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
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.