Y0041_HM_17_55927 Approved 7/7/2017
Website last Updated 6/30/2017
©2017 Independence Blue Cross. All rights reserved.
1901 Market Street | Philadelphia, PA 19103
Independence complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Independence does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. For more information on this and how to request language assistance services, click here.
Independence Blue Cross offers products through its subsidiaries Independence Hospital Indemnity Plan, Keystone Health Plan East and QCC Insurance Company, and with Highmark Blue Shield — independent licensees of the Blue Cross and Blue Shield Association.
Independence Blue Cross offers Medicare Advantage plans with a Medicare contract. Enrollment in Independence Medicare Advantage plans depends on contract renewal.
You must continue to pay your Medicare Part B premium.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Medicare beneficiaries may also enroll in Keystone 65 HMO, Personal Choice 65 PPO, or Select Option PDP through the CMS Medicare Online Enrollment Center located at www.medicare.gov. By clicking on the link you will be leaving the Independence Blue Cross Medicare website.
For accommodation of persons with special needs at sales meetings call toll-free 1-877-393-6733 (TTY: 711), 8 a.m. to 8 p.m., seven days a week. A salesperson will be present with information and applications. However, please be aware that on weekends and holidays from February 15 through September 30, your call may be sent to voicemail.
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