Keystone Health Plan East HMO Plans
With a Keystone HMO plan from Independence Blue Cross, you can see any doctor or visit any hospital in the Keystone Health Plan East network. You pick a primary care physician (PCP), or family doctor, to coordinate your care. Your PCP will treat you for general health needs and refer you to specialists as needed. With a Keystone HMO plan, you will not be covered for care that you receive from doctors or hospitals outside the Keystone Health Plan East network (except for emergency services).
Is a Keystone HMO plan right for you?
One of the Keystone HMO plans from Independence Blue Cross may be the best Pennsylvania health insurance option for you and your family if:
- You live within one of these five counties
- You want to save money by selecting health care providers in the Independence Keystone Health Plan East network
- You have or are willing to designate a primary care physician to coordinate all of your healthcare and provide referrals for specialty care
How Keystone HMO plans work
Keystone HMO plan options
| Keystone HMO Gold | Keystone HMO Silver | Keystone HMO Silver Basic1 | Keystone HMO Bronze | |
|---|---|---|---|---|
| Deductible | $0 | $3,000 | $4,500 | $7,400 |
| Primary care physician visit | $35 | $35 no deductible | $40 no deductible | $75 no deductible |
| Specialist visit | $65 | $70 no deductible | $80 no deductible | $150 no deductible |
| Inpatient hospital | $750/day2 | 30% after deductible | 50% after deductible | Subject to deductible and $700/day1 |
| Generic prescription drugs | $15 | $20 no deductible (integrated with medical deductible) | $20 no deductible (integrated with medical deductible) | $25 no deductible (integrated with medical deductible) |
Resources
- Find out which health providers are available in these plans.
- Still have questions about the Keystone HMO health plans? Call a licensed agent to learn more about your health options at 1-888-475-6206 (TTY:711).
- Ready to enroll? Apply now.
Additional information
Review important information to get a better understanding of our individual and family health insurance policies and guidelines and the steps Independence Blue Cross takes to help you receive appropriate covered services.
1 HMO Silver Basic is only available for purchase through the Pennsylvania Insurance Exchange (Pennie).
2 Amount shown reflects copay per day. There is a maximum of 5 copays per admission.