- Entity
- county:new-jersey-sussex-34037
- Digest
- 2026-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/sussex/
- 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
- 3
- HMO-POS Plans
- 11
- PFFS Plans
- 0
- Average Monthly Premium
- 28.81
- Average MOOP
- 8456.63
- Average Part D Deductible
- 512.92
- $0 Premium Plans
- 17
- Plans Without Part D Coverage
- 6
- Average CMS Star Rating
- 3.75
- $0 Premium Plan Share
- 56.67
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 37
- 3-Star Plan Share
- 63
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 31.56
- PPO Average MOOP
- 8678.06
- PPO Enrollment
- 4311
- PPO $0 Premium Plans
- 9
- PPO Plans Without Part D Coverage
- 3
- HMO Average Monthly Premium
- 41
- HMO Average MOOP
- 9250
- HMO Enrollment
- 119
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 1
- HMO-POS Average Monthly Premium
- 21.47
- HMO-POS Average MOOP
- 7918.18
- HMO-POS Enrollment
- 2024
- HMO-POS $0 Premium Plans
- 7
- HMO-POS Plans Without Part D Coverage
- 2
- Entity
- county:new-jersey-sussex-34037
- Digest
- 2026-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/sussex/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-jersey-sussex-34037-landscape-stats
- Plans Indexed
- 30
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle Giveback
H5521-504-0 -
Aetna Medicare Enhanced Extra
H5521-513-0 -
Aetna Medicare Prime
H5521-392-0 -
Aetna Medicare Prime Extra
H5521-275-0 -
Aetna Medicare Prime Giveback
H5521-277-0 -
Aetna Medicare Eagle Giveback
H3152-045-0 -
Aetna Medicare Elite
H3152-098-0 -
Aetna Medicare Prime
H3152-080-0 -
Aetna Medicare Signature
R6694-006-0 -
Aetna Medicare Signature
H3152-048-0 -
Braven Medicare Freedom
H0885-008-0 -
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 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-MA01
H0755-037-0 -
AARP Medicare Advantage Patriot No Rx NJ-MA2
H8768-059-0 -
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 -
Wellcare Assist
H0913-015-0 -
Wellcare Giveback
H0913-021-0 -
Wellcare Low Premium
H0913-002-0 -
Wellcare Patriot Simple
H0913-020-0 -
Wellcare Simple
H0913-022-0 -
HealthSpring True Choice
H7849-149-0
-
Aetna Medicare Eagle Giveback
- Total Standard Medicare Advantage Enrollment
- 6454
2026 Medicare Advantage Plans in Sussex County, NJ
Last update: .
Sussex County, NJ has 30 Medicare Advantage plans available in 2026. These include 17 plans with no monthly premium, and roughly 37% 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 Sussex County, NJ. Or explore all Medicare Options available in Sussex 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 16
- Average Monthly Premium $31.56/mo
- Total PPO Enrollment 4,311
- $0 Premium PPO Plans 9
- Average MOOP $8,678
- Top PPO by Enrollment AARP Medicare Advantage from UHC NJ-0004 (PPO) — 762 enrollees
- PPO Plans Without Drug Coverage 3
What is the most popular PPO plan in Sussex?
AARP Medicare Advantage from UHC NJ-0004 (PPO) is the top PPO in Sussex, with 762 enrollees.
What is the number of PPO plans without Part D coverage in Sussex?
There are 3 PPO plans in Sussex 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
- 3
- Average Monthly Premium
- $41.00/mo
- Total HMO Enrollment
- 119
- $0 Premium HMO Plans
- 1
- Average MOOP
- $9,250
- Top HMO by Enrollment
- Aetna Medicare Elite (HMO) — 57 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 | $9,250 | N/A | H3152-045-0 | |
| Aetna Medicare Elite | $15 | $9,250 | $615 | H3152-098-0 | |
| Aetna Medicare Signature | $108 | $9,250 | $615 | H3152-048-0 |
What is the typical premium for HMO plans in Sussex?
HMO plans in Sussex cost $41.00 per month on average.
Which HMO plan do most beneficiaries choose in Sussex?
The most popular HMO plan in Sussex is Aetna Medicare Elite (HMO), with 57 enrollees.
How many HMO options are offered without prescription drug coverage in Sussex?
There are 1 HMO plans in Sussex 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 11
- Average Monthly Premium $21.47/mo
- Total HMO-POS Enrollment 2,024
- $0 Premium HMO-POS Plans 7
- Average MOOP $7,918
- Top HMO-POS by Enrollment Aetna Medicare Prime (HMO-POS) — 894 enrollees
- HMO-POS Plans Without Drug Coverage 2
| Health Plan Name | CMS Rating* | Premium Per Mo | MOOP | PDP Ded. | CMS Plan ID |
|---|---|---|---|---|---|
| Aetna Medicare Prime | $0 | $9,250 | $615 | H3152-080-0 | |
| AARP Medicare Advantage Essentials from UHC NJ-1 | $0 | $6,700 | $520 | H0755-038-0 | |
| AARP Medicare Advantage Extras from UHC NJ-7 | $0 | $6,700 | $600 | H0755-046-0 | |
| AARP Medicare Advantage from UHC NJ-0002 | $62 | $6,700 | $420 | H0755-044-0 | |
| AARP Medicare Advantage from UHC NJ-0003 | $95 | $6,500 | $420 | H0755-045-0 | |
| AARP Medicare Advantage Patriot No Rx NJ-MA01 | $0 | $6,700 | N/A | H0755-037-0 | |
| Wellcare Assist | $45 | $9,250 | $615 | H0913-015-0 | |
| Wellcare Giveback | $0 | $9,250 | $615 | H0913-021-0 | |
| Wellcare Low Premium | $34 | $9,250 | $615 | H0913-002-0 | |
| Wellcare Patriot Simple | $0 | $7,550 | N/A | H0913-020-0 | |
| Wellcare Simple | $0 | $9,250 | $615 | H0913-022-0 |
What is the total number of HMO-POS plans in Sussex?
In 2026, Sussex has 11 HMO-POS plans with 2,024 enrollees.
How much do HMO-POS plans cost in Sussex?
The typical HMO-POS premium in Sussex is $21.47, and 7 plans have no monthly premium.
Below is a breakdown of CMS star ratings for Medicare Advantage plans available in Sussex County, NJ for 2026.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 11 | 37% |
| 3 Stars | 19 | 63% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.75 | |
* Medicare Advantage star ratings are determined by CMS each year using a standardized 5-star rating system.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
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 .
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — 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.