2026 Medicare Advantage Plans in Cumberland County, NJ
Last update: . Enrollment data updated: May 2, 2026
In Cumberland County, NJ, there are 37 Medicare Advantage plans available for 2026. Of these, 23 offer a $0 monthly premium, and about 37% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Cumberland County, NJ. Or explore all Medicare Options available in Cumberland County, NJ.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 25
- Average Monthly Premium $28.36/mo
- Total PPO Enrollment 6,643
- $0 Premium PPO Plans 14
- Average MOOP $8,048
- Top PPO by Enrollment Clover Health Choice (PPO) — 1,583 enrollees
- PPO Plans Without Drug Coverage 6
What is the total number of PPO plans offered in Cumberland?
There are 25 PPO plans in 2026, covering 6,643 beneficiaries.
How much do PPO plans cost in Cumberland?
The average PPO premium in Cumberland is $28.36 per month, with 14 plans offering $0 premiums.
What is the most popular PPO plan in Cumberland?
Clover Health Choice (PPO) is the top PPO in Cumberland, with 1,583 enrollees.
What is the number of PPO plans without Part D coverage in Cumberland?
There are 6 PPO plans in Cumberland without prescription drug coverage.
Medicare Advantage HMO Plans
HMO plans typically require members to use in-network providers and facilities, except in emergencies. In return, HMOs often offer lower monthly premiums and reduced cost-sharing.
- Total HMO Plans
- 6
- Average Monthly Premium
- $0.00/mo
- Total HMO Enrollment
- 1,075
- $0 Premium HMO Plans
- 6
- Average MOOP
- $7,842
- Top HMO by Enrollment
- Humana Gold Plus H6622-099 (HMO) — 552 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle Giveback | $0 | $9,250 | N/A | H3152-045-0 | |
| Aetna Medicare Signature Extra | $0 | $9,250 | $615 | H3152-082-0 | |
| Humana Gold Plus H6622-099 | $0 | $8,550 | $615 | H6622-099-2 | |
| Jefferson Health Plans Elite | $0 | $6,000 | $0 | H9207-018-0 | |
| Jefferson Health Plans Silver | $0 | $6,500 | $0 | H9207-013-0 | |
| HealthSpring Preferred | $0 | $7,500 | $200 | H3949-054-0 |
What is the average monthly premium for HMO plans?
HMO plans in Cumberland cost $0.00 per month on average.
Which HMO plan is most popular in Cumberland?
The most popular HMO plan in Cumberland is Humana Gold Plus H6622-099 (HMO), with 552 enrollees.
How many HMO plans in Cumberland do not include drug coverage?
There are 1 HMO plans in Cumberland without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network rules with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Enhanced | $83 | $9,250 | $615 | H3152-022-0 | |
| Wellcare Assist | $45 | $9,250 | $615 | H0913-015-0 | |
| Wellcare Giveback | $0 | $9,250 | $615 | H0913-021-0 | |
| Wellcare Low Premium | $34 | $9,250 | $615 | H0913-002-0 | |
| Wellcare Patriot Simple | $0 | $7,550 | N/A | H0913-020-0 | |
| Wellcare Simple | $0 | $9,250 | $615 | H0913-022-0 |
What is the leading HMO-POS plan in Cumberland?
Aetna Medicare Enhanced (HMO-POS) is the top HMO-POS in Cumberland, with 98 enrollees.
What is the number of HMO-POS plans without Part D coverage in Cumberland?
1 HMO-POS plans in Cumberland do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Cumberland County, NJ for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 13 | 37% |
| 3 Stars | 22 | 63% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 2 | 5% |
| Average Rating | 3.74 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Compare types of Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
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