In Jersey City, New Jersey, 563,996 Medicare beneficiaries have enrolled in either an Original Medicare plan or a Medicare Advantage plan. 32.2%, or 181,618 Medicare beneficiaries, have enrolled in a Medicare Advantage plan, leaving 382,378 enrolled in the Original Medicare plan. We will examine the available supplemental plans for Jersey City, New Jersey residents.
Medicare plans in Jersey City, New Jersey
With a Supplemental Medicare insurance plan, enrollees can enjoy the benefits their New Jersey Original Medicare does not provide. They can enroll in either Medigap or Medicare Advantage plans to supplement their Medicare. In Jersey City, the beneficiaries are 56.43 % female, with an average age of 73.
Medicare Advantage plans
There are 181,618 New Jersey Medicare Advantage plan enrollees in Jersey City. New Jersey has 33 Medicare Advantage plans available to residents. The wide availability of plans allows residents to choose from various programs to best suit their needs.
When choosing a plan, it’s key to examine the monthly premiums (how much you’ll pay for the insurance per month) and the deductibles (how much of your medical costs you’ll have to pay before your insurance coverage kicks in). High premiums often mean low deductibles and vice-versa. Also, look at the star rating, a 1-5 scale that tells you how effective a plan typically is.
A Medicare Advantage plan with Humana (HMO) has a 4-star rating and a zero-dollar premium. This plan has a maximum out-of-pocket (MOOP, the maximum amount you can pay for healthcare services in one year, excluding your monthly premiums) of $6,500. This plan is a favorite because of its accessibility all over the country.
Aetna (HMO) is another plan option with a 4-star rating. A plan with Aetna has a zero-dollar premium and a MOOP of $7,550.
UnitedHealthcare (Local PPO) has a MOOP of $7,550 and no monthly premium. Additionally, it’s a 4-star rated plan. These plans typically have higher copays than an HMO.
Another plan is Wellcare (HMO), which features a 3-star rating. This plan also has a zero-dollar monthly premium and a MOOP of $7,550.
The average cost of Medicare Advantage plans in Jersey City, New Jersey
| PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
| Humana | $0 | $6,500 | HMO | 4 |
| Aetna | $0 | $7,550 | HMO | 4 |
| Wellcare | $0 | $7,550 | HMO | 3 |
| $0 | $7,550 | LOCAL PPO | 4 | |
| Clover Health | $0 | $7,550 | HMO | 3 |
Medicare Supplement plans
Medigap plans benefit enrollees because they provide extra coverage for holes in Medicare coverage. The primary difference between the plans offered is the monthly premium, which can range significantly. Coverage remains the same from state to state, so you’ll still be covered if you move.
Plan G is a popular Medigap plan in New Jersey with a monthly premium ranging from $127.58 to $394.92. Many favor this plan because it doesn’t require a monthly deductible for coverage.
Medigap High-Deductible Plan G (HDG) is another popular plan due to its low monthly premiums, ranging from $45.99 to $59.41. However, this plan does require a monthly deductible.
Another monthly deductible plan is High-Deductible Plan F (HDF). This plan ranges from $45.99 to $66.06 in monthly premiums.
The average cost of Medicare Supplement plans in Jersey City, New Jersey
| LETTER PLAN | LOWEST PREMIUM | HIGHEST PREMIUM |
| PLAN A | $103.76 | $272.56 |
| PLAN B | $139.28 | $340.37 |
| PLAN C | $163.58 | $493.31 |
| PLAN D | $126.30 | $335.01 |
| PLAN F | $154.20 | $405.62 |
| PLAN HDF | $45.99 | $66.06 |
| PLAN G | $127.58 | $394.92 |
| PLAN HDG | $45.99 | $59.41 |
| PLAN K | $50.11 | $130.37 |
| PLAN L | $80.56 | $191.50 |
| PLAN M | $93.69 | $185.31 |
| PLAN N | $98.42 | $303.19 |
Medicare Part D prescription drug plans
Unfortunately, no Medigap covers the cost of prescriptions. A Medicare Part D plan is an individual plan that covers the expense of New Jersey medications for Medicare beneficiaries.
A plan with Aetna has the lowest premium for Medicare enrollees in Jersey City, New Jersey, at $7. They have a 3-star rating and a deductible of $480.
The highest premium, at $28.50, comes from a plan with Horizon BCBS. However, it has the lowest deductible of $400 and a 3-star rating.
Humana has a 4-star rating and a monthly premium of $22.70. The deductible for a plan with Humana is $480.
The average cost of Medicare Part D plans in Jersey City, New Jersey
| PLAN | PREMIUM | DEDUCTIBLE | STAR RATING |
| Aetna | $7.00 | $480 | 3 |
| Wellcare | $12.90 | $480 | 3 |
| Clear Spring | $18.70 | $480 | 2 |
| Humana | $22.70 | $480 | 4 |
| Horizon BCBS | $28.50 | $400 | 3 |
Special Needs plans
Medicare Special Needs Plans (SNPs) are available for those who require further coverage due to a chronic disability or other special needs. This plan isn’t open in all areas.
Beneficiaries looking for an SNP can choose Amerigroup (HMO), which has dual-eligibility, zero-dollar premium, and a monthly out-of-pocket (MOOP) rate of $6,700.
Another SNP is Horizon BCBS (HMO), which has dual eligibility, a zero-dollar premium, and a MOOP rate of $6,700.
Lastly, has a zero-dollar premium, dual eligibility, and a MOOP rate of $7,550.
The average cost of Medicare Special Needs plans in Jersey City, New Jersey
| PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
| Amerigroup | $0 | $6,700 | HMO | Dual |
| Horizon BCBS | $0 | $6,700 | HMO | Dual |
| $0 | $7,550 | HMO | Dual | |
| Aetna | $0 | $7,550 | HMO | Dual |
| Wellcare | $0 | $6,700 | HMO | Dual |
How to sign up for Medicare Plans in Jersey City
If you’re ready to get additional coverage for your Medicare plan in Jersey City, New Jersey, we can help you choose the best plan for your needs.
Signing up for a Supplemental Medicare plan is simple. Our knowledgeable and licensed insurance agents will assist you in selecting a Medicare plan with your health needs and budget in mind.
Contact us today via the phone number on our website or by filling out our rate form to get your rate.
