- Entity
- county:new-jersey-essex-34013
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/new-jersey/essex/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 33
- PPO Plans
- 19
- HMO Plans
- 7
- HMO-POS Plans
- 7
- PFFS Plans
- 0
- Average Monthly Premium
- 27.18
- Average MOOP
- 8630.3
- Average Part D Deductible
- 569.26
- $0 Premium Plans
- 20
- Plans Without Part D Coverage
- 6
- Average CMS Star Rating
- 4.02
- $0 Premium Plan Share
- 60.61
- 5-Star Plan Share
- 13
- 4+ Star Plan Share
- 73
- 3-Star Plan Share
- 27
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 9
- PPO Average Monthly Premium
- 26.19
- PPO Average MOOP
- 9047.37
- PPO Enrollment
- 23129
- PPO $0 Premium Plans
- 12
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 24.33
- HMO Average MOOP
- 8414.29
- HMO Enrollment
- 2036
- HMO $0 Premium Plans
- 4
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 32.71
- HMO-POS Average MOOP
- 7714.29
- HMO-POS Enrollment
- 7197
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:new-jersey-essex-34013
- Digest
- 2027-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/new-jersey/essex/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-jersey-essex-34013-landscape-stats
- Plans Indexed
- 33
- Standard Medicare Advantage Plans
-
-
Clover Health Choice
H5141-004-0 -
Clover Health Choice Giveback
H5141-054-0 -
Clover Health Choice Value
H5141-007-0 -
Clover Health Valor
H5141-061-0 -
Clover Health Classic
H8010-002-0 -
Clover Health Value
H8010-003-0 -
HumanaChoice Giveback H7617-045
H7617-045-0 -
HumanaChoice Giveback H7617-127
H7617-127-0 -
AARP Medicare Advantage from UHC NJ-0004
H8768-022-0 -
AARP Medicare Advantage from UHC NJ-0005
H8768-035-0 -
AARP Medicare Advantage from UHC NJ-6
H8768-058-0 -
AARP Medicare Advantage Patriot No Rx NJ-MA2
H8768-059-0 -
Aetna Medicare Eagle Giveback
H5521-504-0 -
Aetna Medicare Eagle Giveback
H3152-045-0 -
Aetna Medicare Elite
H3152-098-0 -
Aetna Medicare Enhanced
R6694-006-0 -
Aetna Medicare Enhanced Extra
H5521-037-0 -
Aetna Medicare Signature
H3152-048-0 -
Humana Gold Plus H6622-100
H6622-100-2 -
Humana USAA Honor Giveback
H5216-174-0 -
HumanaChoice Giveback H5216-319
H5216-319-0 -
HumanaChoice H5216-461
H5216-461-0 -
AARP Medicare Advantage Essentials from UHC NJ-1
H0755-038-0 -
AARP Medicare Advantage Extras from UHC NJ-7
H0755-046-0 -
AARP Medicare Advantage from UHC NJ-0002
H0755-044-0 -
AARP Medicare Advantage from UHC NJ-0003
H0755-045-0 -
AARP Medicare Advantage Patriot No Rx NJ-MA01
H0755-037-0 -
Wellcare Assist
H0913-015-0 -
Wellcare Low Premium
H0913-002-0 -
Wellpoint Extra Help
H3240-026-0 -
DEVOTED CHOICE 001 NJ
H1390-001-0 -
DEVOTED CHOICE GIVEBACK 002 NJ
H1390-002-0 -
DEVOTED CHOICE GIVEBACK EXTRAS 006 NJ
H1390-006-0
-
Clover Health Choice
- Total Standard Medicare Advantage Enrollment
- 32362
2027 Medicare Advantage Plans in Essex County, NJ
Last update: .
For 2027, Essex County, NJ includes 33 Medicare Advantage plans. Enrollment across these plans totals approximately 32,362, with 20 $0 premium options and 73% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Essex County, NJ are summarized separately. Visit Medicare Options in Essex County, NJ to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 19
- Average Monthly Premium
- $26.19/mo
- Total PPO Enrollment
- 23,129
- $0 Premium PPO Plans
- 12
- Average MOOP
- $9,047
- Top PPO by Enrollment
- Clover Health Choice (PPO) — 5,765 enrollees
- PPO Plans Without Drug Coverage
- 4
What is the average monthly premium for PPO plans in Essex?
PPO plans in Essex cost $26.19 per month on average.
Which PPO plan has the highest enrollment in Essex?
The most popular PPO plan in Essex is Clover Health Choice (PPO), with 5,765 enrollees.
How many PPO plans in Essex do not include prescription drug coverage?
4 PPO plans in Essex do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 7
- Average Monthly Premium $24.33/mo
- Total HMO Enrollment 2,036
- $0 Premium HMO Plans 4
- Average MOOP $8,414
- Top HMO by Enrollment Humana Gold Plus H6622-100 (HMO) — 782 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Clover Health Classic | $0 | $6,000 | $0 | H8010-002-0 | |
| Clover Health Value | $36 | $4,500 | $200 | H8010-003-0 | |
| Aetna Medicare Eagle Giveback | $0 | $9,850 | N/A | H3152-045-0 | |
| Aetna Medicare Elite | $25 | $9,850 | $700 | H3152-098-0 | |
| Aetna Medicare Signature | $109 | $9,850 | $700 | H3152-048-0 | |
| Humana Gold Plus H6622-100 | $0 | $9,000 | $325 | H6622-100-2 | |
| Wellpoint Extra Help | $0 | $9,850 | $0 | H3240-026-0 |
What is the top HMO by enrollment in Essex?
Humana Gold Plus H6622-100 (HMO) is the top HMO in Essex, with 782 enrollees.
What is the number of HMO plans without Part D coverage in Essex?
1 HMO plans in Essex do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 7
- Average Monthly Premium
- $32.71/mo
- Total HMO-POS Enrollment
- 7,197
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $7,714
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS) — 3,976 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC NJ-1 | $0 | $7,150 | $685 | H0755-038-0 | |
| AARP Medicare Advantage Extras from UHC NJ-7 | $0 | $7,150 | $685 | H0755-046-0 | |
| AARP Medicare Advantage from UHC NJ-0002 | $79 | $7,150 | $595 | H0755-044-0 | |
| AARP Medicare Advantage from UHC NJ-0003 | $115 | $6,900 | $595 | H0755-045-0 | |
| AARP Medicare Advantage Patriot No Rx NJ-MA01 | $0 | $7,150 | N/A | H0755-037-0 | |
| Wellcare Assist | $0 | $9,250 | $700 | H0913-015-0 | |
| Wellcare Low Premium | $35 | $9,250 | $700 | H0913-002-0 |
What is the typical premium for HMO-POS plans in Essex?
HMO-POS plans in Essex cost $32.71 per month on average.
Which HMO-POS plan has the most members in Essex?
The most popular HMO-POS plan in Essex is AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS), with 3,976 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Essex?
There are 1 HMO-POS plans in Essex without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Essex County, NJ (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 4 | 13% |
| 4 Stars (includes 5 Stars) | 22 | 73% |
| 3 Stars | 8 | 27% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 9% |
| Average Rating | 4.02 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.