Jefferson Health Plans Elite (HMO) (2027)

Medicare Advantage plan with drug coverage from Jefferson Health Plans, plan ID H9207-018-000. Sold in 8 counties in New Jersey.

★★★★★3.0

2027 costs

Monthly premium$0
Drug deductible$0
Medical deductible$0
Out-of-pocket maximum (in network)$9,850
Plan typeMedicare Advantage plan with drug coverage, HMO
Referral needed to see a specialistYes
Plan IDH9207-018-000

With a Medicare Advantage plan you also keep paying your Medicare Part B premium.

What this plan would cost for your prescriptions

Add your prescriptions to see this plan's estimated yearly cost for them, which of them are on its drug list, and how each compares with Cost Plus Drugs prices.

See this plan with my prescriptions

What you pay for medical care

Primary care visit$0
Specialist visit$20
Preventive care$0
Urgent care$10
Emergency room$100
Hospital stay$300/day
Outpatient surgery$400
Lab tests$0
X-rays and scans$200
Mental health visit$25
Physical therapy$25
Medical equipment15%
TelehealthCovered

In-network amounts. A range means it depends on the service or provider.

Extra benefits

DentalCovered — up to $625 allowance
VisionCovered — up to $100 allowance
HearingCovered — $500–$1975 copay per aid
Over-the-counter itemsNot covered
FitnessCovered
Rides to appointmentsNot covered

Drug costs by tier

Tier30 days, standard pharmacy30 days, preferred pharmacy90 days by mail
1 Preferred Generic$0$0$0
2 Generic$0$0$0
3 Preferred Brand25%25%25%
4 Non-Preferred Drug30%30%30%
5 Specialty Tier33%33%N/A

A percentage is coinsurance: your share of the drug's price. The drug deductible may apply first, depending on the tier. Your Part D out-of-pocket costs are capped at $2,400 for 2027.

Plan costs and benefits are from CMS's 2027 Medicare plan data (data as of October 27, 2026). Star ratings are CMS's 2027 Star Ratings. Every year, Medicare evaluates plans based on a 5-star rating system. Benefits, premiums and copays can change from year to year; check the plan's Evidence of Coverage, call the plan, or use Medicare.gov before you enroll.