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2027 Medicare Special Needs Plans in Sussex County, NJ

Last update: .

For 2027, Sussex County, NJ includes 9 Medicare Special Needs Plans. Enrollment across these plans totals approximately 631, with 17% rated 4 stars or higher.

Special Needs Plans (SNPs) are designed for specific healthcare or eligibility situations. Other options may also be available. Visit Medicare Options in Sussex County, NJ to explore additional plan types and coverage choices.

At a Glance

  • Average Monthly Premium: $11.06/mo
  • $0 Premium Plans: 5
  • Average MOOP: $9,528 ($9,250 max. Excludes zero-cost D-SNPs.)
  • Star Ratings (Plan Mix): 4+ Stars: 17% · 3 Stars: 83% · Below 3: 0%
  • Average Part D Deductible: $687.22
  • Total SNP Enrollment: 631
  • SNP Plans with the Highest Enrollment
    (as of October 5, 2026)
    1. UHC Dual Complete NJ-Y001 (D-SNP) — 285 enrollees
    2. Horizon NJ TotalCare (D-SNP) — 179 enrollees
    3. Aetna Medicare FIDE (D-SNP) — 87 enrollees

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
5
Average Monthly Premium
$19.90/mo
Beneficiaries Enrolled
631
$0 Premium Plans
1
Zero Cost Plans
5
Top D-SNP by Enrollment
UHC Dual Complete NJ-Y001 (D-SNP) — 285 enrollees
Plans without Drug Coverage
0
2027 D-SNP Medicare plans in Sussex County, New Jersey (comparison chart)
Medicare SNP Plan CMS Stars* Premium/Mo MOOP Rx Ded. CMS ID
Horizon NJ TotalCare
☆☆☆☆☆
 $36 9850.00 $700 H8298-001-0
Aetna Medicare FIDE
☆☆☆☆☆
 $0 9850.00 $700 H6399-001-0
UHC Dual Complete NJ-Y001
☆☆☆☆☆
 $4 9850.00 $700 H3113-005-0
Wellcare Fidelis Dual Align
☆☆☆☆☆
 $28 9850.00 $700 H0913-013-0
Wellpoint Full Dual Advantage
☆☆☆☆☆
 $31 9850.00 $700 H3240-013-0
What is the average monthly premium for D-SNP plans in Sussex County?
D-SNP plans in Sussex County cost $19.90 per month.
Which D-SNP plan has the highest enrollment in Sussex County?
The most popular D-SNP plan in Sussex County is UHC Dual Complete NJ-Y001 (D-SNP), with 285 enrollees.
How many D-SNP plans are available in Sussex County?
In 2027, Sussex County offers 5 D-SNP plans with 631 enrollees.

Chronic Condition Special Needs Plans (C-SNPs)

Chronic Condition Special Needs Plans (C-SNPs) are Medicare Advantage plans available to beneficiaries who meet CMS eligibility criteria for specific chronic or disabling health conditions.

Total C-SNP Plans
4
Average Monthly Premium
$0.00/mo
Beneficiaries Enrolled
0
$0 Premium C-SNPs
4
Average MOOP
$9,125
Most Popular C-SNP
with 0 enrollees
C-SNPs Without Drug Coverage
0
2027 C-SNP Medicare plans in Sussex County, New Jersey (comparison chart)
Plan Name CMS Stars* Premium/Mo Network
UHC Complete Care NJ-8
☆☆☆☆☆
 $0 7150.00 $685 H0755-047-0
DEVOTED C-SNP CHOICE ENHANCED 004 NJ
☆☆☆☆☆
 $0 9850.00 $650 H1390-004-0
DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 005 NJ
☆☆☆☆☆
 $0 9650.00 $700 H1390-005-0
DEVOTED C-SNP CHOICE PLUS 003 NJ
☆☆☆☆☆
 $0 9850.00 $650 H1390-003-0
What is the total number of C-SNP plans in Sussex County?

There are 4 C-SNP plans in 2027, covering 0 enrollees.

How much do C-SNP plans cost in Sussex County?

The average C-SNP premium in Sussex County is $0.00 per month, with 4 plans offering $0 premiums.

What is the most popular C-SNP plan in Sussex County?

is the top C-SNP in Sussex County, with 0 enrollees.

What is the total number of C-SNP plans in Sussex County?

There are 4 C-SNP plans in 2027, covering 0 enrollees.

Primary CMS datasets used for this Medicare Special Needs 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 Medicare Special Needs Plans (SNP) 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 20 August, 2026
Medicare.gov Compare Original Medicare & Medicare Advantage 22 August, 2026
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You 24 August, 2026

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