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Medicare plans in Sussex County, NJ — 2027
What agents look up before working a county: plan count, carriers, $0-premium share, star distribution, MOOP range, the 65+ and 60–64 population, and what changed since last year.
In 2027, Sussex County, New Jersey has 50 Medicare plans (24 Medicare Advantage with drug coverage, 6 without, 11 standalone Part D, 9 Special Needs) from 9 carriers. 23 Medicare Advantage plans have a $0 premium. The lowest in-network out-of-pocket maximum is $6,750.
What changed vs 2026
- 2 more plans than 2026
- Carriers entered: Devoted Health
- Carriers exited: Braven Health
- $0-premium plans up 6
- Average star rating up 0.1
Market snapshot
- Residents 65 and older
- 27,656
- Residents 60–64, aging in over the next five years
- 11,159
- Medicare eligibles
- 35,366
- Medicare Advantage penetration
- 34.1%
- Plans per 1,000 residents 65+
- 1.8
Carriers by number of plans
- UnitedHealthcare — 13 plans
- Aetna Medicare — 11 plans
- Devoted Health — 6 plans
- Humana — 6 plans
- Wellcare — 5 plans
- Clover Health — 4 plans
- Horizon Blue Cross Blue Shield of New Jersey — 3 plans
- HealthSpring — 1 plan
Plans sorted by CMS star rating, then premium
| Plan | Carrier | Category | Plan type | Monthly premium | Drug deductible | Out-of-pocket maximum | Star rating |
|---|---|---|---|---|---|---|---|
| Clover Health Choice (PPO) (H5141-004-0) | Clover Health | MA-PD | PPO | $0 | $350 | $9,850 | 5.0 |
| Clover Health Choice Giveback (PPO) (H5141-054-0) | Clover Health | MA-PD | PPO | $0 | $440 | $9,850 | 5.0 |
| Clover Health Valor (PPO) (H5141-061-0) | Clover Health | MA | PPO | $0 | $9,850 | 5.0 | |
| Clover Health Choice Value (PPO) (H5141-007-0) | Clover Health | MA-PD | PPO | $36.30 | $440 | $9,850 | 5.0 |
| HumanaChoice Giveback H7617-127 (PPO) (H7617-127-0) | Humana | MA-PD | PPO | $0 | $700 | $8,250 | 4.5 |
| Humana Basic Rx Plan (PDP) (S5884-131-0) | Humana | PDP | PDP | $28.30 | $700 | 4.5 | |
| Humana Value Rx Plan (PDP) (S5884-183-0) | Humana | PDP | PDP | $65.30 | $687 | 4.5 | |
| Humana Premier Rx Plan (PDP) (S5884-150-0) | Humana | PDP | PDP | $131.20 | $350 | 4.5 | |
| AARP Medicare Advantage Patriot No Rx NJ-MA2 (PPO) (H8768-059-0) | UnitedHealthcare | MA | PPO | $0 | $7,150 | 4.0 | |
| Aetna Medicare Eagle Giveback (HMO) (H3152-045-0) | Aetna Medicare | MA | HMO | $0 | $9,850 | 4.0 |
Showing 10 of 50 plans.
Nearby counties
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About this data
Source: CMS Medicare Advantage/Part D Landscape files, plan year 2027; population: U.S. Census Bureau ACS 5-year 2024; MA penetration: CMS October 2026.
This page summarizes publicly available CMS data. It is not a plan finder and does not recommend plans. To compare and enroll in plans, use Medicare.gov or talk to a licensed agent. Medicare.gov plan finder.