Blue Cross® and Blue Shield®

We are one of the most recognized and accepted symbols in health care

The independent Blue Cross and Blue Shield Associations are among the country’s oldest and largest providers of prepaid health insurance coverage, with 39 member plans that collectively provide coverage to about 100 million people. Blue Cross and Blue Shield member plans understand the importance of security, strength, and stability in people’s lives.

Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association and benefits from the national strength of its member plans.

We have a strong and long-standing partnership with Medicare

The Blue Cross and Blue Shield Association has been part of the Medicare program since its inception in 1965. Blue Cross and Blue Shield Medicare contractors are the largest processors of Medicare claims. In 2005, they processed nearly 90 percent of 179 million Medicare claims from hospitals and other provider institutions (Part A) and 72 percent of more than 981 million claims from physicians and other health care practitioners (Part B).1

We provide safe, effective health care — anywhere*

When traveling, your ID card gives you access to Blue Cross Blue Shield networks of health care providers across the country and around the world.

For more information, visit the Blue Cross Blue Shield Association website.

*Only available with Personal Choice 65 PPO plans.

1Medicare Contractor Program. Retrieved February 16, 2007, from the Blue Cross Blue Shield Association website.

Important information about links to other sites.

You must continue to pay your Medicare Part B premium.

The Medicare Contract is renewed annually, and the availability of coverage beyond the end of the current year is not guaranteed.

The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change January 1, 2013. Members may enroll in the plan during specific times of the year. Contact the plan for more information. Please reference the Evidence of Coverage for information on premiums, cost-sharing, out-of-network coverage, rights and responsibilities upon disenrollment and any applicable conditions associated with using the plan benefits, as well as limitations, copayments, and restrictions. Members must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply.

You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for extra help, call:

  • 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/7 days a week;
  • The Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or
  • Your State Medicaid Office.

People with limited incomes may qualify for Extra Help to pay for their prescription drug costs. If you qualify, Medicare could pay for up to seventy-five (75) percent or more of your drug costs including monthly prescription drug premiums, annual deductibles, and co-insurance. Additionally, those who qualify will not be subject to the coverage gap or a late enrollment penalty. Many people are eligible for these savings and don’t even know it. For more information about this Extra Help, contact your local Social Security office or call 1-800-MEDICARE (1-800-633-4227), 24 hours per day, 7 days per week. TTY users should call 1-877-486-2048.”

You must use plan providers except in emergency or urgent care situations or for out-of-are renal dialysis or other services. You must use plan providers except in emergency or urgent care situations or for out-of-are renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor Keystone 65 HMO or Personal Choice 65 PPO will be responsible for the costs.

Please contact Keystone 65 HMO or Personal Choice 65 PPO Customer Service for more information.

Y0041_HM_12_300a Pending CMS Approval

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