913 -013 -0 | $3.00 | $18.00 | $45.00 | $45.00 | 3,392
2023 Formulary |
|
|
|
|
2024 Wellcare Dual Liberty (HMO D-SNP)
| $43.70 |
n/a |
$495 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $20.00 | $47.00 | $47.00 | 3,371 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Amerivantage Dual Secure (HMO-POS D-SNP)
| $33.90 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3240 -024 -0 | $0.00 | $4.00 | $43.00 | $43.00 | 3,603
2023 Formulary |
|
|
|
|
2024 Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)
| $44.90 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | $0.00 | $4.00 | $43.00 | $43.00 | 3,581 2024 Formulary |
|
2023 UnitedHealthcare Dual Complete ONE (HMO D-SNP)
| $31.10 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3113 -005 -0 | | | | | 3,682
2023 Formulary |
|
|
|
|
2024 UHC Dual Complete NJ-Y001 (HMO D-SNP)
| $45.20 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,634 2024 Formulary |
|
2023 Horizon NJ TotalCare (HMO D-SNP)
| $35.00 |
n/a |
$505 | No additional gap coverage, only the Donut Hole Discount |
H8298 -001 -0 | | | | | 3,064
2023 Formulary |
|
|
|
|
2024 Horizon NJ TotalCare (HMO D-SNP)
| $45.50 |
n/a |
$545 | No additional gap coverage, only the Donut Hole Discount | | | | | 3,213 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 AARP Medicare Advantage Plan 3 (HMO-POS)
| $79.00 |
$6,900 |
$0 | Yes, some additional gap coverage. |
H0755 -045 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,682
2023 Formulary |
|
|
|
|
2024 AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)
| $77.00 |
$6,900 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | $47.00 | $47.00 | 3,634 2024 Formulary |
|
2023 Aetna Medicare Explorer Premier Plus (HMO-POS)
| $94.00 |
$7,550 |
$250 | Yes, some additional gap coverage. |
H3152 -048 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Explorer Premier Plus (HMO-POS)
| $84.00 |
$7,550 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
2023 Aetna Medicare Explorer Premier (PPO)
| $97.00 |
$7,550 |
$250 | Yes, some additional gap coverage. |
H5521 -037 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Explorer Premier (PPO)
| $87.00 |
$8,500 |
$150 | Yes, some additional gap coverage. | $0.00 | $0.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Aetna Medicare Premier (Regional PPO)
| $120.00 |
$7,550 |
$350 | Yes, some additional gap coverage. |
R6694 -006 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
2024 Aetna Medicare Premier (Regional PPO)
| $111.00 |
$7,550 |
$300 | Yes, some additional gap coverage. | $0.00 | $5.00 | $47.00 | $47.00 | 3,633 2024 Formulary |
|
-- This plan not offered in 2023 --
|
H5521 -456 -0 | | | | | |
|
|
|
|
2024 Aetna Medicare Platinum Plan (PPO)
| $170.00 |
$3,600 |
$0 | Yes, some additional gap coverage. | $0.00 | $10.00 | 20% | 20% | 3,619 2024 Formulary |
|
2023 Aetna Medicare Explorer Elite 2 (HMO)
| $0.00 |
$7,550 |
$350 | Yes, some additional gap coverage. |
H3152 -092 -0 | $0.00 | $10.00 | $47.00 | $47.00 | 3,597
2023 Formulary |
|
|
|
|
-- Members will be assigned to Aetna Medicare Explorer Elite (HMO) H3152-084 --
| | | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 HumanaChoice H5216-342 (PPO)
| $0.00 |
$8,300 |
$505 | Yes, some additional gap coverage. |
H5216 -342 -0 | $0.00 | $5.00 | $47.00 | $47.00 | 3,404
2023 Formulary |
|
|
|
|
-- Members will be assigned to HumanaChoice H5216-319 (PPO) H5216-319 --
| | | | | |
|
2023 Amerivantage Balance (HMO)
| $15.50 |
$7,550 |
$505 | No additional gap coverage, only the Donut Hole Discount |
H3240 -021 -0 | $10.00 | $15.00 | $47.00 | $47.00 | 3,603
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Amerivantage Classic (HMO)
| $0.00 |
$6,950 |
$200 | Yes, some additional gap coverage. |
H3240 -022 -0 | $4.00 | $10.00 | $35.00 | $35.00 | 3,603
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
Plan Name |
Monthly Premium |
Parts A&B MOOP |
Part D Deduct- ible |
Additional Gap Coverage |
Plan ID |
Cost-Sharing |
Total Drugs |
Cust. Serv. |
Plan Exper. |
Cost Info. |
Tier 1 |
Tier 2 |
Tier 3 |
Tier 4 |
2023 Braven Medicare Plus (HMO)
| $0.00 |
$6,500 |
$0 | No additional gap coverage, only the Donut Hole Discount |
H4675 -001 -0 | $0.00 | $8.00 | $47.00 | $47.00 | 3,067
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|
2023 Amerivantage Choice (PPO)
| $0.00 |
$7,550 |
$95 | Yes, some additional gap coverage. |
H8343 -007 -0 | $4.00 | $13.00 | $35.00 | $35.00 | 3,603
2023 Formulary |
|
|
|
|
-- This plan not offered in 2024 --
|
| | | | |
|