2027 Medicare Special Needs Plans in New Jersey by County
This 2027 Medicare Special Needs Plan research resource provides statewide plan statistics and comparisons for New Jersey. Review plan counts, average premiums, out-of-pocket limits, CMS ratings, and enrollment-ranked plans organized by SNP type. For geographically specific coverage and eligibility information, select your County using the directory below.
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New Jersey Medicare Special Needs Plan Research and Facts
For 2027, New Jersey has 15 Medicare Special Needs Plans (SNPs). Of these, 8 have a $0 monthly plan premium. The average monthly premium is $20.56, and the average maximum out-of-pocket (MOOP) limit is $9,266.67. Among SNPs with a CMS star rating, the statewide average is 3.79 out of 5. Explore the D-SNP, C-SNP, and I-SNP categories below to compare plan costs, ratings, and reported beneficiary enrollment.
Enrollment figures reflect reported beneficiary participation and should not be interpreted as a measure of plan quality or suitability. Enrollment is influenced by factors such as local plan availability, market competition, and historical participation. Higher enrollment does not necessarily indicate a better plan.
Most-Enrolled D-SNP Plans in New Jersey
For 2027, New Jersey has 5 Dual Eligible Special Needs Plans (D-SNPs) for individuals who qualify for both Medicare and Medicaid. Of these, 1 have a $0 monthly plan premium. The average monthly plan premium is $19.90, and the average maximum out-of-pocket (MOOP) limit is $9,850.00. Among rated D-SNPs, the average CMS star rating is 3.2 out of 5. The following table identifies up to 10 D-SNP plans with the highest reported statewide enrollment.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| UnitedHealthcare | H3113-005-0 | UHC Dual Complete NJ-Y001 | $4.10 | $9,850 | 3.0 / 5 | 43,015 |
| Horizon Blue Cross Blue Shield of New Jersey | H8298-001-0 | Horizon NJ TotalCare | $36.30 | $9,850 | 4.0 / 5 | 28,214 |
| Wellpoint | H3240-013-0 | Wellpoint Full Dual Advantage | $30.70 | $9,850 | 3.0 / 5 | 11,637 |
| Aetna Better Health of New Jersey | H6399-001-0 | Aetna Medicare FIDE | $0.00 | $9,850 | 3.0 / 5 | 7,264 |
| Wellcare | H0913-013-0 | Wellcare Fidelis Dual Align | $28.40 | $9,850 | 3.0 / 5 | 6,981 |
Most-Enrolled C-SNP Plans in New Jersey
Chronic Condition Special Needs Plans (C-SNPs) serve individuals with qualifying chronic or disabling conditions. In 2027, New Jersey has 7 C-SNP plans, including 7 with a $0 monthly plan premium. The average monthly plan premium is $0.00, and the average maximum out-of-pocket (MOOP) limit is $9,364.29. Among rated C-SNPs, the average CMS star rating is 3.63 out of 5. Below are the 10 most-enrolled C-SNP plans, or all available plans if fewer than 10 qualify.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| Humana | H6622-098-0 | Humana Gold Plus - Diabetes and Heart | $0.00 | $9,350 | 4.0 / 5 | 2,249 |
| Wellpoint | H3240-017-0 | Wellpoint Kidney Care | $0.00 | $9,850 | 3.0 / 5 | 366 |
| H0755-047-0 | UHC Complete Care NJ-8 | $0.00 | $7,150 | 3.5 / 5 | 0 | |
| H1390-003-0 | DEVOTED C-SNP CHOICE PLUS 003 NJ | $0.00 | $9,850 | Not Rated | 0 | |
| H1390-004-0 | DEVOTED C-SNP CHOICE ENHANCED 004 NJ | $0.00 | $9,850 | Not Rated | 0 | |
| H1390-005-0 | DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 005 NJ | $0.00 | $9,650 | Not Rated | 0 | |
| Horizon Blue Cross Blue Shield of New Jersey | H8298-002-0 | Horizon Specialty Care | $0.00 | $9,850 | 4.0 / 5 | 0 |
Most-Enrolled I-SNP Plans in New Jersey
Institutional Special Needs Plans (I-SNPs) serve eligible individuals who live in qualifying institutions or meet applicable institutional-level care requirements. For 2027, New Jersey has 3 I-SNP plans, including 0 with a $0 monthly plan premium. The average monthly plan premium is $69.63, and the average maximum out-of-pocket (MOOP) limit is $8,066.67. Among rated I-SNPs, the average CMS star rating is 5 out of 5. The following table ranks up to 10 I-SNP plans by reported statewide enrollment.
| Provider | Plan ID | Plan Name | Premium | MOOP | Stars | Enrollment |
|---|---|---|---|---|---|---|
| UnitedHealthcare | H0710-026-0 | UHC Nursing Home Plan EX-F003 | $18.10 | $9,850 | 5.0 / 5 | 3,314 |
| Longevity Health Plan | H9942-001-0 | Longevity Health Plan | $18.80 | $9,850 | 5.0 / 5 | 1,098 |
| Longevity Health Plan | H9942-002-0 | Longevity Health Plan | $172.00 | $4,500 | 5.0 / 5 | 0 |
- 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: 2026-10
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Data sources and methodology documentation.
Provenance documentation for this data is maintained under 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.
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