Is Independence Blue Cross the same as Keystone Health Plan East?
Keystone Health Plan East HMO Plans. With a Keystone HMO plan from Independence Blue Cross, you can see any doctor or visit any hospital in the Keystone Health Plan East network. Your PCP will treat you for general health needs and refer you to specialists as needed.
What type of insurance is Keystone Health Plan East?
Keystone Health Plan East is a Health Maintenance Organization (HMO). This is a managed care program. Coverage is available when your care is provided or referred by a Keystone primary care physician (PCP).
What is an EPO Health Plan?
A managed care plan where services are covered only if you go to doctors, specialists, or hospitals in the plan’s network (except in an emergency).
Is Keystone Health Plan East Medicaid or Medicare?
Putting you first. Keystone First is Pennsylvania’s largest Medical Assistance (Medicaid) managed care health plan serving more than 400,000 Medical Assistance recipients in southeastern Pennsylvania including Bucks, Chester, Delaware, Montgomery, and Philadelphia counties.
Is Keystone first the same as Keystone Health Plan East?
The plan continued to grow, and in 1996, entered into a partnership with Keystone Health Plan East, the managed care entity of Independence Blue Cross, to form Keystone Mercy Health Plan. Today, Keystone First serves more than 300,000 Medical Assistance recipients in the five-county Greater Philadelphia area.
Is Independence Blue Cross part of Highmark?
Independence Blue Cross offers products through its subsidiaries Independence Hospital Indemnity Plan, Keystone Health Plan East, and QCC Insurance Company, and with Highmark Blue Shield — independent licensees of the Blue Cross and Blue Shield Association.
Is Keystone first HMO or PPO?
Thank you for answering our questions. You may be eligible for our Medicare Advantage Special Needs Plan (HMO-SNP) and/or Community HealthChoices (CHC) plan. We offer Keystone First VIP Choice (HMO-SNP) and Keystone First Community HealthChoices (CHC) as options.
What is the difference between an HMO and EPO health plan?
An Exclusive Provider Organization (EPO) is a lesser-known plan type. Like HMOs, EPOs cover only in-network care, but networks are generally larger than for HMOs. They may or may not require referrals from a primary care physician. Premiums are higher than HMOs, but lower than PPOs.
What is the difference between a PPO and EPO health plan?
A PPO offers more flexibility with limited coverage or reimbursement for out-of-network providers. An EPO is more restrictive, with less coverage or reimbursement for out-of-network providers. For budget-friendly members, the cost of an EPO is typically lower than a PPO.
Is Keystone a Medicare insurance?
Keystone 65 Focus Rx HMO (Keystone 65 Focus) is an Independence Blue Cross (Independence) Medicare Advantage HMO benefit product. Independence offers Medicare Advantage Plans in PA to those who reside in Philadelphia, Delaware, Montgomery, Bucks, and Chester counties (i.e., the Independence five-county service area).
Is Keystone 65 a Medicare plan?
Keystone 65 Basic Rx (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Independence Health Group, Inc.. Plan ID: H3952-055.
Can I use Keystone First in another state?
Services provided outside the United States and its territories. Keystone First is not allowed to make payments outside of the United States.