- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Somerset County
- state
- New Jersey
- label
- Total Medicare Advantage plans
- value
- 35
- label
- $0 premium plans
- value
- 21
- label
- HMO plans
- value
- 4
- label
- PPO plans
- value
- 20
- label
- HMO-POS plans
- value
- 11
- label
- PFFS plans
- value
- 0
- label
- Plans with drug coverage
- value
- 28
- label
- Lowest MOOP
- value
- $6,500
- label
- Highest MOOP
- value
- $9,250
- label
- Highest Part B giveback
- value
- $34.00
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Somerset County
- state
- New Jersey
- label
- Total Part D plans
- value
- 12
- label
- $0 premium plans
- value
- 0
- label
- Basic coverage plans
- value
- 6
- label
- Enhanced coverage plans
- value
- 6
- label
- Lowest monthly premium
- value
- $4.40
- label
- Highest monthly premium
- value
- $139.10
- label
- Lowest deductible
- value
- $0
- label
- Highest deductible
- value
- $615
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Somerset County
- state
- New Jersey
- label
- Participating Medigap carriers
- value
- 25
- label
- Lowest sample monthly premium
- value
- $47
- label
- Highest sample monthly premium
- value
- $974
- label
- Plan G lowest sample premium
- value
- $139
- label
- Plan G highest sample premium
- value
- $883
- label
- Plan N lowest sample premium
- value
- $100
- label
- Plan N highest sample premium
- value
- $666
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Somerset County
- state
- New Jersey
- label
- Total Special Needs Plans
- value
- 11
- label
- Dual Eligible Special Needs Plans (D-SNP)
- value
- 6
- label
- Chronic Condition Special Needs Plans (C-SNP)
- value
- 2
- label
- Institutional Special Needs Plans (I-SNP)
- value
- 3
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Somerset County
- state
- New Jersey
- label
- Coverage area
- value
- Somerset County, New Jersey
- label
- Medicare Advantage plans
- value
- 35
- label
- Part D plans
- value
- 12
- label
- Medigap carriers
- value
- 25
- label
- Special Needs Plans
- value
- 11
- label
- D-SNP plans
- value
- 6
- label
- C-SNP plans
- value
- 2
- label
- I-SNP plans
- value
- 3
- label
- Enrollment data updated
- value
- June 13, 2026
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Somerset County
- state
- New Jersey
- name
- Humana Gold Plus H6622-100
- plan_id
- H6622-100-1
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H6622-100-1/
- cms_rating
- 3.5
- enrollment
- 5,755
- name
- Aetna Medicare Elite
- plan_id
- H3152-098-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H3152-098-0/
- cms_rating
- 4.0
- enrollment
- 1,399
- name
- Aetna Medicare Signature
- plan_id
- H3152-048-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H3152-048-0/
- cms_rating
- 4.0
- enrollment
- 833
- name
- Clover Health Choice
- plan_id
- H5141-004-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H5141-004-0/
- cms_rating
- 3.5
- enrollment
- 47,222
- name
- AARP Medicare Advantage from UHC NJ-0005
- plan_id
- H8768-035-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H8768-035-0/
- cms_rating
- 3.5
- enrollment
- 35,838
- name
- Clover Health Choice Value
- plan_id
- H5141-007-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H5141-007-0/
- cms_rating
- 3.5
- enrollment
- 31,778
- name
- AARP Medicare Advantage Essentials from UHC NJ-1
- plan_id
- H0755-038-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H0755-038-0/
- cms_rating
- 3.5
- enrollment
- 27,381
- name
- AARP Medicare Advantage Extras from UHC NJ-7
- plan_id
- H0755-046-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H0755-046-0/
- cms_rating
- 3.5
- enrollment
- 14,445
- name
- Aetna Medicare Prime
- plan_id
- H3152-080-0
- plan_url
- https://www.medicareplans.com/medicare-advantage/plan/H3152-080-0/
- cms_rating
- 4.0
- enrollment
- 6,314
- name
- Wellcare Classic
- plan_id
- S4802-078-0
- plan_url
- https://www.medicareplans.com/prescription-drugs/plan/S4802-078-0/
- cms_rating
- 3.5
- enrollment
- 86,202
- name
- Humana Basic Rx Plan
- plan_id
- S5884-131-0
- plan_url
- https://www.medicareplans.com/prescription-drugs/plan/S5884-131-0/
- cms_rating
- 3.0
- enrollment
- 79,386
- name
- SilverScript Choice
- plan_id
- S5601-008-0
- plan_url
- https://www.medicareplans.com/prescription-drugs/plan/S5601-008-0/
- cms_rating
- 3.0
- enrollment
- 40,699
- name
- Wellcare Value Script
- plan_id
- S4802-139-0
- plan_url
- https://www.medicareplans.com/prescription-drugs/plan/S4802-139-0/
- cms_rating
- 3.5
- enrollment
- 183,287
- name
- AARP Medicare Rx Preferred from UHC
- plan_id
- S5921-386-0
- plan_url
- https://www.medicareplans.com/prescription-drugs/plan/S5921-386-0/
- cms_rating
- 2.0
- enrollment
- 95,966
- name
- Humana Value Rx Plan
- plan_id
- S5884-183-0
- plan_url
- https://www.medicareplans.com/prescription-drugs/plan/S5884-183-0/
- cms_rating
- 3.0
- enrollment
- 34,464
- name
- UHC Dual Complete NJ-Y001
- plan_id
- H3113-005-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H3113-005-0/
- cms_rating
- 3.5
- enrollment
- 43,766
- name
- Horizon NJ TotalCare
- plan_id
- H8298-001-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H8298-001-0/
- cms_rating
- 4.0
- enrollment
- 26,511
- name
- Wellpoint Full Dual Advantage
- plan_id
- H3240-013-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H3240-013-0/
- cms_rating
- 3.0
- enrollment
- 11,803
- name
- Humana Gold Plus - Diabetes and Heart
- plan_id
- H6622-098-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H6622-098-0/
- cms_rating
- 3.5
- enrollment
- 1,598
- name
- Wellpoint Kidney Care
- plan_id
- H3240-017-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H3240-017-0/
- cms_rating
- 3.0
- enrollment
- 333
- name
- UHC Nursing Home Plan EX-F003
- plan_id
- H0710-026-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H0710-026-0/
- cms_rating
- 4.5
- enrollment
- 7,345
- name
- Longevity Health Plan
- plan_id
- H9942-001-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H9942-001-0/
- cms_rating
- 4.0
- enrollment
- 1,147
- name
- Longevity Health Plan
- plan_id
- H9942-002-0
- plan_url
- https://www.medicareplans.com/special-needs/plan/H9942-002-0/
- cms_rating
- 4.0
- enrollment
- 0
2026 Medicare Coverage Options in Somerset County, NJ
Learn about Medicare coverage options available in Somerset County, New Jersey, including Original Medicare, Medicare Advantage, Part D, Medigap plans, and local support resources.
Last update: . Enrollment data updated: June 13, 2026
Medicare Options at a Glance
Residents of Somerset County, New Jersey can choose from several Medicare coverage types, each offering a different balance of access, cost, and benefits. The main options are:
- Original Medicare: Provides broad access to providers across the country.
- Medicare Advantage: Offers all-in-one coverage, often with lower upfront costs.
- Part D: Covers prescription drugs when paired with Original Medicare.
- Medigap: Reduces gaps in coverage and limits out-of-pocket expenses.
- SNPs: Tailored plans for individuals with qualifying health or financial needs.
- Other Options: Includes VA coverage, employer-sponsored plans, and local support programs.
Because each option works in a different way, understanding the differences is critical when choosing Medicare coverage in Somerset County.
Medicare Advantage Options in Somerset County
Medicare Advantage plans in Somerset County provide an all-in-one private coverage option that includes hospital and medical benefits, often with prescription drug coverage and additional extras. Plan availability, types, and cost limits vary by county.
| Medicare Advantage Snapshot | Somerset County |
|---|---|
| Total Medicare Advantage plans | 35 |
| $0 premium plans | 21 |
| HMO plans | 4 |
| PPO plans | 20 |
| Plans with drug coverage | 28 |
| Lowest MOOP | $6,500 |
| Highest MOOP | $9,250 |
| Highest Part B giveback | $34.00 |
Top PPO Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Clover Health Choice | 3.5 ★ | 47,222 |
| AARP Medicare Advantage from UHC NJ-0005 | 3.5 ★ | 35,838 |
| Clover Health Choice Value | 3.5 ★ | 31,778 |
Top HMO Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Humana Gold Plus H6622-100 | 3.5 ★ | 5,755 |
| Aetna Medicare Elite | 4.0 ★ | 1,399 |
| Aetna Medicare Signature | 4.0 ★ | 833 |
Top HMO-POS Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| AARP Medicare Advantage Essentials from UHC NJ-1 | 3.5 ★ | 27,381 |
| AARP Medicare Advantage Extras from UHC NJ-7 | 3.5 ★ | 14,445 |
| Aetna Medicare Prime | 4.0 ★ | 6,314 |
Medicare Advantage options are shaped mainly by provider network type, prescription drug inclusion, and annual out-of-pocket exposure. Beneficiaries who want bundled coverage and extra benefits often start here, but network access and plan rules matter.
Medicare Part D Plans in Somerset County
Medicare Part D plans offer standalone prescription drug coverage for individuals enrolled in Original Medicare. Costs and coverage vary based on premiums, deductibles, pharmacy networks, and covered medications.
Top Basic Coverage Plans by Enrollments
| Plan | Premium | Deductible | Enrollment |
|---|---|---|---|
| Wellcare Classic | $28.20 | $615 | 86,202 |
| Humana Basic Rx Plan | $4.40 | $615 | 79,386 |
| SilverScript Choice | $97.40 | $615 | 40,699 |
Top Enhanced Coverage Plans by Enrollments
| Plan | Premium | Deductible | Enrollment |
|---|---|---|---|
| Wellcare Value Script | $22.80 | $615 | 183,287 |
| AARP Medicare Rx Preferred from UHC | $118.90 | $130 | 95,966 |
| Humana Value Rx Plan | $35.60 | $601 | 34,464 |
Part D plan choice depends less on the number of plans and more on whether your drugs are covered at your preferred pharmacy at a reasonable cost.
See Medicare Part D plans in New Jersey
Medigap Plans in Somerset County
Medigap plans supplement Original Medicare by covering deductibles, copayments, and coinsurance. Unlike Medicare Advantage, these plans do not replace Original Medicare and typically require a separate Part D plan for prescription drug coverage.
Across 25 insurers, sample data shows monthly premiums starting near $47 and rising above $974 based on plan type and pricing approach. Even with standardized benefits, pricing can vary significantly due to different rating methods and available discounts.
| Medigap Snapshot | Somerset County |
|---|---|
| Works with Original Medicare | Yes |
| Includes prescription drug coverage | No |
| Requires separate Part D plan | Usually yes |
| Best fit for | Beneficiaries who want broad provider access and predictable cost sharing |
Many residents of Somerset consider Medigap when they want nationwide provider access under Original Medicare, rather than relying on the network restrictions of Medicare Advantage plans.
Sample Plan G Pricing in New Jersey
Plan G typically ranges from $139 to $883.
| Carrier | Plan | Low | High |
|---|---|---|---|
| AARP - UnitedHealthcare | G | $156 | $600 |
| Aetna | G | $174 | $599 |
| Allstate | G | $145 | $484 |
| Cigna | G | $148 | $707 |
| Humana | G | $147 | $742 |
| Mutual of Omaha | G | $154 | $490 |
| Wellcare | G | $144 | $513 |
Sample Plan N Pricing in New Jersey
Plan N typically ranges from $100 to $666.
| Carrier | Plan | Low | High |
|---|---|---|---|
| AARP - UnitedHealthcare | N | $106 | $504 |
| Aetna | N | $123 | $457 |
| Allstate | N | $110 | $365 |
| Cigna | N | $100 | $516 |
| Humana | N | $105 | $475 |
| Mutual of Omaha | N | $105 | $356 |
| Wellcare | N | $107 | $420 |
Explore all Medicare Supplement plans in New Jersey for more details.
Special Needs Plans (SNPs) in Somerset County
Special Needs Plans (SNPs) are a type of Medicare Advantage plan designed for individuals with specific eligibility criteria, such as dual eligibility for Medicaid, qualifying chronic conditions, or institutional care requirements.
| SNP Snapshot | Somerset County |
|---|---|
| Total SNP plans | 11 |
| D-SNP plans | 6 |
| C-SNP plans | 2 |
| I-SNP plans | 3 |
Top D-SNP Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Dual Complete NJ-Y001 | 3.5 ★ | 43,766 |
| Horizon NJ TotalCare | 4.0 ★ | 26,511 |
| Wellpoint Full Dual Advantage | 3.0 ★ | 11,803 |
Top C-SNP Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Humana Gold Plus - Diabetes and Heart | 3.5 ★ | 1,598 |
| Wellpoint Kidney Care | 3.0 ★ | 333 |
Top I-SNP Plans by Enrollments
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Nursing Home Plan EX-F003 | 4.5 ★ | 7,345 |
| Longevity Health Plan | 4.0 ★ | 1,147 |
| Longevity Health Plan | 4.0 ★ | 0 |
SNP availability in Somerset depends on eligibility. These plans are not general Medicare options for everyone, but they can be important for beneficiaries with Medicaid or qualifying chronic health conditions.
VA Coverage and Local Medicare Help in Somerset County
Some beneficiaries may have additional coverage or support beyond standard Medicare plans, including VA health benefits, retiree coverage, and local counseling programs.
| Additional Support Options | Somerset County |
|---|---|
| VA health coverage may coordinate with Medicare | Yes |
| SHIP / local counseling availability | SHIP |
| Local help resource | State Health Insurance Assistance Program |
How to Choose the Right Medicare Coverage for You in Somerset County
Choosing Medicare coverage comes down to how you want to receive care, manage Medicare costs, and access providers. Most decisions begin by choosing between Medicare Advantage and Original Medicare.
Medicare Advantage plans combine hospital, medical, and often prescription drug coverage into a single plan. These plans may offer lower monthly premiums and additional benefits, but typically require you to use a provider network.
Original Medicare allows you to see providers nationwide who accept Medicare. Many beneficiaries add a Part D prescription drug plan and a Medigap policy to help manage out-of-pocket costs and provide more predictable coverage.
Special Needs Plans (SNPs) may be available for individuals with specific health conditions or eligibility, including those with Medicaid. These plans are not available to everyone but can offer targeted benefits when you qualify.
The right choice depends on your preferred doctors, prescription needs, and how you want to balance monthly premiums with out-of-pocket costs.
To explore your options in more detail, start by reviewing available plans and coverage types in Somerset County.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Last accessed June 13, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed June 13, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed June 13, 2026
County-level figures shown on this page (including plan counts, enrollment totals, averages, and percentage distributions) are derived from CMS-published datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "How to get prescription drug coverage" — Last accessed May 2, 2026
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed May 7, 2026
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed May 6, 2026
- Medicare.gov, "What's Medicare Supplement Insurance (Medigap)?" — Last accessed May 6, 2026
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.