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Medicare basics

Find a Medicare plan

Explore Medicare plans

Find a Medicare plan

Money saving programs

Find a Medicare plan

Shop for a plan

Find a Medicare plan

Find an agent

Get care

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Get care

Find a doctor or pharmacy

Get care

Find a drug

Stay healthy

Stay healthy

Resources

For members

Resources

For caregivers

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By clicking the continue to website button you will be leaving the Independence Blue Cross Medicare website.

Find a Medicare plan

1-800-303-0656 (TTY/TDD:711) 8 a.m. to 8 p.m., 7 days a week

Medicare Advantage health plans

Independence Blue Cross offers affordable Medicare Advantage plans (medical-only and medical plans with prescription drugs) in Philadelphia County and the surrounding Bucks, Chester, Delaware and Montgomery Counties. Compare plan types below to view coverage details to see which one best meets your needs.

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New for 2021: Dental allowances up to $2,000

All our Medicare Advantage plans now include dental, vision, and hearing benefits at no additional premium

You may enroll in a Medicare Advantage Plan during the annual election period, during a special election period, or during your initial election period.

Keystone 65 HMO plans

Keystone 65 Basic, Focus, Select, and Preferred are our Medicare Advantage HMO plans. They offer members:

New for 2021! Dental, vision, and hearing benefits included in Medicare Advantage plans
New for 2021! $0 copay for all in-network primary care physicians (PCP)
New for 2021! $0 telemedicine visit for medical visits. $5 copay for behavioral health visits
Premiums as low as $0 in all counties
No deductibles
No referrals required
Keystone 65 Focus Rx HMO-POS offers an out of network benefit up to $1,000 (members may pay more for non-network providers)
SilverSneakers^® Fitness Program
Routine podiatry and chiropractic care
One of the largest networks in the area

Personal Choice 65^SM PPO

Personal Choice 65 PPO and Personal Choice 65^SM Prime PPO offer members:

New for 2021! Dental, vision, and hearing benefits
A $0 premium and prescription drug coverage with Personal Choice 65 Prime PPO
A $5 PCP copay
Gives members the freedom to see any doctor or hospital in the U.S. (members may pay more for non-network providers)
No referrals required
Does not require members to select a primary care physician (PCP)
SilverSneakers^® Fitness Program

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Looking for more information about our plans?

Request an information packet to learn more about our plans.

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Website last updated: 9/1/2020

*Please note that on weekends and holidays from April 1 through September 30, your call may be sent to voicemail.

To file an appeal or grievance for your medical benefit coverage or your prescription drug coverage, contact Keystone 65 Customer Service at 1-800-645-3965 or Personal Choice 65 Customer Service at 1-888-718-3333; TTY/TDD users should call 711, 7 days a week, 8 a.m. to 8 p.m.; or you can complete and submit online the Request for Medicare Prescription Drug Coverage Determination or the Request for Redetermination of Medicare Prescription Drug Denial.

For additional information from the Centers for Medicare and Medicaid Services (CMS) visit http://www.medicare.gov. If you prefer to file a grievance through CMS, please complete the Medicare Complaint Form. For additional assistance, visit The Office of the Medicare Ombudsman.

Independence Blue Cross offers Medicare Advantage plans with a Medicare contract. Enrollment in Independence Medicare Advantage plans depends on contract renewal.

Independence Blue Cross offers products through its subsidiaries Independence Hospital Indemnity Plan, Keystone Health Plan East and QCC Insurance Company — independent licensees of the Blue Cross and Blue Shield Association.

Medicare beneficiaries may also enroll in Keystone 65 HMO, Keystone 65 HMO-POS, Personal Choice 65^SM PPO, or Select Option^® PDP through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.

Keystone 65 HMO and Personal Choice 65^SM PPO: For accommodation of persons with special needs at meetings call toll-free 1-877-393-6733 (711 for the speech- and hearing-impaired).

Select Option^® PDP: For accommodation of persons with special needs at meetings call toll-free 1-888-678-7009 (711 for the speech- and hearing-impaired).

Every year, Medicare evaluates plans based on a 5-Star rating system.

MedigapFreedom: To join, you must be enrolled in Medicare Parts A and B. Plan F and Plan N are available only to applicants who enroll within six months following enrollment in Medicare Part B or who are guaranteed the right to purchase these plans under applicable federal or state laws. You must continue to pay Medicare Part A (if applicable) and Part B premiums.

COVERED PERSON means a Medicare beneficiary who is enrolled in Medicare Part A and Part B, made the appropriate payment in consideration for this Policy, and is eligible for benefits under this Policy.

Non-tobacco rates apply to applications submitted during the six-month open enrollment or in a guaranteed issue situation. Applicants NOT enrolling during the six-month open enrollment period or in a guaranteed issue situation will be evaluated for tobacco usage and charged the corresponding tobacco or non-tobacco rates. All rates are subject to change with the approval of the Pennsylvania Insurance Department. Any rate change will apply to all policies in our service area and cannot be changed or canceled because of poor health. QCC Insurance Company has the right to change premiums based on your attained age and the table of rate changes. We will give a 30-day notice of a premium change.

Not connected with or endorsed by the U.S. Government or the federal Medicare program.

The SilverSneakers^® fitness program is provided by Tivity Health, Inc., an independent company. ©2020. All rights reserved. SilverSneakers is a registered trademark of Tivity Health, Inc. SilverSneakers GO is a trademark of Tivity Health, Inc. ©2020 Tivity Health, Inc. All rights reserved.

TruHearing^® is a registered trademark of TruHearing, Inc., an independent company.

FutureScripts^® is an independent company that provides pharmacy benefit management services.

Telemedicine is provided by MDLIVE, an independent company. MDLIVE may not be available in certain states and is subject to state regulations. MDLIVE does not replace the primary care physician, is not an insurance product and may not be able to substitute for traditional in-person care in every case or for every condition. MDLIVE does not prescribe DEA-controlled substances and may not prescribe non-therapeutic drugs and certain other drugs, which may be harmful because of their potential for abuse. MDLIVE does not guarantee patients will receive a prescription. Health care professionals using the platform have the right to deny care if based on professional judgment a case is inappropriate for telehealth or for misuse of services. MDLIVE and the MDLIVE logo are registered trademarks of MDLIVE, Inc. and may not be used without written permission. For complete terms of use visit https://www.mdlive.com/terms-of-use/.

Out-of-network/non-contracted providers are under no obligation to treat Independence Blue Cross Medicare members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

OptumRx home delivery is an Optum® company – an independent company that provides pharmacy services. Other pharmacies are available in our network.

Dual-purpose items are medicines and products that can be used for either a medical condition or for general health and well-being. In order to purchase these items under your plan, your personal physician must recommend them to you for a specific diagnosed condition. Please speak to your physician before ordering these items. Items include, but are not limited to, vitamins and minerals, home monitoring and testing, and weight loss items.

Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on January 1, 2021, and from time to time during the year.