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.
Select a Plan
- 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
- Dual Pearl (HMO-SNP)
- $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
- Complete (HMO-POS)
- $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
- Prime (HMO-POS)
- $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
- Giveback (HMO-POS)
- $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
- Flex (PPO)
- $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
- Flex Plus (PPO)
- $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
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
Need to compare plans to find the right fit for you?
Low-Cost Doctor Visits
$0 copays for primary care, plus low or no copays for specialists
Prescription Drugs
Select care drugs with $0 copay, including gap coverage for top-selling diabetic brand drugs
Flex Card
Flex card benefits to spend on additional dental, hearing and vision expenses, or food and utilities
Dental
Exams and cleanings covered three times each year, among other benefits
Vision & Hearing
Generous benefits for eyewear and hearing aids
SilverSneakers®
Free and discounted access to fitness classes
