Medicare Advantage PA
Going Strong

More Coverage. More Benefits.
More reasons to choose Jefferson Health Plans.

Jefferson Health Plans offers Medicare Advantage plans with benefits beyond original Medicare, designed to help you stay healthy and keep going strong. Get comprehensive medical and prescription drug coverage, plus valuable extras like over-the-counter spending benefits and allowances for dental, vision, and hearing services.*

If you have both Medicare and Medicaid, you may be eligible for one of our DSNP plans. With $0 copays on all medical services and Flex Cards benefits that can help pay for food and utilities, our DSNP plans offer extra support for everyday and comprehensive coverage.**

Our Medicare Advantage plans are available in select Pennsylvania counties.

 

*Benefits vary by plan.

**The benefits mentioned are part of a supplemental program for the chronically ill. Not all members qualify.

Select a Plan

Complete (HMO)

A $0 premium HMO plan with prescription drug coverage and additional benefits. Complete has a low maximum out-of-pocket and is one of our best-selling plans.

  • $0 monthly plan premium
  • $0 primary care and $35 specialist visits
  • $10 copay for urgent care visits
  • $250 Flex Card for additional dental, vision and hearing spending
  • $50 quarterly allowance for over-the-counter health products
  • $0 copay for three routine dental visits plus $2,000 annual allowance for other dental services
  • $250 eyewear allowance
  • Coverage for hearing aids
  • SilverSneakers® fitness membership

An enhanced HMO plan that features a $132 Part B giveback. This popular plan includes prescription drug coverage for a $0 monthly premium.

  • $0 monthly plan premium
  • $132 Part B giveback
  • $0 primary care and $50 specialist visits
  • $15 copay for urgent care visits
  • $0 copay for three routine dental visits plus $2,000 annual allowance for other dental services, including implant coverage
  • $200 eyewear allowance
  • Coverage for hearing aids
  • SilverSneakers® fitness membership

An enhanced HMO plan with a $12.80 monthly premium. Prime is a perfect plan for individuals with a low income subsidy.

  • $12.80 monthly plan premium
  • $0 primary care and $25 specialist visits
  • $85 quarterly allowance for over-the-counter health products
  • $1,000 Flex Card for additional dental, vision and hearing spending
  • $0 copay for three routine dental visits plus $2,000 annual allowance for other dental services
  • $300 eyewear allowance
  • Coverage for hearing aids
  • SilverSneakers® fitness membership

A $0 premium PPO plan with prescription drug coverage. Flex provides more flexibility in where you can go for care while still offering more benefits, including:

  • $0 monthly plan premium
  • $0 primary care and $40 specialist visits
  • $20 copay for urgent care visits
  • $0 copay for three routine dental visits plus $3,000 annual allowance for other dental services
  • $100 eyewear allowance
  • Coverage for hearing aids
  • SilverSneakers® fitness membership

An enhanced PPO plan with prescription drug coverage, Preferred provides core medical and additional benefits, including:

  • $40 monthly plan premium
  • $0 copay for primary care visits
  • $20 copay for specialist visits
  • $10 copay for urgent care visits
  • $1,450 Flex Card for additional dental, vision, and hearing spending
  • $75 quarterly allowance for over-the-counter health products
  • $0 copay for three routine dental visits plus $2,000 annual allowance for other dental services
  • $200 eyewear allowance
  • Coverage for hearing aids
  • SilverSneakers® fitness membership

Our most comprehensive DSNP plan, Special features a $0 monthly premium and $0 copays for medical services and many covered prescription drugs. Special offers rich additional benefits designed for individuals with Medicare and full Medicaid.

  • $0 monthly plan premium*
  • $0 copay for medical services
  • $0 copay for many prescription drugs
  • $215 Flex Card to spend on food, utilities, and over-the-counter items each month**
  • $0 copay for three routine dental visits plus $5,000 annual allowance for other dental services
  • 40 one-way trips to doctor's visits
  • $250 eyewear allowance
  • Coverage for hearing aids
  • SilverSneakers® fitness membership
     

*If your level of “Extra Help” changes, you may be responsible for a $12.80 monthly premium.

**The benefits mentioned are a part of a special supplemental program for the chronically ill. Not all members qualify.

Select is a $0 premium plan with $0 copays for medical services. Select offers $315 each month for food and utilities, as well as $550 annually for additional dental, vision, and hearing needs.

  • $0 monthly plan premium*
  • $0 copay for medical services
  • $0 copay for many prescription drugs
  • $315 Flex Card to spend on food, utilities, and over-the-counter items each month, and $550 for additional dental, vision and hearing needs**
  • Dental, vision, and hearing coverage through the Flex Card
     

*If your level of “Extra Help” changes, you may be responsible for a $12.80 monthly premium.

**The benefits mentioned are a part of a special supplemental program for the chronically ill. Not all members qualify.

Dual Pearl is a $0 premium plan with $0 copays for medical services and added dental coverage. Dual Pearl also covers prescription drugs and offers additional benefits for individuals with Medicare and full Medicaid.

  • $0 monthly plan premium*
  • $0 copay for medical services
  • $0 copay for many prescription drugs
  • $100 Flex Card to spend on food, utilities, and over-the-counter items each month**
  • $0 copay for three routine dental visits plus $4,000 annual allowance for other dental services, including implant coverage
  • $200 eyewear allowance
  • Coverage for hearing aids
  • SilverSneakers® fitness membership

*If your level of “Extra Help” changes, you may be responsible for a $12.80 monthly premium.

**The benefits mentioned are a part of a special supplemental program for the chronically ill. Not all members qualify.

Do you need help choosing the right plan for you? Our licensed representatives are available to answer your questions and help you make an informed decision.

Contact Us

Our Pennsylvania plans offer more benefits than Original Medicare, including*:

  • Low-Cost Doctor Visits: $0 copays for primary care, plus low or no copays for specialist visits
  • Rx Drugs: All plans provide Part D coverage
  • Flex Card: Debit card that gives you flexibility
  • Dental: Coverage for cleanings, x-rays and more
  • Vision and Hearing: includes eyewear allowance and hearing aid coverage
  • JeffConnect: 24/7 virtual care with a Jefferson doctor

 

*Benefits vary by plan.

Need help choosing the right plan for you?

Our licensed representatives are available to answer your questions and help you make an informed decision. 

Contact Us

Y0170_JHPMCE43152_M | Updated 10/01/2026