2020 Hudson County New Jersey
Medicare Advantage Plans

There are 27 Medicare Advantage Plans available in Hudson County NJ from 7 different health insurance providers. 8 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $4500 and the highest out of pocket is $6700. Hudson County New Jersey residents can also pick from 9 Medicare Special Needs Plans. The highest rated plan available in Hudson County received a 4.5 overall star rating from CMS and the lowest rated plan is 3 stars

(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Plan
AARP Medicare Advantage Plan 1 (HMO)
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$0 $240.00 $6,700 NoEnroll
AARP Medicare Advantage Plan 3 (HMO)
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$39.00 $200.00 $6,700 NoEnroll
AARP Medicare Advantage Plan 4 (HMO)
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$81.00 $150.00 $6,700 NoEnroll
Aetna Medicare Credit Value (HMO)
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$0 $300.00 $6,700 YesEnroll
Aetna Medicare Explorer Elite (HMO)
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$0 $200.00 $6,700 YesEnroll
Aetna Medicare Explorer Premier (PPO)
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$89.00 $250.00 $6,700 YesEnroll
Aetna Medicare Explorer Premier Plus (HMO)
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$174.00 $150.00 $6,700 YesEnroll
Aetna Medicare Explorer Premier Plus (PPO)
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$36.00 $350.00 $6,700 YesEnroll
Aetna Medicare Premier (Regional PPO)
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$74.00 $250.00 $6,700 YesEnroll
Amerivantage Balance (HMO)
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$22.40 $435.00 $5,900 YesEnroll
Amerivantage Classic (HMO)
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$0 $200.00 $6,700 YesEnroll
Clover Health Choice (PPO)
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$0 $150.00 $6,700 NoEnroll
Clover Health Choice Value (PPO)
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$35.50 $435.00 $6,700 NoEnroll
Clover Health Classic (HMO)
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$0 $0 $6,700 NoToo NewEnroll
Clover Health Value (HMO)
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$35.50 $435.00 $6,700 NoToo NewEnroll
Horizon Medicare Blue Advantage (HMO)
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$0 $250.00 $6,700 NoEnroll
Horizon Medicare Blue Value w/Rx (HMO)
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$96.60 $435.00 $6,700 NoEnroll
Humana Gold Plus H6622-063 (HMO)
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$0 $275.00 $6,700 NoEnroll
HumanaChoice H5216-169 (PPO)
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$0 $275.00 $6,700 NoEnroll
HumanaChoice H5216-170 (PPO)
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$33.00 $250.00 $5,900 NoEnroll
HumanaChoice H5216-172 (PPO)
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$0 $295.00 $6,700 NoEnroll
WellCare Compass (HMO)
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$15.10 $435.00 $6,700 NoEnroll
WellCare Value (HMO-POS)
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$0 $0 $6,700 NoEnroll

Return to 2020 Medicare Advantage Plans in New Jersey

Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
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AARP Medicare Advantage Essential (HMO)
$0 Local HMO * $6,700 Enroll
Aetna Medicare Core Value (HMO)
$0 Local HMO * $6,700 Enroll
Horizon Medicare Blue Value (HMO)
$49.00 Local HMO * $6,700 Enroll
HumanaChoice H5216-174 (PPO)
$0 Local PPO * $4,500

2020 Medicare Special Needs Plans in Hudson county New Jersey

Plan Name ⇅ Monthly
Part D
 Gap  Special Needs
Amerivantage Dual Coordination (HMO D-SNP)     $35.50 $435.0  No Dual-Eligible
Amerivantage Dual Secure (HMO-POS D-SNP)     $35.50 $435.0  No Dual-Eligible
Amerivantage ESRD (HMO-POS C-SNP)     $14.10 $160.0  No Chronic or Disabling Condition
Horizon NJ TotalCare (HMO D-SNP)     $35.50 $435.0  No Dual-Eligible
Longevity Health Plan (PPO I-SNP)     $35.50 $435.0  No InstitutionalToo New
UnitedHealthcare Dual Complete ONE (HMO D-SNP)     $20.40 $435.0  No Dual-Eligible
UnitedHealthcare Nursing Home Plan (HMO I-SNP)     $35.50 $435.0  No Institutional
UnitedHealthcare Nursing Home Plan (PPO I-SNP)     $35.10 $435.0  No Institutional
WellCare Liberty (HMO D-SNP)     $33.80 $435.0  No Dual-Eligible

Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard


In 2020 once you and your plan provider have spent $4020 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 25% of the plans cost for covered brand-name prescription drugs and 25% on generic drugs unless your plan offers additional coverage.

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable

Source: CMS. Data as of September 3, 2019.
Star Rating as of October 11, 2019.
For More Information on Ratings Please See the CMS Tech Notes.
Plans are subject to change as contracts are finalized.
Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2020, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.

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