Individual and Family Plans
Find Your Plan
We offer a range of Bronze, Silver, and Gold Individual and Family Plans, all with the benefits and cost-savings that you’re looking for. Outside of the annual Open Enrollment Period, you may be able to shop for a plan if you qualify for a Special Enrollment Period (SEP).
Let's Talk!
1-833-435-1990 (TTY 1-844-222-2070)
By clicking Enroll Today, you will be redirected to Pennie.com
Choose a Plan
- $0 Deductible + Bronze + HMO
- $0 medical deductible
- $0 virtual care through JeffConnect
- $0 preventive drugs
- Comprehensive medical and hospital coverage
- Large provider network with doctors near you
- No referrals required
- FREE initial primary care visits
- Low-cost generic Tier 1 and Tier 2 prescription drugs
- Access to the acclaimed Jefferson Health System
- Total + Bronze + HMO
- $0 virtual care through JeffConnect
- $0 preventive drugs
- Comprehensive medical and hospital coverage
- Large provider network with doctors near you
- No referrals required
- FREE initial primary care visits
- Low-cost generic Tier 1 and Tier 2 prescription drugs
- Access to the acclaimed Jefferson Health System
- $0 Deductible + Silver + HMO
- $0 medical deductible
- $0 virtual care through JeffConnect
- $0 preventive drugs
- $0 deductible on Tier 1 and Tier 2 generic drugs
- Comprehensive medical and hospital coverage
- Large provider network with doctors near you
- No referrals required
- FREE initial primary care visits
- Low-cost generic Tier 1 and Tier 2 prescription drugs
- Access to the acclaimed Jefferson Health System
- Balanced + Silver + HMO
- $0 virtual care through JeffConnect
- $0 preventive drugs
- Comprehensive medical and hospital coverage
- Large provider network with doctors near you
- No referrals required
- FREE initial primary care visits
- Low-cost generic Tier 1 and Tier 2 prescription drugs
- Access to the acclaimed Jefferson Health System
- Total + Silver + HMO
- $0 virtual care through JeffConnect option
- $0 preventive drugs
- Comprehensive medical and hospital coverage
- Large provider network with doctors near you
- No referrals required
- FREE initial primary care visits
- Low-cost generic Tier 1 and Tier 2 prescription drugs
- Access to the acclaimed Jefferson Health System
- $0 Deductible + Gold + HMO
- $0 medical deductible
- $0 virtual care through JeffConnect
- $0 preventive drugs
- No deductible on Tier 1 and Tier 2 generic drugs
- Comprehensive medical and hospital coverage
- Large provider network with doctors near you
- No referrals required
- FREE initial primary care visits
- Low-cost generic Tier 1 and Tier 2 prescription drugs
- Access to the acclaimed Jefferson Health System
- Total + Gold + HMO
- $0 virtual care through JeffConnect
- $0 preventive drugs
- $0 Tier 1 generic drugs
- Comprehensive medical and hospital coverage
- Large provider network with doctors near you
- No referrals required
- FREE initial primary care visits
- Low-cost generic Tier 1 and Tier 2 prescription drugs
- Access to the acclaimed Jefferson Health System
$0 Deductible + Bronze + HMO
- $0 medical deductible
- $0 virtual care through JeffConnect
- $0 preventive drugs
- Comprehensive medical and hospital coverage
- Large provider network with doctors near you
- No referrals required
- FREE initial primary care visits
- Low-cost generic Tier 1 and Tier 2 prescription drugs
- Access to the acclaimed Jefferson Health System
Need to compare plans to find the right fit for you?
Member Benefits
No matter which plan you choose, you can count on these benefits and more:
No Referrals
See a specialist without the need for a referral
FREE Virtual Visits
Access virtual care 24/7 with JeffConnect
Prescription Drugs
Save with low-cost generic prescription drugs
Comprehensive Coverage
Enjoy complete coverage for medical and hospital care
Low-Priced Plans
Choose from the lowest-priced Bronze and Silver plans available on the marketplace
Broad Network
Access to doctors, hospitals, and specialists near you
Commonly Asked Questions
What are the 10 Essential Health Benefits covered by Jefferson Health Plans’ Individual and Family Plans?
Yes! Our plans offer comprehensive medical and hospital coverage, plus more. Plans include the 10 Essential Health Benefits (EHBs) listed below:
- Hospitalization
- Prescription drugs
- Laboratory services
- Pregnancy, maternity and newborn care
- Ambulatory outpatient services
- Emergency services
- Mental health and substance use disorders
- Rehabilitative care
- Preventive and wellness services
- Chronic disease management
When can I buy or make changes to my health plan?
During Open Enrollment, which runs from November 1, 2023 to January 19, 2024 this year, you can buy a new plan, renew your plan, or make changes to your plan.
During the Special Enrollment Period, after January 19, 2024, you may be able to shop for or make changes to your plan if you have had a qualifying life event, including loss of health coverage, changes to your household like getting married or having a baby, or a change in residence.
If you applied for coverage through Pennie®, Pennsylvania’s official health insurance marketplace, and want to make changes to your plan, you will need to contact Pennie®.
What do the metal levels mean?
With the Affordable Care Act, the federal government created four categories of coverage to help people more easily compare plans from different health insurance companies: Bronze, Silver, Gold and Platinum. Plans are assigned to one of these levels based on what percentage of the cost of health care services is covered by the health insurance company.
All products cover the Essential Health Benefits (EHBs) set forth by the ACA, such as doctor visits, prescription drugs, X-rays and hospital stays. The major differences are in what you pay when you need these services and the monthly cost of the health plan.
What is a primary care provider (PCP)?
A primary care provider (PCP) is the doctor you see for most of your health care needs. To find a primary care provider, use our online directory, or call us at 1-833-422-4690 (TTY 1-877-454-8477).
*Please note that the provider directory is branded with Health Partners Plans, our former company name. We will be updating the branding to Jefferson Health Plans in the near future.