Independence is offering the NEW $0 Personal Choice 65 Prime Rx PPO plan to our beneficiaries in our five-county service area (i.e., Bucks, Chester, Delaware, Montgomery, and Philadelphia counties). Medicare beneficiaries can enroll now for January 1, 2020, coverage. Benefits of this product include:

• $0 monthly premium;
• $0 Preferred Provider copay*;
• access to the full PPO network – including 100% of area hospitals plus coverage when members travel in 37 states and one territory;
• no Part D deductible and no in-network medical deductible;
• no referrals – less red tape for members to work through;
• prescription drug coverage with a custom formulary.

*Preferred PCPs in the HMO networks are not necessarily providers in the Personal Choice 65 Prime Rx PPO preferred tier.

Tiered copayments

There are two in-network levels of copayments for select medical services in the Personal Choice 65 Prime Rx PPO plan. Providers can verify the appropriate copayment through the Eligibility and Benefits Inquiry transaction on the NaviNet^® web portal (NaviNet Open). 

Medical services will have a “Preferred” or “Standard” copayment include:

• primary care provider visits
• specialist visits
• inpatient hospital care
• inpatient mental health care
• outpatient surgery
• outpatient hospital observation stays

Medigap plan expansions

In addition to the new Medicare Advantage plan, Independence will modify its Medigap plan offerings.

• MedigapFreedom: Plan G-HD will be added for individual and group members.
• MedigapSecurity: Plans D, G, and G-HD will be available if requested by a group. 

ID card samples

See below for sample ID cards of these new plans:

Personal Choice 65 Prime Rx PPO                        MedigapFreedom

Learn more

If you have questions about these new offerings, please call Provider Services at 1-800-ASK-BLUE (1-800-275-2583).

NaviNet^® is a registered trademark of NantHealth, an independent company.