Medicare Advantage plans in Sussex County, NJ: what changed for 2027
For 2027, Sussex County in New Jersey has 24 Medicare Advantage plans that include drug coverage, compared with 24 in 2026, according to the CMS plan landscape files.
Companies no longer offering Advantage plans here in 2027
- Health Care Service Corporation
- Horizon Mutual Holdings, Inc
If you are in one of their plans, you should have received a notice. You can choose a new plan during Open Enrollment, and special enrollment rules can apply when a plan leaves your area.
Companies newly offering Advantage plans here in 2027
- Devoted Health, Inc.
- Humana Inc.
6 Advantage plan IDs (not counting Special Needs or Cost plans) listed here for 2026 are not in the 2027 file and 6 plan IDs are new. Some of these are the same plan renamed or merged, so check the Annual Notice of Change from your plan.
How many people here are in Medicare Advantage
In October 2026, 12,079 of the 35,366 people eligible for Medicare in Sussex County were enrolled in a Medicare Advantage or other Medicare health plan, 34.2%. A year earlier it was 11,728 of 34,321 (34.2%).
CMS counts enrollees in all Medicare health plans, including Advantage, cost and PACE plans, by the county where they live.
Before you choose a plan
Compare plans for your ZIP code, drugs and doctors on the official Medicare Plan Finder, or call 1-800-MEDICARE (1-800-633-4227). Free, unbiased counselling is available from your State Health Insurance Assistance Program at shiphelp.org.
Advantage plans with drug coverage for 2027 (24)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS) | UnitedHealthcare | HMO-POS | $0 | $7,150 | 3.5 of 5 |
| AARP Medicare Advantage Extras from UHC NJ-7 (HMO-POS) | UnitedHealthcare | HMO-POS | $0 | $7,150 | 3.5 of 5 |
| Aetna Medicare Prime (HMO-POS) | Aetna Medicare | HMO-POS | $0 | $9,850 | 4 of 5 |
| Aetna Medicare Prime (PPO) | Aetna Medicare | PPO | $0 | $9,850 | 4 of 5 |
| Aetna Medicare Prime Giveback (PPO) | Aetna Medicare | PPO | $0 | $9,850 | 4 of 5 |
| Clover Health Choice (PPO) | Clover Health | PPO | $0 | $9,850 | 5 of 5 |
| Clover Health Choice Giveback (PPO) | Clover Health | PPO | $0 | $9,850 | 5 of 5 |
| DEVOTED CHOICE 001 NJ (PPO) | Devoted Health | PPO | $0 | $9,350 | Plan Too New To Be Measured |
| DEVOTED CHOICE GIVEBACK 002 NJ (PPO) | Devoted Health | PPO | $0 | $9,850 | Plan Too New To Be Measured |
| DEVOTED CHOICE GIVEBACK EXTRAS 006 NJ (PPO) | Devoted Health | PPO | $0 | $9,650 | Plan Too New To Be Measured |
| HumanaChoice Giveback H7617-127 (PPO) | Humana | PPO | $0 | $8,250 | 4.5 of 5 |
| Wellcare Assist (HMO-POS) | Wellcare | HMO-POS | $0 | $9,250 | 3 of 5 |
| Aetna Medicare Elite (HMO) | Aetna Medicare | HMO | $25.00 | $9,850 | 4 of 5 |
| AARP Medicare Advantage from UHC NJ-6 (PPO) | UnitedHealthcare | PPO | $29.00 | $9,400 | 4 of 5 |
| Wellcare Low Premium (HMO-POS) | Wellcare | HMO-POS | $35.00 | $9,250 | 3 of 5 |
| Clover Health Choice Value (PPO) | Clover Health | PPO | $36.30 | $9,850 | 5 of 5 |
| HumanaChoice H5216-461 (PPO) | Humana | PPO | $36.30 | $9,250 | 4 of 5 |
| AARP Medicare Advantage from UHC NJ-0004 (PPO) | UnitedHealthcare | PPO | $69.00 | $8,900 | 4 of 5 |
| AARP Medicare Advantage from UHC NJ-0002 (HMO-POS) | UnitedHealthcare | HMO-POS | $79.00 | $7,150 | 3.5 of 5 |
| AARP Medicare Advantage from UHC NJ-0005 (PPO) | UnitedHealthcare | PPO | $79.00 | $8,400 | 4 of 5 |
| Aetna Medicare Prime Extra (PPO) | Aetna Medicare | PPO | $84.00 | $9,850 | 4 of 5 |
| Aetna Medicare Signature (HMO) | Aetna Medicare | HMO | $109.00 | $9,850 | 4 of 5 |
| AARP Medicare Advantage from UHC NJ-0003 (HMO-POS) | UnitedHealthcare | HMO-POS | $115.00 | $6,900 | 3.5 of 5 |
| Aetna Medicare Enhanced (Regional PPO) | Aetna Medicare | Regional PPO | $149.00 | $9,850 | 4 of 5 |
Advantage plans without drug coverage for 2027 (6)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| AARP Medicare Advantage Patriot No Rx NJ-MA01 (HMO-POS) | UnitedHealthcare | HMO-POS | Not listed | $7,150 | 3.5 of 5 |
| AARP Medicare Advantage Patriot No Rx NJ-MA2 (PPO) | UnitedHealthcare | PPO | Not listed | $7,150 | 4 of 5 |
| Aetna Medicare Eagle Giveback (HMO) | Aetna Medicare | HMO | Not listed | $9,850 | 4 of 5 |
| Aetna Medicare Eagle Giveback (PPO) | Aetna Medicare | PPO | Not listed | $9,850 | 4 of 5 |
| Clover Health Valor (PPO) | Clover Health | PPO | Not listed | $9,850 | 5 of 5 |
| Humana USAA Honor Giveback (PPO) | Humana | PPO | Not listed | $6,750 | 4 of 5 |
Special Needs Plans for 2027 (9)
| Plan | Company | Type | Monthly premium | In-network out-of-pocket limit | Star rating |
|---|---|---|---|---|---|
| Aetna Medicare FIDE (HMO D-SNP) | Aetna Medicare | HMO D-SNP · Dual-Eligible | $0 | $9,850 | 3 of 5 |
| DEVOTED C-SNP CHOICE ENHANCED 004 NJ (PPO C-SNP) | Devoted Health | PPO C-SNP · Chronic or Disabling Condition | $0 | $9,850 | Plan Too New To Be Measured |
| DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 005 NJ (PPO C-SNP) | Devoted Health | PPO C-SNP · Chronic or Disabling Condition | $0 | $9,650 | Plan Too New To Be Measured |
| DEVOTED C-SNP CHOICE PLUS 003 NJ (PPO C-SNP) | Devoted Health | PPO C-SNP · Chronic or Disabling Condition | $0 | $9,850 | Plan Too New To Be Measured |
| UHC Complete Care NJ-8 (HMO-POS C-SNP) | UnitedHealthcare | HMO-POS C-SNP · Chronic or Disabling Condition | $0 | $7,150 | 3.5 of 5 |
| UHC Dual Complete NJ-Y001 (HMO D-SNP) | UnitedHealthcare | HMO D-SNP · Dual-Eligible | $4.10 | $9,850 | 3 of 5 |
| Wellcare Fidelis Dual Align (HMO D-SNP) | Wellcare | HMO D-SNP · Dual-Eligible | $28.40 | $9,850 | 3 of 5 |
| Wellpoint Full Dual Advantage (HMO D-SNP) | Wellpoint | HMO D-SNP · Dual-Eligible | $30.70 | $9,850 | 3 of 5 |
| Horizon NJ TotalCare (HMO D-SNP) | Horizon Blue Cross Blue Shield of New Jersey | HMO D-SNP · Dual-Eligible | $36.30 | $9,850 | 4 of 5 |
Stand-alone Part D drug plans are offered statewide: see New Jersey drug plans.
Sources
- Centers for Medicare & Medicaid Services, CY2027 Medicare Advantage and Part D Landscape file (data last updated 18 October 2026)
- Centers for Medicare & Medicaid Services, CY2026 Medicare Advantage and Part D Landscape file (September 2026 release)
- Centers for Medicare & Medicaid Services, MA State/County Penetration files, October 2026 and October 2025
Checked 29 October 2026. Plans and premiums can change before 1 January 2027. Confirm any plan on Medicare.gov before you enrol.