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New Jersey MedicareAdvantage Plans

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Medicare Advantage Plans in Ocean County, New Jersey

Below are Medicare Advantage plans available to residents of Ocean county, New Jersey. 5 carriers offer 18 plans throughout the county of Ocean. Residents may choose plans from carriers such as UnitedHealthcare, Aetna Medicare and Horizon Blue Cross Blue Shield of New Jersey Inc.. 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 Ocean county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Ocean

Carrier Plan Title Plan Type
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.
        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

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