Individual and Family Plans

How to Enroll

Open Enrollment is here! Now is the perfect time to choose your health coverage for 2026.

Enroll online or call us to speak with a licensed benefits advisor. We'll guide you every step of the way to help you find affordable, high-quality coverage that fits your needs.

Scroll down to learn more.

Contents:

How to Enroll

Enrolling in the right Individual and Family Plan shouldn’t be complicated. That’s why Jefferson Health Plans offers you simple and convenient ways to sign up.

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Enroll Online

You can enroll in a Jefferson Health Plans Individual and Family Plan online.

Enroll Now

By clicking Enroll Now, you will be redirected to pennie.com.

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Enroll By Phone

Call 1-833-435-1990 (TTY 711) to speak with a licensed benefits advisor.

November 1 - January 31, 8 am–8 pm, 7 days a week
February 1 - October 31, 8 am–6 pm, Monday - Friday
Closed on Thanksgiving and Christmas.

Are You Eligible?

Who is eligible for an Individual and Family Plan from Jefferson Health Plans?

You may qualify if:

• You don't have health insurance through an employer, or you've recently lost coverage.

• You want affordable, quality coverage through an Individual and Family plan.

You are eligible to enroll if:

• You are a U.S. citizen, U.S. national, or have a qualifying immigration status.

• You are not incarcerated.

• You do not have Medicare coverage.

Scroll down to learn which qualifying life events (QLE) make you eligible for a Special Enrollment Period. This allows you to enroll in health insurance outside of the annual Open Enrollment Period. 

Know When You Can Enroll

  1. Open Enrollment Period (OEP)

    Open Enrollment runs from November through January. This is the time when you can enroll in new plans, renew your current coverage, or make changes to your existing plan.

  2. Special Enrollment Period (SEP)

    If you’ve lost your health coverage or experienced another qualifying life event within the last 60 days, you may qualify for a Special Enrollment Period. This allows you to enroll in a health plan outside of the annual Open Enrollment Period.

    Examples of Qualifying Life Events for Special Enrollment

    • Losing existing health coverage, including job-based coverage, individual and student plans
    • Turning 26 and losing coverage through a parent's plan
    • Getting married or divorced
    • Having a baby or adopting a child
    • Moving to a different ZIP code or county
    • Gaining a qualifying immigration status
    • Other major life changes

    Note: Some qualifying life events (QLEs) must be verified in order to open up a Special Enrollment Period.

Whatever your personal situation, don’t go without the essential health coverage you and your family need. Enroll in an Individual and Family Plan from Jefferson Health Plans today!

Key Considerations

Thinking about enrolling? Here are some points to keep in mind to help you choose the right plan for you and your family:

  • Who needs coverage? Decide if you’re shopping just for yourself or need coverage for you and your family members.
  • How often do you visit the doctor? Choose a plan that fits your health needs. If you see a doctor regularly, a plan with higher premiums and lower out-of-pocket costs may help you to manage your healthcare costs. If you don’t visit the doctor often, a plan with lower monthly premiums could be a better fit.
  • Is your doctor in-network? Check here to see if your doctor is covered, or find a new doctor that is included in our network.
  • Do you meet eligibility requirements? You may qualify for an Individual and Family Plan if you don’t have health insurance through an employer, a government program, or have recently lost coverage and are looking for affordable, quality coverage for yourself or your family. Learn more about specific eligibility requirements.
  • Is it the right time to shop? During Open Enrollment, anyone who is eligible for coverage can enroll. The rest of the year, you must have a qualifying life event to shop for a plan during a Special Enrollment Period.
Enrollment Checklist

To make your enrollment process smoother, be sure to have the following information on hand:

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 Social Security numbers for everyone on your plan

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 Income details (recent pay stubs, tax returns, or other proof)

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 Current health coverage information

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 Names of preferred doctors or hospitals
Next Steps

Whether you enroll directly through Jefferson Health Plans, through Pennie®, Pennsylvania's official health insurance marketplace, or a broker, you need to make your initial premium payment, also called a binder payment, to activate your coverage. Learn how to make a payment.

After enrolling, you'll receive a confirmation letter, and in a few weeks you will receive your insurance card in the mail, along with more information about your benefits.

If you need services before your insurance card arrives, please call Jefferson Health Plans at 1-833-422-4690 (TTY 1-877-454-8477).

Frequently Asked Questions

The Open Enrollment Period for Individual and Family Plans runs from November 1 to January 15.

In most cases, you can only enroll in an Individual and Family Plan during the Open Enrollment Period. However, certain life events, such as getting married or having a baby, may qualify you to shop for or make changes to a plan during the Special Enrollment Period (SEP) outside of Open Enrollment.

Yes! Jefferson Health Plans is here to make the enrollment process as easy as possible. You can sign up online or call 1-833-435-1990 (TTY 711) to speak with a licensed benefit advisor for help finding the plan that’s right for you.