- Entity
- county:new-jersey-somerset-34035
- 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/somerset/
- 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
- 21
- HMO Plans
- 4
- HMO-POS Plans
- 8
- PFFS Plans
- 0
- Average Monthly Premium
- 25.62
- Average MOOP
- 8904.55
- Average Part D Deductible
- 639.63
- $0 Premium Plans
- 21
- Plans Without Part D Coverage
- 6
- Average CMS Star Rating
- 4.02
- $0 Premium Plan Share
- 63.64
- 5-Star Plan Share
- 13
- 4+ Star Plan Share
- 77
- 3-Star Plan Share
- 23
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 9
- PPO Average Monthly Premium
- 22.98
- PPO Average MOOP
- 9123.81
- PPO Enrollment
- 7982
- PPO $0 Premium Plans
- 14
- PPO Plans Without Part D Coverage
- 4
- HMO Average Monthly Premium
- 33.5
- HMO Average MOOP
- 9600
- HMO Enrollment
- 436
- HMO $0 Premium Plans
- 2
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 28.63
- HMO-POS Average MOOP
- 7981.25
- HMO-POS Enrollment
- 2351
- HMO-POS $0 Premium Plans
- 5
- HMO-POS Plans Without Part D Coverage
- 1
- Entity
- county:new-jersey-somerset-34035
- 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/somerset/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-jersey-somerset-34035-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 -
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 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 H6622-100
H6622-100-1 -
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 -
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
- 10769
2027 Medicare Advantage Plans in Somerset County, NJ
Last update: .
Somerset County, NJ has 33 Medicare Advantage plans available in 2027. These include 21 plans with no monthly premium, and roughly 77% are rated at least 4 stars based on CMS data.
Medicare Advantage Special Needs Plans (SNPs) are not included in the figures shown above. View Special Needs Plans in Somerset County, NJ. Or explore all Medicare Options available in Somerset County, NJ.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow access to both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in choosing doctors and hospitals.
- Total PPO Plans 21
- Average Monthly Premium $22.98/mo
- Total PPO Enrollment 7,982
- $0 Premium PPO Plans 14
- Average MOOP $9,124
- Top PPO by Enrollment AARP Medicare Advantage from UHC NJ-0005 (PPO) — 1,348 enrollees
- PPO Plans Without Drug Coverage 4
What is the most popular PPO plan in Somerset?
AARP Medicare Advantage from UHC NJ-0005 (PPO) is the top PPO in Somerset, with 1,348 enrollees.
What is the number of PPO plans without Part D coverage in Somerset?
There are 4 PPO plans in Somerset without prescription drug coverage.
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
- 4
- Average Monthly Premium
- $33.50/mo
- Total HMO Enrollment
- 436
- $0 Premium HMO Plans
- 2
- Average MOOP
- $9,600
- Top HMO by Enrollment
- Humana Gold Plus H6622-100 (HMO) — 285 enrollees
- HMO Plans Without Drug Coverage
- 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan 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 H6622-100 | $0 | $8,850 | $325 | H6622-100-1 |
What is the typical premium for HMO plans in Somerset?
HMO plans in Somerset cost $33.50 per month on average.
Which HMO plan do most beneficiaries choose in Somerset?
The most popular HMO plan in Somerset is Humana Gold Plus H6622-100 (HMO), with 285 enrollees.
How many HMO options are offered without prescription drug coverage in Somerset?
There are 1 HMO plans in Somerset 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 8
- Average Monthly Premium $28.63/mo
- Total HMO-POS Enrollment 2,351
- $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) — 812 enrollees
- HMO-POS Plans Without Drug Coverage 1
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan 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 total number of HMO-POS plans in Somerset?
In 2027, Somerset has 8 HMO-POS plans with 2,351 enrollees.
How much do HMO-POS plans cost in Somerset?
The typical HMO-POS premium in Somerset is $28.63, and 5 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Somerset County, NJ for 2027.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | 4 | 13% |
| 4 Stars (includes 5 Stars) | 23 | 77% |
| 3 Stars | 7 | 23% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 3 | 9% |
| Average Rating | 4.02 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
| 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 |
County-level figures shown on this page, including plan counts, enrollment totals, averages, and percentage distributions, reflect standard Medicare Advantage (MA/MAPD) plans only and are derived from CMS datasets using a standardized aggregation methodology.
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
| Medicare.gov | Joining a plan | 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.