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Keystone Health Plan East HMO

Individual coverage

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:

  • premiums as low as $76 a month;1
  • primary and specialist care;2
  • 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 regarding Individual HMO

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, the HMO 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 within the 90-day period that precedes the effective date of coverage is excluded for the first 12 months.

There is no waiver of the preexisting exclusion provision. Certificates of Creditable Coverage from a group plan are not applicable for these products. Even if you have been continuously insured under another plan prior to applying with us, the preexisting exclusion provision will apply to any approved application.

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

1 Preliminary quote. Final rate quote and approval of coverage is dependent on medical underwriting. Approval is not guaranteed, and some applications may not be approved based on medical conditions.

2 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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