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Get care

1-800-303-0656 (TTY/TDD: 711) 8 a.m. - 8 p.m., Monday - Friday

Find a doctor, dentist, or pharmacy

Your Independence Blue Cross (Independence) coverage gives you access to one of the largest provider networks in Southeastern Pennsylvania. Additionally, Independence contracts with an independent pharmacy benefits management (PBM) company to provide Medicare Part D prescription benefit management services, and one of the largest pharmacy networks.

Find a doctor, specialist, or hospital

You can search for in-network health care providers (doctors, specialists, hospitals, urgent care centers, retail clinics, and more in several ways.

Search our online Find a Provider tool

Use our online search tool to find doctors, hospitals, and other health care facilities that participate in the Keystone 65 HMO and Personal Choice 65^SM PPO Medicare Advantage network.

Find a provider

Please note: To search for pharmacies near you use our Find a Pharmacy tool. To find participating providers for in-network routine dental, vision, and hearing benefits, use our search tools below.

View the Provider/Pharmacy Directory - updated 8/1/2023

View a printable list of network providers, using our Provider/Pharmacy Directories below. The Provider/Pharmacy Directory includes a list of doctors, hospitals, DME Suppliers, pharmacies and more. You can also request a printed copy be mailed to you by calling our Member Help Team.

Please note, if you discover an error in the directory information, including if a provider is no longer accepting new patients, please call 1-800-645-3965 (TTY/TDD: 711) for Keystone 65 HMO or 1-888-718-3333 (TTY/TDD: 711) for Personal Choice 65 PPO, seven days a week, 8 a.m. to 8 p.m. Please note that on weekends and holidays from April 1 through September 30, your call may be sent to voicemail.

To learn more about your health plan, view our Stay Healthy page.

Find a dentist

Keystone 65 and Personal Choice 65 members have routine dental coverage, and most plans have comprehensive dental coverage included in their health plan.

For in-network coverage members must use the United Concordia dental network. To find a participating dentist use our Find a Dentist search tool below.

When searching for a dentist make sure to select the correct dental network for your plan.

Keystone 65 HMO and Personal Choice 65 PPO members should select the Concordia Choice Plus Medicare Advantage network.
Group plan Keystone 65 HMO members with dental benefits are required to select a primary dental office and should select the Keystone DHMO network.
Group plan Personal Choice 65 members with dental benefits should select the Concordia Choice Plus Medicare Advantage network.

To learn more about routine and comprehensive dental coverage, view our Stay Healthy page.

Find a Vision Provider

Keystone 65 and Personal Choice 65 members have routine vision coverage included in their health plan. Members must use a Davis Vision provider for in-network routine vision care. To find a participating provider use the Davis Vision search tool.

Find a Davis Vision provider

To learn more about routine vision coverage, view our Stay Healthy page.

Find a Hearing Provider

Routine hearing exams, evaluations, and hearing aids must be provided by a TruHearing^® provider. All hearing services that are not covered by Medicare must be obtained by a TruHearing provider. Any care received from a non-participating provider will not be covered by the plan.

To obtain routine hearing services, you must contact TruHearing at <1-855-541-6173 (TTY: 711)> 8 a.m. to 8 p.m. Monday to Friday to schedule an appointment with a participating TruHearing provider.

To learn more about routine hearing coverage, view our Stay Healthy page.

Find a network pharmacy

Independence Blue Cross contracts with an independent pharmacy benefits management (PBM) company to provide Medicare Part D prescription benefit management service. For more information on the Independence pharmacy network or view your Formulary (list of covered drugs), visit our Find a drug page. To locate a network pharmacy use the search tool below:

Find a network pharmacy

Addiction treatment

Use Shatterproof’s ATLAS to find an addiction and substance use disorder treatment facility for you or a loved one.*

Find a treatment facility

*Shatterproof, a national non-profit dedicated to reversing the addiction crisis in the U.S., is leading the implementation of ATLAS^®, a quality measurement system for addiction treatment facilities. Shatterproof is an independent company that provides behavioral health services for Independence Blue Cross.

Opioid treatment programs (OTPs)

Opioid treatment programs (OTPs) are covered under Part B of Original Medicare. Independence Blue Cross Medicare Advantage members can receive coverage for these services through their plan. Covered services include:

FDA-approved opioid agonist and antagonist treatment medications and the dispensing and administration of such medications, if applicable
Substance use counseling
Individual and group therapy
Toxicology testing

Search for in-network providers who are issuing OTP services.

Request a printed provider/pharmacy directory

If you need help finding a network provider and/or pharmacy, or if you would like a Provider/Pharmacy Directory mailed to you, please call 1-800-645-3965 (TTY/TDD: 711) for Keystone 65 HMO or 1-888-718-3333 (TTY/TDD: 711) for Personal Choice 65 PPO, seven days a week, 8 a.m. to 8 p.m. Please note that on weekends and holidays from April 1 through September 30, your call may be sent to voicemail.

Y0041_HM_113082_M_2024
Website last updated: 8/1/2023

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.

MedigapFreedom Individual plans: Benefits underwritten by QCC Insurance Company, a subsidiary of Independence Blue Cross — independent licensees of the Blue Cross and Blue Shield Association.

MedigapSecurity plans are offered through Independence Blue Cross and Highmark Blue Shield, independent licensees of the Blue Cross and Blue Shield Association.

Dental benefits are underwritten by QCC Insurance Company and Keystone Health Plan East and administered by United Concordia Companies, Inc., an independent company.

One Day University is an independent company.

The grocery benefit mentioned is a part of special supplemental program for the chronically ill. Not all members qualify.

The meals program benefit mentioned is a part of special supplemental program for the chronically ill. Not all members qualify.

The One Pass fitness benefit is a program provided by Rally Health, Inc. an independent company. ©2022 Rally Health, Inc. Rally, the Rally logo(s) and One Pass are trademarks of Rally Health, Inc. and/or its affiliates.

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

Telemedicine is provided through MDLIVE, by Evernorth, 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.

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 and confirm with 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, 2024, and from time to time during the year.

Independence Blue Cross has contracted with New Ocean Health Solutions, an independent company, to manage the Independence health rewards program for Independence Blue Cross members. New Ocean Health Solutions has subcontracted with Tango Card, Inc., an independent company, to manage the gift card service related to the Independence health rewards program. Offer only for eligible Medicare Advantage beneficiaries who completed a health care activity, may not be redeemed for cash (unless required by law). Tango Card, Inc. at its discretion may substitute a gift card of the same value. Terms and conditions may apply for this rewards program. To learn more, visit rewardsgenius.com/reward-link-terms-of-service. Independence Blue Cross, New Ocean Health Solutions, and Tango Card, Inc., are not affiliated with the gift card companies. Please see gift card for terms and conditions of use.