MedicarePartD.guide

A non-government resource built from CMS public data

Jefferson Health Plans Special (HMO D-SNP)

Available to residents of Lehigh County, PA for 2026. Contract H9207, plan 004, segment 0.

Plan details

Monthly premium$0.00
Drug deductible$615.00Tier 1 and 6 exempt
Plan typeDual-eligible SNP
Contract / planH9207-004-0
Offered byJefferson Health Plans
Parent organizationThomas Jefferson University
Formulary drugs3,399

CMS star ratings

Overall
3.5 out of 5 stars for Overall
Health plan (Part C)
3.5 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
3.5 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 220%
Tier 324%
Tier 428%
Tier 525%
Tier 6$0.00

Also available in 27 other PA counties