- Entity
- county:new-jersey-ocean-34029
- 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/ocean/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 25
- PPO Plans
- 14
- HMO Plans
- 3
- HMO-POS Plans
- 8
- PFFS Plans
- 0
- Average Monthly Premium
- 40.93
- Average MOOP
- 8990
- Average Part D Deductible
- 624
- $0 Premium Plans
- 12
- Plans Without Part D Coverage
- 5
- Average CMS Star Rating
- 3.98
- $0 Premium Plan Share
- 48
- 5-Star Plan Share
- 16
- 4+ Star Plan Share
- 72
- 3-Star Plan Share
- 28
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 51.09
- PPO Average MOOP
- 9453.57
- PPO Enrollment
- 13949
- PPO $0 Premium Plans
- 5
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 0
- HMO Average MOOP
- 9516.67
- HMO Enrollment
- 3141
- HMO $0 Premium Plans
- 3
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 38.5
- HMO-POS Average MOOP
- 7981.25
- HMO-POS Enrollment
- 5273
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:new-jersey-ocean-34029
- 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/ocean/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-jersey-ocean-34029-landscape-stats
- Plans Indexed
- 25
- Standard Medicare Advantage Plans
-
-
Clover Health Choice
H5141-032-0 -
Clover Health Choice Giveback
H5141-054-0 -
Clover Health Choice Value
H5141-042-0 -
Clover Health Valor
H5141-061-0 -
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
H5521-123-0 -
Aetna Medicare Enhanced
H5521-512-0 -
Aetna Medicare Enhanced
R6694-006-0 -
Aetna Medicare Enhanced
H3152-022-0 -
Aetna Medicare Enhanced Advantage
H5521-510-0 -
Aetna Medicare Enhanced Extra
H5521-037-0 -
Aetna Medicare Signature Extra
H3152-082-0 -
Humana Gold Plus H6622-100
H6622-100-1 -
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
-
Clover Health Choice
- Total Standard Medicare Advantage Enrollment
- 22363
2027 Medicare Advantage Plans in Ocean County, NJ
Last update: .
For 2027, Ocean County, NJ includes 29 Medicare Advantage plans. Enrollment across these plans totals approximately 22,363, with 12 $0 premium options and 72% 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
- 14
- Average Monthly Premium
- $51.09/mo
- Total PPO Enrollment
- 13,949
- $0 Premium PPO Plans
- 5
- Average MOOP
- $9,454
- Top PPO by Enrollment
- Clover Health Choice (PPO) — 2,788 enrollees
- PPO Plans Without Drug Coverage
- 3
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Clover Health Choice | $0 | $9,850 | $350 | H5141-032-0 | |
| Clover Health Choice Giveback | $0 | $9,850 | $440 | H5141-054-0 | |
| Clover Health Choice Value | $36 | $9,850 | $450 | H5141-042-0 | |
| Clover Health Valor | $0 | $9,850 | N/A | H5141-061-0 | |
| 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 Elite | $65 | $9,850 | $700 | H5521-123-0 | |
| Aetna Medicare Enhanced | $80 | $9,850 | $700 | H5521-512-0 | |
| Aetna Medicare Enhanced | $149 | $9,850 | $700 | R6694-006-0 | |
| Aetna Medicare Enhanced Advantage | $109 | $9,850 | $700 | H5521-510-0 | |
| Aetna Medicare Enhanced Extra | $99 | $9,850 | $700 | H5521-037-0 |
What is the average monthly premium for PPO plans in Ocean?
PPO plans in Ocean cost $51.09 per month on average.
Which PPO plan has the highest enrollment in Ocean?
The most popular PPO plan in Ocean is Clover Health Choice (PPO), with 2,788 enrollees.
How many PPO plans in Ocean do not include prescription drug coverage?
3 PPO plans in Ocean 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 3
- Average Monthly Premium $0.00/mo
- Total HMO Enrollment 3,141
- $0 Premium HMO Plans 3
- Average MOOP $9,517
- Top HMO by Enrollment Aetna Medicare Signature Extra (HMO) — 1,957 enrollees
- HMO Plans Without Drug Coverage 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle Giveback | $0 | $9,850 | N/A | H3152-045-0 | |
| Aetna Medicare Signature Extra | $0 | $9,850 | $700 | H3152-082-0 | |
| Humana Gold Plus H6622-100 | $0 | $8,850 | $325 | H6622-100-1 |
What is the top HMO by enrollment in Ocean?
Aetna Medicare Signature Extra (HMO) is the top HMO in Ocean, with 1,957 enrollees.
What is the number of HMO plans without Part D coverage in Ocean?
1 HMO plans in Ocean 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
- $38.50/mo
- Total HMO-POS Enrollment
- 5,273
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $7,981
- Top HMO-POS by Enrollment
- AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS) — 3,308 enrollees
- HMO-POS Plans Without Drug Coverage
- 1
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Aetna Medicare Enhanced | $79 | $9,850 | $700 | H3152-022-0 | |
| 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 typical premium for HMO-POS plans in Ocean?
HMO-POS plans in Ocean cost $38.50 per month on average.
Which HMO-POS plan has the most members in Ocean?
The most popular HMO-POS plan in Ocean is AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS), with 3,308 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Ocean?
There are 1 HMO-POS plans in Ocean without prescription drug coverage.
CMS quality ratings for Medicare Advantage plans in Ocean County, NJ (2027) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 4 | 16% |
| 4 Stars (includes 5 Stars) | 18 | 72% |
| 3 Stars | 7 | 28% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.98 | |
* 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 Ocean County, New Jersey, including communities such as Barnegat, Beach Haven, Manahawkin, Tuckerton, West Creek, Jackson, New Egypt, Lakewood, Bayville, Beachwood, Brick, Forked River, Lakehurst, Lanoka Harbor, Lavallette, Ocean Gate, Pine Beach, Point Pleasant Beach, Seaside Heights, Seaside Park, Toms River, Waretown, Manchester Township, 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, 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.