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NJ

New Jersey Medicare Coverage Guide

Find dental, vision, hearing aid, and nursing home Medicare benefits available to New Jersey residents.

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New Jersey Dental Coverage

Moderate

New Jersey Medicaid covers dental for dual-eligible beneficiaries. Rutgers School of Dental Medicine in Newark provides low-cost care.

Available Programs

  • NJ Medicaid Dental
  • Medicare Advantage dental plans
  • Rutgers School of Dental Medicine

Typical Out-of-Pocket Cost

$400โ€“$1,800/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for New Jersey Residents

  1. Rutgers dental school in Newark offers quality low-cost care
  2. NJ SHIP (1-800-792-8820) for plan counseling
  3. Strong MA market in northern NJ near NYC metro
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New Jersey Vision Coverage

Moderate

NJ Medicaid covers vision for dual-eligible members. Competitive MA market in NJ offers strong vision benefits.

Available Programs

  • NJ Medicaid vision
  • Medicare Advantage vision
  • NJ Commission for the Blind and Visually Impaired

Typical Out-of-Pocket Cost

$100โ€“$300/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for New Jersey Residents

  1. NJCBVI: 973-648-3333 for vision rehabilitation
  2. Diabetic eye exam covered by Part B
  3. NJ SHIP: 1-800-792-8820
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New Jersey Hearing Aids Coverage

Limited

NJ Medicare Advantage plans offer hearing benefits. NJ has good audiology resources in urban areas.

Available Programs

  • Medicare Advantage hearing plans
  • NJ Division of the Deaf and Hard of Hearing
  • NJ Assistive Technology Advocacy Center

Typical Out-of-Pocket Cost

$1,000โ€“$7,000 per pair

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for New Jersey Residents

  1. NJDDHH: 1-800-792-8339 for resources
  2. OTC hearing aids available statewide
  3. NJ SHIP: 1-800-792-8820
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New Jersey Nursing Home Coverage

Not Covered

Medicare Part A covers SNF. NJ Medicaid covers long-term care. NJ has high nursing home quality ratings but also very high costs.

Available Programs

  • Medicare Part A SNF
  • NJ Medicaid LTC
  • PACE New Jersey
  • NJ SHIP (1-800-792-8820)

Typical Out-of-Pocket Cost

$350โ€“$450/day (among highest in US)

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for New Jersey Residents

  1. PACE programs in Newark and Trenton areas
  2. NJ has high nursing home costs โ€” plan ahead
  3. SHIP: 1-800-792-8820
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๐Ÿ“Š Live CMS Data New Jersey Medicare Snapshot

Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 โ€” public data from data.cms.gov

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1,767,493
Total Medicare Beneficiaries (2024)
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712,274
Enrolled in Medicare Advantage (2024) 40.3% of total
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1,055,219
Original Medicare (Parts A & B) Only
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243,560
Dual Eligible (Medicare + Medicaid)
2025 Medicare Advantage Plans
88
Plans available in New Jersey
Average Monthly Premium (2025)
$15.2
Weighted avg across all MA plans
Top Medicare Advantage Insurers
  1. UnitedHealth
  2. Aetna
  3. Horizon BCBS NJ
Free SHIP Counseling
New Jersey SHIP
1-800-792-8820
Free, unbiased Medicare help

Get Free Help in New Jersey

SHIP Counseling

Your state's State Health Insurance Assistance Program (SHIP) offers free, unbiased Medicare counseling from trained volunteers. They can help you compare plans and enroll.

Find New Jersey SHIP โ†’

1-800-MEDICARE

Call 1-800-633-4227 (TTY: 1-877-486-2048) 24/7 for Medicare questions, plan comparisons, and enrollment help. Free and official.

Medicare.gov โ†’

Medicare Plan Finder

Use the official Medicare Plan Finder tool at Medicare.gov to compare all Medicare Advantage, Part D, and Medigap plans available in New Jersey by ZIP code.

Compare Plans โ†’

Nursing Home Compare

Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across New Jersey.

Care Compare โ†’