For Members / Pennsylvania

Jefferson Health Plans Dual Pearl (HMO-SNP)

mobile phone icon
Summary of Benefits

The Summary of Benefits provides information on key features and coverage of our plans. You can find details on benefits, limitations, premiums, copays and deductibles.

insurance card icon
Annual Notice of Changes

Each year we alert our members to the important changes for their plan the following year through our Annual Notice of Changes.

Evidence of Coverage

This document describes in detail the health care benefits covered by each of our health plans, how the plans work, prescription drug coverage, and associated costs.

Request a printed copy

closeup of pills and bottle
Updated 11/1/2024

Drug List

Learn about the generic and brand-name drugs covered by Jefferson Health Plans in our formulary.

Request a printed copy.

closeup of pills and bottle
Icon

Need help with expenses in 2024?

several older women sitting together outside and smiling

Need to Change Your Plan?


For a personalized evaluation, visit our online enrollment site and enter your ZIP code. Then click the “View Plans” button.


Learn more about Jefferson Health Plans.


several older women sitting together outside and smiling

Page last updated: 10/1/2024 - Y0170_MCE‐220S05‐4991_M