Individual and Family Plans

How to Enroll

The Open Enrollment Period for 2025 plans has ended. If you qualify to shop now during the Special Enrollment period, shopping for and enrolling in a plan is simple!

Enroll online or call us to speak with a licensed benefits advisor. We'll guide you through the process and help you find affordable, high-quality coverage that fits your needs.

Scroll down to learn how to enroll and find out if you qualify to shop now.

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Contents:

Ways to Enroll

Enrolling in the right Individual and Family Plan shouldn’t be complicated. That’s why Jefferson Health Plans offers you simple and convenient ways to sign up.

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Enroll Online
You can enroll in a Jefferson Health Plans Individual and Family Plan online:
Enroll Now

By clicking Enroll Now, you will be redirected to pennie.com

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Enroll By Phone

Call 1-833-435-1990 (TTY 711) to speak with a licensed benefits advisor.

November 1 - January 31, 8 a.m.–8 p.m., 7 days / week
February 1 - October 31, 8 a.m.–6 p.m., Monday - Friday
Closed on Thanksgiving and Christmas.

Are You Eligible?

Who is eligible for an Individual and Family Plan from Jefferson Health Plans?

You may qualify if:

• You don't have health insurance through an employer, or you've recently lost coverage.

• You want affordable, quality coverage through an Individual and Family plan.

You are eligible to enroll if:

• You are a U.S. citizen, U.S. national, or have a qualifying immigration status.

• You are not incarcerated.

• You do not have Medicare coverage.

Know When You Can Enroll

  1. Enroll During the Annual Open Enrollment Period (OEP)

    November 1–January 15.

  2. Outside of Open Enrollment – if you qualify for a Special Enrollment Period (SEP)

    If you recently lost medical insurance coverage or experienced another qualifying event in the past 60 days, a Special Enrollment Period (SEP) lets you enroll in a new health plan immediately, even if it is outside of the annual Open Enrollment Period.

    Qualifying Special Enrollment Period Events

    • Loss of employer health insurance
    • Marriage or divorce
    • Adopting a child
    • Moving from one insurance coverage to another
    • Changing your immigration status
    • Turning 26 years of age (or the maximum dependent age allowed in your state) and can no longer be on a parent's health plan
    • Other major life changes

    Whatever your personal situation, don’t go without the essential health coverage you and your family need. Enroll in an Individual and Family Plan from Jefferson Health Plans today!

Next Steps

Whether you enroll directly through Jefferson Health Plans, through Pennie®, Pennsylvania's official health insurance marketplace, or a broker, you need to make your initial premium payment, also called a binder payment, to activate your coverage. Learn how to make a payment.

After enrolling, you'll receive a confirmation letter, and in a few weeks you will receive your insurance card in the mail, along with more information about your benefits.

If you need services before your insurance card arrives, please call Jefferson Health Plans at 1-833-422-4690 (TTY 1-877-454-8477).

Commonly Asked Questions

The Open Enrollment Period for Individual and Family Plans runs from November 1 to January 15.

In most cases, you can only enroll in an Individual and Family Plan during the Open Enrollment Period. However, certain life events, such as getting married or having a baby, may qualify you to shop for or make changes to a plan during the Special Enrollment Period (SEP) outside of Open Enrollment.

Yes! Jefferson Health Plans is here to make the enrollment process as easy as possible. You can sign up online or call 1-833-435-1990 (TTY 711) to speak with a licensed benefit advisor for help finding the plan that’s right for you.

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