- Entity
- county:new-jersey-middlesex-34023
- 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/middlesex/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 30
- PPO Plans
- 16
- HMO Plans
- 7
- HMO-POS Plans
- 7
- PFFS Plans
- 0
- Average Monthly Premium
- 29.9
- Average MOOP
- 8660
- Average Part D Deductible
- 586.25
- $0 Premium Plans
- 17
- Plans Without Part D Coverage
- 6
- Average CMS Star Rating
- 4
- $0 Premium Plan Share
- 56.67
- 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
- 0
- PPO Average Monthly Premium
- 31.1
- PPO Average MOOP
- 8940.63
- PPO Enrollment
- 22269
- PPO $0 Premium Plans
- 9
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 24.33
- HMO Average MOOP
- 8964.29
- HMO Enrollment
- 2409
- 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
- 6732
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:new-jersey-middlesex-34023
- 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/middlesex/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-jersey-middlesex-34023-landscape-stats
- Plans Indexed
- 30
- 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 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 -
Aetna Medicare Signature Extra
H3152-082-0 -
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
-
Clover Health Choice
- Total Standard Medicare Advantage Enrollment
- 31410
2027 Medicare Advantage Plans in Middlesex County, NJ
Last update: .
In Middlesex County, NJ, there are 31 Medicare Advantage plans available for 2027. Of these, 17 offer a $0 monthly premium, and about 73% are rated 4 stars or higher based on CMS quality ratings.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to use both in-network and out-of-network providers. Out-of-network care typically costs more, but PPOs offer greater flexibility in how care is accessed.
What is the total number of PPO plans offered in Middlesex?
Middlesex County has 16 PPO plans for 2027, with 22,269 enrolled.
How much do PPO plans cost in Middlesex?
The typical PPO premium in Middlesex is $31.10, and 9 plans have no monthly premium.
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
- 7
- Average Monthly Premium
- $24.33/mo
- Total HMO Enrollment
- 2,409
- $0 Premium HMO Plans
- 4
- Average MOOP
- $8,964
- Top HMO by Enrollment
- Aetna Medicare Signature Extra (HMO) — 1,600 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| 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 | |
| Aetna Medicare Signature Extra | $0 | $9,850 | $700 | H3152-082-0 | |
| 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 average monthly premium for HMO plans?
- HMO plans in Middlesex cost $24.33 per month on average.
- Which HMO plan is most popular in Middlesex?
- The most popular HMO plan in Middlesex is Aetna Medicare Signature Extra (HMO), with 1,600 enrollees.
- How many HMO plans in Middlesex do not include drug coverage?
- There are 1 HMO plans in Middlesex without prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO Point-of-Service (HMO-POS) plans combine HMO network requirements with limited out-of-network access. Care outside the network typically costs more, but HMO-POS plans provide added flexibility compared with standard HMOs.
- Total HMO-POS Plans 7
- Average Monthly Premium $32.71/mo
- Total HMO-POS Enrollment 6,732
- $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) — 3,146 enrollees
- HMO-POS Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS 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 total number of HMO-POS plans in Middlesex?
There are 7 HMO-POS plans in 2027, covering 6,732 enrollees.
How much do HMO-POS plans cost in Middlesex?
The average HMO-POS premium in Middlesex is $32.71 per month, with 4 plans offering $0 premiums.
What is the leading HMO-POS plan in Middlesex?
AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS) is the top HMO-POS in Middlesex, with 3,146 enrollees.
What is the number of HMO-POS plans without Part D coverage in Middlesex?
1 HMO-POS plans in Middlesex do not include prescription drug coverage.
The table below shows CMS star ratings for Medicare Advantage plans in Middlesex County, NJ for 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 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
Medicare Advantage plans listed on this page are available to eligible beneficiaries residing in Middlesex County, New Jersey, including communities such as Avenel, Carteret, Port Reading, Colonia, Sewaren, South Plainfield, Woodbridge, Cranbury, Plainsboro, Dayton, Dunellen, East Brunswick, Edison, Kendall Park, Helmetta, Iselin, Monroe Township, Keasbey, Metuchen, Middlesex, Milltown, Monmouth Junction, Piscataway, Old Bridge, Parlin, Perth Amboy, Fords, Sayreville, South Amboy, South River, Spotswood, New Brunswick, North Brunswick, Highland Park, 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: 2026-09
This page presents county-level Medicare Advantage (MA/MAPD) data, including plan counts, enrollment totals, averages, and percentage distributions, derived from CMS datasets using a standardized aggregation approach.
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
- AARP.org, "The Big Choice: Original Medicare vs. Medicare Advantage" — Last accessed 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 documentation is maintained in alignment 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.