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Keystone Health Plan East HMO

Medically Underwritten Plans

Choose from a variety of copay plans for predictable costs or our deductible plans for lower premiums.

About Keystone Health Plan East HMO

Features of Individual HMO:

  • primary and specialist care;1
  • emergency and urgent care;
  • prescription drug benefits;
  • birth control pills, annual OB/GYN exams, and mammograms;
  • coverage for routine eye exams and eyeglasses or contacts;
  • value-added Healthy LifestylesSM rewards for fitness memberships, weight management programs, and smoking cessation programs;
  • no claim forms to complete and convenient electronic referrals;
  • final rate will be guaranteed for the first six months for coverage, if your application is approved.

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Contact Us

For more details, please call 1-800-263-1410 or complete a rate quote request.

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Important Notice
These are medically underwritten programs, so coverage is not guaranteed and some applications may not be approved based on medical conditions. As a medically underwritten product, acceptance and rates are based on your health status. There is no automatic transfer from any existing Keystone, Personal Choice, or other Independence Blue Cross Plan, into the individual medically underwritten plans.

In addition, these plans are subject to a preexisting condition exclusion. Coverage for any preexisting condition, illness, or injury for which medical advice or treatment was recommended or received during the look back period is excluded for the first 12 months. Under our Keystone plans, we will look at any conditions that you received services or advice for in the 90 days preceding enrollment. For our Personal Choice plans, the look back period is 12 months prior to enrollment. There are two ways in which applicants may be able to waive or reduce the waiting period for a preexisting condition — through a Blue-to-Blue transfer or creditable coverage.

Applications take time to process, so you should maintain your current coverage until we notify you that your application has been approved.

1 Certain services are not covered. Please note mental health and substance abuse benefits are not available with these plans.

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Register online and complete your Individual HMO application.

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