Medicare Advantage
Horizon Blue Cross Blue Shield of New Jersey Medicare Advantage in New Jersey for 2027: 2
TRENTON, N.J. — For the 2027 plan year, Horizon Blue Cross Blue Shield of New Jersey is offering 2 Medicare Advantage plans across New Jersey, according to the Centers for Medicare & Medicaid Services (CMS) Landscape Source Files. Both are HMOs, both include prescription drug coverage, and both are built for people with specific needs rather than for the general Medicare population. This article is published by an independent Medicare education site; it is not the government and not Horizon.
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Key takeaways
- Horizon Blue Cross Blue Shield of New Jersey lists 2 Medicare Advantage plans in New Jersey for 2027, both HMOs and both with drug coverage.
- Both plans are Special Needs Plans: 1 Dual-Eligible SNP (D-SNP) and 1 Chronic Condition SNP (C-SNP); there are no Institutional SNPs.
- 1 of the 2 plans, Horizon Specialty Care (HMO C-SNP), is new for 2027, and none of Horizon's 2026 plans are leaving for 2027.
- The Annual Enrollment Period runs October 15 – December 7, 2026, and a choice made in that window takes effect January 1, 2027.
| Fact | Figure | Source |
|---|---|---|
| Part B standard monthly premium (2026) | $202.90 | Medicare.gov |
| Part D out-of-pocket cap (2026) | $2,100 | CMS |
| Part D out-of-pocket cap (2027) | $2,400 | CMS |
| Annual Enrollment Period (for 2027 coverage) | October 15 – December 7, 2026 | Medicare.gov |
| Medicare Advantage Open Enrollment Period | January 1 – March 31 | Medicare.gov |
Area counts are for the county as a whole and are not a recommendation of any plan. Program figures are set nationally.
Horizon is one of 12 carriers offering Medicare Advantage in New Jersey next year, and all carriers together list 71 plans statewide. The counts below come from the CMS Landscape files for 2027, and because Medicare Advantage is sold county by county, a plan listed statewide may not be available where you live.
What does Horizon Blue Cross Blue Shield of New Jersey offer statewide for 2027?
Horizon Blue Cross Blue Shield of New Jersey lists 2 Medicare Advantage plans in New Jersey for 2027, and both are HMOs with prescription drug coverage included. There are no PPO, PFFS, or MSA plans on Horizon's 2027 statewide list.
Both plans are Special Needs Plans (SNPs). Of the two, 1 is a Dual-Eligible SNP (D-SNP), designed for people who qualify for both Medicare and Medicaid, and 1 is a Chronic Condition SNP (C-SNP), designed for people with certain qualifying chronic conditions. Horizon lists 0 Institutional SNPs (I-SNPs) for 2027. Because every Horizon plan on the 2027 list is a SNP, eligibility rules apply in addition to the usual Medicare rules — you have to meet the SNP's criteria to enroll.
For context on the wider market, Horizon is one of 12 carriers offering Medicare Advantage in New Jersey for 2027, and the full statewide count across all carriers is 71 plans.
Which Horizon plans reach the most New Jersey counties in 2027?
Ranked by county reach, Horizon NJ TotalCare (HMO D-SNP) has the widest footprint among Horizon's 2027 plans, listed in 21 New Jersey counties. Horizon Specialty Care (HMO C-SNP) is listed in 7 counties for 2027.
Both plans include prescription drug coverage. The full plan-by-plan table rendered elsewhere on this page shows the two plans side by side; the summary here is just the county reach from the CMS Landscape file. A plan showing up on the statewide list does not guarantee it is sold in your specific county — that is always a county-level check.
What is new or not returning from Horizon for 2027 in New Jersey?
For 2027, Horizon Blue Cross Blue Shield of New Jersey adds 1 new plan in New Jersey — Horizon Specialty Care (HMO C-SNP) — and has 0 plans that are not returning from 2026. In other words, everything Horizon offered in 2026 is still on the 2027 list, and there is one additional Chronic Condition SNP joining the lineup.
If you are already enrolled in Horizon NJ TotalCare (HMO D-SNP), the plan continues into 2027, but that does not mean the plan's details stay identical. Carriers can change premiums, cost sharing, drug lists, provider networks, and extra benefits from one year to the next. Your Annual Notice of Change (ANOC), which plans mail each fall, is the document that spells out what is different for your plan in 2027 compared with 2026.
How do I check whether a Horizon plan is offered in my New Jersey county and covers my doctors and drugs?
The authoritative county-level check for 2027 is the Medicare Plan Finder at medicare.gov, which uses the CMS Landscape data filtered to your ZIP code. You can also call 1-800-MEDICARE, which is available 24 hours a day, 7 days a week.
Three checks are worth doing before you enroll in any Medicare Advantage plan, including Horizon's:
1. County availability. Confirm the plan is actually sold in your New Jersey county. Horizon NJ TotalCare (HMO D-SNP) is listed in 21 counties for 2027 and Horizon Specialty Care (HMO C-SNP) in 7, but the only way to know about your county is to look it up. 2. Doctors and hospitals. Check the plan's current provider directory to see whether your primary care doctor, specialists, and preferred hospital are in network. 3. Prescriptions. Run your medication list against the plan's 2027 formulary to see tier, restrictions, and pharmacy options.
For SNPs specifically, also confirm you meet the eligibility rules — Medicaid status for a D-SNP, a qualifying diagnosis for a C-SNP.
What should New Jersey Medicare beneficiaries do before December 7, 2026?
The Annual Enrollment Period runs October 15 – December 7, 2026, and any plan choice made during that window takes effect January 1, 2027. That is the date to put on the calendar, not as a pressure point but as a planning anchor.
A reasonable sequence:
- Read the ANOC from your current plan when it arrives in the fall.
- List your doctors, hospitals, and prescriptions.
- Compare plans available in your county on medicare.gov or by phone with 1-800-MEDICARE.
- Confirm eligibility if you are considering a SNP.
- Enroll by December 7, 2026 if you decide to change.
If you do nothing and your current plan is still being offered in 2027, you generally stay in it under its 2027 terms.
Where can New Jersey residents get free, unbiased Medicare help?
Two free resources cover almost every Medicare question. Medicare.gov hosts the Plan Finder, formulary lookups, and the official explanation of enrollment periods. 1-800-MEDICARE (1-800-633-4227; TTY 1-877-486-2048) is staffed 24/7 and can walk you through plans available in your ZIP code.
For plan-specific details — exact premiums, deductibles, copays, benefits, provider networks, drug lists, and star ratings — the sources of truth are the Medicare Plan Finder, 1-800-MEDICARE, and each plan's own Evidence of Coverage and directories.
By the numbers
Medicare Part B premium, 2006–2026
The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.
Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.
2027 plan lineup
Horizon Blue Cross Blue Shield of New Jersey Medicare Advantage plans in New Jersey for 2027
CMS lists 2 Horizon Blue Cross Blue Shield of New Jersey Medicare Advantage plans across New Jersey for 2027, alphabetically by carrier, widest county reach first. 11 other carriers also offer plans there.
| Plan | Type | Drug coverage | Counties |
|---|---|---|---|
| Horizon Blue Cross Blue Shield of New Jersey 2 plans | |||
| Horizon NJ TotalCare (HMO D-SNP) | HMO D-SNP | Yes | 21 |
| Horizon Specialty Care (HMO C-SNP) | HMO C-SNP | Yes | 7 |
Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plans are offered county by county; a plan listed for the state may not be offered in your county. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.
The 2027 choices, by type
How Horizon Blue Cross Blue Shield of New Jersey Medicare Advantage plans across New Jersey break down for 2027
HMO plans use a network and usually a primary-care doctor and referrals; HMO-POS plans add some out-of-network coverage; PPO plans also cover out-of-network care, at a higher share; PFFS plans pay any provider that accepts the plan’s terms. Special Needs Plans serve people with Medicare and Medicaid (D-SNP), certain chronic conditions (C-SNP) or living in an institution (I-SNP).
Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plans are offered county by county; a plan listed for the state may not be offered in your county. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.
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Frequently asked questions
How many Medicare Advantage plans does Horizon Blue Cross Blue Shield of New Jersey offer in New Jersey for 2027?
Are any Horizon Medicare Advantage plans new or leaving in New Jersey for 2027?
Does Horizon offer a Medicare Advantage plan in every New Jersey county for 2027?
When do I need to decide by for 2027 coverage in New Jersey?
- CMS — MA Landscape Source File (plan-level availability by county)
- CMS — MA Landscape Source Files, current and coming plan year (year-over-year comparison)
- CMS — Medicare enrollment periods (medicare.gov)
For personalized answers, contact Medicare.gov or 1-800-MEDICARE.
Sources and methodology
- Medicare.gov, Medicare costs (Part B premium)
- CMS, Medicare prescription drug coverage (Part D) program rules
- CMS, Medicare Advantage and Part D plan-year announcements
- Medicare.gov, enrollment periods and plan rules
- CMS, Medicare Advantage and Part D Landscape Source Files
Figures cited in this article
- CMS — MA Landscape Source File (CY2027): Horizon Blue Cross Blue Shield of New Jersey's 2027 plan count, plan types, SNP breakdown, drug coverage, and county reach for each plan in New Jersey.
- CMS — MA Landscape Source Files (CY2026 and CY2027): the year-over-year comparison showing 1 new plan and 0 non-returning plans for Horizon, and the statewide totals of 12 carriers and 71 plans.
- Medicare.gov (CMS — Medicare enrollment periods): the Annual Enrollment Period dates of October 15 – December 7, 2026 and the January 1, 2027 effective date.
How we put this together: area counts come from the CMS files listed above for the county that contains this city, program figures come from CMS, Medicare.gov and the Social Security Administration, and no plan is ranked or recommended.
By The Medicare Desk · Published . For personalized answers, contact Medicare.gov or 1-800-MEDICARE.
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This page was last updated: October 2026.