Medicare Advantage in Ocean County, New Jersey
65,703 people in Ocean County, New Jersey were enrolled in Medicare Advantage in October 2026, 38.6% of 170,253 eligible beneficiaries (−0.02 pts since October 2025). CVS Health Corporation is the largest parent organization with 36% of reported enrollment; 12 parent organizations have 11 or more members and the HHI is 2,575 (highly concentrated). HRSA classifies the county as partly rural. For 2027, 13,971 members here are in plans that terminate or leave the county, and Independence Health Group, Inc., Health Care Service Corporation leave. MA plans offered go from 36 to 29.
Parent organizations in Ocean County
| Parent organization | Members | Change since October 2025 | Share |
|---|---|---|---|
| CVS Health Corporation | 23,629 | +197 | 36.1% |
| UnitedHealth Group, Inc. | 17,646 | −1,731 | 26.9% |
| Horizon Mutual Holdings, Inc | 14,026 | +67 | 21.4% |
| Clover Health Holdings, Inc. | 5,919 | +2,605 | 9.0% |
| Humana Inc. | 1,638 | +631 | 2.5% |
| Elevance Health, Inc. | 1,122 | −11 | 1.7% |
| Independence Health Group, Inc. | 453 | −27 | 0.7% |
| Centene Corporation | 420 | −73 | 0.6% |
| Health Care Service Corporation | 382 | −586 | 0.6% |
| Longevity Health Founders, LLC | 158 | −2 | 0.2% |
| BoldAge PACE, LLC | 132 | +27 | 0.2% |
| Highmark Health | 16 | +1 | under 0.1% |
CMS suppresses county and contract counts of 10 or fewer; shares are of reported enrollment.
Value-based care alongside MA
In PY 2024, 36,540 beneficiaries in Ocean County were assigned to 188 Medicare Shared Savings Program ACOs, 43.5% of assignable Original Medicare beneficiaries. Together, roughly 65% of all Medicare beneficiaries in the county are in Medicare Advantage or an MSSP ACO. See the ACOs in the MSSP Explorer.