For Members / Pennsylvania

Jefferson Health Plans Medicare Complete (HMO)

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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.

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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.

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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

Updated 6/1/25
Drug List

Learn about the generic and brand-name drugs covered by Jefferson Health Plans in our formulary.

Request a printed copy.

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Do you need help with your Part D expenses?

Page last updated: 12/8/2024 - Y0170_MCE-810MCC-6357_C