Best Medicare Supplement Companies in New Jersey

After helping Medicare beneficiaries compare Medigap plans for more than 15 years — including many clients in New Jersey — here's what I tell almost everyone who calls me about this.

The company matters less than most people think.

For most people, the decision that has the biggest impact on both premiums and out-of-pocket costs is choosing between Plan G, Plan N, and High-Deductible Plan G.

Once you've picked the plan letter, the company comparison is a much smaller decision than people expect.

The standardized Medicare benefits are the same regardless of which company sells the Plan G policy.

Quick answer: New Jersey's Medigap market is unusually concentrated — UnitedHealthcare holds roughly 47% of the state's Medigap premium and Horizon holds about 15%, according to 2024 NAIC filings.

Based on New Jersey's SHIP premium chart for a 65-year-old male, HealthSpring National (the successor to Cigna's Medicare business) had the lowest Plan G and Plan N premiums, with UnitedHealthcare, Horizon, and Aflac priced higher.

None of that matters as much as picking the right plan letter first.

If you...Start here
Want the simplest coveragePlan G
Want to save on premiumsPlan N
Want the lowest monthly paymentHigh-Deductible Plan G
Haven't picked a plan yetRead the plan comparison below first

This guide is for you if:

  • You're enrolling in Medicare for the first time and don't know where to start.
  • You're trying to decide between Plan G and Plan N.
  • You want to know which companies are actually competitive in New Jersey right now.
  • You'd rather compare real value than default to the biggest logo.

Why New Jersey Is Different

Two things about New Jersey are worth knowing before you shop.

First, the market itself is unusually concentrated.

2024 NAIC filings show UnitedHealthcare and Horizon together hold roughly six out of every ten Medigap premium dollars in the state.

That's part of why this page sticks to a short list of carriers instead of a wall of logos.

Second, most Medigap policies sold here are attained-age rated, not community-rated.

New Jersey's own SHIP guidance notes that premium increases can occur each year as you age, and any rate increase also needs authorization from the New Jersey Department of Banking and Insurance.

That's a real factor when comparing carriers: a company with a calmer rate-increase history can end up cheaper over time than one with a lower premium today.

The Biggest Mistake We See

Most people start by picking a company. That's backwards.

Decide between Plan G, Plan N, and High-Deductible Plan G first.

Only after that should you compare prices from several insurers offering that same plan.

Picking Horizon because the name is familiar, then discovering Plan N would have saved $50 a month, is a mistake I see constantly.

It's an easy one to avoid.

Plan G, Plan N, or High-Deductible Plan G?

This is the decision I'd spend the most time on before you ever look at a company name.

Plan G and Plan N cover almost identical Medicare-approved expenses.

The difference is premium and a small amount of outpatient cost-sharing.

Most of the first-time Medicare beneficiaries I work with end up choosing Plan G, and the reason is simple: they want to open a bill, pay it, and move on with their day.

If you see specialists often, don't want to track copays, or just want the simplest possible experience, Plan G is usually the easiest recommendation I can make.

Plan N tends to fit a different kind of client — someone who's generally healthy, doesn't mind an occasional office-visit copay, and would rather see that difference show up as real monthly savings.

When the gap between Plan G and Plan N is $40 or more, Plan N becomes hard to argue against.

High-Deductible Plan G is the one I'm more careful about recommending.

It tends to work best for someone who rarely goes to the doctor and has enough set aside to comfortably cover the $2,950 deductible if a heavier medical year happens.

It's mainly a fit for someone trying to lower a fixed monthly cost, not someone who can't absorb a bad year.

I'd steer someone away from it if covering that deductible would actually cause financial strain — the whole point of Medigap is protection from big, unpredictable bills.

The clients who end up regretting their choice are almost always the ones who picked based on premium alone, without thinking through how they actually use healthcare.

Someone who chose Plan N to save $15 a month sometimes ends up regretting it.

They feel anxious every time they schedule an appointment because they hadn't budgeted for the copay, and usually switch back to Plan G at their next opportunity.

This lines up with what New Jersey's own enrollment data shows.

Based on 2024 NAIC filings, 205,739 New Jersey Medigap policyholders (40.5%) are enrolled in Plan G, versus 92,348 (18.2%) in Plan N.

Another 143,117 (28.2%) are still on legacy Plan F, which is closed to anyone who became Medicare-eligible on or after January 1, 2020.

That's part of why we lead with Plan G here — it's already the plan most New Jersey beneficiaries land on.

What I See Most Often

In my office, when Plan N only saves a client $10 to $20 a month over Plan G, most people choose Plan G anyway.

They'd rather pay a bit more for a simpler bill.

Once the gap grows to $40 or $50 a month, that math flips, and Plan N becomes the more common choice.

I've had plenty of clients start the conversation convinced they wanted Plan G, only to switch to Plan N after seeing the actual premium difference.

The opposite happens too when the savings are only a few dollars a month.

If your priority is...Look at...
The simplest possible coverage, no copaysPlan G
A lower premium and you're fine with occasional copaysPlan N
The lowest possible fixed monthly costHigh-Deductible Plan G
Coverage for Part B excess chargesPlan G (Plan N does not cover these)

Both plans still leave you responsible for the annual Part B deductible, which is $283 in 2026.

High-Deductible Plan G's deductible is $2,950 in 2026.

In many ZIP codes we've quoted recently, High-Deductible Plan G deserves a fresh look because the premium savings have become large enough that it's no longer automatically a niche option.

Not sure which one fits your situation? See our complete comparison of Plan G vs. Plan N vs. High-Deductible Plan G.

2026 New Jersey Medicare Supplement Rates

Your actual rate depends on ZIP code, gender, tobacco status, discounts, underwriting, and effective date.

See our Medigap cost by state breakdown for a wider comparison.

A brand note before you compare prices: Cigna sold its Medicare Supplement business to HCSC in 2025, so "Cigna" no longer appears on New Jersey's age-65 rate chart.

That business now shows up as HealthSpring National Health Insurance Co.

If you see either name while shopping, they're part of the same transition.

HealthSpring National
$181.47
Lowest
UnitedHealthcare
$188.97
Horizon BCBS NJ
$194.32
Aflac/Tier One
$226.18

Plan G, age-65 male, June 2026.

The spread between the cheapest and most expensive company here is about $45 a month — wider than it's been in past years.

That's worth noticing before you assume brand-name pricing has stayed close together.

Over a year, that's roughly $535 in premium for the exact same standardized Plan G benefits — exactly the kind of gap comparing companies is meant to catch.

HealthSpring National
$122.56
Lowest
UnitedHealthcare
$128.53
Aflac/Tier One
$148.70
Horizon BCBS NJ
$152.23

Plan N, age-65 male, June 2026.

HealthSpring National was cheapest on both plan letters this time.

But notice that Aflac and Horizon swap places between Plan G and Plan N — Aflac is more expensive on Plan G but cheaper than Horizon on Plan N.

That's exactly why we still say: compare the same plan letter across carriers, and don't assume any single company's ranking carries over from one plan to the other.

How I'd Shop If I Were New to Medicare

First, I'd decide how much risk I'm comfortable taking on — that's really what the Plan G vs. Plan N vs. HDG decision comes down to.

Then I'd compare all three side by side using my own numbers, not just a rule of thumb.

Once I knew which plan actually fit my budget and comfort level, I'd request quotes from several companies offering that exact plan, and only compare apples to apples.

Finally, if two companies landed within $10 to $15 of each other, that's when I'd stop looking at premium alone.

I'd start comparing household discounts, financial strength ratings, complaint history, and how often each company has raised rates recently.

Here's that same process as a quick checklist:

  • Decide whether I want Plan G, Plan N, or High-Deductible Plan G.
  • Get quotes from at least four companies.
  • Compare the same plan letter only — never Plan G against Plan N pricing.
  • Ask about household discounts.
  • Pick the lowest-priced, financially strong carrier.
  • If two companies are within about $10–15 a month of each other, compare household discounts, financial strength, complaint history, and recent rate increases before making a final decision.

Category Winners in New Jersey

Now that you know how to compare, here's how these four carriers actually stack up.

There isn't one objectively "best" company here — there's a best company for what you're prioritizing.

Because saving even $10 to $15 a month adds up over the course of a policy, we spend more time comparing premiums and discounts than brand names.

Why these four companies? We didn't choose Aflac, HealthSpring National, UnitedHealthcare, and Horizon because they're the biggest names available.

Two of them are, in a very literal sense: 2024 NAIC filings show UnitedHealthcare holds about 47.1% of New Jersey's Medigap premium and Horizon holds about 14.7%.

Together, that's roughly six out of ten Medigap dollars in the state.

The other two consistently show up among the more competitive rates on New Jersey's own SHIP chart.

If a fifth company is quoting you a meaningfully better rate, that's absolutely worth a look too.

Lowest Plan G & Plan N Premium

HealthSpring National

✓ Lowest on both plan letters in New Jersey's June 2026 chart

Best Local Carrier

Horizon BCBS NJ

✓ ~14.7% of NJ Medigap premium — the largest local carrier

Best National Scale

UnitedHealthcare

✓ ~47.1% of NJ Medigap premium — the state's largest carrier overall

Newest to the NJ Market

Aflac / Tier One

✓ Priced highest of the four in this sample — worth comparing closely

Before Choosing HealthSpring National

This is the successor to Cigna's Medicare Supplement business after HCSC's 2025 acquisition.

It had the lowest premium on both Plan G and Plan N in New Jersey's June 2026 chart.

Ask directly about the Cigna-to-HealthSpring transition so you understand who services your policy and where to send payments and claims.

Not ideal if: brand continuity and a long, familiar service history matter more to you than premium.

Before Choosing Aflac

Aflac/Tier One was priced highest of the four carriers here on both Plan G and Plan N as of June 2026 — a shift from where it's sometimes landed in past years.

That said, I'd still get quotes from several carriers, since pricing can move year to year and by ZIP code.

Confirm they're actually writing new business in your ZIP code before you decide either way.

Not ideal if: price is your main priority — the other three were meaningfully cheaper in this sample.

Before Choosing UnitedHealthcare

UnitedHealthcare is by far the largest Medigap carrier in New Jersey by premium volume.

It wasn't the cheapest option in our sample, so weigh the premium difference against the value of its scale and member programs.

Ask upfront about any membership requirements or fees tied to the specific plan you're quoted.

Not ideal if: you'd rather not pay for membership fees or member perks you won't use.

Before Choosing Horizon

Horizon is New Jersey's second-largest Medigap carrier by premium and the most recognized local brand.

That's a legitimate reason to want it, but go in with eyes open that you're likely paying a bit more for that familiarity.

It had the highest sample premium of the four on Plan N and the second-highest on Plan G.

Not ideal if: minimizing your premium matters more to you than working with a locally recognized name.

One Thing I'd Say to Every Client

After helping hundreds of Medicare beneficiaries enroll, I've found that people spend far more time comparing company names than choosing the right plan.

Once you've settled on Plan G, Plan N, or High-Deductible Plan G, the company decision gets a lot simpler.

The Medicare benefits behind that plan letter are standardized no matter who sells it to you.

Can You Switch Later?

During your six-month Medigap Open Enrollment Period — which starts once you're 65 or older and enrolled in Part B — your health history generally can't be used to deny you coverage.

It also can't be used to raise your premium.

Outside that window, insurers can typically require medical underwriting, with some guaranteed issue exceptions.

You can apply to switch at any time, but don't cancel an existing policy until the new one is actually approved.

New Jersey's SHIP program spells out these enrollment rules directly if you want to see them straight from the source.

If you don't buy during that first six-month window and try to enroll later, you're not locked out.

But the insurer can generally ask health questions and decide whether to accept you, and at what price.

That's exactly why I tell people not to wait for "the perfect plan" during their own enrollment period.

It's far easier to enroll while you have guaranteed acceptance and fine-tune later than to try switching in after the fact.

New Jersey also has protections that most state guides skip: an under-50 program offering Plan D to younger disabled Medicare beneficiaries, and a 12-month Part B window for disabled applicants ages 50–65.

If you're on Medicare due to disability, you also get a fresh six-month open enrollment window once you turn 65 and have Part B.

Turning 65 isn't just an age milestone here — it's another guaranteed-acceptance opportunity.

Bottom Line

If you remember only one thing from this guide, remember this: choose your plan before you choose your insurance company.

Once you've decided on Plan G, Plan N, or High-Deductible Plan G, comparing companies becomes much simpler.

The core Medicare benefits are standardized no matter who sells the policy.

Everything else — the company, the logo on the ID card, and the extra member perks — is secondary to making that first decision correctly.

With two carriers controlling roughly six out of every ten Medigap premium dollars in New Jersey, the plan-letter decision matters more here.

It matters more than which of a handful of large companies you end up with.

SituationWe'd Compare First
Want the simplest coveragePlan G
Want to lower your premiumPlan N
Comfortable with a higher deductibleHigh-Deductible Plan G
Prefer a local New Jersey carrierHorizon BCBS of NJ
Want the lowest sample premium (Plan G or Plan N)HealthSpring National
Want the largest, most established carrierUnitedHealthcare

Frequently Asked Questions

  • Is Plan G or Plan N better?

    Plan G is simpler and more predictable.

    Plan N is often better value when the monthly savings are large enough to comfortably absorb occasional copays.

  • Are Medigap benefits really the same between companies?

    Yes, for the same plan letter.

    The standardized Medicare benefits don’t change based on which company sells the policy.

  • Do Medigap plans in NJ cover telehealth services?

    Yes – if the telehealth visit is Medicare-approved, your Medigap plan will cover its portion as it would for an in-person visit. That includes your Part B coinsurance or copayment, depending on the plan. This has become especially important post-COVID, with more providers offering virtual care.

  • Does New Jersey offer any state-based Medigap assistance programs?

    The PAAD (Pharmaceutical Assistance to the Aged and Disabled) program helps with prescription costs, and those who qualify may also get assistance through Medicare Savings Programs (MSPs), which can help pay for Part B premiums and out-of-pocket costs. However, there is no state subsidy directly for Medigap premiums.

  • How do I know if my NJ doctor accepts my Medigap plan?

    If your doctor accepts Medicare assignment, they automatically accept any Medigap plan, regardless of the insurer. Medigap has no provider networks, making it one of the most flexible forms of coverage for seeing specialists and hospitals.

Mark Prip

Since 2003, Mark Prip has been leading Policy Guide, Inc., providing knowledgeable information about Medicare, life insurance, and dental coverage to clients in over forty states. With extensive hands-on experience helping Medicare beneficiaries understand and select health coverage, he brings decades of practical industry knowledge and client support. Mark has held his Florida Health & Life Insurance License (E051889) since 2003. View his license profile on the Florida Department of Financial Services website.