Health Partners Plans
Health Partners Plans (now Jefferson Health Plans) is a Philadelphia-based health insurer administering Medicaid, CHIP, Medicare Advantage, and Individual & Family plans across Pennsylvania and New Jersey as the payer arm of Jefferson Enterprise.
- Company typePrivate
- Founded1985
- HeadquartersPhiladelphia, United States
- Headcount501–1,000
- GTM typeB2C
- OfferingServices
What Health Partners Plans does
Health Partners Plans, now operating as Jefferson Health Plans, is a Philadelphia-based health insurance organization founded in 1985 that administers Medicaid, CHIP, Medicare Advantage, and Individual & Family health plans across Pennsylvania and New Jersey. The company operates as the payer arm of Jefferson Enterprise, a conglomerate that also includes Jefferson Health (a regional provider system) and Thomas Jefferson University (an academic medical center), giving the plan privileged access to a vertically integrated provider network. Its product portfolio includes Jefferson Health Plans EverWell (Medicaid), Jefferson Health Plans CHIP, Medicare Advantage plans, and self-pay Individual & Family coverage, with members accessing services through the HealthTrio Connect member portal and a multi-channel digital and community-based marketing operation. The company rebranded from Health Partners Plans to Jefferson Health Plans to consolidate its identity under the Jefferson Enterprise brand.
The business model is a subscription/recurring-revenue health insurance operation: members (or government program allocations on their behalf) pay monthly premiums for coverage across the four product lines, with pricing varying by eligibility category, plan type, and geography. Government-sponsored programs (Medicaid, CHIP, Medicare Advantage) are the primary revenue streams, supplemented by Individual & Family Plans purchased directly or through the ACA marketplace. Distribution is hybrid: self-service website enrollment, state Medicaid/CHIP enrollment channels, member portal servicing, and provider-network referrals from Jefferson Health facilities. Specific premium amounts, tier structures, and member counts are not publicly disclosed.
The company is led by President & CEO Denise Napier and SVP & CFO Kevin Clancy, with 501-1,000 employees based in Philadelphia. Recent strategic activity centers on the Jefferson Enterprise rebrand, ongoing multi-product operations in PA and NJ, and brand-level marketing investments including a 2026 PGA TOUR Champions sponsorship (Jefferson Lehigh Valley Classic). No AI/ML capabilities, proprietary technology platforms, or technology-driven differentiators are disclosed in available sources; competitive positioning rests on provider network access, government contract incumbency, and the Jefferson brand rather than technology.
Health Partners Plans firmographics
Firmographics- Name
- Health Partners Plans
- Legal name
- Jefferson Health Plans
- Website
- https://healthpartnersplans.com
- Company type
- Private
- Founded year
- 1985
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- Health Partners Plans (now Jefferson Health Plans) is a Philadelphia-based health insurer administering Medicaid, CHIP, Medicare Advantage, and Individual & Family plans across Pennsylvania and New Jersey as the payer arm of Jefferson Enterprise.
- Ownership category
- akta.pro rank
Health Partners Plans industry classification
Industry- Product category
- Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Health and Welfare Funds (525120)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans (HLAEAEAI)
- akta.pro secondary industry
- Managed Care / Network-Based Group Health Plans (Carrier Network Products) (FSAIAFAO)
Keywords
Where Health Partners Plans is headquartered
LocationHeadquarters
- HQ city
- Philadelphia
- HQ country
- United States
- HQ region
- North America
Markets served
Health Partners Plans business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure, Others
Revenue model
- Health Insurance Premiums: The company generates revenue through recurring health insurance premiums paid by members enrolled in its Medicaid, CHIP, Medicare Advantage, and Individual and Family plans. Premium revenue is recurring in nature, collected on a monthly basis from members or through government program allocations.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Medicaid plans (EverWell) - Government-sponsored coverage for eligible low-income individuals and families |
| Subscription | Monthly | CHIP plans - Children's Health Insurance Program for families exceeding Medicaid income limits |
| Subscription | Monthly | Medicare Advantage plans - Government-sponsored Medicare plans with additional benefits |
| Subscription | Monthly | Individual and Family Plans - Private coverage purchased directly by individuals and families |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels4 records
Health Partners Plans product offering
Product offeringCore offering
Health Partners Plans, operating as Jefferson Health Plans, provides health insurance coverage across Medicaid (EverWell), CHIP, Medicare Advantage, and Individual and Family plan lines for residents of Pennsylvania and New Jersey. Plans are supported by access to Jefferson Health's provider network, essential health benefits, member resources, and community wellness programs addressing social determinants of health.
Product overview
Jefferson Health Plans (formerly Health Partners Plans) is a unified health insurance platform offering multiple plan types across different life stages. The portfolio includes Jefferson Health Plans EverWell (formerly Health Partners Plans Medicaid) for Medicaid beneficiaries, Jefferson Health Plans CHIP for children's health insurance, Individual and Family Plans for self-pay customers, and Medicare Advantage plans for seniors. All plans are supported by access to Jefferson Health doctors and hospitals plus other regional providers.
Differentiator
Problem solved
Functional benefit
Brands
- EverWell: Medicaid plan formerly known as Health Partners Plans Medicaid, now Jefferson Health Plans EverWell.
- CHIP
Products and services
- Jefferson Health Plans EverWell Medicaid health plan offering quality, affordable health coverage in Pennsylvania and New Jersey, connecting members to a network of providers including Jefferson Health facilities, essential benefits, and member resources.
- Jefferson Health Plans CHIP
- Jefferson Health Plans Medicare Advantage
- Individual and Family Plans
Companies that use Health Partners Plans
Customer profileSegments4 records
Ideal customer profiles4 records
Health Partners Plans technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Health Partners Plans partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered core and minor.
- Jefferson HealthcoreJefferson Health is the integrated health system parent organization. Jefferson Health Plans operates as part of Jefferson Enterprise alongside Jefferson Health and Thomas Jefferson University. The health plan has access to Jefferson Health's provider network including all Jefferson Health doctors and hospitals across the region.
- Thomas Jefferson UniversitycoreThomas Jefferson University is part of Jefferson Enterprise along with Jefferson Health and Jefferson Health Plans. The university provides academic medical center resources and integration with health plan operations for coordinated care delivery.
- Jefferson EnterprisecoreJefferson Enterprise is the parent organizational umbrella encompassing Jefferson Health, Thomas Jefferson University, and Jefferson Health Plans. The enterprise model enables integrated care delivery combining academic medicine, health system operations, and health plan administration.
- Local Community PartnersminorThe company works with local partners to build community-based programs, events, and services that support member wellness and community health improvement, including food access resources and social determinants of health initiatives.
Recent moves4 records
Expansion highlights4 records
Health Partners Plans competitors and assessment
Company assessmentDirect peers
- AmeriHealth Caritas: Regional Medicaid managed care plan serving Pennsylvania and New Jersey, overlapping directly with Jefferson Health Plans' core Medicaid (EverWell) and CHIP markets and competing for the same low-income enrollee population.
- UPMC Health Plan: Pennsylvania-headquartered integrated payer-provider health plan offering Medicaid, Medicare Advantage, CHIP, and Individual plans, directly comparable to Jefferson Health Plans in product mix and integrated-system positioning.
- Highmark Blue Shield (Highmark Health): Pennsylvania-based integrated payer-provider offering Medicaid, Medicare Advantage, and Individual/Family plans across the same geographies, making it a directly comparable regional peer anchored to a large provider system.
- Independence Blue Cross: Philadelphia-based Blue Cross Blue Shield licensee offering Individual, employer, Medicare Advantage, and Medicaid products across Southeastern Pennsylvania, competing head-to-head in Jefferson Health Plans' home market.
- Geisinger Health Plan: Central and Northeastern Pennsylvania health plan offering Medicaid, Medicare Advantage, and Individual products as part of an integrated delivery system, structurally similar to Jefferson Health Plans' system-affiliated model.
Broad incumbents
- Centene Corporation: National managed care leader with deep Medicaid and Marketplace exposure, including presence in Pennsylvania and New Jersey; competes broadly in the same government-sponsored insurance segments as Jefferson Health Plans.
- UnitedHealthcare: Largest U.S. health insurer offering Medicaid, Medicare Advantage, and Individual plans in PA/NJ, providing scale and network advantages that pressure regional carriers like Jefferson Health Plans in non-Medicaid segments.
- Humana: Major Medicare Advantage carrier with growing Medicaid presence, competing in PA/NJ Medicare Advantage and Individual segments where Jefferson Health Plans is a smaller regional player.
- Aetna (CVS Health): National carrier with Medicare Advantage, Individual, and growing Medicaid exposure in PA/NJ, leveraging CVS Health retail footprint to compete across the same product lines as Jefferson Health Plans.
Emerging players
- Molina Healthcare: Medicaid-focused managed care plan with growing presence in Pennsylvania and adjacent markets, competing for the same government program enrollees that constitute Jefferson Health Plans' core Medicaid book.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
Health Partners Plans social profiles
Digital presenceHealth Partners Plans financial estimates
Financial estimateRevenue estimate
Valuation estimate
Health Partners Plans leadership team
Management profileNumber of profiles
Profiles2 records
Health Partners Plans funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Health Partners Plans M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Health Partners Plans
What does Health Partners Plans do?
Health Partners Plans, operating as Jefferson Health Plans, provides health insurance coverage across Medicaid (EverWell), CHIP, Medicare Advantage, and Individual and Family plan lines for residents of Pennsylvania and New Jersey. Plans are supported by access to Jefferson Health's provider network, essential health benefits, member resources, and community wellness programs addressing social determinants of health.
Is Health Partners Plans a public or private company?
Health Partners Plans is a private company. It is classified as corporate owned and is currently operating.
When was Health Partners Plans founded?
Health Partners Plans was founded in 1985. It employs 501 to 1,000 people.
Where is Health Partners Plans based?
Health Partners Plans is headquartered in Philadelphia, United States, in the North America region.
How does Health Partners Plans make money?
One revenue line is on record: health Insurance Premiums.
Who are Health Partners Plans's main competitors?
Direct peers on record are AmeriHealth Caritas, UPMC Health Plan, Highmark Blue Shield (Highmark Health), Independence Blue Cross and Geisinger Health Plan. Broad incumbents are Centene Corporation, UnitedHealthcare, Humana and Aetna (CVS Health). Molina Healthcare is listed as an emerging player.
Does Health Partners Plans have an API?
No public API is recorded for Health Partners Plans.
What industry is Health Partners Plans in?
Health Partners Plans's product category is Health Insurance. Its primary akta.pro industry code is HLAEAEAI, Integrated Physical-Behavioral-Social Care (Whole-Person) Medicaid Plans, with a secondary code of FSAIAFAO, Managed Care / Network-Based Group Health Plans (Carrier Network Products). Its NAICS code is 524114 and its SIC code is 6324.