Request Your No-Cost Information Kit

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Fill out the form below to receive a free information packet either by email or postal delivery.

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By entering your phone number, you are agreeing to receive a telephone call using an Automated Telephone Dialer System.


Note: Our plans are available to Medicare beneficiaries residing in Bucks, Chester, Delaware, Montgomery and Philadelphia counties in Pennsylvania.

If you are moving into our service area or are requesting information for someone who resides within our service area, please call us at 1-800-303-0656 (TTY/TDD: 711) to request your information kit.

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If you are interested in receiving a Keystone 65 Preferred HMO information kit, please call one of our Medicare experts at 1-800-303-0656 TTY/TDD: 711 seven days a week 8 a.m. to 8 p.m. Please note that on weekends and holidays from February 15 through September 30, your call may be sent to voicemail.



Independence complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Independence does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. View our documentation for more information and to request language assistance services.

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