
Compare & Enroll — Part C & Part D
Compare & Enroll in Medicare Plans in 08865, NJ
With 147 Medicare Advantage options from 20 insurers, 08865, NJ has significantly more plan choices than the national average, suggesting a highly competitive market where insurers often lower premiums to attract members. Approximately 80% of local MA plans charge $0 beyond the standard Part B premium, reflecting strong price competition. The 7 hospitals within 25.0 miles provide reasonable inpatient access for most plan networks. We've organized the CMS data below to help you cross-reference plan costs, quality ratings, and local provider access. Compare plans below, and when you're ready, enroll directly at Medicare.gov.
Data freshness: CMS data as of February 2026 •
ACS data as of 2023 •
Reviewed & approved on 2026-02-16
Reviewed by: Wes Ward, Founder & Data Lead •
View our methodology
Important: We are not affiliated with Medicare or any government agency. This site displays publicly available CMS data to help you compare plans. We do not sell insurance or represent any insurance company. For official enrollment and complete plan information, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227).
Medicare Eligibility in 08865, NJ
Approximately 5,858 residents (19.2% of the population) in 08865, NJ are 65 or older and likely Medicare-eligible. Whether you're approaching 65, already enrolled, or a caregiver comparing options, the plan data below is organized to help you evaluate Part C (Medicare Advantage) and Part D (prescription drug) coverage side by side.
The median household income in 08865, NJ is $80,537 (7.2% above the National Average), which may affect eligibility for Extra Help with Part D drug costs.
Part C: Medicare Advantage Plans
Medicare Advantage (Part C) replaces Original Medicare through private insurers who bundle hospital, medical, and often drug coverage into a single plan. 08865, NJ's 147 Medicare Advantage plans are a mix leaning toward HMO networks (74 HMO, 72 PPO). 118 plans offer $0 monthly premiums. The average local star rating is 3.8 out of 5, with the top plan earning 4.5 ★.
Top Medicare Advantage Plans in 08865, NJ
We organize CMS plan data into separate leaderboards so you can compare based on what matters most to you. Part C premiums in 08865, NJ range from $0 to $202/month. Among rated plans, 77 plans rated 4+ stars.
Highest CMS Star Ratings
Star Ratings are assigned by CMS based on quality measures including customer service, preventive care, and managing chronic conditions.
| Plan Name | Insurer | Star Rating | Premium | Type | |
|---|---|---|---|---|---|
| Capital Blue Cross Enhanced (PPO) | Capital Blue Cross | 4.5 ★ | $0.00/mo | PPO | Enroll |
| Aetna Medicare Signature Giveback (PPO) | Aetna Medicare | 4.5 ★ | $0.00/mo | PPO | Enroll |
| Community Blue Medicare Hmo Signature (HMO) | Highmark Blue Cross Blue Shield Or Highmark Blue Shield | 4.5 ★ | $0.00/mo | HMO | Enroll |
| Capital Blue Cross Select (PPO) | Capital Blue Cross | 4.5 ★ | $0.00/mo | PPO | Enroll |
| Aetna Medicare Advantra Signature (PPO) | Aetna Medicare | 4.5 ★ | $0.00/mo | PPO | Enroll |
Lowest Monthly Premium
Lower premiums can save money, but check total costs including deductibles, copays, and MOOP.
| Plan Name | Insurer | Monthly Premium | MOOP | Star Rating |
|---|---|---|---|---|
| Capital Blue Cross Enhanced (PPO) | Capital Blue Cross | $0.00/mo | $6,800 | 4.5 ★ |
| Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) | Highmark Wholecare Medicare Assured | $0.00/mo | $9,250 | 3.5 ★ |
| Aetna Medicare Signature Giveback (PPO) | Aetna Medicare | $0.00/mo | $6,750 | 4.5 ★ |
| Aetna Medicare Advantra Dual (HMO D-SNP) | Aetna Medicare | $0.00/mo | $9,250 | 3.5 ★ |
| Humana Gold Plus H6622-036 (HMO) | Humana | $0.00/mo | $8,250 | 3.5 ★ |
Lowest Maximum Out-of-Pocket (MOOP)
MOOP caps your financial risk. Once you hit this limit, the plan covers 100% of covered services for the rest of the year.
| Plan Name | Insurer | MOOP (In-Network) | Premium | Star Rating |
|---|---|---|---|---|
| Humana Gold Choice H8145-163 (PFFS) | Humana | $1,500 | $155.00/mo | 3.5 ★ |
| Geisinger Gold Classic Advantage Rx (HMO) | Geisinger Gold | $3,450 | $14.60/mo | 4.0 ★ |
| Geisinger Gold Preferred Advantage Rx (PPO) | Geisinger Gold | $4,000 | $5.00/mo | 4.0 ★ |
| Humanachoice Giveback H5216-116 (PPO) | Humana | $4,150 | $0.00/mo | 3.5 ★ |
| Longevity Health Plan (PPO I-SNP) | Longevity Health Plan | $4,250 | $172.00/mo | 4.5 ★ |
Plan Type Mix in 08865, NJ
HMO plans require referrals and in-network care. PPO plans offer more flexibility. SNP (Special Needs Plans) serve specific populations. MAPD plans include drug coverage.
| Plan Type | Count | Percentage | Description |
|---|---|---|---|
| PPO | 65 | 44.2% | No referrals; in and out-of-network |
| HMO | 27 | 18.4% | Requires referrals; in-network only |
| HMO D-SNP | 20 | 13.6% | Medicare Advantage plan |
| HMO-POS | 17 | 11.6% | HMO with some out-of-network options |
| HMO-POS D-SNP | 5 | 3.4% | Medicare Advantage plan |
| Regional PPO | 3 | 2.0% | Medicare Advantage plan |
| HMO C-SNP | 3 | 2.0% | Medicare Advantage plan |
| PPO I-SNP | 3 | 2.0% | Medicare Advantage plan |
| PFFS | 1 | 0.7% | Private Fee-for-Service |
| HMO-POS C-SNP | 1 | 0.7% | Medicare Advantage plan |
| PPO D-SNP | 1 | 0.7% | Medicare Advantage plan |
| HMO I-SNP | 1 | 0.7% | Medicare Advantage plan |
Choosing the Right Medicare Advantage Plan
The best Part C plan depends on your doctors, medications, and budget. Key factors to evaluate:
- Provider network: Verify your doctors and hospitals near 08865, NJ are in-network before enrolling
- Total cost: A $0 premium may have higher copays—calculate your annual cost
- Star Ratings: 4+ stars indicate above-average quality and member satisfaction
Read our full guide on choosing Medicare Advantage → · Print our enrollment checklist →
Medicare Glossary: HMO, PPO, MOOP & more →
Medicare Advantage Insurers in 08865, NJ
20 insurance companies offer Medicare Advantage plans in 08865, NJ. Below, we group plans by insurer so you can compare options from each company. More insurers generally means more competition and better benefits for consumers.




















Plan availability, premiums, and benefits shown are based on CMS data and may change. Always verify current details with the insurer and at Medicare.gov before enrolling.
Part D: Prescription Drug Plans (PDP)
Part D covers prescription drugs through standalone plans for those on Original Medicare, or as part of a Medicare Advantage bundle. Among the 24 standalone Part D plans in 08865, NJ, some offer $0 annual deductibles while others charge up to the 2026 maximum of $590. 5 plans are at or below the regional premium benchmark, making them eligible for Low Income Subsidy auto-enrollment. The 2026 $2,000 out-of-pocket cap means drug costs are now more predictable regardless of which plan you choose, but formulary coverage still varies significantly—always verify your medications are covered before enrolling.
Top Part D Drug Plans in 08865, NJ
We organize Part D plans by CMS Star Ratings, premiums, and deductibles so you can find the best fit for your prescription needs. Part D premiums in 08865, NJ range from $4 to $193/month. Remember: all Part D plans now cap your annual out-of-pocket drug costs at $2,000 thanks to the Inflation Reduction Act.
Highest CMS Star Ratings (Part D)
Part D Star Ratings measure drug pricing, customer service, member complaints, and pharmacy access.
| Plan Name | Insurer | Star Rating | Premium | Deductible | |
|---|---|---|---|---|---|
| Wellcare Value Script (PDP) | Wellcare | 3.5 ★ | $8.20/mo | $615 | Enroll |
| Wellcare Value Script (PDP) | Wellcare | 3.5 ★ | $22.80/mo | $615 | Enroll |
| Wellcare Classic (PDP) | Wellcare | 3.5 ★ | $14.70/mo | $615 | Enroll |
| Wellcare Classic (PDP) | Wellcare | 3.5 ★ | $28.20/mo | $615 | Enroll |
| Horizon Medicare Blue Rx Standard (PDP) | Horizon Blue Cross Blue Shield Of New Jersey | 3.5 ★ | $72.30/mo | $615 | Enroll |
Lowest Monthly Premium
Lower premiums help with monthly cash flow, but check drug tier costs and the deductible.
| Plan Name | Insurer | Monthly Premium | Drug Deductible | Star Rating |
|---|---|---|---|---|
| Humana Basic Rx Plan (PDP) | Humana | $4.40/mo | $615 | 3.0 ★ |
| Humana Basic Rx Plan (PDP) | Humana | $6.60/mo | $615 | 3.0 ★ |
| Wellcare Value Script (PDP) | Wellcare | $8.20/mo | $615 | 3.5 ★ |
| Wellcare Classic (PDP) | Wellcare | $14.70/mo | $615 | 3.5 ★ |
| Humana Value Rx Plan (PDP) | Humana | $19.40/mo | $601 | 3.0 ★ |
Lowest Annual Drug Deductible
The deductible is what you pay out-of-pocket before the plan starts covering drug costs. The 2026 maximum Part D deductible is $590. Many plans offer $0 deductible options.
| Plan Name | Insurer | Drug Deductible | Monthly Premium | Star Rating |
|---|---|---|---|---|
| Humana Premier Rx Plan (PDP) | Humana | $0 | $111.90/mo | 3.0 ★ |
| Humana Premier Rx Plan (PDP) | Humana | $0 | $123.60/mo | 3.0 ★ |
| Aarp Medicare Rx Preferred From Uhc (PDP) | Unitedhealthcare | $130 | $118.90/mo | 2.0 ★ |
| Aarp Medicare Rx Preferred From Uhc (PDP) | Unitedhealthcare | $130 | $121.90/mo | 2.0 ★ |
| Horizon Medicare Blue Rx Enhanced (PDP) | Horizon Blue Cross Blue Shield Of New Jersey | $200 | $139.10/mo | 3.5 ★ |
Choosing the Right Part D Drug Plan
The right Part D plan depends on your specific medications. Key factors to evaluate:
- Formulary: Verify your drugs are covered before enrolling
- Preferred pharmacies: Lower copays at certain locations—check your pharmacy is in-network
- Total annual cost: Premium + deductible + copays for your drugs
Read our full guide on choosing Part D →
What is a formulary? See our Medicare Glossary →
Part D Drug Plan Insurers in 08865, NJ
7 insurance companies offer standalone Part D drug plans in 08865, NJ. Below, we group plans by insurer.







Plan availability, premiums, and benefits shown are based on CMS data and may change. Always verify current details with the insurer and at Medicare.gov before enrolling.
Ready to Enroll in 08865, NJ?
Compare plans side-by-side at Medicare.gov or speak with a licensed Medicare specialist.
📋 Print our Medicare Enrollment Checklist — gather your info before you compare.
📅 Enrollment Dates & Deadlines · 🩺 Questions to Ask Your Doctor
Medicare.gov is the official U.S. government site for Medicare. Available 24/7.
Pharmacy Access in 08865, NJ
Part D plans have preferred pharmacy networks where you'll pay lower copays. Here's a look at pharmacy options in and around 08865, NJ.
Total Pharmacies
Chain Pharmacies
Independent Pharmacies
| Pharmacy | Address & Phone | Distance | Type |
|---|---|---|---|
| MEDIMAX PHARMACY, INC. | 580 MARSHALL ST PHILLIPSBURG, NJ 088652629 908-845-4777 | 0.3 mi | Independent |
| ESSGEE PHILLIPSBURG CORP | 96 BALTIMORE STREET PHILLIPSBURG, NJ 08865 908-845-4352 | 0.4 mi | Independent |
| NEW JERSEY CVS PHARMACY LLC | 750 MEMORIAL PKWY PHILLIPSBURG, NJ 088651679 908-832-9026 | 0.4 mi | Chain |
| THRIFT DRUG INC | 755 MEMORIAL PARKWAY PHILLIPSBURG, NJ 088652748 908-885-1812 | 0.4 mi | Independent |
| WAL-MART STORES EAST LP | 1300 US HIGHWAY 22 PHILLIPSBURG, NJ 088654108 908-845-4047 | 1.1 mi | Chain |
| PAULMART PHARMACY LLC | 462 S MAIN ST PHILLIPSBURG, NJ 088653031 908-882-5050 | 1.2 mi | Independent |
| V CARE PHARMACY CORP | 362 S MAIN ST PHILLIPSBURG, NJ 088653017 908-845-0727 | 1.3 mi | Independent |
| STOP AND SHOP SUPERMARKET CO LLC | 1278 ROUTE 22 PHILLIPSBURG, NJ 08865 908-885-8331 | 1.3 mi | Independent |
| ST JOSEPH PHARMACY INC | 758 MEMORIAL PKWY PHILLIPSBURG, NJ 088652750 908-845-0777 | 1.3 mi | Independent |
| SHOPRITE OF HUNTERDON COUNTY, INC | 1207 ROUTE 22 GREENWICH TWSP, NJ 08865 908-845-7553 | 1.7 mi | Independent |
Pharmacy data from CMS. Network participation varies by plan—always verify with your specific Part D plan.
Local Healthcare Access in 08865, NJ
Before choosing a plan, consider the healthcare infrastructure in 08865, NJ. Medicare Advantage plans restrict you to in-network hospitals, so understanding local hospital quality helps you pick the right plan — not just the cheapest one.
Hospitals Nearby
Top-Rated Hospitals near 08865, NJ
If hospital access matters to your plan choice, check quality ratings before you enroll. These are the highest CMS-rated hospitals near 08865, NJ — click a hospital name to see its full profile and verify it's in your plan's network.
| Hospital | CMS Rating | Distance | Beds |
|---|---|---|---|
| St Luke's Warren Hospital | 5 ★ | 0.7 mi | 214 |
| St Luke's Hospital - Anderson Campus | 5 ★ | 6.9 mi | 215 |
| St Lukes Hospital Bethlehem | 5 ★ | 13.0 mi | 817 |
| Hunterdon Medical Center | 4 ★ | 19.8 mi | 184 |
| Lehigh Valley Hospital | 4 ★ | 20.4 mi | 1,190 |
| St Luke's Hospital - Carbon Campus | 4 ★ | 28.2 mi | 56 |
| St Luke's Hospital - Easton Campus | 3 ★ | 3.8 mi | 164 |
| Ahs Hospital Corp | 3 ★ | 21.9 mi | 148 |
| Robert Wood Johnson University Hospital - Somerset | 3 ★ | 31.4 mi | 335 |
| Lehigh Valley Hospital - Macungie | Not Rated | 25.2 mi | 20 |
View all 7 hospitals near 08865, NJ to check quality before you enroll →
Hospital data from CMS Hospital Compare and Provider of Services file. Distance calculated from center of 08865, NJ.
Telehealth in 08865, NJ: Is Your Internet Ready?
Many Medicare Advantage and some Part D plans now include telehealth benefits, making routine check-ins and prescription refills easier from home. But telehealth requires reliable internet—here's a look at connectivity in 08865, NJ. For official guidance on virtual visits, see Telehealth.HHS.gov from the U.S. Department of Health & Human Services.
Check Internet Providers at Your Address
Telehealth works best with reliable internet. Use this tool (provided free by ISP Reports) to see what's available at your address.
Opens ISP Reports in a new tab. This is not a paid relationship. Special thank you to ISP Reports for allowing free use of their address tool.
Internet Coverage in 08865, NJ
Internet coverage data from ISP Reports. View full internet report for 08865, NJ.
Medicare-Relevant Demographics in 08865, NJ
Understanding 08865, NJ's demographics helps contextualize why insurers offer the plans they do. Areas with more seniors and higher incomes tend to attract more insurer competition, while areas with higher Medicaid enrollment may have more Dual-Eligible Special Needs Plans (D-SNP) available.
Demographic data from U.S. Census Bureau American Community Survey (2023). View full 08865, NJ demographics (BestNeighborhood.org).
Local Medicare FAQ: 08865, NJ
Common decision points based on 08865, NJ's specific plan market and local healthcare landscape.
How does 08865, NJ's Medicare Advantage market compare?
08865, NJ has 147 Medicare Advantage plans from 20 insurers. This is significantly above the national average of approximately 57 plans per area, indicating a highly competitive local market. More competition typically means lower premiums and better supplemental benefits for beneficiaries. The local mix includes 74 HMO and 72 PPO plans. Plan availability updates annually during the Medicare Annual Enrollment Period (October 15 – December 7).
Should I choose an HMO or PPO Medicare Advantage plan in 08865, NJ?
With 7 hospitals nearby, a PPO plan may offer valuable flexibility if your preferred providers aren't all in the same network. HMO plans (74 available) cost less but limit your choices. In 08865, NJ, HMO plans dominate the market, which often means more competitive HMO pricing. Always verify your doctors are in-network before enrolling in any plan.
What's the real cost of $0 premium plans in 08865, NJ?
118 plans (80% of available options) in 08865, NJ charge $0 beyond the standard Part B premium. This high percentage reflects strong insurer competition in the area. However, $0 premium doesn't mean $0 cost. These plans may have higher copays, coinsurance, or out-of-pocket maximums. In 08865, NJ, maximum out-of-pocket limits range from $1,500 to an average of $7,549. We recommend calculating your total expected annual cost (premium + copays + drug costs) rather than choosing based on premium alone.
How does the 2026 $2,000 drug cap affect 08865, NJ beneficiaries?
The Inflation Reduction Act capped annual out-of-pocket drug spending at $2,000 starting in 2025, eliminating the old "donut hole" coverage gap. This applies to all 24 standalone Part D plans in 08865, NJ.
What this means locally:
- Cost predictability — No matter which of the 24 Part D plans you choose, your drug costs are capped at $2,000/year
- $0 deductible options — Some local plans offer $0 deductibles, meaning coverage starts immediately
- Low-income options — 5 plans meet the regional benchmark for Extra Help/LIS eligibility
While the out-of-pocket cap standardizes maximum costs, formulary coverage still varies significantly between plans. A drug that costs $5/month on one plan's formulary might cost $50 on another. Always check that your specific medications are covered and compare tier placement before enrolling.
See all Medicare FAQs in our complete guide → · Enrollment checklist →
Medicare Glossary · Enrollment Dates & Deadlines · Doctor Questions
About the Data & Editorial Team
Wes Ward
Founder & Data Lead
Wes Ward is the founder of InsuranceDataNow.org and reviews all content for data accuracy and methodology compliance.
With 25+ years in data analytics — including work with highly regulated genomic data at Ancestry.com — Wes brings enterprise-level rigor to consumer data tools. He is also a co-founder of BestNeighborhood.org, CrimeGrade.org, and ISPReports.org.
Role: Reviews and approves all content for data accuracy, source verification, and methodology compliance.
Transparency & Disclosures
InsuranceDataNow is an advertising-supported publisher based in South Jordan, Utah. We are not affiliated with or endorsed by Medicare or the U.S. government.
TPMO Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (24 hours a day/7 days a week) to get information on all of your options.
Sources
- CMS Medicare Plan Finder Data (Part C & D): cms.gov
- CMS Provider Directory: Hospital and pharmacy data from data.cms.gov
- American Community Survey: Demographic data from census.gov
- FCC Broadband Map: Internet availability data from broadbandmap.fcc.gov
- ISP Reports: Internet provider coverage for 08865, NJ from ispreports.org
- Telehealth.HHS.gov: Official telehealth guidance from U.S. Dept. of Health & Human Services
- BestNeighborhood.org: Community demographic profiles for 08865, NJ from bestneighborhood.org
All data is sourced from official government databases and trusted third-party providers. Data is updated regularly—see page header for last refresh dates.