MedicarePartD.guide

A non-government resource built from CMS public data

Clover Health Choice (PPO)

Available to residents of Bergen County, NJ for 2026. Contract H5141, plan 004, segment 0.

Plan details

Monthly premium$0.00
Drug deductible$150.00Tier 1 and 2 exempt
Plan typeMedicare Advantage
Contract / planH5141-004-0
Offered byClover Health
Parent organizationClover Health Holdings, Inc.
Formulary drugs3,521

CMS star ratings

Overall
4.5 out of 5 stars for Overall
Health plan (Part C)
3.5 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
3 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$5.00
Tier 3$47.00
Tier 4$100.00
Tier 531%

Also available in 11 other NJ counties