- Entity
- county:new-jersey-mercer-34021
- 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/mercer/
- 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
- 20
- HMO Plans
- 5
- HMO-POS Plans
- 8
- PFFS Plans
- 0
- Average Monthly Premium
- 30.29
- Average MOOP
- 8719.7
- Average Part D Deductible
- 601.73
- $0 Premium Plans
- 19
- Plans Without Part D Coverage
- 7
- Average CMS Star Rating
- 3.92
- $0 Premium Plan Share
- 57.58
- 5-Star Plan Share
- 12
- 4+ Star Plan Share
- 73
- 3-Star Plan Share
- 24
- Below 3-Star Plan Share
- 3
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 31.83
- PPO Average MOOP
- 8772.5
- PPO Enrollment
- 8693
- PPO $0 Premium Plans
- 11
- PPO Plans Without Part D Coverage
- 5
- HMO Average Monthly Premium
- 26.8
- HMO Average MOOP
- 9690
- HMO Enrollment
- 593
- HMO $0 Premium Plans
- 3
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 28.63
- HMO-POS Average MOOP
- 7981.25
- HMO-POS Enrollment
- 2511
- HMO-POS $0 Premium Plans
- 5
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:new-jersey-mercer-34021
- 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/mercer/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-jersey-mercer-34021-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 -
HumanaChoice Giveback H7617-045
H7617-045-0 -
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
H3152-045-0 -
Aetna Medicare Eagle Giveback
H5521-504-0 -
Aetna Medicare Elite
H3152-098-0 -
Aetna Medicare Enhanced
R6694-006-0 -
Aetna Medicare Enhanced Extra
H5521-037-0 -
Aetna Medicare Prime
H5521-392-0 -
Aetna Medicare Prime
H3152-080-0 -
Aetna Medicare Prime Extra
H5521-275-0 -
Aetna Medicare Prime Giveback
H5521-277-0 -
Aetna Medicare Signature
H3152-048-0 -
Humana Gold Plus H6622-099
H6622-099-1 -
Humana USAA Honor Giveback
H5216-221-0 -
HumanaChoice Giveback H5216-116
H5216-116-0 -
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 -
Jefferson Health Plans Elite
H9207-018-0 -
Wellcare Assist
H0913-015-0 -
Wellcare Low Premium
H0913-002-0 -
Jefferson Health Plans Premier
H3124-003-0
-
Clover Health Choice
- Total Standard Medicare Advantage Enrollment
- 11797
2027 Medicare Advantage Plans in Mercer County, NJ
Last update: .
For 2027, Mercer County, NJ includes 37 Medicare Advantage plans. Enrollment across these plans totals approximately 11,797, with 19 $0 premium options and 73% rated 4 stars or higher.
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
- 20
- Average Monthly Premium
- $31.83/mo
- Total PPO Enrollment
- 8,693
- $0 Premium PPO Plans
- 11
- Average MOOP
- $8,773
- Top PPO by Enrollment
- Clover Health Choice (PPO) — 1,612 enrollees
- PPO Plans Without Drug Coverage
- 5
- What is the average monthly premium for PPO plans in Mercer?
- PPO plans in Mercer cost $31.83 per month on average.
- Which PPO plan has the highest enrollment in Mercer?
- The most popular PPO plan in Mercer is Clover Health Choice (PPO), with 1,612 enrollees.
- How many PPO plans in Mercer do not include prescription drug coverage?
- 5 PPO plans in Mercer do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans are built around a defined network of doctors and hospitals. Care is generally covered only within the network, except in emergencies, but this structure often results in lower premiums and out-of-pocket costs.
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| 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 H6622-099 | $0 | $9,050 | $700 | H6622-099-1 | |
| Jefferson Health Plans Elite | $0 | $9,850 | $0 | H9207-018-0 |
What is the total number of HMO plans offered in Mercer?
There are 5 HMO plans in 2027, covering 593 enrollees.
How much do HMO plans cost in Mercer?
The average HMO premium in Mercer is $26.80 per month, with 3 plans offering $0 premiums.
What is the top HMO by enrollment in Mercer?
Humana Gold Plus H6622-099 (HMO) is the top HMO in Mercer, with 408 enrollees.
What is the number of HMO plans without Part D coverage in Mercer?
1 HMO plans in Mercer 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
- 8
- Average Monthly Premium
- $28.63/mo
- Total HMO-POS Enrollment
- 2,511
- $0 Premium HMO-POS Plans
- 5
- Average MOOP
- $7,981
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS) — 921 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | CMS Stars* | Premium/Mo | MOOP | Rx Ded. | CMS ID |
|---|---|---|---|---|---|
| Aetna Medicare Prime | $0 | $9,850 | $700 | H3152-080-0 | |
| 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 Mercer cost $28.63 per month on average.
Which HMO-POS plan is most popular in Mercer?
The most popular HMO-POS plan in Mercer is AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS), with 921 enrollees.
How many HMO-POS plans in Mercer do not include drug coverage?
There are 1 HMO-POS plans in Mercer without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Mercer County, NJ (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 4 | 12% |
| 4 Stars (includes 5 Stars) | 24 | 73% |
| 3 Stars | 8 | 24% |
| Below 3 Stars | 1 | 3% |
| Not Rated | 0 | 0% |
| Average Rating | 3.92 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Mercer County, New Jersey, including communities such as Hightstown, Hopewell, Pennington, Princeton, Princeton Junction, Titusville, Trenton, Lawrence Township, Robbinsville, and other areas throughout the county. Plan availability is determined by county of residence, not by city.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202609
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-10
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 .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent informational resource and has no affiliation with, or endorsement from, 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.