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Clover Health Choice (PPO)

New Jersey Medicare Advantage Plan (2025 Plan)

Select your County to view details for Clover Health Choice (PPO) specific to your location

Overview of Clover Health Choice (PPO) in New Jersey

by Clover Health

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 4.0
out of 5 stars

Variations of Clover Health Choice (PPO) Within New Jersey

Clover Health Choice (PPO) is available in 20 New Jersey Counties. Pricing and benefit details can vary by location. Each variation of Clover Health Choice (PPO) has a unique Plan ID and benefits which can differ by monthly premium, deductible, out-of-pocket maximum, and other costs such as copays and coinsurance. Each variation of Clover Health Choice (PPO) in New Jersey is listed below:

Clover Health Choice (PPO) H5141-032-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$13,300 In and Out-of-network
$8,850 In-network
Available in Counties: Burlington, Camden, Cape May, Cumberland, Gloucester, Hunterdon, Middlesex, Ocean, Salem
Clover Health Choice (PPO) H5141-004-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$14,000 In and Out-of-network
$9,350 In-network
Available in Counties: Atlantic, Bergen, Essex, Hudson, Mercer, Monmouth, Morris, Passaic, Somerset, Sussex, Union

Comparing the Quality Score of Clover Health Choice (PPO) to Other Plans in New Jersey

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2025, Clover Health Choice (PPO) received an overall government quality rating of 4.0 stars out of 5 stars.

Clover Health Choice (PPO) performed better than New Jersey’s State average overall quality score of 3.8 stars.

This Plan’s 5-star Gov’t Quality Score
New Jersey State Average Score
Overall Government 5 Star Quality Rating
 4.0
 3.8
Summary rating of health plan quality
 4
 3.7
Staying healthy: screenings, tests, & vaccines
 5
 3.9
Managing chronic (long term) conditions
 4
 3.5
Member experience with health plan
 3
 3.6
Member complaints & changes in the health plan's performance
 4
 4.1
Health plan customer service
 4
 4.0
Summary rating of drug plan quality
 3.5
 3.9
Drug plan customer service
 4
 4.0
Member complaints & changes in the drug plan's performance
 4
 4.1
Member experience with the drug plan
 4
 3.8
Drug safety & accuracy of drug pricing
 3
 3.6

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

Clover Health Choice (PPO) received 4 stars for its health plan quality score which is better than the New Jersey State average health plan quality score of 3.7 stars.

Clover Health Choice (PPO) received 3.5 stars for its drug plan quality score which is worse than the New Jersey State average drug plan quality score of 3.9 stars.

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