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2027 Medicare Advantage Plans in Sussex County, NJ

Last update: .

For 2027, Sussex County, NJ includes 30 Medicare Advantage plans. Enrollment across these plans totals approximately 5,828, with 18 $0 premium options and 74% rated 4 stars or higher.

This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Sussex County, NJ are summarized separately. Visit Medicare Options in Sussex County, NJ to see more options.

At a Glance

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
19
Average Monthly Premium
$25.40/mo
Total PPO Enrollment
3,710
$0 Premium PPO Plans
12
Average MOOP
$9,242
Top PPO by Enrollment
AARP Medicare Advantage from UHC NJ-0004 (PPO) — 755 enrollees
PPO Plans Without Drug Coverage
4

2027 PPO Medicare Advantage plans in Sussex County, New Jersey (comparison chart)
PPO Plan Name Rating* Premium MOOP Rx Ded. Plan-ID
Clover Health Choice
☆☆☆☆☆
 $0 $9,850 $350 H5141-004-0
Clover Health Choice Giveback
☆☆☆☆☆
 $0 $9,850 $440 H5141-054-0
Clover Health Choice Value
☆☆☆☆☆
 $36 $9,850 $440 H5141-007-0
Clover Health Valor
☆☆☆☆☆
 $0 $9,850 N/A H5141-061-0
HumanaChoice Giveback H7617-127
☆☆☆☆☆
 $0 $8,250 $700 H7617-127-0
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 Enhanced
☆☆☆☆☆
 $149 $9,850 $700 R6694-006-0
Aetna Medicare Prime
☆☆☆☆☆
 $0 $9,850 $700 H5521-392-0
Aetna Medicare Prime Extra
☆☆☆☆☆
 $84 $9,850 $700 H5521-275-0
Aetna Medicare Prime Giveback
☆☆☆☆☆
 $0 $9,850 $700 H5521-277-0
Humana USAA Honor Giveback
☆☆☆☆☆
 $0 $6,750 N/A H5216-174-0
HumanaChoice H5216-461
☆☆☆☆☆
 $36 $9,250 $700 H5216-461-0
DEVOTED CHOICE 001 NJ
☆☆☆☆☆
 $0 $9,350 $650 H1390-001-0
DEVOTED CHOICE GIVEBACK 002 NJ
☆☆☆☆☆
 $0 $9,850 $650 H1390-002-0
DEVOTED CHOICE GIVEBACK EXTRAS 006 NJ
☆☆☆☆☆
 $0 $9,650 $700 H1390-006-0

What is the average monthly premium for PPO plans in Sussex?

PPO plans in Sussex cost $25.40 per month on average.

Which PPO plan has the highest enrollment in Sussex?

The most popular PPO plan in Sussex is AARP Medicare Advantage from UHC NJ-0004 (PPO), with 755 enrollees.

How many PPO plans in Sussex do not include prescription drug coverage?

4 PPO plans in Sussex 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 $44.67/mo
  • Total HMO Enrollment 122
  • $0 Premium HMO Plans 1
  • Average MOOP $9,850
  • Top HMO by Enrollment Aetna Medicare Elite (HMO) — 59 enrollees
  • HMO Plans Without Drug Coverage 1

2027 HMO Medicare Advantage plans in Sussex County, New Jersey (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. 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
What is the top HMO by enrollment in Sussex?

Aetna Medicare Elite (HMO) is the top HMO in Sussex, with 59 enrollees.

What is the number of HMO plans without Part D coverage in Sussex?

1 HMO plans in Sussex 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
1,996
$0 Premium HMO-POS Plans
5
Average MOOP
$7,981
Top HMO-POS by Enrollment
Aetna Medicare Prime (HMO-POS) — 892 enrollees
HMO-POS Plans Without Drug Coverage
1

2027 HMO-POS Medicare Advantage plans in Sussex County, New Jersey (comparison chart)
Plan Name Rating* Premium MOOP Rx Ded. 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 typical premium for HMO-POS plans in Sussex?

HMO-POS plans in Sussex cost $28.63 per month on average.

Which HMO-POS plan has the most members in Sussex?

The most popular HMO-POS plan in Sussex is Aetna Medicare Prime (HMO-POS), with 892 enrollees.

How many HMO-POS options are offered without prescription drug coverage in Sussex?

There are 1 HMO-POS plans in Sussex without prescription drug coverage.

CMS quality ratings for Medicare Advantage plans in Sussex County, NJ (2027) are summarized below.

Medicare Advantage Plan Ratings in Sussex County, NJ (2027)
Rating Category Number of Plans Percent of Plans
5 Stars 4 15%
4 Stars (includes 5 Stars) 20 74%
3 Stars 7 26%
Below 3 Stars 0 0%
Not Rated 3 10%
Average Rating 4

* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.

Primary CMS datasets used for this Medicare Advantage Plan county resource.
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

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.

Secondary Medicare references and explanatory resources.
Publisher Reference Last Accessed
Medicare.gov Understanding Medicare Advantage Plans 25 May, 2025
Medicare.gov Compare Original Medicare & Medicare Advantage 25 May, 2025
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You 25 May, 2025

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .