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Medicare Plans in New Jersey

In New Jersey, you have choices for your Medicare coverage. Read about the different plans, talk with a Medicare specialist, and choose the plan that covers all the bases for you.

Original Medicare

Original Medicare (Part A and Part B) is managed by the federal government. Most people are automatically enrolled when they become eligible. Usually you are eligible when you turn 65. Here is an overview of your choices.

Part A – Hospital Services

Medicare Part A is hospital insurance. Part A benefits cover:

  • Inpatient hospital care
  • Skilled nursing care facility
  • Home health care services
  • Hospice care

Most people don’t have to pay a monthly premium to receive Part A. You may be responsible for part of the cost of services, and you will have a deductible.

Part B – Medical Services – including preventive care

Medicare Part B is medical insurance and you will have to pay a Part B monthly premium. Part B benefits cover:

  • Doctors’ office visits
  • Preventive care
  • Lab tests, blood tests and X-rays
  • Diabetic screenings and supplies
  • Outpatient hospital care

You will have to pay a Part B monthly premium.

Medicare Advantage – Part C

You can choose a Medicare Advantage plan, Part C, to get more coverage than through the government plans. You must have Original Medicare, Part A and B, to enroll in a Medicare Advantage plan. They are offered by private insurance companies approved by Medicare.

Medicare Advantage plans must cover all of the services that Original Medicare covers. Most Medicare Advantage plans may also offer benefits beyond Original Medicare.

More Benefits: Depending on the plan you choose and where you live (your ZIP code and county in New Jersey), most Medicare Advantage plans may also cover:

  • Prescription drugs (Medicare Part D)
  • Routine care for your vision and hearing
  • Health, fitness and wellness programs

Limited Costs: Medicare Advantage plans have a yearly limit on your out-of-pocket costs. After you reach this yearly limit, you won’t have to pay anything for covered services. Yearly limits vary by plan. Be sure to ask.

Prescription Drug Plans – Part D

Medicare Part D is stand-alone prescription drug coverage. You can get Part D through private insurance companies. Certain costs apply depending on the plan you choose. Most people will have to pay a monthly premium. Remember that you can also get prescription drug coverage in many Medicare Advantage plans.

Medicare Supplement Plans in New Jersey

You may be interested in a Medicare Supplement plan to help cover some of your out-of-pocket healthcare costs.

Medicare Special Needs Plans (SNPs)

These Medicare Advantage Plans are for people with chronic conditions or special health needs. The benefits, providers and prescription drug formularies are carefully chosen for these unique needs.

You can find Special Needs Plans through private health insurance companies approved by Medicare. If you are eligible, you can join a Special Needs Plan at any time.

Enrolling in Medicare Plans in New Jersey

For details on how and when to enroll, please Click Here

Medicare Savings Programs

If you are enrolled in Medicare and need help paying your costs, you may be eligible for a New Jersey Medicare Savings Program. Contact New Jersey’s Department of Human Services for the information you need.

New Jersey State Health Improvement Plan (SHIP) If you have questions about Medicare, they will help you make decisions you are comfortable with. This service is free, and it is not associated with any insurance companies. To speak with one of their counselors, call 1-800-792-8820. You can also find details: Click Here

Things to remember:

How to sign up for your Medicare plan: