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HomeMedicare AdvantageNew JerseyJersey CityLiving with a chronic condition in Jersey City? Here are the 2027 C-SNPs

Medicare Advantage

Living with a chronic condition in Jersey City? Here are the 2027 C-SNPs

Hudson County has 48 Medicare Advantage plans for 2027. Compared with 2026, 10 plans are not coming back, 10 are new, and 12 continuing plans changed in some way you should check before December 7, 2 of them under a new name. This guide covers what those numbers mean for Jersey City, not which plan to pick.

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Key takeaways

  • Hudson County has 7 C-SNPs for 2027, offered by five carriers: Devoted Health, Elevance Health (Anthem), Horizon Blue Cross Blue Shield of New Jersey, Humana, and UnitedHealthcare.
  • A C-SNP is a Medicare Advantage plan limited to people with a qualifying chronic condition, and your doctor must confirm the diagnosis for you to stay enrolled.
  • Qualifying for a C-SNP triggers a Special Enrollment Period, so you do not have to wait for the October 15 – December 7, 2026 window to join.
  • Plan details — costs, drug lists, provider networks — come from the Medicare Plan Finder at medicare.gov, 1-800-MEDICARE, or each plan's own documents.
Chronic-condition plansJersey City, NJ
Video: ChristianBodhi Video by ChristianBodhi on Pixabay
Key facts: Medicare in Jersey City, New Jersey (data as of 2026-06-01)
FactFigureSource
Medicare Advantage plans offered in Hudson County (2026)48CMS
Medicare Advantage plans offered in Hudson County (2027)48CMS
Plans not returning for 2027 / new for 202710 / 10CMS
Organizations offering Medicare Advantage in Hudson County (2026)10CMS
Share of eligible beneficiaries in Medicare Advantage, Hudson County55%CMS
Residents age 65 and older, Hudson County90,793U.S. Census Bureau
Part B standard monthly premium (2026)$202.90Medicare.gov
Part D out-of-pocket cap (2026)$2,100CMS
Part D out-of-pocket cap (2027)$2,400CMS
Annual Enrollment Period (for 2027 coverage)October 15 – December 7, 2026Medicare.gov
Medicare Advantage Open Enrollment PeriodJanuary 1 – March 31Medicare.gov

Area counts are for the county as a whole and are not a recommendation of any plan. Program figures are set nationally.

JERSEY CITY, N.J. — For the 2027 plan year, people in Hudson County who live with a qualifying chronic condition will have seven Chronic Condition Special Needs Plans (C-SNPs) to consider, a type of Medicare Advantage plan built around a specific diagnosis. The Annual Enrollment Period runs October 15 through December 7, 2026, and changes made in that window take effect January 1, 2027.

What is a C-SNP, and how is it different from a regular Medicare Advantage plan?

A Chronic Condition Special Needs Plan (C-SNP) is a type of Medicare Advantage plan that only enrolls people who have a specific chronic illness, such as diabetes, chronic heart failure, or end-stage renal disease. CMS keeps a list of 15 qualifying conditions, and each C-SNP picks one condition — or a related group of conditions — to serve.

Because every member shares a diagnosis, C-SNPs are built around that condition. Like other Medicare Advantage plans, they bundle Part A and Part B, and most include Part D drug coverage. Unlike a general plan, enrollment is limited: if you do not have the qualifying condition on file, you cannot join, and you can be disenrolled if the diagnosis is not confirmed.

Which C-SNPs are offered in Jersey City for 2027?

Jersey City is in Hudson County, where 7 C-SNPs are available for the 2027 plan year out of 48 Medicare Advantage plans total. Five carriers offer them. The table on this page lists every plan; in alphabetical order by carrier, the C-SNPs are:

Only two plan names on the Hudson County list state the condition they serve: the Wellpoint plan names kidney care, and the Humana plan names diabetes and heart. For the others, the condition served is in the plan's own documents — not something to guess from the name.

How does someone qualify for a C-SNP in Hudson County?

To join a C-SNP, you must have the chronic condition that plan is built for, and a provider has to confirm the diagnosis. After you apply, the plan contacts your doctor to verify your condition. If the plan cannot confirm it within a set period, your enrollment can be ended.

You also need to be enrolled in Medicare Part A and Part B and live in the plan's service area. Hudson County residents, including those in Jersey City, meet the service-area test for the plans listed above.

Is there a Special Enrollment Period for people with a chronic condition?

Yes. Having a qualifying chronic condition opens a Special Enrollment Period (SEP) to join a C-SNP, so you are not limited to the fall Annual Enrollment Period. You can use this SEP once to enroll in a C-SNP that fits your diagnosis.

Once you are in a C-SNP, the usual Medicare rules apply for switching. The Annual Enrollment Period runs October 15 – December 7, 2026 for 2027 coverage, and the Medicare Advantage Open Enrollment Period runs January 1 – March 31, 2027. If your condition changes or is no longer confirmed, Medicare also offers an SEP to move to another plan.

What is changing for 2027 that chronic-condition shoppers should know?

Two things stand out for 2027. First, the C-SNP lineup in Hudson County is growing: five of the seven C-SNPs listed above are new for 2027. If you have been in a C-SNP for a while, your current plan may still be offered — its Annual Notice of Change (ANOC) spells out what is different — but there are more options to compare this year.

Second, Part D changes that affect everyone with drug coverage: the out-of-pocket cap on covered Part D drugs rises to $2,400 in 2027 (up from $2,100 in 2026), and the Part D maximum deductible rises to $700 in 2027 (up from $615 in 2026). The 2027 Part B standard premium and the 2027 IRMAA income brackets have not been announced yet; CMS typically publishes them later in the fall.

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.

$0$50$100$150$200200820122016202020242026

Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.

By the numbers

How people get Medicare in Hudson County

55% are on Medicare Advantage
(MA penetration in Hudson County)
55%
45%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.

Chronic-condition plans

Chronic Condition Special Needs Plans (C-SNP) in Hudson County for 2027

CMS lists 7 C-SNPs in Hudson County for 2027, alphabetically by carrier. A C-SNP is open to people with a qualifying chronic condition, verified by a provider.

PlanTypeDrug coverageFor 2027
Devoted Health 3 plans
DEVOTED C-SNP CHOICE ENHANCED 004 NJ (PPO C-SNP)PPO C-SNPYesNew
DEVOTED C-SNP CHOICE GIVEBACK EXTRAS 005 NJ (PPO C-SNP)PPO C-SNPYesNew
DEVOTED C-SNP CHOICE PLUS 003 NJ (PPO C-SNP)PPO C-SNPYesNew
Elevance Health (Anthem) 1 plan
Wellpoint Kidney Care (HMO-POS C-SNP)HMO-POS C-SNPYesReturning
Horizon Blue Cross Blue Shield of New Jersey 1 plan
Horizon Specialty Care (HMO C-SNP)HMO C-SNPYesNew
Humana 1 plan
Humana Gold Plus - Diabetes and Heart (HMO C-SNP)HMO C-SNPYesReturning
UnitedHealthcare 1 plan
UHC Complete Care NJ-8 (HMO-POS C-SNP)HMO-POS C-SNPYesNew

Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. 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

HMO, PPO and Special Needs Plans in Hudson County for 2027

48
Medicare Advantage plans
9
Carriers
14
HMO plans
9
HMO-POS plans
25
PPO plans
5
Dual Special Needs (D-SNP)
7
Chronic-condition (C-SNP)
  • Aetna (CVS Health) 7 plans: HMO, PPO
  • Centene (WellCare) 3 plans: HMO, HMO-POS
  • Clover Health 6 plans: HMO, PPO
  • Devoted Health 6 plans: PPO
  • Elevance Health (Anthem) 3 plans: HMO, HMO-POS
  • Horizon Blue Cross Blue Shield of New Jersey 2 plans: HMO
  • Humana 7 plans: HMO, PPO
  • Longevity Health Plan 2 plans: PPO
  • UnitedHealthcare 12 plans: HMO, HMO-POS, PPO

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. Plan availability is set at the county level. 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.

Key dates

Medicare enrollment periods at a glance

  • Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
  • October 15 – December 7Annual Enrollment PeriodAnyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
  • January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
  • January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
  • VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.

Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.

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Medicare Advantage companies in Hudson County

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
UnitedHealthcareNational—Yes
Clover Health Holdings IncRegional—Yes
Horizon Mutual Holdings IncRegional—Yes
Aetna (CVS Health)National—Yes
HumanaNational—Yes
Elevance Health (Anthem)National—Yes
Enrollment data: CMS Medicare Advantage enrollment by company (county level). Listed by enrollment size, largest first — this is not a ranking, recommendation, or endorsement of any company or plan.

Provided by licensed insurance partners; MyMedicarePlans.org may be compensated. Not a ranking or endorsement of any plan.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

Explore

The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Good to know

Frequently asked questions

Can I join a C-SNP if I only think I might have a qualifying condition?
No. A C-SNP requires a qualifying chronic condition that your provider confirms. When you apply, the plan reaches out to your doctor to verify the diagnosis. If it cannot be confirmed within the time the plan allows, your enrollment ends and you move back to Original Medicare or another plan you are eligible for.
What happens if my health changes and I no longer have the qualifying condition?
Medicare offers a Special Enrollment Period in that situation so you can move to a different Medicare Advantage plan or back to Original Medicare with a Part D plan. The plan will send you a notice explaining your options and the deadline.
Do all C-SNPs in Hudson County cover the same conditions?
No. Each C-SNP picks the condition — or related group of conditions — it is built around. Only two of the seven plan names in Hudson County state the condition on the face of the name. For the others, check the plan's own documents on medicare.gov or by calling the plan to see which diagnosis qualifies.
I already have a Medicare Advantage plan. Do I have to switch to a C-SNP?
No. A C-SNP is one option among many. Hudson County has 48 Medicare Advantage plans for 2027, and your current plan renews automatically if it is offered next year. Your Annual Notice of Change explains what is changing. Whether a C-SNP fits better depends on your condition, your doctors, and your medications — the kind of comparison best done on the Medicare Plan Finder at medicare.gov or by calling 1-800-MEDICARE (TTY 1-877-486-2048), available 24 hours a day, 7 days a week. For personalized help comparing the Hudson County plans listed above, use the Medicare Plan Finder at medicare.gov or call 1-800-MEDICARE. Each plan's own Evidence of Coverage and provider directory are the final word on costs, drugs and networks.
Sources & further reading
  • 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.

Also for Jersey City

Sources and methodology

Figures cited in this article

  • CMS — Medicare Advantage Landscape Source File (plan year 2027): the C-SNP count, carriers and plan names for Hudson County, and which plans are new for 2027.
  • CMS — Medicare Advantage Landscape Source Files (2026 and 2027): the year-over-year comparison for Hudson County.
  • Medicare.gov: how C-SNPs work, qualifying conditions, enrollment periods, and the Special Enrollment Period for people with a qualifying chronic condition.
  • CMS — 2027 Part D parameters: the $2,400 out-of-pocket cap and $700 maximum deductible for 2027.

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.

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