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Medicare Advantage Plans in Essex County, New Jersey

Below are Medicare Advantage plans available to residents of Essex county, New Jersey. 7 carriers offer 25 plans throughout the county of Essex. Residents may choose plans from carriers such as WellCare, UnitedHealthcare and Aetna Medicare. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Essex county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Essex

Carrier	Plan Title	Plan Type
WellCare	WellCare Value (HMO) (H0913-002)	HMO
Premium and Other Important Information $5 000 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
WellCare	WellCare Access (HMO SNP) (H0913-003)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. $0 monthly plan premium* Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.*
UnitedHealthcare	AARP MedicareComplete Plus (HMO-POS) (H3107-004)	HMO with POS Option
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
UnitedHealthcare	AARP MedicareComplete Plus Essential (HMO-POS) (H3107-008)	HMO with POS Option
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits.
UnitedHealthcare	AARP MedicareComplete (HMO) (H3107-012)	HMO
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. $10 copay for each in-area network urgent care Medicare-covered visit $10 copay for each specialist visit for Medicare-covered benefits.
UnitedHealthcare	UnitedHealthcare Nursing Home Plan (HMO SNP) (H3113-001)	HMO
Premium and Other Important Information $5 000 out-of-pocket limit for Medicare-covered services. $35 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. 20% of the cost for each in-area network urgent care Medicare-covered visit 0% to 20% of the cost for each specialist visit for Medicare-covered benefits.
Aetna Medicare	Aetna Medicare Basic Plan (HMO) (H3152-045)	HMO
Premium and Other Important Information Package: 1 - Advantage Dental: Package: 2 - Advantage Dental Plus Eye Wear: $12 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $19 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Wear $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $20 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $45 copay for each specialist visit for Medicare-covered benefits.
Aetna Medicare	Aetna Medicare Value Plan (HMO) (H3152-046)	HMO
Premium and Other Important Information Package: 1 - Advantage Dental: Package: 2 - Advantage Dental Plus Eye Wear: $12 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $19 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Wear $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $20 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $45 copay for each specialist visit for Medicare-covered benefits.
Aetna Medicare	Aetna Medicare Premier Plan (HMO) (H3152-048)	HMO
Premium and Other Important Information Package: 1 - Advantage Dental: Package: 2 - Advantage Dental Plus Eye Wear: $12 monthly premium in addition to your $125 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $19 monthly premium in addition to your $125 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Wear $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $125 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Horizon Blue Cross Blue Shield of New Jersey Inc.	Horizon Medicare Blue Value w/ Rx Standard (HMO) (H3154-004)	HMO
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $0 to $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Horizon Blue Cross Blue Shield of New Jersey Inc.	Horizon Medicare Blue Access (HMO-POS) (H3154-005)	HMO with POS Option
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $900 annual deductible. Contact the plan for services that apply. $6 200 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $56.80 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $15 to $35 copay for each primary care doctor visit for Medicare-covered benefits. $0 to $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Horizon Blue Cross Blue Shield of New Jersey Inc.	Horizon Medicare Blue Access w/Rx Enhanced (HMO-POS) (H3154-006)	HMO with POS Option
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $900 annual deductible. Contact the plan for services that apply. $6 200 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $149.5 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 to $35 copay for each primary care doctor visit for Medicare-covered benefits. $0 to $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Horizon Blue Cross Blue Shield of New Jersey Inc.	Horizon Medicare Blue Access w/ Rx Standard (HMO-POS) (H3154-012)	HMO with POS Option
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $900 annual deductible. Contact the plan for services that apply. $6 200 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $114.9 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 to $35 copay for each primary care doctor visit for Medicare-covered benefits. $0 to $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Horizon Blue Cross Blue Shield of New Jersey Inc.	Horizon Medicare Blue Value (HMO) (H3154-013)	HMO
Premium and Other Important Information Horizon Blue Cross Blue Shield of New Jersey Inc. will reduce your monthly Medicare Part B premium by up to $ 18.50. $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $0 to $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Horizon Blue Cross Blue Shield of New Jersey Inc.	Horizon Medicare Blue Value w/ Rx Enhanced (HMO) (H3154-016)	HMO
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $84.7 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $0 to $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Horizon Blue Cross Blue Shield of New Jersey Inc.	Horizon Medicare Blue TotalCare (HMO SNP) (H3154-020)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit. All plan services included. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. Contact plan for details regarding cost sharing $0 monthly plan premium* Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.*
UnitedHealthcare Community Plan	UnitedHealthcare Dual Complete (HMO SNP) (H3164-003)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply. ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services.* $36 monthly plan premium in addition to your monthly Medicare Part B premium.* Doctor Office Visits 0% or 20% of the cost for each primary care doctor visit for Medicare-covered benefits.* 0% or 20% of the cost for each in-area network urgent care Medicare-covered visit* 0% or 20% of the cost for each specialist visit for Medicare-covered benefits.*
Amerigroup Community Care	Amerivantage Balance + Rx (HMO) (H3240-010)	HMO
Premium and Other Important Information $1 100 annual deductible. Contact the plan for services that apply. $3 400 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $5 copay for each primary care doctor visit for Medicare-covered benefits. $5 copay for each in-area network urgent care Medicare-covered visit $20 copay for each specialist visit for Medicare-covered benefits.
Amerigroup Community Care	Amerivantage Specialty + Rx (HMO SNP) (H3240-013)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. $0 monthly plan premium* Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.*
Aetna Medicare	Aetna Medicare Standard Plan (PPO) (H5521-037)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $1 000 annual deductible. Contact the plan for services that apply. $10 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $75 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $20 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits. 30% of the cost for each primary care doctor visit 30% of the cost for each specialist visit
Aetna Medicare	Aetna Medicare Premier Plan (PPO) (H5521-038)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $500 annual deductible. Contact the plan for services that apply. $10 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $156 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. 35% of the cost for each primary care doctor visit 35% of the cost for each specialist visit
Healthfirst NJ Medicare Plan	Healthfirst NJ Medicare Plus Plan (HMO) (H7015-001)	HMO
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Healthfirst NJ Medicare Plan	Healthfirst NJ Increased Benefits Plan (HMO) (H7015-002)	HMO
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $36 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Healthfirst NJ Medicare Plan	Healthfirst NJ Coordinated Benefits Plan (HMO) (H7015-003)	HMO
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Healthfirst NJ Medicare Plan	Healthfirst NJ Maximum Plan (HMO SNP) (H7015-004)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services.* $36 monthly plan premium in addition to your monthly Medicare Part B premium.* Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits.* 0% or 20% of the cost for each in-area network urgent care Medicare-covered visit* 0% or 20% of the cost for each specialist visit for Medicare-covered benefits.*

New Jersey Plan Data by County

• Atlantic, NJ Medicare Advantage Plans
• Bergen, NJ Medicare Advantage Plans
• Burlington, NJ Medicare Advantage Plans
• Camden, NJ Medicare Advantage Plans
• Cape May, NJ Medicare Advantage Plans
• Cumberland, NJ Medicare Advantage Plans
• Essex, NJ Medicare Advantage Plans
• Gloucester, NJ Medicare Advantage Plans
• Hudson, NJ Medicare Advantage Plans
• Hunterdon, NJ Medicare Advantage Plans
• Mercer, NJ Medicare Advantage Plans

• Middlesex, NJ Medicare Advantage Plans
• Monmouth, NJ Medicare Advantage Plans
• Morris, NJ Medicare Advantage Plans
• Ocean, NJ Medicare Advantage Plans
• Passaic, NJ Medicare Advantage Plans
• Salem, NJ Medicare Advantage Plans
• Somerset, NJ Medicare Advantage Plans
• Sussex, NJ Medicare Advantage Plans
• Union, NJ Medicare Advantage Plans
• Warren, NJ Medicare Advantage Plans

New Jersey Plan Data by City

• Elizabeth, NJ Medicare Advantage Plans
• Jersey City, NJ Medicare Advantage Plans

• Newark, NJ Medicare Advantage Plans
• Paterson, NJ Medicare Advantage Plans