- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Sussex County
- state
- New Jersey
- label
- Total Medicare Advantage plans
- value
- 30
- label
- $0 premium plans
- value
- 17
- label
- HMO plans
- value
- 3
- label
- PPO plans
- value
- 16
- label
- HMO-POS plans
- value
- 11
- label
- PFFS plans
- value
- 0
- label
- Plans with drug coverage
- value
- 24
- label
- Lowest MOOP
- value
- $6,500
- label
- Highest MOOP
- value
- $9,250
- label
- Highest Part B giveback
- value
- $34.00
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Sussex County
- state
- New Jersey
- label
- Total Part D plans
- value
- 12
- label
- $0 premium plans
- value
- 0
- label
- Basic coverage plans
- value
- 6
- label
- Enhanced coverage plans
- value
- 6
- label
- Lowest monthly premium
- value
- $4.40
- label
- Highest monthly premium
- value
- $139.10
- label
- Lowest deductible
- value
- $0
- label
- Highest deductible
- value
- $615
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Sussex County
- state
- New Jersey
- label
- Participating Medigap carriers
- value
- 25
- label
- Lowest sample monthly premium
- value
- $47
- label
- Highest sample monthly premium
- value
- $974
- label
- Plan G lowest sample premium
- value
- $139
- label
- Plan G highest sample premium
- value
- $883
- label
- Plan N lowest sample premium
- value
- $100
- label
- Plan N highest sample premium
- value
- $666
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Sussex County
- state
- New Jersey
- label
- Total Special Needs Plans
- value
- 6
- label
- Dual Eligible Special Needs Plans (D-SNP)
- value
- 6
- label
- Chronic Condition Special Needs Plans (C-SNP)
- value
- 0
- label
- Institutional Special Needs Plans (I-SNP)
- value
- 0
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Sussex County
- state
- New Jersey
- label
- Coverage area
- value
- Sussex County, New Jersey
- label
- Medicare Advantage plans
- value
- 30
- label
- Part D plans
- value
- 12
- label
- Medigap carriers
- value
- 25
- label
- Special Needs Plans
- value
- 6
- label
- D-SNP plans
- value
- 6
- label
- C-SNP plans
- value
- 0
- label
- I-SNP plans
- value
- 0
- label
- CMS Enrollment Data Version
- value
- 2026-07
- methodology
- WebMEM® HTML-in-HTML Semantic Data Template
- status
- Patent Pending. Registered trademark of David W. Bynon
- copyright
- Copyright © 2026 David W. Bynon. All rights reserved.
- county
- Sussex County
- state
- New Jersey
- name
- Aetna Medicare Elite
- plan_id
- H3152-098-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3152-098-0/
- cms_rating
- 4.0
- enrollment
- 1,339
- name
- Aetna Medicare Signature
- plan_id
- H3152-048-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3152-048-0/
- cms_rating
- 4.0
- enrollment
- 835
- name
- Aetna Medicare Eagle Giveback
- plan_id
- H3152-045-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3152-045-0/
- cms_rating
- 4.0
- enrollment
- 655
- name
- Clover Health Choice
- plan_id
- H5141-004-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H5141-004-0/
- cms_rating
- 3.5
- enrollment
- 47,753
- name
- AARP Medicare Advantage from UHC NJ-0005
- plan_id
- H8768-035-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H8768-035-0/
- cms_rating
- 3.5
- enrollment
- 36,288
- name
- AARP Medicare Advantage from UHC NJ-0004
- plan_id
- H8768-022-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H8768-022-0/
- cms_rating
- 3.5
- enrollment
- 30,792
- name
- AARP Medicare Advantage Essentials from UHC NJ-1
- plan_id
- H0755-038-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H0755-038-0/
- cms_rating
- 3.5
- enrollment
- 27,362
- name
- AARP Medicare Advantage Extras from UHC NJ-7
- plan_id
- H0755-046-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H0755-046-0/
- cms_rating
- 3.5
- enrollment
- 13,519
- name
- Aetna Medicare Prime
- plan_id
- H3152-080-0
- plan_url
- https://www.medicare.org/medicare-advantage-plans/plan/H3152-080-0/
- cms_rating
- 4.0
- enrollment
- 6,303
- name
- Wellcare Classic
- plan_id
- S4802-078-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S4802-078-0/
- cms_rating
- 3.5
- enrollment
- 86,538
- name
- Humana Basic Rx Plan
- plan_id
- S5884-131-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S5884-131-0/
- cms_rating
- 3.5
- enrollment
- 77,215
- name
- SilverScript Choice
- plan_id
- S5601-008-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S5601-008-0/
- cms_rating
- 2.5
- enrollment
- 41,093
- name
- Wellcare Value Script
- plan_id
- S4802-139-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S4802-139-0/
- cms_rating
- 3.5
- enrollment
- 182,407
- name
- AARP Medicare Rx Preferred from UHC
- plan_id
- S5921-386-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S5921-386-0/
- cms_rating
- 2.0
- enrollment
- 96,409
- name
- Humana Value Rx Plan
- plan_id
- S5884-183-0
- plan_url
- https://www.medicare.org/medicare-part-d-plans/plan/S5884-183-0/
- cms_rating
- 3.5
- enrollment
- 34,413
- name
- UHC Dual Complete NJ-Y001
- plan_id
- H3113-005-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H3113-005-0/
- cms_rating
- 3.5
- enrollment
- 44,404
- name
- Horizon NJ TotalCare
- plan_id
- H8298-001-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H8298-001-0/
- cms_rating
- 4.0
- enrollment
- 26,154
- name
- Wellpoint Full Dual Advantage
- plan_id
- H3240-013-0
- plan_url
- https://www.medicare.org/medicare-snp-plans/plan/H3240-013-0/
- cms_rating
- 3.0
- enrollment
- 11,923
Understand Your 2026 Medicare Options in Sussex County, NJ
Last update: .
Medicare gives you several ways to get your health and prescription drug coverage. This page explains the Medicare options available in Sussex County, New Jersey, and how each type of coverage works.
Understanding Your Medicare Coverage Choices
Before choosing a Medicare plan, it helps to understand the different ways you can receive Medicare coverage in Sussex County, New Jersey. Your choices may include:
- Original Medicare: Medicare Part A and Part B administered by the federal government, with broad nationwide provider access.
- Medicare Advantage: Private plans that provide your Part A and Part B benefits, often together with prescription drug coverage and additional benefits.
- Part D: Standalone prescription drug plans that can be added to Original Medicare.
- Medigap: Supplemental insurance that works alongside Original Medicare to help with certain deductibles, copayments, and coinsurance.
- SNPs: Specialized Medicare Advantage plans for people who meet certain health, Medicaid, or institutional eligibility requirements.
- Other Options: Coverage or assistance may also be available through VA benefits, employer or retiree plans, and local programs.
The first step is understanding which coverage path fits your situation. From there, you can evaluate the specific plans, costs, benefits, and providers available to you in Sussex County.
Medicare Advantage Plan Options in Sussex County
Medicare Advantage is an alternative to Original Medicare offered by private insurance companies. Plans available in Sussex County provide your Part A and Part B benefits and may also include prescription drug coverage and additional benefits, with costs and provider networks that vary by plan.
| Medicare Advantage Plan Snapshot | Sussex County |
|---|---|
| Total Medicare Advantage plans | 30 |
| $0 premium plans | 17 |
| HMO plans | 3 |
| PPO plans | 16 |
| Plans with drug coverage | 24 |
| Lowest MOOP | $6,500 |
| Highest MOOP | $9,250 |
| Highest Part B giveback | $34.00 |
Highest-Enrollment PPO Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Clover Health Choice | 3.5 ★ | 47,753 |
| AARP Medicare Advantage from UHC NJ-0005 | 3.5 ★ | 36,288 |
| AARP Medicare Advantage from UHC NJ-0004 | 3.5 ★ | 30,792 |
Highest-Enrollment HMO Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| Aetna Medicare Elite | 4.0 ★ | 1,339 |
| Aetna Medicare Signature | 4.0 ★ | 835 |
| Aetna Medicare Eagle Giveback | 4.0 ★ | 655 |
Highest-Enrollment HMO-POS Plans
| Plan | CMS Rating | Enrollment |
|---|---|---|
| AARP Medicare Advantage Essentials from UHC NJ-1 | 3.5 ★ | 27,362 |
| AARP Medicare Advantage Extras from UHC NJ-7 | 3.5 ★ | 13,519 |
| Aetna Medicare Prime | 4.0 ★ | 6,303 |
The Medicare Advantage plans available in Sussex County can differ substantially even when their monthly premiums are similar. Check whether your doctors and hospitals participate, how your prescriptions are covered, and what you could pay for care during the year.
Part D Prescription Drug Options in Sussex County,
Medicare Part D provides prescription drug coverage for people who choose Original Medicare. The plans available in Sussex County can differ in monthly premium, deductible, formulary, pharmacy network, and what you pay for individual medications.
Highest-Enrollment Basic Part D Plans
| Plan | Premium | Deductible | Enrollment |
|---|---|---|---|
| Wellcare Classic | $28.20 | $615 | 86,538 |
| Humana Basic Rx Plan | $4.40 | $615 | 77,215 |
| SilverScript Choice | $97.40 | $615 | 41,093 |
Highest-Enrollment Enhanced Part D Plans
| Plan | Premium | Deductible | Enrollment |
|---|---|---|---|
| Wellcare Value Script | $22.80 | $615 | 182,407 |
| AARP Medicare Rx Preferred from UHC | $118.90 | $130 | 96,409 |
| Humana Value Rx Plan | $35.60 | $601 | 34,413 |
Part D plans can have very different costs for the same prescriptions. Compare each plan's formulary, pharmacy network, deductible, and drug costs based on the medications you actually take.
See Medicare Part D plans in New Jersey
Understanding Medicare Supplement (Medigap) in Sussex County
Medicare Supplement Insurance (Medigap) works alongside Original Medicare to help pay certain out-of-pocket costs, such as deductibles, copayments, and coinsurance. You keep Original Medicare as your primary coverage and can add a separate Part D plan for prescription drugs.
Medigap benefits are standardized by plan letter, but premiums are not. Sample rates from 25 insurers serving Sussex County range from about $47 to more than $974 per month, depending on the plan, insurer, location, and other rating factors.
| Medigap Snapshot | Sussex County |
|---|---|
| Works with Original Medicare | Yes |
| Includes prescription drug coverage | No |
| Requires separate Part D plan | Usually yes |
| Often considered by | Beneficiaries who want broad provider access and predictable cost sharing |
Adding Medigap to Original Medicare can make covered medical expenses more predictable by reducing certain deductibles, copayments, and coinsurance. The amount a policy pays depends on the standardized Medigap plan you choose.
Sample Medigap Plan G Premiums in New Jersey
Sample Plan G premiums in this data range from $139 to $883 per month.
| Carrier | Plan | Low | High |
|---|---|---|---|
| AARP - UnitedHealthcare | G | $156 | $600 |
| Aetna | G | $174 | $599 |
| Allstate | G | $145 | $484 |
| Cigna | G | $148 | $707 |
| Humana | G | $147 | $742 |
| Mutual of Omaha | G | $154 | $490 |
| Wellcare | G | $144 | $513 |
Sample Medigap Plan N Premiums in New Jersey
Sample Plan N premiums in this data range from $100 to $666 per month.
| Carrier | Plan | Low | High |
|---|---|---|---|
| AARP - UnitedHealthcare | N | $106 | $504 |
| Aetna | N | $123 | $457 |
| Allstate | N | $110 | $365 |
| Cigna | N | $100 | $516 |
| Humana | N | $105 | $475 |
| Mutual of Omaha | N | $105 | $356 |
| Wellcare | N | $107 | $420 |
Explore all Medicare Supplement plans in New Jersey for more details.
Understanding Special Needs Plans (SNPs) in Sussex County
Special Needs Plans (SNPs) are Medicare Advantage plans for people who meet specific eligibility requirements. Depending on the plan, eligibility may be based on having both Medicare and Medicaid, living with certain chronic conditions, or needing an institutional level of care.
| SNP Snapshot | Sussex County |
|---|---|
| Total SNP plans | 6 |
| D-SNP plans | 6 |
| C-SNP plans | 0 |
| I-SNP plans | 0 |
Highest-Enrollment D-SNPs
| Plan | CMS Rating | Enrollment |
|---|---|---|
| UHC Dual Complete NJ-Y001 | 3.5 ★ | 44,404 |
| Horizon NJ TotalCare | 4.0 ★ | 26,154 |
| Wellpoint Full Dual Advantage | 3.0 ★ | 11,923 |
Meeting the eligibility requirements for an SNP is only the first step. If you qualify, consider how each available plan covers your doctors, prescriptions, health care needs, and other benefits before choosing a plan.
Other Coverage and Medicare Assistance in Sussex County
Some people have health benefits or assistance beyond Medicare, including VA health care, employer or retiree coverage, and local counseling services. These resources may affect the Medicare coverage you need or provide additional help understanding your options.
| Additional Support Options | Sussex County |
|---|---|
| VA health coverage may coordinate with Medicare | Yes |
| SHIP / local counseling availability | SHIP |
| Local help resource | State Health Insurance Assistance Program |
Choosing Your Medicare Coverage Path
Not sure which Medicare coverage path fits your needs? HealthCompare licensed insurance representatives[1] can help you understand your options in Sussex County. Call 1-833-748-3201 (TTY: 711), M-F 8AM-10PM, Sat 9AM-8PM EST. No obligation.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-07
Figures shown on this page (including plan availability, enrollment, premiums, CMS ratings, and other coverage data) are derived from published source datasets using a standardized aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Drug coverage (part D)" — Last accessed August 2, 2026
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed August 6, 2026
- Medicare.gov, "Joining a plan" — Last accessed August 7, 2026
- Medicare.gov, "What Is Medigap and How Does It Work?" — Last accessed August 6, 2026
Medicare.org is a non-government website and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate Medicare coverage interpretation and resolution.