Medicare Advantage Plans in Sussex County, New Jersey
Below are Medicare Advantage plans available to residents of Sussex county, New Jersey.
2 carriers offer 10 plans throughout the county of Sussex.
Residents may choose plans from
Aetna Medicare or 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 Sussex county that is right for you complete the form at the top of the page.
Medicare Advantage Health Plans in the county of Sussex
| Carrier |
Plan Title |
Plan Type |
| 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.*
|
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