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Jefferson Health Plans Special (HMO D-SNP)

Jefferson Health Plans · HMO · Southeastern PA, Central PA and Eastern PA

Jefferson Health Plans Special (HMO D-SNP)HMO Dual-Eligible SNP Includes Rx

Plan Details

Plan NameJefferson Health Plans Special (HMO D-SNP)
OrganizationJefferson Health Plans
Legal EntityHEALTH PARTNERS PLANS, INC.
Plan TypeHMO
Service AreaSoutheastern PA, Central PA and Eastern PA
Contract IDH9207
Plan ID004
In-Network MOOP$8,850
Prescription Drug CoverageYes (Part D Included)

About This Plan

Jefferson Health Plans Special (HMO D-SNP) is a HMO Medicare plan offered by Jefferson Health Plans (HEALTH PARTNERS PLANS, INC.). This plan is available to eligible Medicare beneficiaries in Southeastern PA, Central PA and Eastern PA.

This is a Special Needs Plan (SNP) designed for Dual-Eligible beneficiaries. This plan includes Medicare Part D prescription drug coverage.

The in-network maximum out-of-pocket (MOOP) for this plan is $8,850, which is the most you would pay for covered services in a plan year. After reaching this amount, the plan pays 100% of covered services.

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