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  • General
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  • Individuals and Families (2025)
  • Individuals and Families (2024)
    • Gold Plans
    • Silver Plans
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    • Catastrophic Plans
  • Blue Solutions: Small Employer (2025)
  • Blue Solutions: Small Employer (2024)
  • Large Group Options 51-99 (2025)
  • Large Group Options 51-99 (2024)
  • Large Group Options 100+ (2025)
  • Large Group Options 100+ (2024)

Gold Plans 2024Individuals and Families

Please note that we have updated our Benefit Highlights documents with a new logo and design. Benefit information has not changed.

Forms are in pdf format.

On/Off Exchange
Option
Off
Personal Choice PPO Gold
On
Personal Choice PPO Gold
On
Personal Choice PPO Gold > 300%
On
Personal Choice PPO Gold < 300%
On
Personal Choice PPO Gold Classic
On
Personal Choice PPO Gold Classic < 300%
On
Personal Choice PPO Gold Classic > 300%
Off
Personal Choice PPO Gold Preferred
On
Personal Choice PPO Gold Preferred
On
Personal Choice PPO Gold Preferred < 300%
On
Personal Choice PPO Gold Preferred > 300%
Off
Keystone HMO Gold
On
Keystone HMO Gold
On
Keystone HMO Gold < 300%
On
Keystone HMO Gold > 300%
Off
Keystone HMO Gold Proactive
On
Keystone HMO Gold Proactive
On
Keystone HMO Gold Proactive < 300%
On
Keystone HMO Gold Proactive > 300%
On
Keystone HMO Gold Classic
On
Keystone HMO Gold Classic < 300%
On
Keystone HMO Gold Classic > 300%

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Independence Blue Cross is a subsidiary of Independence Health Group, Inc. ‐ independent licensees of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.