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Medicare Advantage Plans in Somerset County, New Jersey

Below are Medicare Advantage plans available to residents of Somerset county, New Jersey. 3 carriers offer 12 plans throughout the county of Somerset. Residents may choose plans from UnitedHealthcare, Horizon Blue Cross Blue Shield of New Jersey Inc. or Healthfirst NJ Medicare Plan. 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 Somerset county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Somerset

Carrier	Plan Title	Plan Type
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.
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.*
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
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• Somerset, NJ Medicare Advantage Plans
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New Jersey Plan Data by City

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