The summer 2026 enrollment form is no longer available.
Student Health Plan
- Waiver Form
- Summer/Pre-Fall Waiver Form-NJ/EF PA and Midwifery
- Enrollment Form
- Summer/Pre-Fall Enrollment Form-NJ/EF PA and Midwifery
- Qualifying Event Enrollment Form
- Provider Search
- Prescription Information
- 1095-B Form
- Worldwide Travel Assistance
- Aetna Mobile App
- Member Log In & Claim Status
Optional Plans
Additional Information
- Jefferson Health & Wellness
- Other Health Insurance Options
- Medical Student Leave of Absence Enrollment Form
- Undergraduate and Graduate Student Leave of Absence Enrollment Form
Before enrolling, we encourage students to compare all other insurance options. Pennie offers information for Pennsylvania residents about their online marketplace where you can compare and purchase insurance plans. You may be eligible for a Subsidized Health Plan (a low-or-no-cost insurance program for qualifying uninsured adults).
Before accessing the enrollment form, read the following and acknowledge the statements below.
- For the 2026-2027 policy period, the insurance carrier will be Aetna Student Health.
- I have compared all other insurance options and still choose to enroll in the Thomas Jefferson 2026-2027 student health insurance plan.
Click here to continue to Aetna's website to complete your dental enrollment
Important considerations before enrolling
If you have previously had dental insurance within the past 90 days, then the waiting period will be waived; otherwise, you will need to fulfill the waiting period before services are covered.
If you are an international student, please email ASHIVLID@aetna.com to enroll in Aetna Dental IVL plan. Include your first name, last name, date of birth and school name. Aetna will respond to your request within two business days.
Click here to continue to Aetna's website to complete your vision enrollment