NEW JERSEY MEDICARE ADVANTAGE PLANS FOR …

[Pages:7]Data as of November 10, 2020

Company

NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021

Plan Name and Plan ID Number

Plan

Full

Premium with LIS,

Drug

Performance

Type Premium Medicaid, PAAD Coverage Rating*

Counties Where Available

Amerigroup 1-844-316-0355

medicare

Amerivantage Classic HMO

HMO $0

$0

(H3240-022)

Amerivantage Balance HMO

HMO $37.30

$0

(H3240-021)

Yes

3.5 stars

Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex,

Gloucester, Hudson, Mercer,

Middlesex, Monmouth, Morris, Ocean,

Yes

3.5 stars

Passaic, Salem, Somerset, Sussex,

Union

AARP Medicare Advantage Patriot

(formerly Essential Plan) (H0755-037)

HMO

$0

plus $30/mth reduction in

Part B Premium

Does Not Work with PAAD or Medicaid

No (1)

New AARP Medicare Advantage Choice PPO

$0

(H8788-022)

$0

Yes

4 stars 4 stars

Atlantic, Bergen, Burlington, Camden, Essex, Hudson, Hunterdon, Mercer,

Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Sussex, Union, Warren

United Healthcare 1-800-555-5757



AARP Medicare Advantage Plan 1

(H0755-040-001)

AARP Medicare Advantage Plan 3

(H0755-041-001)

AARP Medicare Advantage Plan 4

(H0755-042-001)

AARP Medicare Advantage Plan 2

(H0755-038)

New AARP Medicare Advantage Plan 1

(H0755-040-002)

New AARP Medicare Advantage Plan 3

(H0755-041-002)

New AARP Medicare Advantage Plan 4

(H0755-042-002)

HMO HMO HMO HMO HMO HMO HMO

$0 $39 $81 $0 $0 $39 $81

$0 $6.30 $43.70

$0 $0 $6.30 $43.70

Yes

4 stars

Atlantic, Bergen, Camden, Essex,

Yes

4 stars

Hudson, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Sussex,

Union, Warren

Yes

4 stars

Yes

4 stars

Essex and Ocean

Yes Yes Yes

4 stars 4 stars 4 stars

Burlington, Hunterdon, Mercer

(1) HMOs with No Drug Benefit: Cannot combine with enrollment in Stand-Alone

Medicare Part D Drug Plan.

Counties in Bold are new service area(s) for this plan in 2021

* Plan's Rating determined by Medicare and based on 1 to 5 stars, with 5 stars highest rating.

New Jersey Department of Human Services, Div. of Aging Services State Health Insurance Assistance Program

For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8820

Page 1 of 7

or call 1-800-Medicare.

Company

Amerigroup 1-844-316-0355

medicare

NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021

Plan Name and Plan ID Number

Plan

Full

Premium with LIS,

Drug

Performance

Type Premium Medicaid, PAAD Coverage Rating*

Counties Where Available

Aetna Medicare Eagle HMO

(formerly Core Value Plan) H3152-045

Aetna Medicare Value 2 HMO

(formerly Credit Value Plan) H3152 -088

HMO

$0

Does Not Work with PAAD or Medicaid

No (1)

3.5 stars

Atlantic, Bergen, Burlington, Camden, Cape Maya, lCl cuomubnetirelasnd, Essex,

Gloucester, Hudson, Mercer,

Middlesex, Monmouth, Morris, Ocean,

HMO

$0

$0

Yes

3.5 stars

Passaic, Salaelml c,oSuonmtieesrset, Sussex,

Union

Aetna

Medicare 1-800-832-2640



Aetna Medicare Premier Regional PPO

R6694 -006

PPO

$98

$64.20

Yes

3.5 stars

all counties

Aetna Medicare SNJ Prime Elite PPO

H5521 -123

PPO

$49

$1,250 deductible

Aetna Medicare Prime Value HMO

H3152 -080

Plan ending 12/31/2020 Aetna Medicare Prime Premier HMO

H3152-089

HMO $0 HMO $34

$18.60

Yes

4 stars

$0

Yes

3.5 stars

Members being automatically moved into Prime Value HMO H3152-080 above

Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Ocean, Salem (No longer offered in Mercer

County. Current members will be termed)

Bergen, Hunterdon, Mercer, Monmouth, Morris, Passaic, Somerset, Sussex, Union, Warren

Bergen, Hunterdon, Monmouth, Morris, Passaic, Somerset, Sussex, Union, Warren

Plan ending 12/31/2020

Aetna Medicare Prime Premier Plus PPO PPO $84

H5521 -276

Members being automatically moved into Prime Premier PPO H5521-275 below

Bergen, Hunterdon, Monmouth, Morris, Passaic, Somerset, Sussex, Union, Warren

Aetna Medicare Prime Premier PPO

H5521-275

Aetna Medicare Prime Credit PPO

(formerly Credit Value Plan) H5521-277

PPO $49

$25.30

$0

plus $50/mth

PPO reduction in

$0

Part B

Premium

Bergen, Hunterdon, Mercer,

Yes

4 stars

Monmouth, Morris, Passaic,

Somerset, Sussex, Union, Warren

Bergen, Hunterdon, Mercer, Monmouth,

Yes

4 stars

Morris, Passaic, Somerset, Sussex,

Union, Warren

Counties in Bold are new service area(s) for this plan in 2021

New Jersey Department of Human Services, Div. of Aging Services State Health Insurance Assistance Program

For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8820

Page 2 of 7

or call 1-800-Medicare.

Company Amerigroup 1-844-316-0355

medicare

Aetna Medicare 1-800-832-2640

NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021

Plan Name and Plan ID Number

Plan

Full

Premium with LIS,

Drug

Performance

Type Premium Medicaid, PAAD Coverage Rating*

Counties Where Available

Aetna Medicare Explorer Value HMO

HMO

$0

$0

H3152 -082

Aetna Medicare Explorer Elite HMO

H3152 -084

New Aetna Medicare Explorer Elite 2 HMO

H3152-092

New Aetna Medicare Explorer Elite PPO

H5521-295

New Aetna Medicare Explorer Premier PPO

H5521-298

Aetna Medicare Explorer Premier HMO

H3152 -022

Aetna Medicare Explorer Premier Plus HMO

H3152 -048

$0

HMO

$1,500

$0

deductible for

some services

HMO

$0

$1,000 deductible for some services

PPO

$34

$1,000 deductible for some services

PPO $45

$0 $11.80 $22.30

HMO $114

$86.80

HMO $99

$62.50

AtlaAnttliac,nBtiecr,gBeunr,lBinugrtlionng,toCna, mCadmend,en,

Yes

3.5 stars CapCeaMpeayM, aCyu, Cmubmerblearnladn, dG, lEosusceexs,ter,

MiddGlelosuecxe, sMteorn, mHouudtsho,nO, ceMaenr,cSera,lem

MAtildadnlteics,eBx,eMrgoennm, Bouurthlin, gMtoonrr,isC,aOmcdeeann,, PaCssaapice,MSaayl,eCmu,mSboemrlearnsde,t,ESsussesx,ex, Gloucester, HudsUonn,ioHnunterdon, Mercer,

Yes

3.5 stars

Middlesex, Monmouth, Morris,

Passaic, Salem, Somerset, Sussex,

Union, Warren

(all counties except Ocean)

Bergen, Essex, Hudson, Mercer,

Yes

3.5 stars

Middlesex, Monmouth, Morris,

Passaic, Union

Yes

4 stars

Yes

4 stars

Hunterdon, Somerset, Sussex, Warren

Atlantic, Burlington, Camden,

Yes

3.5 stars

Cape May, Cumberland, Gloucester,

Ocean, Salem

Bergen, Essex, Hudson, Hunterdon,

Yes

3.5 stars

Mercer, Middlesex, Monmouth, Morris, Passaic, Somerset, Sussex, Union,

Warren (No longer offered in Ocean County.)

Aetna Medicare Explorer Premier Plus PPO

H5521 -278

Aetna Medicare Explorer Premier PPO

H5521 -037

Aetna Medicare Explorer Premier 2 PPO

H5521 -124

PPO $36

$13.50

PPO $104

$66.70

PPO $134

$101.00

Atlantic, Bergen, Burlington, Camden,

Cape May, Cumberland, Essex,

Yes

4 stars Gloucester, Hudson, Hunterdon, Mercer,

Morris, Ocean, Passaic, Salem,

Somerset, Sussex, Union, Warren

Bergen, Essex, Hudson, Mercer,

Middlesex, Monmouth, Morris, Ocean,

Yes

4 stars

Passaic, Union

(Plan ending for members in Hunterdon,

Somerset, Sussex and Warren.)

Atlantic, Burlington, Camden,

Yes

4 stars

Cape May, Cumberland, Gloucester,

Salem

New Jersey Department of Human Services, Div. of Aging Services State Health Insurance Assistance Program

For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8820

Page 3 of 7

or call 1-800-Medicare.

Company

Amerigroup 1-844-316-0355

medicare

Cigna 1-800-313-0973



NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021

Plan Name and Plan ID Number

Plan

Full

Premium with LIS,

Drug

Performance

Type Premium Medicaid, PAAD Coverage Rating*

Counties Where Available

Cigna Preferred Medicare

(H3949-032)

Cigna Preferred Plus Medicare

(H3949-033)

New Cigna True Choice Plus

(H7849-033)

New Cigna True Choice Plus

(H7849-030)

New Cigna Preferred Medicare

(H3949-034)

HMO $0 HMO $59 PPO $29 PPO $39 HMO $0

$0 $37.30 $7.20 $17.10

$0

Atlantic, Bergen, Burlington, Camden,

Yes

4 stars

Cape May, Cumberland, Essex,

GAltolauncteics,teBru, rHgulindtsoonn,,CaMmedrceenr,,

MidCdulemsbeexr,laMnodn, mGolouuthc,eMsteorr,riMs,eOrcceeran,

Yes

4 stars

Passaic, Salem, Somerset, Sussex,

Union

Yes

too new for rating

Atlantic, Burglinton, Camden, Cumberland, Gloucester, Mercer

Yes

too new for rating

Yes

4 stars

Monmouth & Ocean

Clover Health Choice (H5141-001)

PPO

$0

$0

Clover Health Classic (H8010-002)

HMO

$0

$0

Clover Health Value (H8010-003)

HMO $37.30

$0

Clover Health 888-657-1207



Clover Health Choice (H5141-004)

PPO

$0

$0

Clover Health Choice Value (H5141-007) PPO $37.30

$0

Clover Health Choice (H5141-032)

PPO

$0

$0

Clover Health Choice Value (H5141-042) PPO $37.30

$0

Yes

3 stars

Hudson

Yes

too new for rating

Atlantic, Bergen, Essex, Hudson, Passaic, Union

Yes

too new for rating

Atlantic, Bergen, Essex, Hudson, Middlesex, Passaic, Union

Yes

3 stars

Atlantic, Bergen, Essex, Mercer, Monmouth, Morris, Passaic, Somerset, Union

Atlantic, Bergen, Essex, Hudson,

Yes

3 stars

Mercer, Monmouth, Morris, Passaic,

Somerset, Union

Burlington, Camden, Cumberland,

Yes

3 stars

Gloucester, Hunterdon, Middlesex,

Ocean, Salem

Yes

3 stars

Burlington, Camden, Cumberland, Gloucester, Hunterdon, Ocean, Salem

New Jersey Department of Human Services, Div. of Aging Services State Health Insurance Assistance Program

For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8820

Page 4 of 7

or call 1-800-Medicare.

Company

Braven Health A(amffliecaritegdrowuithp

H1o-8riz4o4n-3B1lu6e-C03ro5s5s

ameBrliugeroSuph.iceoldmo/mf eNdJi,care Hackensack Meridian Health

& RJW Barnadas Health)

1-833-713-1313



NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021

Plan Name and Plan ID Number

Plan

Full

Premium with LIS,

Drug

Performance

Type Premium Medicaid, PAAD Coverage Rating*

Counties Where Available

New Braven Medicare Plus (H4675-001)

New Braven Medicare Choice (H0885-001)

New Braven Medicare Freedom (H0885-002)

HMO

$0

PPO

$0

PPO $35

$0 $0 $5.80

Yes

too new for rating

BAetlargnetinc, BEesrsgeexn,,HBuudrlsinognto, nM,iCddamledsenx, CaMpoenMmaoyu, Cthu,mObceeralann,dU, nEisosnex,

Gloucester, Hudson, Mercer,

Yes

too new for rating

Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex,

Bergen, Essex,UHnuiodnson, Middlesex,

Monmouth, Ocean, Passaic, Union

Yes

too new for rating

Horizon Medicare Blue Advantage

(H3154-029)

Horizon Medicare Blue Advantage

(H3154-030)

HMO $26 HMO $31

$7 with LIS or

Medicaid,

Yes

$0 with PAAD

$7.20

Yes

4 stars 4 stars

Ocean and Monmouth

Bergen, Essex, Hudson, Mercer, Middlesex, Union

Horizon Blue Cross Blue Shield of NJ 1-888-765-7134

medicare.

Horizon Medicare Blue Advantage

(H3154-031)

Horizon Medicare Blue Advantage

(H3154-032)

Horizon Medicare Blue Value

(H3154-013)

Horizon Medicare Blue Value w/Rx

(H3154-004)

Horizon Medicare Blue Choice with Rx

(H3154-22)

New Horizon Medicare Blue Access

H7971-003

Horizon Medicare Blue Select

(H3154 - 033)

Plan ending 12/31/2020 Horizon Medicare Blue PPO

(H7971-001)

New Jersey Department of Human Services, Div. of Aging Services State Health Insurance Assistance Program

HMO

$0

$0

Yes

4 stars

Hunterdon, Somerset, Sussex, Warren

HMO

$17.30 with LIS

$41

or Medicaid,

Yes

$3.70 with PAAD

4 stars

Atlantic, Cumberland, Morris,

HMO

$30

Does Not Work with PAAD or Medicaid

No (1)

4 stars

Cape May, Hudson, Salem, Union, Warren

HMO $46

$8.70

Yes

HMO $86

$48.70

Yes

$12.60 with LIS

PPO $36

or Medicaid,

Yes

$0 with PAAD

HMOPOS

$30

$14.70 LIS or Medicaid,

$0 with PAAD

Yes

4 stars

4 stars

too new for rating

Cape May, Hudson, Salem, Union, Warren

Atlantic, Burlington, Camden, Cumberland, Gloucester, Hunterdon, Mercer, Morris, Passaic, Somerset,

Sussex

Atlantic, Cumberland, Mercer

4 stars

Union

PPO $161.20

Plan ending 12/31/2020 Sussex County

For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8820

Page 5 of 7

or call 1-800-Medicare.

Company Amerigroup 1-844-316-0355

medicare

Humana 1-800-833-2364

medicare

NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021

Plan Name and Plan ID Number

Plan

Full

Premium with LIS,

Drug

Performance

Type Premium Medicaid, PAAD Coverage Rating*

Counties Where Available

Humana Honor

(formerly Choice) ( H5216-174)

Humana Choice (H5216-169)

PPO

$0

$40/mth reduction in

Part B Premium

Does Not Work with PAAD or Medicaid

No (1)

PPO

$0

$0

Yes

4 stars 4 stars

Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Mercer,

Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex,

Union

Humana Choice (H5216-172)

$0

$40/mth

PPO reduction in

$0

Part B

Premium

Bergen, Essex, Hudson, Hunterdon,

Yes

4 stars

Monmouth, Morris, Somerset, Sussex, Union, Warren

Humana Choice (H5216-170)

PPO $33

$0

Yes

4 stars

Humana Gold Plus HMO

(H6622-063)

Humana Honor

(formerly Humana Choice) ( H5216-221)

New Humana Choice (H5216-116)

Humana Choice (H5216-185)

HMO $0

$0

Yes

PPO

$0

$55/mth reduction in

Part B Premium

Does Not Work with PAAD or Medicaid

No (1)

PPO

$0

Does Not Work with PAAD or Medicaid

No (1)

PPO

$0

$0

Yes

4 stars

4 stars

4 stars

4 stars

Atlantic, Burlington, Camden, Cumberland, Gloucester, Mercer, Salem

Humana Choice (H5216-186)

Plan ending 12/31/2020 Humana Choice (H5216-184)

Humana Gold Plus HMO

(H6622-066)

PPO $29 PPO $64 HMO $0

$0

Yes

4 stars

Plan ending, moving all members into Human Choice PPO #186 above

$0

Yes

4 stars

Burlington, Camden, Cumberland, Gloucester

New Jersey Department of Human Services, Div. of Aging Services State Health Insurance Assistance Program

For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8820

Page 6 of 7

or call 1-800-Medicare.

Company

Amerigroup 1-844-316-0355

medicare

WellCare 1-866-527-0056



NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021

Plan Name and Plan ID Number

Plan

Full

Premium with LIS,

Drug

Performance

Type Premium Medicaid, PAAD Coverage Rating*

Counties Where Available

WellCare Value

(H0913-002)

WellCare Compass

(H0913-015)

HMOPOS

$0

$0

HMO $28.20

$0

Atlantic, Bergen, Burlington, Camden,

Yes

3.5 stars

AtlaCnatipce, BMeargy,eCn,uBmubrelinrlgatnodn,,ECsasmexd,en,

CGumloubceerlsatnedr, HEussdesxo,nG, loMuecrecseter,r,

MiddHleusdesxo, nM,oMnmerocuetrh,,MMidodrrliess, eOxc, ean,

PMaosnsmaico,utSh,aMleomrr,isS,oOmceerasne,t,PSaussssaeicx,,

Yes

3.5 stars

SomeUrsneiot,nUnion

WellCare Focus

(H0913-017)

HMO

$0

$0

Yes

3.5 stars

Bergen, Hudson, Middlesex, Morris, Passaic, Somerset

New WellCare Absolute

(H8711-002)

New WellCare Premier

(H8711-001)

$0

$60/mth

PPO reduction in

$0

Part B

Premium

PPO

$0

$0

Yes

too new for Atlantic, Bergen, Burlington, Camden,

rating

Cumberland, Essex, Gloucester,

Hudson, Mercer, Middlesex,

Monmouth, Morris, Ocean, Passaic,

Yes

too new for rating

Somerset, Union

Counties in Bold are new service area(s) for this plan in 2021

Note: This chart does not include Special Needs Plans or PACE plans. For information on PACE- Programs of AllInclusive Care for the Elderly, go to

New Jersey Department of Human Services, Div. of Aging Services State Health Insurance Assistance Program

For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8820

Page 7 of 7

or call 1-800-Medicare.

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