Amerivantage Classic HMO H3240022HMO00Yes35 stars Amerivantage Balance HMO H3240021HMO37300Yes35 starsAARP Medicare Advantage Patriot ID: 896296
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1 NEW JERSEY MEDICARE ADVANTAGE PLANS FOR
NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021 Amerivantage Classic HMO ( H3240-022) HMO $0 $0 Yes 3.5 stars Amerivantage Balance HMO (H3240-021) HMO $37.30 $0 Yes 3.5 stars 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) 4 stars New AARP Medicare Advantage Choice (H8788-022) PPO $0 $0 Yes 4 stars AARP Medicare Advantage Plan 1 (H0755-040-001) HMO $0 $0 Yes 4 stars AARP Medicare Advantage Plan 3 (H0755-041-001) HMO $39 $6.30 Yes 4 stars AARP Medicare Advantage Plan 4 (H0755-042-001) HMO $81 $43.70 Yes 4 stars AARP Medicare Advantage Plan 2 (H0755-038) HMO $0 $0 Yes 4 stars Essex and Ocean New AARP Medicare Advantage Plan 1 (H0755-040-002) HMO $0 $0 Yes 4 stars New AARP Medicare Advantage Plan 3 (H0755-041-002) HMO $39 $6.30 Yes 4 stars New AARP Medicare Advantage Plan 4 (H0755-042-002) HMO $81 $43.70 Yes 4 stars (1) HMOs with No Drug Benefit: Cannot combine with enrollment in Stand-Alone Medicare Part D Drug Plan. * Plan's Rating determined by Medicare and based on 1 to 5 stars, with 5 stars highest rating. Data as of November 10, 2020 Company Premium with LIS, Medicaid, PAAD Plan Type Performance Rating * Full Premium Plan Name and Plan ID Number Counties Where Available Drug Coverage Amerigroup 1-844-316-0355 amerigroup.com/medicare Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union Atlantic, Bergen, Camden, Essex, Hudson, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Sussex, Union, Warren Atlantic, Bergen, Burlington, Camden, Essex, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Sussex, Union, Warren United Healthcare 1-800-555-5757 aarpmedicareplans.com Burlington, Hunterdon, Mercer 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 Page 1 of 7 For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8820 or call 1-800-Medicare. NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021 Company Premium with LIS, Medicaid, PAAD Plan Type Performanc
2 e Rating * Full Premium Plan Name and
e Rating * Full Premium Plan Name and Plan ID Number Counties Where Available Drug Coverage Amerigroup 1-844-316-0355 amerigroup.com/medicare Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union Does Not Work with PAAD or Medicaid 3.5 stars all counties Aetna Medicare Value 2 HMO (formerly Credit Value Plan) H3152 - 088 HMO $0 $0 Yes 3.5 stars all counties 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 $18.60 Yes 4 stars Atlantic, Burlington, Camden, Cape May , Cumberland, Gloucester, Ocean, Salem (No longer offered in Mercer County. Current members will be termed) Aetna Medicare Prime Value HMO H3152 - 080 HMO $0 $0 Yes 3.5 stars Bergen, Hunterdon, Mercer, Monmouth, Morris, Passaic, Somerset, Sussex, Union, Warren Plan ending 12/31/2020 Aetna Medicare Prime Premier HMO H3152-089 HMO $34 Bergen, Hunterdon, Monmouth, Morris, Passaic, Somerset, Sussex, Union, Warren Plan ending 12/31/2020 Aetna Medicare Prime Premier Plus PPO H5521 -276 PPO $84 Bergen, Hunterdon, Monmouth, Morris, Passaic, Somerset, Sussex, Union, Warren Aetna Medicare Prime Premier PPO H5521-275 PPO $49 $25.30 Yes 4 stars Bergen, Hunterdon, Mercer, Monmouth, Morris, Passaic, Somerset, Sussex, Union, Warren Aetna Medicare Prime Credit PPO (formerly Credit Value Plan) H5521-277 PPO $0 plus $50/mth reduction in Part B Premium $0 Yes 4 stars Bergen, Hunterdon, Mercer, Monmouth, Morris, Passaic, Somerset, Sussex, Union, Warren Counties in Bold are new service area(s) for this plan in 2021 Aetna Medicare 1-800-832-2640 aetnamedicare.com No (1) $0 Aetna Medicare Eagle HMO (formerly Core Value Plan) H3152-045 HMO Members being automatically moved into Prime Value HMO H3152-080 above Members being automatically moved into Prime Premier PPO H5521-275 below New Jersey Department of Human Services, Div. of Aging Services State Health Insurance Assistance Program Page 2 of 7 For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8
3 820 or call 1-800-Medicare.
820 or call 1-800-Medicare. NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021 Company Premium with LIS, Medicaid, PAAD Plan Type Performance Rating * Full Premium Plan Name and Plan ID Number Counties Where Available Drug Coverage Amerigroup 1-844-316-0355 amerigroup.com/medicare Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union Aetna Medicare Explorer Value HMO H3152 - 082 HMO $0 $0 Yes 3.5 stars Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester , Middlesex, Monmouth, Ocean, Salem Aetna Medicare Explorer Elite HMO H3152 - 084 HMO $0 $1,500 deductible for some services $0 Yes 3.5 stars Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex, Monmouth , Morris, Passaic, Salem, Somerset, Sussex, Union, Warren (all counties except Ocean) New Aetna Medicare Explorer Elite 2 HMO H3152-092 HMO $0 $1,000 deductible for some services $0 Yes 3.5 stars Bergen, Essex, Hudson, Mercer, Middlesex, Monmouth, Morris, Passaic, Union New Aetna Medicare Explorer Elite PPO H5521-295 PPO $34 $1,000 deductible for some services $11.80 Yes 4 stars New Aetna Medicare Explorer Premier PPO H5521-298 PPO $45 $22.30 Yes 4 stars Aetna Medicare Explorer Premier HMO H3152 -022 HMO $114 $86.80 Yes 3.5 stars Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Ocean, Salem Aetna Medicare Explorer Premier Plus HMO H3152 - 048 HMO $99 $62.50 Yes 3.5 stars Bergen, Essex, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Passaic, Somerset, Sussex, Union, Warren ( No longer offered in Ocean County.) Aetna Medicare Explorer Premier Plus PPO H5521 - 278 PPO $36 $13.50 Yes 4 stars Atlantic, Bergen, Burlington, Camden, Cape May , Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union, Warren
4 Aetna Medicare
Aetna Medicare Explorer Premier PPO H5521 -037 PPO $104 $66.70 Yes 4 stars Bergen, Essex, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Union (Plan ending for members in Hunterdon, Somerset, Sussex and Warren.) Aetna Medicare Explorer Premier 2 PPO H5521 -124 PPO $134 $101.00 Yes 4 stars Atlantic, Burlington, Camden, Cape May, Cumberland, Gloucester, Salem Aetna Medicare 1-800-832-2640 aetnamedicare.com Hunterdon, Somerset, Sussex, Warren New Jersey Department of Human Services, Div. of Aging Services State Health Insurance Assistance Program Page 3 of 7 For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8820 or call 1-800-Medicare. NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021 Company Premium with LIS, Medicaid, PAAD Plan Type Performance Rating * Full Premium Plan Name and Plan ID Number Counties Where Available Drug Coverage Amerigroup 1-844-316-0355 amerigroup.com/medicare Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union Cigna Preferred Medicare (H3949-032) HMO $0 $0 Yes 4 stars Cigna Preferred Plus Medicare (H3949-033) HMO $59 $37.30 Yes 4 stars New Cigna True Choice Plus (H7849-033) PPO $29 $7.20 Yes too new for rating Atlantic, Burglinton, Camden, Cumberland, Gloucester, Mercer New Cigna True Choice Plus (H7849-030) PPO $39 $17.10 Yes too new for rating New Cigna Preferred Medicare (H3949-034) HMO $0 $0 Yes 4 stars Clover Health Choice (H5141-001) PPO $0 $0 Yes 3 stars Hudson Clover Health Classic (H8010 -002) HMO $0 $0 Yes too new for rating Atlantic, Bergen, Essex, Hudson, Passaic, Union Clover Health Value ( H8010 -003) HMO $37.30 $0 Yes too new for rating Atlantic, Bergen, Essex, Hudson, Middlesex, Passaic, Union Clover Health Choice (H5141-004) PPO $0 $0 Yes 3 stars Atlantic, Bergen, Essex, Mercer, Monmouth, Morris, Passaic, Somerset, Union Clover Health Choice Value (H5141-007) PPO $37.30 $0 Yes 3 stars Atlantic, Bergen, Essex, Hudson, Mercer, Monmouth, Morris, Passaic, Somerset, Union Clover Health Choice (H5141-032) PPO $0 $0 Yes 3 stars Bur
5 lington, Camden, Cumberland, Gloucester
lington, Camden, Cumberland, Gloucester, Hunterdon, Middlesex, Ocean, Salem Clover Health Choice Value (H5141-042) PPO $37.30 $0 Yes 3 stars Burlington, Camden, Cumberland, Gloucester, Hunterdon, Ocean, Salem Clover Health 888-657-1207 cloverhealth.com Cigna 1 - 800-313-0973 cignamedicare.com Atlantic, Burglinton, Camden, Cumberland, Gloucester, Mercer Monmouth & Ocean New Jersey Department of Human Services, Div. of Aging Services State Health Insurance Assistance Program Page 4 of 7 For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8820 or call 1-800-Medicare. NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021 Company Premium with LIS, Medicaid, PAAD Plan Type Performance Rating * Full Premium Plan Name and Plan ID Number Counties Where Available Drug Coverage Amerigroup 1-844-316-0355 amerigroup.com/medicare Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union New Braven Medicare Plus (H4675-001) HMO $0 $0 Yes too new for rating Bergen, Essex, Hudson, Middlesex, Monmouth, Ocean, Union New Braven Medicare Choice (H0885-001) PPO $0 $0 Yes too new for rating New Braven Medicare Freedom (H0885-002) PPO $35 $5.80 Yes too new for rating Horizon Medicare Blue Advantage (H3154-029) HMO $26 $7 with LIS or Medicaid, $0 with PAAD Yes 4 stars Ocean and Monmouth Horizon Medicare Blue Advantage (H3154-030) HMO $31 $7.20 Yes 4 stars Bergen, Essex, Hudson, Mercer, Middlesex, Union Horizon Medicare Blue Advantage (H3154-031) HMO $0 $0 Yes 4 stars Hunterdon, Somerset, Sussex, Warren Horizon Medicare Blue Advantage (H3154-032) HMO $41 $17.30 with LIS or Medicaid, $3.70 with PAAD Yes 4 stars Atlantic, Cumberland, Morris, Horizon Medicare Blue Value (H3154-013) HMO $30 Does Not Work with PAAD or Medicaid No (1) 4 stars Cape May, Hudson, Salem, Union, Warren Horizon Medicare Blue Value w/Rx (H3154-004) HMO $46 $8.70 Yes 4 stars Cape May, Hudson, Salem, Union, Warren Horizon Medicare Blue Choice with Rx (H3154-22) HMO $86 $48.70 Yes 4 stars Atlantic, Burlington, Camden, Cumberland, Gloucester, Hunterdon, Mercer, Morris, Passaic, Somerset, Sussex New Horizon Medicare Blue Access H7971-003 PPO $36 $12.60 with LIS or Medicaid, $0 with PAAD Yes too new for
6 rating Atlantic, Cumberland, Mercer
rating Atlantic, Cumberland, Mercer Horizon Medicare Blue Select (H3154 - 033) HMO- POS $30 $14.70 LIS or Medicaid, $0 with PAAD Yes 4 stars Union Plan ending 12/31/2020 Horizon Medicare Blue PPO (H7971-001) PPO $161.20 Braven Health (afflicated with Horizon Blue Cross Blue Shield of NJ, Hackensack Meridian Health & RJW Barnadas Health) 1-833-713-1313 bravenhealth.com Horizon Blue Cross Blue Shield of NJ 1-888-765-7134 medicare.horizonblue.com Bergen, Essex, Hudson, Middlesex, Monmouth, Ocean, Passaic, Union Plan ending 12/31/2020 Sussex County New Jersey Department of Human Services, Div. of Aging Services State Health Insurance Assistance Program Page 5 of 7 For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8820 or call 1-800-Medicare. NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021 Company Premium with LIS, Medicaid, PAAD Plan Type Performance Rating * Full Premium Plan Name and Plan ID Number Counties Where Available Drug Coverage Amerigroup 1-844-316-0355 amerigroup.com/medicare Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union Humana Honor (formerly Choice) ( H5216-174) PPO $0 $40/mth reduction in Part B Premium Does Not Work with PAAD or Medicaid No (1) 4 stars Humana Choice (H5216-169) PPO $0 $0 Yes 4 stars Humana Humana Choice (H5216-172) PPO $0 $40/mth reduction in Part B Premium $0 Yes 4 stars 1-800-833-2364 Humana Choice (H5216-170) PPO $33 $0 Yes 4 stars Humana Gold Plus HMO (H6622-063) HMO $0 $0 Yes 4 stars humana.com/medicare Humana Honor (formerly Humana Choice) ( H5216-221) PPO $0 $55/mth reduction in Part B Premium Does Not Work with PAAD or Medicaid No (1) 4 stars New Humana Choice (H5216-116) PPO $0 Does Not Work with PAAD or Medicaid No (1) 4 stars Humana Choice (H5216-185) PPO $0 $0 Yes 4 stars Humana Choice (H5216-186) PPO $29 $0 Yes 4 stars Plan ending 12/31/2020
7 Humana C
Humana Choice (H5216-184) PPO $64 Humana Gold Plus HMO (H6622-066) HMO $0 $0 Yes 4 stars Burlington, Camden, Cumberland, Gloucester Atlantic, Burlington, Camden, Cumberland, Gloucester, Mercer, Salem Bergen, Essex, Hudson, Hunterdon, Monmouth, Morris, Somerset, Sussex, Union, Warren Plan ending, moving all members into Human Choice PPO #186 above New Jersey Department of Human Services, Div. of Aging Services State Health Insurance Assistance Program Page 6 of 7 For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8820 or call 1-800-Medicare. NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2021 Company Premium with LIS, Medicaid, PAAD Plan Type Performance Rating * Full Premium Plan Name and Plan ID Number Counties Where Available Drug Coverage Amerigroup 1-844-316-0355 amerigroup.com/medicare Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, Union WellCare Value (H0913-002) HMO- POS $0 $0 Yes 3.5 stars WellCare Compass (H0913-015) HMO $28.20 $0 Yes 3.5 stars WellCare Focus (H0913-017) HMO $0 $0 Yes 3.5 stars Bergen, Hudson, Middlesex, Morris, Passaic, Somerset New WellCare Absolute (H8711-002) PPO $0 $60/mth reduction in Part B Premium $0 Yes too new for rating New WellCare Premier (H8711-001) PPO $0 $0 Yes too new for rating 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 All- Inclusive Care for the Elderly, go to http://www.state.nj.us/humanservices/doas/services/pace/ WellCare 1-866-527-0056 wellcare.com Atlantic, Bergen, Burlington, Camden, Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Union Atlantic, Bergen, Burlington, Camden, Cumberland, Essex, Gloucester, Hudson, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Somerset, Union New Jersey Department of Human Services, Div. of Aging Services State Health Insurance Assistance Program Page 7 of 7 For more information contact the plans directly or NJ SHIP Medicare Information at 1-800-792-8820 or call 1-800-Medica