As previously communicated in Partners in Health UpdateSM on September 24, 2018, Independence is offering Keystone 65 Basic HMO, Keystone 65 Focus HMO-POS, Keystone 65 Preferred HMO, and Keystone 65 Select HMO individual members a new Preferred primary care physician (PCP) benefit in 2019.
Our Medicare Advantage HMO and HMO-POS network PCPs have been categorized into one of two benefit tiers:
- Preferred. Members will pay $0 cost-sharing for PCP visits.
- Standard. Members will pay the same cost-sharing for PCP visits as 2018.
Note: Capitation payments are higher for members who have $0 copay to compensate for what would have been collected with higher copays.
Preferred PCP designation
If your practice has been identified as a Preferred PCP practice, a letter was sent to you in late September notifying you of this distinction.
Our Find a Doctor tool for Medicare Advantage members has been updated to include your practice’s tier. Simply type your name in the search field next to All Categories and hit the magnifying glass to begin the search. Below is an example of how a Preferred PCP will appear.
In addition, the following message appears at the top of the page to remind you that Independence individual Medicare Advantage HMO members have a $0 copayment:
Stay tuned for additional information about new benefits that are centered around improving affordability and increasing quality of benefits for our Medicare Advantage members.