Around 168,097 Toms River, New Jersey, residents have enrolled in an Original Medicare plan or a Medicare Advantage plan. Out of the 168,097 enrollees, 120,110 have an Original Medicare plan, while 47,987 (28.55%) have Medicare Advantage.
Several supplemental Medicare plans in Toms River, New Jersey, help pay for your medical expenses, making life easier for you and your family.
Medicare Plans in Toms River, New Jersey
Supplemental Medicare plans in New Jersey provide numerous benefits to qualified enrollees and can do the same for Toms River residents. They help pay medical costs that Original Medicare doesn’t cover. You can supplement your Part A, and Part B plans by purchasing a Medicare Advantage or Medigap plan.
Males 65 or older make up 43.83% of Toms River beneficiaries.
Medicare Advantage plans
As stated before, 168,097 Toms River residents have either a Medicare Advantage or an Original Medicare plan in New Jersey. Currently, 39 supplemental plans are available to qualified Toms River, NJ, residents.
Below are some of the most popular Medicare Advantage plans in Toms River, New Jersey.
WellCare is a high-quality carrier that offers local PPO (Preferred Provider Organization) plan types with zero-dollar monthly premiums and a $7,550 MOOP (maximum out-of-pocket). Although it doesn’t currently have a star rating, it’s considered one of the best Medicare Advantage plans in Toms River, New Jersey.
UnitedHealthcare is a four-star carrier that offers excellent HMO (health maintenance organization) plan types without monthly premiums. It also has a $6,900 MOOP.
Braven Health is another excellent carrier that offers local PPO plans with zero premiums and a $6,900 MOOP. Many Toms River residents praise Braven Health’s first-class Medicare Advantage plans despite not having a star rating.
The average cost of Medicare Advantage plans in Toms River, New Jersey
| PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
| WellCare | $0 | $7,550 | LOCAL PPO | N/A |
| Amerigroup | $0 | $6,950 | HMO | 3 |
| Braven Health | $0 | $6,700 | LOCAL PPO | N/A |
| UnitedHealthcare | $0 | $6,900 | HMO | 4 |
| Cigna | $0 | $6,900 | HMO | 4 |
Medicare Supplement plans
Medicare Supplement plans in Toms River, New Jersey, cover costly medical bills that you would otherwise have to pay without the correct plan. The government standardizes these plans, preventing them from fluctuating costs from state to state. However, Medigap and Medicare Supplement plans require monthly premiums.
Medigap Plan G is one of the most popular plans in the greater Toms River, New Jersey, area. Its premium ranges from $135.35 to $453.77 a month but doesn’t require patients to pay a Part B deductible.
Patients with Medigap Plan HDG enjoy all the benefits of Medigap Plan G but must pay a monthly deductible. The plan has affordable premiums ranging from $50.83 to $66.54.
Medigap Plan N has $111.43 to $348.70 premiums but requires you to pay a $20 copay for doctor’s appointments and a $50 copay for emergency room visits.
The average cost of Medicare Supplement plans in Toms River, New Jersey
| LETTER PLAN | LOWEST PREMIUM | HIGHEST PREMIUM |
| PLAN A | $107.07 | $284.61 |
| PLAN B | $160.27 | $391.37 |
| PLAN C | $178.26 | $515.05 |
| PLAN D | $133.99 | $383.87 |
| PLAN F | $166.42 | $466.00 |
| PLAN HDF | $50.99 | $75.97 |
| PLAN G | $135.35 | $453.77 |
| PLAN HDG | $50.83 | $66.54 |
| PLAN K | $54.19 | $150.25 |
| PLAN L | $92.88 | $220.37 |
| PLAN M | $105.87 | $205.79 |
| PLAN N | $111.43 | $348.70 |
Medicare Part D prescription drug plans
Medicare Part D plans cover prescription medication costs in New Jersey for qualified enrollees. They are independent plans not covered by other Medigap plans. However, a select few Medicare Advantage plans include Part D coverage.
Aetna offers Part D plans with $7 premiums and $480 deductibles. It’s a three-star rated carrier that provides excellent coverage to qualified Toms River residents.
Humana is a four-star medical carrier with $22.70 Part D premiums and $480 deductibles. It’s one of the highest-rated carriers available in the area, making it the preferred choice among many Toms River patients.
Horizon BCBS has a three-star rating and offers Part D Plans with $28.50 premiums with $400 deductibles.
The average cost of Medicare Advantage plans in Toms River, New Jersey
| PLAN | PREMIUM | DEDUCTIBLE | STAR RATING |
| Aetna | $7.00 | $480 | 3 |
| WellCare | $12.90 | $480 | 3 |
| Clear Spring | $18.70 | $480 | 2 |
| Humana | $22.70 | $480 | 4 |
| Horizon BCBS | $28.50 | $400 | 3 |
Special Needs plans
Special Needs Plans, also called SNPs, are a subdivision of Medicare Advantage plans tailored to patients with special needs or chronic disabilities. Although Special Needs Plans aren’t available in specific regions, they provide numerous benefits to qualified enrollees.
Some of the most popular Special Needs Plan carriers offer a range of options.
WellCare (HMO) offers Special Needs Plans with zero-dollar premiums and a $3,450 MOOP. It also provides dual eligibility to patients.
Amerigroup (HMO) is another popular carrier that offers Special Needs Plans without premiums. It carries a $6,700 MOOP and dual eligibility.
UnitedHealthcare offers Special Needs Plans with zero-dollar premiums, a $7,550 MOOP, and dual eligibility.
The average cost of Medicare Special Needs plans in Toms River, New Jersey
| PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
| WellCare | $0 | $3,450 | HMO | Dual |
| Aetna | $0 | $7,550 | HMO | Dual |
| Amerigroup | $0 | $6,700 | HMO | Dual |
| UnitedHealthcare | $0 | $7,550 | HMO | Dual |
| Horizon BCBS | $0 | $6,700 | HMO | Dual |
How to sign up for Medicare plans in Toms River, New Jersey
Contact us for outstanding supplemental Medicare and Medicare Advantage in Toms River, New Jersey. Our team works with all the leading carriers and will help you find the perfect plan that doesn’t exceed your financial means.
We’ve helped countless Toms River residents find high-quality supplemental Medicare plans, and we can do the same for you free of charge.
Call us today. Or fill out our online form to access the best rates in Toms River, New Jersey!
