Medicare Plans

Beyond Medicare

Exceptional Coverage and Peace of Mind with Jefferson Health Plans

Jefferson Health Plans offers an expanded selection of Medicare Advantage plans, giving you more options than ever before. Supported by our trusted provider network, our plans are designed with your health and wellness in mind.

With Jefferson Health Plans, you get more than just Medicare coverage. Enjoy enhanced benefits beyond Original Medicare, including comprehensive prescription drug coverage, dental coverage, vision benefits, hearing services, and more.

If you have Medicare and Medicaid benefits, you can enroll in one of our plans that have been designed for your needs.

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Dual Pearl (HMO-SNP)

$0 monthly premium
Low out-of-pocket maximum
$0 copay for primary care visits and no referrals for specialists
Prescription drug coverage with $0 deductible
$2,250 flex card benefit for your dental, vision and hearing needs
Dental coverage with $2,000 supplemental benefit
Vision coverage and $400 benefit for glasses
$150 quarterly over-the-counter benefit (in addition to from flex card)
SilverSneakers®

$0 monthly premium
$125 Part B giveback (money back in your monthly Social Security check)
$0 copay for primary care visits and no referrals for specialists
Prescription drug coverage
$2,250 flex card benefit for your dental, vision and hearing needs
Dental coverage with $2,000 supplemental benefit
Vision coverage and $200 benefit for glasses
$30 quarterly over-the-counter benefit (in addition to from flex card)
SilverSneakers®

Low out-of-pocket maximum
$0 copay for primary care visits and no referrals for specialists
Prescription drug coverage with $0 deductible
$2,250 flex card benefit for your dental, vision and hearing needs
Dental coverage with $2,000 supplemental benefit
Vision coverage and $300 benefit for glasses
$165 quarterly over-the-counter benefit (in addition to from flex card)
SilverSneakers®
Affordable monthly premium

$0 monthly premium
More flexibility to see out-of-network doctors
$0 copays for primary care visits and no referrals for specialists
Prescription drug coverage with $0 deductible
Similar copays for care (in or out of network)
$2,250 flex card benefit for your dental, vision and hearing needs
Dental coverage with $1,000 supplemental benefit
Vision coverage and $100 benefit for glasses
$150 quarterly over-the-counter benefit (in addition to from flex card)
SilverSneakers®

Mid-priced monthly premium
More flexibility to see out-of-network doctors
$0 copays for primary care visits and no referrals for specialists
Prescription drug coverage with $0 deductible
Similar copays for care (in or out of network)
$2,500 flex card benefit for your dental, vision and hearing needs
Dental coverage with $2,000 supplemental benefit
Vision coverage and $100 benefit for glasses
$165 quarterly over-the-counter benefit (in addition to from flex card)
SilverSneakers®

Affordable monthly premium
More flexibility to see out-of-network doctors
$0 copays for primary care visits and no referrals for specialists
Prescription drug coverage with $0 deductible
Similar copays for care (in or out of network)
$2,500 flex card benefit for your dental, vision and hearing needs
Dental coverage with $2,000 supplemental benefit
Vision coverage and $200 benefit for glasses
$125 quarterly over-the-counter benefit (in addition to from flex card)
SilverSneakers®

$0 monthly premium
$0 copay for covered medical services
Prescription drug coverage with $0 copay on all covered drugs
$260 quarterly flex card benefit for food and utilities – you decide where to spend your benefit
Dental coverage with $5,000 supplemental benefit
Vision coverage and $250 benefit for glasses
$1,500 hearing aid benefit
$300 quarterly over-the-counter benefit (in addition to from flex card)
Unlimited rides of medical visits and pharmacies
SilverSneakers®

$0 monthly premium
$0 copay for covered medical services
Prescription drug coverage with $0 copay on all covered drugs
$10,000 dental benefit, including implant coverage
$245 quarterly flex card benefit for food and utilities – you decide where to spend your benefit
Vision coverage and $200 benefit for glasses
$1,500 hearing aid benefit
$245 quarterly over-the-counter benefit (in addition to from flex card)
Unlimited rides of medical visits and pharmacies
SilverSneakers®

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.

Added Benefits

No matter which Medicare Advantage plan you choose, you can count on these benefits:

Enroll Today

* For Special and Dual Pearl, flex card benefits can be used on food and utilities.

Low-Cost Doctor Visits

$0 copays for primary care visits, plus low for specialists

Prescription Drugs

Coverage for Part D drugs

Flex Card

Spend on the health services you need, or on food and utilities*

Dental

You’re covered for exams and cleanings, and spending for additional dental services

Vision & Hearing

All plans have benefit for glasses/contacts and $0 hearing exam

SilverSneakers®

Get access to fitness centers near you

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Have questions about Medicare? We’re here to help.

Request a FREE “Roadmap to Medicare” guide now.

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