In 2013, the Keystone 65 Select HMO premium has been reduced to $0 for medical-only plans in all counties. In addition, the premiums for the Keystone 65 Select Rx HMO plans have been reduced to $31.50 for those in Philadelphia and Bucks Counties, and $46.50 for those in Chester, Delaware, and Montgomery Counties. Keystone 65 Select also includes a worldwide travel benefit for emergency care and urgently needed care.
The Choice Care program, which includes dental services, hearing services, and vision care, is an additional $10 monthly premium. Keystone 65 HMO has a $6,700 out-of-pocket maximum for 2013.
Last month, Medicare beneficiaries were mailed their 2013 Annual Notification of Change (ANOC)/Evidence of Coverage (EOC), which outlines all of the changes for 2013. Members may enroll in a new plan for 2013 any time between October 15 and December 7, 2012.
Keystone 65 Select HMO benefit highlights
|Service||Cost to member|
|Primary care physician visits||$15 copay per visit|
|Specialist visits||$45 copay per visit|
|Emergency department||$65 copay (not waived if admitted)|
|Urgently needed care||$15 – 45 copay per visit|
|Outpatient surgery||$350 copay (per date of service) for outpatient hospital; $100 copay for Ambulatory Surgical Centers (per date of service)|
|Inpatient hospital||$245 per day for days 1 – 7 ($1,715 per stay maximum). $0 copayment/day for 8+ days; unlimited days each benefit period.|
|Preventive dental, routine eye, hearing services||Benefits package available for additional $10 per month in plan premiums|
: All Keystone 65 HMO and Personal Choice 65SM PPO plans includes the SilverSneakers®
fitness benefit in 2013.
Please contact your Network Coordinator if you have any questions.