Medicare Advantage PPO plans in New Jersey
There are 39 Medicare Advantage PPO plans in New Jersey from 9 carriers, averaging 4.20 out of 5 stars across the 33 plans CMS has rated. 51% of those with a published premium charge $0 a month (20 of 39); beyond the premium, what separates them is network, drug coverage and how much you could owe in a bad year.
Across the 39 PPO plans in New Jersey that publish one, the in-network out-of-pocket maximum sits at $9,850 for most plans, which is also the highest in the state — the ceiling on what you pay in a year for covered in-network care. The mean is $9,017, which sits below the median — the spread is not symmetric, so the median is the better guide.
New Jersey has 9 five-star Medicare Advantage PPO plans.
Of the 39 PPO plans here, 9 carry CMS's top overall rating of 5 stars and 30 rate 4 or above. That matters beyond quality: a 5-star plan can be joined at almost any point in the year through a special enrollment period, rather than only during the autumn window.
Most PPO plans in New Jersey rate 4 stars or better.
30 of 39 plans here carry an overall rating of at least 4 stars. Where ratings cluster this high they stop being a useful way to sort plans — network, drug coverage and out-of-pocket limits will separate these more than the star count will.
Not sure whether Medicare Advantage suits you at all? Medicare Advantage vs Original Medicare covers the trade in plain language.
Top-rated PPO plans in New Jersey
| Plan | Stars | Out-of-pocket max | Premium / mo |
|---|---|---|---|
| Longevity Health Plan (PPO I-SNP)Longevity Health Plan · Institutional SNP | 5★ | $4,500 | $172 |
| Clover Health Choice (PPO)Clover Health | 5★ | $9,850 | $0 |
| Clover Health Choice Giveback (PPO)Clover Health | 5★ | $9,850 | $0 |
| Clover Health Choice Value (PPO)Clover Health | 5★ | $9,850 | $36.30 |
| Clover Health Valor (PPO)Clover Health | 5★ | $9,850 | $0 |
Showing 5 of 39. See all New JerseyMedicare Advantage plans →
PPO plans by carrier
| Carrier | Plans | Avg stars | SNPs |
|---|---|---|---|
| Aetna MedicareCVS Health Corporation | 10 | 4.0 | — |
| HumanaHumana Inc. | 7 | 4.1 | — |
| Clover HealthClover Health Holdings, Inc. | 6 | 5.0 | — |
| Devoted HealthDevoted Health, Inc. | 6 | — | 3 |
| UnitedHealthcareUnitedHealth Group, Inc. | 5 | 4.2 | 1 |
| Longevity Health PlanLongevity Health Founders, LLC | 2 | 5.0 | 2 |
| AmeriHealthIndependence Health Group, Inc. | 1 | 3.0 | — |
| HealthSpringHealth Care Service Corporation | 1 | 3.0 | — |
| Jefferson Health PlansThomas Jefferson University | 1 | 2.5 | — |
How PPO compares
States with similar PPO star ratings
New Jersey Medicare Advantage PPO plans, answered
How much do Medicare Advantage PPO plans cost in New Jersey?
What are the star ratings for New Jersey PPO plans?
How many Medicare Advantage PPO plans are available in New Jersey?
Do New Jersey PPO plans include prescription drug coverage?
What is a Special Needs Plan, and are there any in New Jersey?
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