Medicare Plans

Get More with Jefferson Health Plans

Jefferson Health Plans offers more Medicare Advantage plans than ever before. Our plans are designed by insurance experts and backed by Jefferson Health.

Our Medicare Advantage plans offer more benefits than Original Medicare including low-cost doctor visits and prescription drug coverage, plus dental, vision and hearing benefits.

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Special (HMO-SNP)

$0 copay on all prescription drugs
Select care drugs with $0 copay, including gap coverage for top-selling diabetic brand drugs
$0 copay for covered services
Flex card benefit that includes generous quarterly credit for food and utilities
Generous OTC benefit, separate from flex card
Oral exams and cleanings covered three times each year
Generous comprehensive dental, eyewear and hearing aid allowances
Wellness Rewards, our incentive program, is available to all enrolled members
SilverSneakers®, a fitness and lifestyle program, or membership to the Salvation Army Kroc Center of Philadelphia or the PASSi Evergreen Center
Virtual access to Jefferson providers by video anytime (24/7) via JeffConnect On Demand
Preferred insulin brands covered at $0 per month
Available in Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Delaware, Lancaster, Lebanon, Lehigh, Montgomery, Northampton, Perry, Philadelphia and Schuylkill counties

View Special

$10,000 dental benefit with dental implant coverage
$0 copay on all prescription drugs
Select care drugs with $0 copay, including gap coverage for top-selling diabetic brand drugs
$0 copay for covered services
Flex card benefit that includes generous quarterly credit for food and utilities
Generous OTC benefit, separate from flex card
Oral exams and cleanings covered three times each year
Generous comprehensive dental, eyewear and hearing aid allowances
Wellness Rewards, our incentive program, is available to all enrolled members
SilverSneakers®, a fitness and lifestyle program, or membership to the Salvation Army Kroc Center of Philadelphia or the PASSi Evergreen Center
Virtual access to Jefferson providers by video anytime (24/7) via JeffConnect On Demand
Preferred insulin brands covered at $0 per month
Available in Bucks, Montgomery and Philadelphia counties

View Dual Pearl

$0 monthly premium
$0 PCP copays, no referrals for specialists
Select care drugs with $0 copay, including gap coverage for top-selling diabetic brand drugs
Flex card benefit for additional dental, hearing and vision spending
Generous quarterly OTC allowance, separate from flex card
Oral exams and cleanings covered three times each year
Generous comprehensive dental, eyewear and hearing aid allowances
Wellness Rewards, our incentive program, is available to all enrolled members
SilverSneakers®, a fitness and lifestyle program, or membership to the Salvation Army Kroc Center of Philadelphia or the PASSi Evergreen Center
Virtual access to Jefferson providers by video anytime (24/7) via JeffConnect On Demand
$10 copay (30-day supply) for insulins covered by our plan
Available in Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Delaware, Lancaster, Lebanon, Lehigh, Montgomery, Northampton, Perry, Philadelphia and Schuylkill counties

View Complete

$0 PCP copays, no referrals for specialists
Select care drugs with $0 copay, including gap coverage for top-selling diabetic brand drugs
Generous comprehensive dental, eyewear and hearing aid allowances
Flex card benefit for additional dental, hearing and vision spending
Generous quarterly OTC allowance, separate from flex card
Oral exams and cleanings covered three times each year
Generous comprehensive dental, eyewear and hearing aid allowances
Wellness Rewards, our incentive program, is available to all enrolled members
SilverSneakers®, a fitness and lifestyle program, or membership to the Salvation Army Kroc Center of Philadelphia or the PASSi Evergreen Center
Virtual access to Jefferson providers by video anytime (24/7) via JeffConnect On Demand
$10 copay (30-day supply) for insulins covered by our plan
Available in Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Delaware, Lancaster, Lebanon, Lehigh, Montgomery, Northampton, Perry, Philadelphia and Schuylkill counties

View Prime

$105 Part B giveback
$0 PCP copays, no referrals for specialists
$2,000 dental benefit including implant coverage
Select care drugs with $0 copay, including gap coverage for top-selling diabetic brand drugs
Flex card benefit for additional dental, hearing and vision spending
Generous quarterly OTC allowance, separate from flex card
Oral exams and cleanings covered three times each year
Generous comprehensive dental, eyewear and hearing aid allowances
Wellness Rewards, our incentive program, is available to all enrolled members
SilverSneakers®, a fitness and lifestyle program, or membership to the Salvation Army Kroc Center of Philadelphia or the PASSi Evergreen Center
Virtual access to Jefferson providers by video anytime (24/7) via JeffConnect On Demand
$10 copay (30-day supply) for insulins covered by our plan
Available in Bucks, Montgomery and Philadelphia counties

View Giveback

$0 monthly premium
$0 PCP copays, no referrals for specialists
Same affordable copays in and out of network for most covered services
Select care drugs with $0 copay, including gap coverage for top-selling diabetic brand drugs
Flex card benefit for additional dental, hearing and vision spending
Generous quarterly OTC allowance, separate from flex card
Oral exams and cleanings covered three times each year
Wellness Rewards, our incentive program, is available to all enrolled members
SilverSneakers®, a fitness and lifestyle program, or membership to the Salvation Army Kroc Center of Philadelphia or the PASSi Evergreen Center
Virtual access to Jefferson providers by video anytime (24/7) via JeffConnect On Demand
$10 copay (30-day supply) for insulins covered by our plan
Available in Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Delaware, Lancaster, Lebanon, Lehigh, Montgomery, Northampton, Perry, Philadelphia and Schuylkill counties

View Flex

$0 PCP copays, no referrals for specialists
Same affordable copays in and out of network for most covered services
Select care drugs with $0 copay, including gap coverage for top-selling diabetic brand drugs
Flex card benefit for additional dental, hearing and vision spending
Generous quarterly OTC allowance, separate from flex card
Oral exams and cleanings covered three times each year
Generous comprehensive dental, eyewear and hearing aid allowances
Wellness Rewards, our incentive program, is available to all enrolled members
SilverSneakers®, a fitness and lifestyle program, or membership to the Salvation Army Kroc Center of Philadelphia or the PASSi Evergreen Center
Virtual access to Jefferson providers by video anytime (24/7) via JeffConnect On Demand
$10 copay (30-day supply) for insulins covered by our plan
Available in Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Delaware, Lancaster, Lebanon, Lehigh, Montgomery, Northampton, Perry, Philadelphia and Schuylkill counties