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For Members / Pennsylvania

Jefferson Health Plans Medicare Prime (HMO-POS)

For Members

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 to help you better understand and evaluate your health coverage choices.

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Medicare Prime (HMO-POS) Benefits

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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.

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.

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Updated 6/1/2024

Drug List

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

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Change History


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Need to Change Your Plan?

For a personalized evaluation, visit our online enrollment site and enter your ZIP code. Then click the “View Plans” button.

Learn more about Jefferson Health Plans

View our Star Rating sheet.

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