Best Point Pleasant Beach, New Jersey Medicare Companies & Plans (2024)
Point Pleasant Beach, New Jersey Medicare plans include Advantage plans from private health insurance companies as well as standalone Part D prescription drug coverage. For those that prefer original Medicare, Point Pleasant Beach, NJ supplemental plans are also available. Medicare plans in Point Pleasant Beach, New Jersey are sold by both large national companies and local insurers.
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It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
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UPDATED: Dec 22, 2024Fact Checked
The Highlights
- You can buy Medicare supplement coverage in Point Pleasant Beach, New Jersey if you have original Medicare and want coverage for out-of-pocket costs
- Medicare Advantage plans are available in Point Pleasant Beach with both PPO and HMO networks
- Options for Medicare supplement in Point Pleasant Beach, New Jersey include Medigap Plan C and Medigap Plan N
If you’re eligible for Medicare in Point Pleasant Beach, New Jersey, you have a lot of choices. Major health insurance companies provide Point Pleasant Beach, New Jersey Medicare Advantage plans with a variety of coverage options to choose from. You can choose a plan that includes Point Pleasant Beach, NJ Part D coverage or buy prescription coverage as a standalone policy.
Point Pleasant Beach, New Jersey Medicare supplement plans are available from a number of companies if you choose to stick with original Medicare. These plans can pay for the out-of-pocket costs that Point Pleasant Beach original Medicare plans don’t cover, like coinsurance and deductibles.
Ready to buy Point Pleasant Beach, New Jersey Medicare coverage? Enter your ZIP code to compare Point Pleasant Beach, NJ Medicare options available to you right now.
Medicare Advantage Companies in Point Pleasant Beach, New Jersey
Medicare Advantage in Point Pleasant Beach, New Jersey is offered by some of the same local health insurance companies you may have been covered by before. Take a look at which companies in Point Pleasant Beach, NJ offer Medicare Advantage as well as which plans they offer to find the coverage and provider network that’s best for you.
Read More: Best Medicare Companies
Medicare Advantage Companies in Point Pleasant Beach, New Jersey
| Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|---|---|
| AARP Medicare Advantage Choice (PPO) – H8768-022-0 | $0.00 | $240 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 28% | $6,700 |
| AARP Medicare Advantage Patriot (HMO) – H0755-037-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| AARP Medicare Advantage Plan 1 (HMO) – H0755-040-1 | $0.00 | $240 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 28% | $6,700 |
| AARP Medicare Advantage Plan 2 (HMO) – H0755-038-0 | $0.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $6,700 |
| AARP Medicare Advantage Plan 3 (HMO) – H0755-041-1 | $39.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% | $6,700 |
| AARP Medicare Advantage Plan 4 (HMO) – H0755-042-1 | $81.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 30% | $6,700 |
| Aetna Assure Premier Plus (HMO D-SNP) – H6399-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | n/a |
| Aetna Medicare Eagle (HMO) – H3152-045-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,550 |
| Aetna Medicare Explorer Premier (HMO) – H3152-022-0 | $114.00 | $100 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $7,550 |
| Aetna Medicare Explorer Premier (PPO) – H5521-037-0 | $104.00 | $100 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $7,550 |
| Aetna Medicare Explorer Premier Plus (PPO) – H5521-278-0 | $36.00 | $200 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $7,550 |
| Aetna Medicare Explorer Value (HMO) – H3152-082-0 | $0.00 | $195 . Tier 1, 2 and 3 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $7,550 |
| Aetna Medicare Premier (Regional PPO) – R6694-006-0 | $98.00 | $100 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $7,550 |
| Aetna Medicare SNJ Prime Elite (PPO) – H5521-123-0 | $49.00 | $100 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $7,550 |
| Aetna Medicare Value 2 (HMO) – H3152-088-0 | $0.00 | $300 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $7,550 |
| Amerivantage Balance (HMO) – H3240-021-0 | $37.30 | $445 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $13.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | $7,550 |
| Amerivantage Classic (HMO) – H3240-022-0 | $0.00 | $200 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $4.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 29%, Select Care Drugs: $0.00 | $6,950 |
| Amerivantage Dual Coordination (HMO D-SNP) – H3240-013-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | n/a |
| Amerivantage Dual Secure (HMO-POS D-SNP) – H3240-024-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $43.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | n/a |
| Amerivantage ESRD Care (HMO-POS C-SNP) – H3240-017-0 | $27.10 | $160 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $94.00, Specialty Tier: 30%, Select Care Drugs: $0.00 | n/a |
| Braven Medicare Choice (PPO) – H0885-001-0 | $0.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $6,700 |
| Braven Medicare Freedom (PPO) – H0885-002-0 | $35.00 | $100 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $6,500 |
| Braven Medicare Plus (HMO) – H4675-001-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $6,500 |
| Cigna Preferred Medicare (HMO) – H3949-034-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $7,100 |
| Cigna True Choice Plus Medicare (PPO) – H7849-030-0 | $39.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $7,250 |
| Clover Health Choice (PPO) – H5141-032-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $7,550 |
| Clover Health Choice Value (PPO) – H5141-042-0 | $37.30 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: 22%, Preferred Brand: 22%, Non-Preferred Drug: 25%, Specialty Tier: 25% | $7,550 |
| Horizon Medicare Blue Advantage (HMO) – H3154-029-0 | $26.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00, Generic: $9.00, Preferred Brand: $40.00, Non-Preferred Drug: 35%, Specialty Tier: 28% | $6,700 |
| Horizon NJ TotalCare (HMO D-SNP) – H8298-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00 | n/a |
| Longevity Health Plan (PPO I-SNP) – H9942-001-0 | $37.30 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25% | n/a |
| UnitedHealthcare Dual Complete ONE (HMO D-SNP) – H3113-005-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | n/a |
| UnitedHealthcare Nursing Home Plan (HMO I-SNP) – H5322-003-0 | $35.80 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
| UnitedHealthcare Nursing Home Plan (PPO I-SNP) – H0710-026-0 | $36.20 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
| WellCare Absolute (PPO) – H8711-002-0 | $0.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $7,550 |
| WellCare Compass (HMO) – H0913-015-0 | $28.20 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 25% | $6,700 |
| WellCare Liberty (HMO D-SNP) – H0913-013-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $43.00, Non-Preferred Drug: 43%, Specialty Tier: 25% | n/a |
| WellCare Premier (PPO) – H8711-001-0 | $0.00 | $150 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 30% | $7,550 |
| WellCare Value (HMO-POS) – H0913-002-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 33% | $7,550 |
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Medicare Supplement Companies in Point Pleasant Beach, New Jersey
Original Medicare leaves you with some out-of-pocket costs such as deductibles and coinsurance. With a Point Pleasant Beach, New Jersey Medicare supplement plan, you can get coverage for some or all of those costs. Medicare supplement plans in New Jersey are standardized, but companies can choose which plans they will sell. Take a look at which companies sell Medicare supplement (Medigap) insurance and which plans they offer.
Medicare Supplement Companies in Point Pleasant Beach, New Jersey
| Company | Plans |
|---|---|
| AARP – UnitedHealthcare Insurance Company (Level 1) | Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Level 1/Household) | Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Level 2) | Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Level 2/Household) | Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Aetna Health Insurance Company | Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Colonial Penn Life Insurance Company | Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan M, Medigap Plan N |
| Colonial Penn Life Insurance Company (Substandard) | Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan M, Medigap Plan N |
| Humana (Humana Insurance Company) | Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Humana (Humana Insurance Company) (Household) | Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Transamerica Life Insurance Company (Direct) | Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan M, Medigap Plan N |
| United States Fire Insurance Company | Medigap Plan B, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Accendo Insurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Americo Financial Life and Annuity Insurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Americo Financial Life and Annuity Insurance Company (Class 1) | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Amerihealth Ins Co of NJ | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Bankers Fidelity Life Insurance Company (Preferred) | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Bankers Fidelity Life Insurance Company (Standard) | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Capitol Life Insurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Central States Health and Life Co. of Omaha | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Cigna Health & Life Insurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Federal Life Insurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Horizon Blue Cross Blue Shield of New Jersey (Preferred) | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan N |
| Horizon Blue Cross Blue Shield of New Jersey (Standard) | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan N |
| Humana Achieve (Humana Benefit Plan of Illinois, Inc.) | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Humana Achieve (Humana Benefit Plan of Illinois, Inc.) (Household) | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Humana Value (HumanaDental Insurance Company) | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Humana Value (HumanaDental Insurance Company) (Household) | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Lumico Life Insurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Manhattan Life Assurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| National Guardian Life Insurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| National Health Insurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| National Health Insurance Company (Household) | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Omaha Insurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Pan-American Life Insurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Philadelphia American Life Insurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan M, Medigap Plan N |
| Prosperity Life Group | Medigap Plan C, Medigap Plan F, Medigap Plan G |
| Royal Arcanum | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Shenandoah Life Insurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Union Security Insurance Company | Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| United American Insurance Company | Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
Read more: Best New Jersey Medicare Supplement Companies & Plans
Point Pleasant Beach, New Jersey Standard Medicare Plan Coverage
Wondering what’s covered by each of the standard New Jersey Medicare supplement plans? Take a look at all of the Point Pleasant Beach, New Jersey Medicare supplement plans with coverage details.
Point Pleasant Beach, New Jersey Standard Medicare Plan Coverage
| Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
|---|---|---|---|---|
| Medigap Plan A | Premiums range from $95-$587 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan B | Premiums range from $130-$692 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan C | Premiums range from $164-$871 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan D | Premiums range from $120-$683 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan F | Premiums range from $150-$732 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan F-high deductible | Premiums range from $46-$217 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G | Premiums range from $121-$842 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G-high deductible | Premiums range from $46-$190 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan K | Premiums range from $50-$364 depending on your age, sex, health status, and when you buy. | 10% Generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan L | Premiums range from $74-$508 depending on your age, sex, health status, and when you buy. | 5% Generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan M | Premiums range from $94-$588 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan N | Premiums range from $96-$568 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services with some $20 and $50 copays | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Standalone Medicare Part D Plans in Point Pleasant Beach, New Jersey
Prescription drug coverage for Medicare in Point Pleasant Beach, New Jersey is covered by a Part D plan. You can purchase Part D coverage in Point Pleasant Beach, New Jersey as a standalone plan if it’s not included in your Medicare Advantage coverage. Take a look at the options for standalone Part D plans here.
Standalone Medicare Part D Plans in Point Pleasant Beach, New Jersey
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 179 – 0 by Aetna Medicare |
Monthly Premium: $7.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 49% Tier 5: 25% |
| Clear Spring Health Premier Rx (PDP) S6946 – 030 – 0 by Clear Spring Health |
Monthly Premium: $13.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 38% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 173 – 0 by WellCare |
Monthly Premium: $14.80 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $41.00 Tier 4: 48% Tier 5: 25% |
| WellCare Value Script (PDP) S4802 – 139 – 0 by WellCare |
Monthly Premium: $16.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 49% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 183 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 16% Tier 4: 34% Tier 5: 25% |
| Horizon Medicare Blue Rx Saver (PDP) S5993 – 007 – 0 by Horizon Blue Cross Blue Shield of New Jersey |
Monthly Premium: $23.50 Annual Deductable: $150 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 45% Tier 5: 30% |
| Cigna Secure-Essential Rx (PDP) S5617 – 283 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 41% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 073 – 0 by Mutual of Omaha Rx |
Monthly Premium: $26.00 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 45% Tier 5: 25% |
| Express Scripts Medicare – Saver (PDP) S5660 – 220 – 0 by Express Scripts Medicare |
Monthly Premium: $27.70 Annual Deductable: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| WellCare Medicare Rx Select (PDP) S5810 – 278 – 0 by WellCare |
Monthly Premium: $28.50 Annual Deductable: $345 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 26% |
| Clear Spring Health Value Rx (PDP) S6946 – 001 – 0 by Clear Spring Health |
Monthly Premium: $29.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 34% Tier 5: 25% |
| Express Scripts Medicare – Value (PDP) S5660 – 106 – 0 by Express Scripts Medicare |
Monthly Premium: $32.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $24.00 Tier 4: 49% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 386 – 0 by UnitedHealthcare |
Monthly Premium: $32.80 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 008 – 0 by Aetna Medicare |
Monthly Premium: $33.60 Annual Deductable: $300 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 40% Tier 5: 27% |
| WellCare Classic (PDP) S4802 – 078 – 0 by WellCare |
Monthly Premium: $33.90 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $30.00 Tier 4: 34% Tier 5: 25% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 349 – 0 by UnitedHealthcare |
Monthly Premium: $34.90 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $28.00 Tier 4: 40% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5884 – 131 – 0 by Humana |
Monthly Premium: $35.40 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 038 – 0 by WellCare |
Monthly Premium: $35.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 36% Tier 5: 25% |
| Medicare Rx Basic (PDP) S5960 – 167 – 0 by UniCare |
Monthly Premium: $52.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $43.00 Tier 4: 30% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 249 – 0 by Cigna |
Monthly Premium: $55.50 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Elixir RxPlus (PDP) S7694 – 004 – 0 by Elixir Insurance |
Monthly Premium: $55.90 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 28% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 018 – 0 by Cigna |
Monthly Premium: $63.20 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $44.00 Tier 4: 50% Tier 5: 25% |
| Horizon Medicare Blue Rx Standard (PDP) S5993 – 001 – 0 by Horizon Blue Cross Blue Shield of New Jersey |
Monthly Premium: $65.30 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $9.00 Tier 3: $28.00 Tier 4: 40% Tier 5: 25% |
| Humana Premier Rx Plan (PDP) S5884 – 150 – 0 by Humana |
Monthly Premium: $66.50 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| Express Scripts Medicare – Choice (PDP) S5660 – 207 – 0 by Express Scripts Medicare |
Monthly Premium: $76.80 Annual Deductable: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 47% Tier 5: 31% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 127 – 0 by WellCare |
Monthly Premium: $78.80 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 46% Tier 5: 33% |
| SilverScript Plus (PDP) S5601 – 009 – 0 by Aetna Medicare |
Monthly Premium: $83.80 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 48% Tier 5: 33% |
| AARP MedicareRx Preferred (PDP) S5820 – 003 – 0 by UnitedHealthcare |
Monthly Premium: $89.50 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| Horizon Medicare Blue Rx Enhanced (PDP) S5993 – 003 – 0 by Horizon Blue Cross Blue Shield of New Jersey |
Monthly Premium: $97.40 Annual Deductable: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 45% Tier 5: 33% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 003 – 0 by Mutual of Omaha Rx |
Monthly Premium: $97.70 Annual Deductable: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
Compare Medicare Rates in Point Pleasant Beach, New Jersey
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Frequently Asked Questions
What is Medicare?
Medicare is a federal health insurance program in the United States that provides coverage for individuals aged 65 and older, as well as certain younger individuals with disabilities or end-stage renal disease.
What types of Medicare plans are available in Point Pleasant Beach, New Jersey?
In Point Pleasant Beach, New Jersey, you can find different types of Medicare plans, including Original Medicare (Part A and Part B), Medicare Advantage (Part C), Medicare Prescription Drug Plans (Part D), and Medicare Supplement Insurance (Medigap) plans.
What is the difference between Original Medicare and Medicare Advantage?
Original Medicare is a fee-for-service program offered directly by the federal government, while Medicare Advantage is an alternative to Original Medicare provided by private insurance companies. Medicare Advantage plans often include additional benefits and may have different rules and costs compared to Original Medicare.
Can I change my Medicare plan in Point Pleasant Beach, New Jersey?
Yes, you have the opportunity to change your Medicare plan during certain enrollment periods. The Annual Enrollment Period (October 15 to December 7) is a common time to make changes, but there are also Special Enrollment Periods available for specific circumstances.
Are there any local Medicare companies in Point Pleasant Beach, New Jersey?
Yes, there are local Medicare companies operating in Point Pleasant Beach, New Jersey. These companies may have specific plans tailored to the local area and may provide personalized customer service.
How do I know if my current doctors accept a specific Medicare plan in Point Pleasant Beach, New Jersey?
You can check whether your current doctors accept a specific Medicare plan in Point Pleasant Beach, New Jersey by reviewing the plan’s provider directory or by contacting the insurance company directly. Alternatively, you can contact your doctors’ offices and inquire about the Medicare plans they accept.
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