Individual and Family Plans
Find Your Plan
For over 35 years, we’ve been helping those in our community take care of their health. Count on us for our local expertise and a name you can trust. We have the lowest-priced Bronze and Silver plans available on the marketplace and a selection of other affordable plans. All options give you:
- $0 medical deductibles (available at all metal levels)
- FREE initial primary care visit
- No referral requirements
- FREE virtual visits available 24/7 with JeffConnect
- Access to the acclaimed Jefferson Health System
Let's Talk!
1-833-435-1990 (TTY 1-844-222-2070)
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
Locate doctors, hospitals, and specialists near you while enjoying access to the Jefferson Health System
Commonly Asked Questions
Do Jefferson Health Plans include the 10 Essential Health Benefits?
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 15, 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 15, 2024, you may be able to shop for or make changes to your plan if you have had a qualifying life, 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).