Medicare Advantage Plans for New Jersey

1,512,462 Total Medicare Advantage Enrollees

OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? New Jersey Enrollees
Humana HumanaChoice H5216-342 (PPO)
H5216-342-0 		Local PPO No $0 Yes No No Yes No No 1,895
Clover Health Clover Health Value (HMO)
H8010-003-0 		HMO $75 per Quarter No $300 Yes No No Yes No No 1,788
Braven Health Braven Medicare Choice (PPO)
H0885-003-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 1,729
Humana HumanaChoice H5216-186 (PPO)
H5216-186-0 		Local PPO $50 per Quarter Yes $200 Yes No No Yes No No 1,678
Aetna Medicare Aetna Medicare Elite 3 (HMO)
H3152-088-0 		HMO No $0 Yes $2,500 No No Yes No No 1,587
Aetna Medicare Aetna Medicare Explorer Premier Plus (HMO-POS)
H3152-048-0 		HMOPOS $45 per Quarter No $180 Yes $2,500 No No Yes No No 1,332
Braven Health Braven Medicare Group (PPO)
H0885-801-0 		Local PPO No $0 No 1,307
Braven Health Braven Medicare Choice (PPO)
H0885-004-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 1,304
Braven Health Braven Medicare Plus (HMO)
H4675-001-0 		HMO $70 per Quarter No $280 Yes $1,250 No No No No No 1,284
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-033-0 		Local PPO $100 per Quarter No $400 Yes No No Yes No No 1,266
Braven Health Braven Medicare Choice (PPO)
H0885-006-0 		Local PPO $70 per Quarter No $280 Yes No No Yes No No 1,219
Humana HumanaChoice H5216-319 (PPO)
H5216-319-0 		Local PPO No $0 Yes No No Yes No No 1,144
Aetna Medicare Aetna Medicare Premier (Regional PPO)
R6694-006-0 		Regional PPO No $0 Yes $2,500 No No Yes No No 1,128
Aetna Medicare Aetna Medicare Value Plan (PPO)
H5521-390-0 		Local PPO $60 per Quarter No $240 Yes $2,500 No No Yes No No 1,100
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 1,083
Aetna Medicare Aetna Medicare Explorer Premier 2 (PPO)
H5521-124-0 		Local PPO No $0 Yes $2,500 No No Yes No No 1,073
UnitedHealthcare AARP Medicare Advantage Patriot (HMO-POS)
H0755-037-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 1,027
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 1,025
Humana HumanaChoice H5216-172 (PPO)
H5216-172-0 		Local PPO No $0 Yes No No Yes No No 991
Aetna Medicare Aetna Medicare Eagle (HMO)
H3152-045-0 		HMO $45 per Quarter No $180 Yes $2,500 No No Yes No No 978
Humana Humana Honor (PPO)
H5216-221-0 		Local PPO $150 per Quarter Yes $600 Yes No No Yes No No 974
Aetna Medicare Aetna Medicare Prime Premier (PPO)
H5521-275-0 		Local PPO No $0 Yes $2,500 No No Yes No No 968
Wellpoint Amerivantage Dual Secure (HMO-POS D-SNP)
H3240-024-0 		HMOPOS $0 per Month No $0 No 846
Longevity Health Plan Longevity Health Plan (PPO I-SNP)
H9942-001-0 		Local PPO $200 per Quarter No $800 Yes $2,000 Yes No No Yes No 817
Humana Humana Honor (PPO)
H5216-174-0 		Local PPO $60 per Quarter Yes $240 Yes No No Yes No No 742
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 671
Aetna Medicare Aetna Medicare Prime Value (PPO)
H5521-392-0 		Local PPO $45 per Quarter No $180 Yes $2,500 No No Yes No No 618
Braven Health Braven Medicare Freedom (PPO)
H0885-002-0 		Local PPO $85 per Quarter No $340 Yes No No Yes No No 606
Braven Health Braven Medicare Group w/Rx (PPO)
H0885-802-0 		Local PPO No $0 No 593
Wellcare Wellcare Giveback (HMO)
H0913-021-0 		HMO No $0 No 587
Aetna Medicare Aetna Medicare Explorer Elite 2 (HMO)
H3152-092-0 		HMO No $0 Yes $2,500 No No Yes No No 571
Humana HumanaChoice H5216-320 (PPO)
H5216-320-0 		Local PPO No $0 Yes No No Yes No No 508
Aetna Medicare Aetna Medicare Plan w/Rx (HMO)
H3152-804-0 		HMO No $0 No 476
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 470
Aetna Medicare Aetna Medicare Explorer Elite (PPO)
H5521-295-0 		Local PPO No $0 Yes $2,500 No No Yes No No 392
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 375
Cigna Healthcare Cigna Preferred Medicare (HMO)
H3949-034-0 		HMO $130 per Quarter No $520 Yes No No Yes No No 346
UnitedHealthcare Erickson Advantage Signature with Drugs (HMO-POS)
H5652-001-0 		HMOPOS $60 per Quarter No $240 Yes Yes No Yes Yes No 339
Clover Health Clover Health LiveHealthy (PPO)
H5141-058-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 338
Wellpoint Amerivantage ESRD Care (HMO-POS C-SNP)
H3240-017-0 		HMOPOS $150 per Quarter Yes $600 Yes $2,000 Yes No Yes Yes No 327
Cigna Healthcare Cigna True Choice Medicare (PPO)
H7849-030-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 313
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 291
Aetna Medicare Aetna Medicare Explorer Premier (PPO)
H5521-298-0 		Local PPO No $0 Yes $2,500 No No Yes No No 256
Inspira Health Network LIFE Inspira Health Network LIFE (PACE)
H6887-001-0 		National PACE No $0 No 238
Capital Health LIFE LIFE St. Francis -Dual (PACE)
H1234-001-0 		National PACE No $0 No 233
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 214
Humana Humana Honor (PPO)
H5216-116-0 		Local PPO $100 per Quarter Yes $400 Yes No No Yes No No 212
Beacon of LIFE PACE Beacon of LIFE PACE (PACE)
H9323-001-0 		National PACE No $0 No 200
Wellcare Wellcare Patriot No Premium (HMO)
H0913-020-0 		HMO $63 per Quarter No $252 Yes $2,000 No No Yes Yes No 193
Cigna Healthcare Cigna True Choice Savings Medicare (PPO)
H7849-110-0 		Local PPO No $0 Yes No No Yes No No 191

Top 20 Medicare Advantage Insurance Companyes for New Jersey

Company Total Enrollees Enrollees With OTC Supplement Enrollees With Prescription Hearing Aid Coverage
Aetna Medicare 220,914 26,244 47,361
UnitedHealthcare 208,162 153,899 150,358
Clover Health 71,526 70,432 70,432
Braven Health 36,091 40,096 40,096
Humana 26,936 30,757 39,174
Wellpoint 24,310 18,427 7,181
Horizon Blue Cross Blue Shield of New Jersey 19,159 20,288 0
Wellcare 14,982 11,454 4,914
Cigna Healthcare 5,951 6,569 6,921
Blue Medicare Advantage 3,798 0 0
Aetna Better Health of New Jersey 3,382 4,578 0
Amerigroup Insurance Company 2,655 2,652 2,652
Anthem Blue Cross and Blue Shield 845 0 0
Longevity Health Plan 817 1,232 1,232
Inspira Health Network LIFE 238 0 0
Capital Health LIFE 233 0 0
Independence Blue Cross 220 0 0
Beacon of LIFE PACE 200 0 0
Trinity Health LIFE New Jersey 158 0 0
AtlantiCare LIFE Connection 121 0 0
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