For Members / Pennsylvania

Jefferson Health Plans Medicare Giveback (HMO-POS)

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

Medication in palm of hand
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.

Medication in palm of hand
Icon

Need help with expenses in 2024?

Friends outdoors and enjoying themselves

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.


Friends outdoors and enjoying themselves
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

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