A non-government entity
Independence Blue Cross
Plan ID: H3952-48-0
Keystone 65 Select Medical Only (HMO)
2024 Keystone 65 Select Medical Only (HMO) H3952 — 048 — 0 is a Medicare Advantage plan . It has received a 4-out-of-5 star rating from CMS for 2024.
Learn more about Keystone 65 Select Medical Only (HMO) H3952 - 048 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.
4 / 5 stars for 2024
$27.50 /mo
Monthly premium
$0
Health deductible
$5650.00
Out-of-pocket maximum
Enroll online
Call to enroll
OR
Get personalized help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week!
Plan Overview
2024 Keystone 65 Select Medical Only (HMO) H3952 — 048 — 0 is a Local HMO offered in Bucks, Philadelphia Counties by Independence Blue Cross. It has a monthly premium of $27.50.
Premium Breakdown
Standard Part B Premium
$174.70
Part B premium reduction
- $0
Monthly Plan Premium
$27.50
Total Premium:
$202.20
Note:
The standard Part B premium for 2024 is $174.70. Your Part B premium may differ based on factors including late enrollment, income, and disability status. Higher-income beneficiaries may pay an income-related monthly adjustment amount (IRMAA). The Part B premium is required to be paid by everyone enrolled in Medicare Part B.
Special needs plan type
No
Out-of-pocket maximum
$5650.00
Plan Organization:
Independence Blue Cross
Plan Type:
Local HMO
Location:
Bucks, Philadelphia Counties
Drugs Covered:
No
Drug Formulary:
Pharmacies:
Doctor Choice:
Plan Doctors for Most Services
Doctors Link:
Deductibles
The amount you must pay each year before your plan starts to pay for covered services or drugs.
Health deductible
$0
Sign up for Keystone 65 Select Medical Only (HMO)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
Keystone 65 Select Medical Only (HMO) does not provide drug coverage. If drug coverage is something you need, you should consider shopping for other plans that do provide cost sharing on drugs.
Additional Benefits
Keystone 65 Select Medical Only (HMO) also provides the following benefits.
Note:
Limits, Authorizations, and Referrals may apply for the benefits below. Contact the plan for details.
Comprehensive dental
Preventive dental
Diagnostic procedures/lab services/imaging
Doctor visits
Emergency care/Urgent care
Foot care (podiatry services)
Ground ambulance
Hearing
Inpatient hospital coverage
Outpatient hospital coverage
Optional benefits
Medical equipment/supplies
Medicare Part B drugs
Mental health services
Preventive care
Rehabilitation services
Skilled Nursing Facility
Transportation
Vision
Wellness programs (eg, fitness, nursing hotline)
Plan Providers
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved