Medicare
Welcome Jefferson Health Plans Providers!
Jefferson Health Plans is proud to work with thousands of providers across our network, including PCPs, specialists, dentists, vision and dental care providers from many of the region’s largest health systems. Here you’ll find resources created for providers to help you improve the health and wellness of your patients.
For Providers
2023 Provider Resources
- Prior Authorization Guidelines and Forms
- Provider Portal
- Formularies
- Provider Manual
- Policy Bulletins
- Clinical Resources
- Clinical Care Guidelines
- Preventative Care Guidelines
- Form and Supply Requests
- Provider Orientation and Training
Provider Portal
The Jefferson Health Plans provider portal includes eligibility, claims, appeals and authorization requests. Click the link below to login or register for the portal.
Looking for 2024 Information?
For more information on our 2024 Medicare plans, visit our plans overview page.
To view 2024 prior authorizations, click here. To view 2024 formularies, click here. Check back soon for additional 2024 resources. We will continue to update this page as 2024 information becomes available.