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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 17 $0 premium options and 73% rated 4 stars or higher.

At a Glance

  • Average Monthly Premium: $29.90/mo
  • $0 Premium Plans: 17
  • Average MOOP: $8,532 ($9,250 max. in 2027)
  • Star Ratings (Plan Mix): 4+ Stars: 73% · 3 Stars: 27% · Below 3: 0%
  • Average Part D Deductible: $557.08
  • Total MA/MAPD Enrollment: 32,362
  • Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. Clover Health Choice (PPO) — 5,765 enrollees
    2. Clover Health Choice Value (PPO) — 4,874 enrollees
    3. AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS) — 3,976 enrollees

Totals on this page exclude Medicare Advantage Special Needs Plans (SNPs). SNP plans for Essex County, NJ are provided separately. Or you can discover all Medicare Options in Essex County, NJ. For a statewide view, browse Medicare Advantage plans in New Jersey to examine available plan types, average premiums, out-of-pocket limits, CMS star ratings, and the most-enrolled plans across the state.

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
16
Average Monthly Premium
$31.10/mo
Total PPO Enrollment
23,129
$0 Premium PPO Plans
9
Average MOOP
$8,941
Top PPO by Enrollment
Clover Health Choice (PPO) — 5,765 enrollees
PPO Plans Without Drug Coverage
4

2027 PPO Medicare Advantage plans in Essex County, New Jersey (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Clover Health Choice
☆☆☆☆☆
 $0 $9,850 $350 H5141-004-0
Clover Health Choice Giveback
☆☆☆☆☆
 $0 $9,850 $440 H5141-054-0
Clover Health Choice Value
☆☆☆☆☆
 $36 $9,850 $440 H5141-007-0
Clover Health Valor
☆☆☆☆☆
 $0 $9,850 N/A H5141-061-0
HumanaChoice Giveback H7617-045
☆☆☆☆☆
 $0 $8,000 $700 H7617-045-0
HumanaChoice Giveback H7617-127
☆☆☆☆☆
 $0 $8,250 $700 H7617-127-0
AARP Medicare Advantage from UHC NJ-0004
☆☆☆☆☆
 $69 $8,900 $685 H8768-022-0
AARP Medicare Advantage from UHC NJ-0005
☆☆☆☆☆
 $79 $8,400 $685 H8768-035-0
AARP Medicare Advantage from UHC NJ-6
☆☆☆☆☆
 $29 $9,400 $685 H8768-058-0
AARP Medicare Advantage Patriot No Rx NJ-MA2
☆☆☆☆☆
 $0 $7,150 N/A H8768-059-0
Aetna Medicare Eagle Giveback
☆☆☆☆☆
 $0 $9,850 N/A H5521-504-0
Aetna Medicare Enhanced
☆☆☆☆☆
 $149 $9,850 $700 R6694-006-0
Aetna Medicare Enhanced Extra
☆☆☆☆☆
 $99 $9,850 $700 H5521-037-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,750 N/A H5216-174-0
HumanaChoice Giveback H5216-319
☆☆☆☆☆
 $0 $8,000 $700 H5216-319-0
HumanaChoice H5216-461
☆☆☆☆☆
 $36 $9,250 $700 H5216-461-0

What is the typical premium for PPO plans available in Essex?

PPO plans in Essex cost $31.10 per month on average.

Which PPO plan do most beneficiaries choose in Essex?

The most popular PPO plan in Essex is Clover Health Choice (PPO), with 5,765 enrollees.

How many PPO options are offered without drug coverage in Essex?

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

2027 HMO Medicare Advantage plans in Essex County, New Jersey (comparison chart)
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 total number of HMO plans offered in Essex?

In 2027, Essex County has 7 HMO plans with 2,036 enrollees.

How much do HMO plans cost in Essex?

The typical HMO premium in Essex is $24.33, and 4 plans have no monthly premium.

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

2027 HMO-POS Medicare Advantage plans in Essex County, New Jersey (comparison chart)
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 average monthly premium for HMO-POS plans?
HMO-POS plans in Essex cost $32.71 per month on average.
Which HMO-POS plan is most popular 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 plans in Essex do not include drug coverage?
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.

Quality Ratings for Medicare Advantage Plans in Essex County, NJ (2027)
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 0 0%
Average Rating 4.02

* Star ratings are based on CMS quality measures and reflect plan performance for the 2027 rating period.

Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Essex County, New Jersey, including communities such as Bloomfield, Fairfield, Caldwell, Cedar Grove, East Orange, Essex Fells, Glen Ridge, Livingston, Maplewood, Millburn, Montclair, Verona, Orange, West Orange, Roseland, Short Hills, South Orange, Newark, Belleville, Nutley, Irvington, and other areas throughout the county. Plan availability is determined by county of residence, not by city.

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 .

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .