Eligibility Special Care

To be eligible for Special Care, you must meet the basic eligibility requirements. An applicant must:

  • be a resident of Pennsylvania and live in one of the five counties served by Independence Blue Cross: Bucks, Chester, Delaware, Montgomery, or Philadelphia counties;
  • not be enrolled in or eligible for a private or governmental group or individual health care program;
  • meet the Special Care family size income guidelines listed below.
  • For adultBasic members who are applying for Special Care coverage by May 2, 2011, Independence Blue Cross will waive the pre-existing condition exclusion as well as the required income eligibility review.

Special Care Family Size & Income Requirements

Family Size Maximum Income
1 $21,780
2 $29,420
3 $37,060
4 $44,700
5 $52,340
6 $59,980
7 $67,620
8 $75,260
FPL 3/11