Best New Jersey Medicare Advantage Plans

MoneyGeek researched Medicare Advantage Plans that are widely available in New Jersey and have the highest rating based on the Centers for Medicare & Medicaid Services (CMS) five-star quality rating system. We broke down the best plans based on plan type, whether or not they have drug coverage and out-of-pocket costs.

These recommendations are generalized, so you should shop for a plan that fits your needs the best. Also, make sure the plans you are considering have your preferred hospitals and providers in their network.

MoneyGeek also analyzed the best medicare supplement plans in New Jersey for those focused on covering out-of-pocket expenses.

To find the best Medicare Advantage Plan, you should evaluate your healthcare needs and preferences. For instance, if you want a PPO plan that ranks well according to the CMS rating system, provides six-core benefits and drug coverage, MoneyGeek’s research found that the Aetna Medicare Explorer Premier Plus plan by Aetna Medicare is the top option.

PPO or Preferred Provider Organization plans have a wider network of treatment centers, doctors and hospitals. These plans come with an array of benefits and provide great flexibility to the policyholders. You also won’t need a referral to see a specialist with this type of plan. However, the premiums can be a bit higher compared to other plans.

Based on your unique healthcare needs, you should shop around to determine which HMO plan is best for you. MoneyGeek researched the best HMO plan in New Jersey that has drug coverage, six core benefits and a high rating from CMS. The top option is the Humana Gold Plus H6622-063 plan offered by Humana.

An HMO or Health Maintenance Organization plan is the most popular type of healthcare plan. It is usually cheaper compared to other plans like PPO, PFFS and others. However, the network of hospitals is more restricted compared to a PPO plan. That said, you can seek out-of-network care during an emergency. This type of plan requires a referral if you want to see a specialist.

There are more Medicare Advantage Plans available for people who don’t need Part D drug coverage.

MoneyGeek found that in New Jersey, the best plan with or without drug coverage, six-core benefits and high ratings on CMS is Humana Gold Plus H6622-063 plan offered by Humana. This is also the top HMO plan in the state based on MoneyGeek’s research.

In New Jersey, you will find that most healthcare plans charge no or low monthly premiums. While this may seem great financially, these plans may not be completely helpful when paying expensive bills associated with medical emergencies. To avoid paying hefty medical bills, you should consider plans that have a low in-network max-out-of-pocket limit.

As per our findings, the best Medicare Advantage Plan in New Jersey with a low in-network max-out-of-pocket limit is Humana Choice H5216-170 (PPO) plan offered by Humana. It offers all the six core benefits and is rated highly by CMS.

A total of 10 healthcare organizations in New Jersey offer Medicare Advantage plans. The following statistics will help you learn more about plan types, costs and benefits offered in the state.

MoneyGeek collected data from the Centers for Medicare & Medicaid Services 2022 MA Landscape Source Files released in October 2021. Plans in New Jersey were filtered down to those that offer drug coverage (unless otherwise noted), offer six of the most common Medicare Advantage coverage benefits and are available to at least 50% of the population of New Jersey based on county availability.