Thomas Jefferson University

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Medical, Prescription &
Dental Benefits

Jefferson offers eligible employees the choice of three medical plans, all of which use Independence Blue Cross (IBC) provider networks.  Each is designed to meet different needs:

  1. The Consumer Driven Health Plan (CDHP) – this plan offers a Health Reimbursement Account (HRA) funded by Jefferson which members use to pay for health care services.  Once the account is exhausted, members must pay for their care to a maximum dollar amount, after which the plan pays 100% of expenses.  You can use a Flexible Spending Account to set aside money on a before tax basis (saving on income taxes) to pay for expenses once your HRA is exhausted.  If you do not use all of the money in your HRA, it will roll into the next year (up to the allotment for 4 years) building the account balance to cover future health care costs at 100%.  
  2. Personal Choice PPO – The PPO allows complete freedom of choice of providers from three networks: Jefferson, JeffPLUS and IBC’s Personal Choice network, although your costs will be lower at a Jefferson or JeffPLUS facility.  The plan also provides coverage at a lower level for providers who do not participate in any of these networks.  PPO members share the cost of services through deductible and co-insurance.  No referrals are required although some services do require pre-certifications.
  3. Keystone HMO – You must choose a primary care physician (PCP) in the Keystone network and get referrals from him/her for care provided by other physicians.  Co-pays apply for most services although they are lower at a Jefferson or JeffPLUS provider.  There is no coverage for services received by providers who are not in the Jefferson networks or IBC’s Keystone network.

The OPTUMRx prescription drug program is included with each of the above health plans. 
If you enroll, you will receive separate ID cards for each plan. 

You may review and evaluate the benefits of each plan by selecting the
comparison charts below:

2014 Jefferson HMO Comparison Chart (PDF)
2014 Jefferson PPO Comparison Chart (PDF)
2014 Jefferson CDHP Comparison Chart (PDF)

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JeffPLUS

You will have the lowest out-of-pocket costs when you use Jefferson facilities.

Consult the web site for an up-to-date listing of participating providers at www.jeffplus.org.
Home Hospitals: out-of-pocket costs are lowest at your home hospital where you work

  • Thomas Jefferson University Hospital
  • Methodist Hospital Division
  • Magee Rehabilitation Hospital
  • Bryn Mawr Hospital
  • Bryn Mawr Rehab Hospital
  • Lankenau Hospital
  • Mirmont Treatment Center
  • Paoli Memorial Hospital
  • Riddle Memorial Hospital

Other Network Hospitals: out-of-pocket costs are higher than your home hospital but lower than if you use a hospital participating in the insurance company’s network

  • Nemours/Alfred. I. duPont Hospital for Children
  • Aria Hospitals, Frankford, Torresdale and Bucks Campuses

Virtua Hospitals: (For in-patient stays only)

  • West Jersey Hospitals at Berlin, Marlton, Memorial and Voorhees

CDHP Hospitals:

  • CHOP and St. Christopher’s Hospital
  • Plus other JHS hospitals

To get the best coverage use a JeffPLUS physician. Please be aware that not all physicians who practice at Jefferson facilities are in the JeffPLUS network. In the event that you receive services from a non JeffPLUS doctor your benefits will be paid as follows:

  • For physicians who participate in the insurance company’s network benefits are paid at “in-network” levels
  • For  physicians who do not participate in the insurance company’s network benefits are paid at the “out-of-network” levels

For more information, please contact the HR Service Center at (215) 503-HRSC or HRQuestions@jefferson.edu.