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Jefferson Health Plans Select (HMO D-SNP) CY2027

Offered by Thomas Jefferson University (company name as listed by CMS) · Plan ID H9207-017-000 · Medicare Advantage with drug coverage, Special Needs Plan (D-SNP)

Available in 2027 in: 20 counties in Pennsylvania. See full service area

2027 Overall Star Rating: 3 out of 5 stars What star ratings mean

We do not offer every plan available in your area. Currently we represent 11 organizations which offer 45 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (1-800-633-4227) is open 24 hours a day, 7 days a week. TTY users call 1-877-486-2048.

Medicare evaluates plans every year based on a 5-star rating system. Star Ratings shown are 2027 Star Ratings released by CMS on October 8, 2026.

This plan's 2027 documents

Summary of Benefits (PDF, carrier document, 2027)

The Summary of Benefits is the plan's own description of its costs and benefits. It comes from the plan company.

Key numbers from CMS files

Monthly plan premium
$12.80. You still pay your Part B premium.
Most you pay in-network in a year (MOOP)
$9,850CMS lists this as a zero-dollar cost-sharing plan for people with Medicare and Medicaid. As long as you keep your Medicaid, you generally pay $0 for covered Medicare Part A and Part B services from in-network providers. Drug copays may apply. The amount shown is the plan's in-network yearly limit on Part A and Part B cost sharing.
Drug deductible
$700
Part B giveback
None
Over-the-counter or benefit card
OTC allowance: $315 per month. Members who qualify may also use it for other benefits.
Extra benefits listed
Dental, OTC

These numbers come from CMS files. For what each benefit covers and costs, read the Summary of Benefits above. We do not write our own descriptions of plan benefits.

See all benefits
Preventive dental, most the plan pays
$550 per year
Comprehensive dental, most the plan pays
one limit shared with preventive dental (amount above)

Amounts are the most the plan pays, as listed in CMS benefit files.

Compared with 2026

Compared with Jefferson Health Plans Select (HMO D-SNP) (H9207-017-0), the 2026 plan.

2026 and 2027 values from CMS files
Item20262027
Monthly premium$32.70$12.80
Most you pay in-network (MOOP)$9,250$9,850
Drug deductible$615$700
Overall star rating3.5 out of 53 out of 5

Service area

Pennsylvania (20)

Adams County, Berks County, Bradford County, Bucks County, Carbon County, Chester County, Cumberland County, Dauphin County, Delaware County, Franklin County, Lancaster County, Lebanon County, Lehigh County, Monroe County, Montgomery County, Northampton County, Perry County, Philadelphia County, Schuylkill County, York County

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Data used on this page

Researched and reviewed by , Licensed Insurance Agent, NPN 18910035, Senior Benefit Assistance. Last reviewed: November 11, 2026.