Evidence of Coverage

If you would like us to mail you an Evidence of Coverage, please fill out and submit this form:

* Required fields First Name *

Last Name *

Address *

Address 2

City *

State *

Zip *

Member ID (if a current member)

2024 Prime
2024 Complete
2024 Giveback
2024 Special
2024 Dual Pearl
2024 Silver
2024 Platinum
2024 Flex
2024 Flex Plus

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If you would like to speak with a representative from Health Partners Medicare to discuss plan options, please provide your phone number.

Telephone

By providing my phone number, I agree to allow Jefferson Health Plans to contact me with information related to its health plans, products, benefits, services and/or educational information related to health care.

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Delegated Vendor Information

Jefferson Health Plans contracts with Medicare to offer HMO, HMO-DSNP, and PPO plans. Our HMO-DSNP also has a contract with the Pennsylvania State Medicaid program. Enrollment in our plans depends on contract renewal. Call 1-866-901-8000 (TTY 1-877-454-8477) for more information.

Jefferson Health Plans serves residents in Pennsylvania and New Jersey. Jefferson Health Plans is offered in the following Pennsylvania counties: Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Delaware, Lancaster, Lebanon, Lehigh, Montgomery, Northampton, Perry, Philadelphia and Schuylkill counties. Health Partners Medicare is offered in Atlantic, Burlington, Camden, Gloucester and Mercer counties in New Jersey.