New Jersey residents have many different options for Medicare plans available. Standardized Medicare supplement plans such as Plan F, Plan G or Plan N are offered by many different insurance carriers. In NJ during your open enrollment into Medicare you have guaranteed issue rights to enroll in a Medicare supplement plan. This means you are not subject to answering health questions or underwriting. However once your Part B of Medicare goes effective, after the first 6 months, the guarantee issue rights go away. This means after that you will be fully underwritten (Asked qualifying health questions). During this period your open enrollment, it is an important decision to make when selecting a Medicare plan, the first time going into Medicare.
There are many different options for New Jersey residents when selecting a Medicare Advantage plan with Part D prescription drug coverage. There are HMO plans that have in network benefits only. There are PPO plans that have out of network benefits. Depending on your service area some of these plans may have a $0 monthly premium. Some plans may have a monthly premium. To qualify you must be enrolled in Part A and Part B and continue to pay your Part B premium. The Medicare Advantage plans offered in NJ are determined by your zip code, county or service area. NJ residents that live in Brick, Red Bank, Long Branch, Freehold, Manalapan, Toms River, Hazlet, Jersey city, Monmouth County, Union County, Sussex County, Mercer County, Essex County, will have different plan options than someone residing in Bergen county, Morris County, Hudson County or Ocean County.
New Jersey residents that have Medicare and Medicaid benefits can qualify for a Dual Special Needs plan where available. These are Medicare Advantage plans with coordinated Medicaid benefits through the state. Availability of these plans are determined by your zip code, county or service area where you reside.
In NJ Stand Alone Part D prescription drug plans for residents are offered throughout the entire state. In NJ state the Part D extra help program is called PAAD or Senior Gold. Or Pharmaceutical Assistance to the Aged and Disabled. To enroll in this program you must be currently enrolled in a Part D plan and show income less than $27,951 for an individual or $34,268 per couple.