HomeAdministrativeBilling & ReimbursementBlueCardHealth and WellnessMedicalNaviNet OpenPEAR portalPharmacyProductsQuality Management

Products

Reminder: Upcoming changes for Keystone 65 Select HMO 

November 1, 2012    


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


ServiceCost 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 servicesBenefits package available for additional $10 per month in plan premiums

Note: 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.




Connect with us    Facebook     Twitter     Flickr     YouTube    Walk the Talk   Independence Pinterest   Independence Google+   Independence LinkedIn   Independence InstagramSite Map        Anti-Fraud        Privacy Policy        Legal        Disclaimer
© 2020 Independence Blue Cross.
Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.