NEW JERSEY MEDICARE ADVANTAGE PLANS FOR 2024
Company Plan Name and Plan ID Number
Premium with LIS,
Medicaid, PAAD
Clover Health Choice H5141-001
PPO
$0
$0
Yes
3 stars
Hudson
Clover Health Classic H8010-002
HMO
$0
$0
Yes
3 stars
Atlantic, Bergen, Essex, Hudson, Passaic,
Union
Clover Health Value H8010-003
HMO
$35.80
$0
Yes
3 stars
Atlantic, Bergen, Essex, Hudson, Middlesex,
Passaic, Union
Clover Health Choice H5141-004
PPO
$0
$0
Yes
3 stars
Atlantic, Bergen, Essex, Mercer, Monmouth,
Morris,
Passaic, Somerset, Sussex, Union
Clover Health Choice Value H5141-007 PPO
$42.40
$0
Yes
3 stars
Atlantic, Bergen, Essex, Hudson,
Mercer, Middlesex, Monmouth, Morris,
Passaic, Somerset, Sussex, Union
Clover Health Premier Value
H5141-055
PPO
$31.30
plus $30/mth
reduction in Part
B premium
Atlantic, Bergen, Essex, Hudson,
Mercer, Monmouth, Morris,
Passaic, Somerset, Sussex, Union
Clover Health Premier H5141-054
PPO
$0
plus $80/mth
reduction in Part
B Premium
Atlantic, Bergen, Burlington, Camden, Cape
May, Cumberland, Essex, Gloucester,
Hudson, Hunterdon, Mercer, Middlesex,
Monmouth, Morris, Ocean, Passaic, Salem,
Somerset, Sussex, Union
(all counties except Warren)
Clover Health Choice
H5141-032
PPO
$0
$0
Yes
3 stars
Clover Health Live Healthy
H5141-058
PPO
$0
$0
Yes
3 stars
Clover Health Live Healthy Value
H5141-059
PPO
$35.40
$0
Yes
3 stars
Clover Health Choice Value
H5141-042
PPO
$37.80
$0
Yes
3 stars
Clover Health
888-466-5044
cloverhealth.com
Burlington, Camden, Cape May,
Cumberland, Gloucester, Hunterdon,
Middlesex,
Ocean, Salem
Burlington, Camden, Cape May,
Cumberland, Gloucester, Hunterdon,
Ocean, Salem
New Jersery Department of Human Services, Division of Aging Services
Prepared by State Health Insurance Assistance Program (SHIP)
Page 6 of 8 For more information contact the plans directly or NJ SHIP at 1-800-792-8820