Important announcement about Temple Health-Chestnut Hill Hospital and Jefferson Health Plans

Jefferson Health Plans is a health insurance company that provides managed care plan services for Pennsylvania Medical Assistance (Medicaid) and Medicare recipients.

Temple Health-Chestnut Hill Hospital’s contract with Jefferson Health Plans is scheduled to end on September 30, 2026. Temple Health-Chestnut Hill Hospital will no longer be participating with these plans beginning October 1, 2026.

Starting October 1, 2026, Jefferson Health Plans will not pay for care at Temple Health-Chestnut Hill Hospital – but there are important exceptions: 
 

• Emergency care is always covered.
• If you are pregnant, you can still go to Temple Health-Chestnut Hill Hospital before and after your baby is born.
• If you need ongoing care for a medical condition treated by Temple Health-Chestnut Hill Hospital in the last twelve (12) months, or if treatment has been prior authorized, you can keep getting care for up to 60 days after September 30, 2026.

You will need to switch to a different Medicare or PA Medicaid Managed Care to keep getting care at Temple Health-Chestnut Hill Hospital.
 

This decision was made after months of negotiations and was a step that Temple Health-Chestnut Hill Hospital did not take lightly. Temple provides a broad variety of quality services to all of its patients. It is essential that Jefferson Health Plans fairly reimburse Temple for these services. If we cannot come to a fair and lasting agreement, then our agreement will end on September 30, 2026. 

You will need to switch to a different Medicare or PA Medicaid Managed Care to keep getting care at Temple Health-Chestnut Hill Hospital.
 

• If you have PA Medicaid: you can change plans at any time. Call the PA Enrollment Center at 1-800-440-3989 or via www.enrollnow.net. Your new plan will become effective within 30-45 days.
   
• If you have Medicare: you do not have to wait for Medicare Open Enrollment to change plans. This change qualifies you for CMS’s Special Enrollment Period (SEP). You can request to change plans as early as September 1, 2026.  Medicare Open Enrollment runs through December 7, 2026. To change plans, call 1-800-MEDICARE (1-800-633-4227) and reference 
  this letter.

Yes, please keep all scheduled appointments you have before September 30. Temple Health and Jefferson Health Plans remain contracted until that date regardless of the outcome of the negotiations.

Yes. Your health is extremely important to us and we want to ensure that you do not encounter any delays in care. Jefferson Health Plans has an obligation to ensure continuity of care for a period of time for any members who become out of network due to a contract termination.

Please call your provider or Temple Health Financial Counseling at 215-707-7771 or email [email protected] if you have questions or concerns.

Please call 215-707-7771 or email [email protected] to speak with a Temple Health Financial Counselor.

We are focused making sure that there are minimal disruptions to your care. Jefferson Health Plans members can still access our services directly through the Emergency Department regardless of the status of their insurer contract.

Thank you for choosing us for your health care. Temple Health has a long-standing commitment to your health and we wish to continue to treat you and your neighbors. 

You will need to switch to a different Medicare or PA Medicaid Managed Care to keep getting care at Temple Health-Chestnut Hill Hospital. 
 

• If you have PA Medicaid: you can change plans at any time. Call the PA Enrollment Center at 1-800-440-3989 or via www.enrollnow.net. Your new plan will become effective within 30-45 days.
   
• If you have Medicare: you do not have to wait for Medicare Open Enrollment to change plans. This change qualifies you for CMS’s Special Enrollment Period (SEP). You can request to change plans as early as September 1, 2026.  Medicare Open Enrollment runs through December 7, 2026. To change plans, call 1-800-MEDICARE (1-800-633-4227) and reference 
  this letter.

Temple Health Financial Counselors can also assist you with making a change and/or answer any questions you may have about changing plans—they are available at 215-707-7771 or [email protected].

All PA Medicaid and Medicare plans must offer a standard level benefits, however, there are plans that may offer additional benefits that may be helpful to you and your family.  Our Temple Health Financial Counselors can answer any specific questions you may have about changing plans. Call 215-707-7771 or email [email protected].

Some of the insurance companies listed above offer Dual Eligible Special Needs Plans (D-SNPs). Availability and eligibility depend on your county and Medicaid status. Before enrolling in a new plan, confirm that your Temple Health doctors and the services you need are in network with the specific plan you choose.