2026 Medicare Special Needs Plans in Ocean County, NJ
Last update: . Enrollment data updated: May 2, 2026
For 2026, Ocean County, NJ includes 11 Medicare Special Needs Plans. Enrollment across these plans totals approximately 4,081, with 36% rated 4 stars or higher.
Dual Eligible Special Needs Plans (D-SNPs)
Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage plans for individuals eligible for both Medicare and Medicaid. Plan availability varies by county.
- Total D-SNP Plans
- 6
- Average Monthly Premium
- $42.08/mo
- Beneficiaries Enrolled
- 3,255
- $0 Premium Plans
- 0
- Zero Cost Plans
- 6
- Top D-SNP by Enrollment
- UHC Dual Complete NJ-Y001 (D-SNP) — 1,394 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Horizon NJ TotalCare | $43 | 9250.00 | $615 | H8298-001-0 | |
| UHC Dual Complete NJ-Y001 | $37 | 9250.00 | $615 | H3113-005-0 | |
| Wellcare Fidelis Dual Align | $54 | 9250.00 | $615 | H0913-013-0 | |
| Aetna Medicare FIDE | $54 | 9250.00 | $615 | H6399-001-0 | |
| Wellpoint Full Dual Advantage | $32 | 9250.00 | $615 | H3240-013-0 | |
| Wellpoint Full Dual Advantage Secure | $32 | 9250.00 | $615 | H3240-024-0 |
What is the average monthly premium for D-SNP plans in Ocean County?
D-SNP plans in Ocean County cost $42.08 per month.
Which D-SNP plan has the highest enrollment in Ocean County?
The most popular D-SNP plan in Ocean County is UHC Dual Complete NJ-Y001 (D-SNP), with 1,394 enrollees.
How many D-SNP plans are available in Ocean County?
In 2026, Ocean County offers 6 D-SNP plans with 3,255 enrollees.
Institutional Special Needs Plans (I-SNPs)
Institutional Special Needs Plans (I-SNPs) are Medicare Advantage plans for individuals who reside in or require institutional-level care. Plan availability varies by county.
- Total I-SNP Plans
- 3
- Average Monthly Premium
- $84.80/mo
- Beneficiaries Enrolled
- 688
- $0 Premium Plans
- 0
- Average MOOP
- $15,167
- Top I-SNP by Enrollment
- UHC Nursing Home Plan EX-F003 (I-SNP) — 528 enrollees
- Plans without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| UHC Nursing Home Plan EX-F003 | $42 | 9250.00 | $615 | H0710-026-0 | |
| Longevity Health Plan | $172 | 4250.00 | $615 | H9942-002-0 | |
| Longevity Health Plan | $40 | 9250.00 | $615 | H9942-001-0 |
What is the typical premium for I-SNP plans in Ocean County?
I-SNP plans in Ocean County cost $84.80 per month.
Which I-SNP plan do most beneficiaries choose in Ocean County?
The most popular I-SNP plan in Ocean County is UHC Nursing Home Plan EX-F003 (I-SNP), with 528 enrollees.
How many Institutional SNP plans are offered in Ocean County?
In 2026, Ocean County offers 3 I-SNP plans with 688 enrollees.
Medicare Chronic Condition Special Needs Plans (C-SNPs)
Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans that limit enrollment to beneficiaries with certain chronic conditions identified under CMS eligibility guidelines.
- Total C-SNP Plans
- 2
- Average Monthly Premium
- $0.00/mo
- Beneficiaries Enrolled
- 138
- $0 Premium C-SNPs
- 2
- Average MOOP
- $18,100
- Most Popular C-SNP
- Humana Gold Plus - Diabetes and Heart (C-SNP) with 138 enrollees
- C-SNPs Without Drug Coverage
- 0
| SNP Plan Name | Rating* | Premium | Network | ||
|---|---|---|---|---|---|
| Humana Gold Plus - Diabetes and Heart | $0 | 8850.00 | $450 | H6622-098-0 | |
| Wellpoint Kidney Care | $0 | 9250.00 | $340 | H3240-017-0 |
What is the most popular C-SNP plan in Ocean County?
Humana Gold Plus - Diabetes and Heart (C-SNP) is the top C-SNP in Ocean County, with 138 enrollees.
What is the total number of C-SNP plans in Ocean County?
There are 2 C-SNP plans in 2026, covering 138 enrollees.
- CMS.gov, Medicare Advantage Landscape Source Files — Last accessed May 2, 2026
- CMS.gov, Medicare Part C & D Performance Data — Last accessed May 2, 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Last accessed May 2, 2026
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include Medicare Special Needs Plans (SNP) only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 24 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 22 May, 2025
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Data provenance is documented in accordance 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.