Thomas Jefferson University — 2026 Medicare Advantage plans
Thomas Jefferson University filed 13 individual Medicare Advantage plan segments for 2026 under 3 CMS contracts, available across 2 states and 36 counties. This page reports CMS filings; MedicareBenefits.care is not affiliated with or endorsed by Thomas Jefferson University and does not rank or recommend plans.
Thomas Jefferson University Summaries of BenefitsEvery indexed SoB for this carrier, linked from its own site.
View SoBsAll 13 Thomas Jefferson University plans filed for 2026
| Plan | Type | Premium | In-network MOOP | Overall stars |
|---|---|---|---|---|
| Jefferson Health Plans Choice (PPO) H3124-002-000 · SoB | PPO | $0 | $7,000 | Not rated |
| Jefferson Health Plans Complete (HMO) H9207-012-000 · SoB | HMO | $0 | $6,500 | 3.5out of 5 stars, Average |
| Jefferson Health Plans Elite (HMO) H9207-018-000 · SoB | HMO | $0 | $6,000 | 3.5out of 5 stars, Average |
| Jefferson Health Plans Flex (PPO) H1619-001-000 · SoB | PPO | $0 | $7,000 | Not rated |
| Jefferson Health Plans Giveback (HMO) H9207-015-000 · SoB | HMO | $0 | $9,250 | 3.5out of 5 stars, Average |
| Jefferson Health Plans Silver (HMO) H9207-013-000 · SoB | HMO | $0 | $6,500 | 3.5out of 5 stars, Average |
| Jefferson Health Plans Flex Pro (PPO) H1619-003-000 · SoB | PPO | $18 | $6,000 | Not rated |
| Jefferson Health Plans Choice Plus (PPO) H3124-001-000 · SoB | PPO | $29 | $6,500 | Not rated |
| Jefferson Health Plans Dual Pearl (HMO D-SNP) H9207-016-000 · SoB | HMO D-SNP | $32.70 | $9,250 | 3.5out of 5 stars, Average |
| Jefferson Health Plans Flex Plus (PPO) H1619-002-000 · SoB | PPO | $32.70 | $6,500 | Not rated |
| Jefferson Health Plans Prime (HMO) H9207-002-000 · SoB | HMO | $32.70 | $6,000 | 3.5out of 5 stars, Average |
| Jefferson Health Plans Select (HMO D-SNP) H9207-017-000 · SoB | HMO D-SNP | $32.70 | $9,250 | 3.5out of 5 stars, Average |
| Jefferson Health Plans Special (HMO D-SNP) H9207-004-000 · SoB | HMO D-SNP | $32.70 | $9,250 | 3.5out of 5 stars, Average |
What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.
5 Excellent4 Above average3 Average2 Below average1 Poor
Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.