Medicare Advantage Plans for New Jersey

1,512,462 Total Medicare Advantage Enrollees

OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? New Jersey Enrollees
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 149,100
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H8768-022-0 		Local PPO $40 per Quarter No $160 Yes Yes No Yes Yes No 60,784
UnitedHealthcare UnitedHealthcare Dual Complete ONE (HMO D-SNP)
H3113-005-0 		HMO $290 per Month No $0 No 36,726
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H0755-038-0 		HMOPOS No $0 Yes Yes No Yes Yes No 31,330
Braven Health Braven Medicare Choice (PPO)
H0885-001-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 25,994
Clover Health Clover Health Choice (PPO)
H5141-004-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 22,997
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 20,215
Horizon Blue Cross Blue Shield of New Jersey Horizon NJ TotalCare (HMO D-SNP)
H8298-001-0 		HMO $720 per Quarter No $2,880 No 19,159
Clover Health Clover Health Choice Value (PPO)
H5141-007-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 17,731
UnitedHealthcare AARP Medicare Advantage Choice Premier (PPO)
H8768-035-0 		Local PPO $75 per Quarter No $300 Yes Yes No Yes Yes No 16,726
Clover Health Clover Health Choice (PPO)
H5141-032-0 		Local PPO $50 per Quarter No $200 Yes No No Yes No No 15,160
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H3240-013-0 		HMO $0 per Month No $0 No 15,068
Aetna Medicare Aetna Medicare Plan (HMO)
H3152-801-0 		HMO No $0 No 12,430
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H0755-044-0 		HMOPOS No $0 Yes Yes No Yes Yes No 12,386
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 10,420
Aetna Medicare Aetna Medicare Explorer Premier Plus (PPO)
H5521-278-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 8,785
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 8,043
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H0913-013-0 		HMO $198 per Month Yes $0 No 7,585
Aetna Medicare Aetna Medicare Prime Value (HMO-POS)
H3152-080-0 		HMOPOS $60 per Quarter No $240 Yes $2,500 No No Yes No No 6,095
Wellpoint Amerivantage Classic (HMO)
H3240-022-0 		HMO No $0 Yes $2,000 Yes No Yes Yes No 5,430
Clover Health Clover Health Choice (PPO)
H5141-001-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 5,423
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 5,173
Aetna Medicare Aetna Medicare Explorer Value (HMO)
H3152-082-0 		HMO No $0 Yes $2,000 No No Yes No No 4,889
Humana HumanaChoice H5216-185 (PPO)
H5216-185-0 		Local PPO $20 per Month Yes $0 Yes No No Yes No No 4,739
Aetna Medicare Aetna Medicare Explorer Premier (PPO)
H5521-037-0 		Local PPO No $0 Yes $2,500 No No Yes No No 4,491
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 4,081
Humana HumanaChoice H5216-169 (PPO)
H5216-169-0 		Local PPO $15 per Month No $0 Yes No No Yes No No 3,845
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-032-0 		HMO $85 per Quarter No $340 Yes No No Yes No No 3,805
Blue Medicare Advantage Secure Preferred (PPO)
H6078-802-0 		Local PPO No $0 No 3,756
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H0755-045-0 		HMOPOS No $0 Yes Yes No Yes Yes No 3,647
Humana Humana Gold Plus H6622-063 (HMO)
H6622-063-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 3,530
Aetna Medicare Aetna Medicare Explorer Elite (HMO)
H3152-084-0 		HMO No $0 Yes $2,500 No No Yes No No 3,433
Aetna Better Health of New Jersey Aetna Assure Premier Plus (HMO D-SNP)
H6399-001-0 		HMO $305 per Month No $0 No 3,382
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-026-0 		Local PPO $290 per Quarter Yes $1,160 Yes $2,000 Yes No Yes Yes No 3,186
Clover Health Clover Health Choice Value (PPO)
H5141-042-0 		Local PPO $35 per Quarter No $140 Yes No No Yes No No 3,002
Humana HumanaChoice H5216-170 (PPO)
H5216-170-0 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 2,997
Aetna Medicare Aetna Medicare Premier Plan (PPO)
H5521-391-0 		Local PPO $60 per Quarter No $240 Yes $2,500 No No Yes No No 2,950
Aetna Medicare Aetna Medicare Prime Credit (PPO)
H5521-277-0 		Local PPO No $0 Yes $2,000 No No Yes No No 2,935
Clover Health Clover Health Classic (HMO)
H8010-002-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 2,677
Humana Humana Gold Plus H6622-066 (HMO)
H6622-066-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 2,656
Amerigroup Insurance Company Amerivantage Choice (PPO)
H8343-007-0 		Local PPO $35 per Quarter Yes $140 Yes $1,000 No No Yes Yes No 2,655
Wellpoint Amerivantage Balance (HMO)
H3240-021-0 		HMO $60 per Quarter Yes $240 Yes $2,000 Yes No Yes Yes No 2,639
Wellcare Wellcare No Premium (HMO-POS)
H0913-002-0 		HMOPOS No $0 Yes $700 No No Yes Yes No 2,422
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 2,292
Aetna Medicare Aetna Medicare SNJ Prime Elite (PPO)
H5521-123-0 		Local PPO No $0 Yes $2,500 No No Yes No No 2,248
Clover Health Clover Health Premier (PPO)
H5141-054-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 2,183
Wellcare Wellcare No Premium Focus (HMO)
H0913-017-0 		HMO $75 per Quarter No $300 Yes $2,000 No No Yes Yes No 2,133
Wellcare Wellcare Assist (HMO)
H0913-015-0 		HMO $40 per Quarter No $160 No 2,062
Aetna Medicare Aetna Medicare Explorer Premier (HMO-POS)
H3152-022-0 		HMOPOS $45 per Quarter No $180 Yes $2,500 No No Yes No No 1,988
Braven Health Braven Medicare Choice (PPO)
H0885-005-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 1,926

Top 20 Medicare Advantage Insurance Companyes for New Jersey

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
Aetna Medicare 220,914 26,244 47,361
UnitedHealthcare 208,162 153,899 150,358
Clover Health 71,526 70,432 70,432
Braven Health 36,091 40,096 40,096
Humana 26,936 30,757 39,174
Wellpoint 24,310 18,427 7,181
Horizon Blue Cross Blue Shield of New Jersey 19,159 20,288 0
Wellcare 14,982 11,454 4,914
Cigna Healthcare 5,951 6,569 6,921
Blue Medicare Advantage 3,798 0 0
Aetna Better Health of New Jersey 3,382 4,578 0
Amerigroup Insurance Company 2,655 2,652 2,652
Anthem Blue Cross and Blue Shield 845 0 0
Longevity Health Plan 817 1,232 1,232
Inspira Health Network LIFE 238 0 0
Capital Health LIFE 233 0 0
Independence Blue Cross 220 0 0
Beacon of LIFE PACE 200 0 0
Trinity Health LIFE New Jersey 158 0 0
AtlantiCare LIFE Connection 121 0 0
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