what is first medicare or keystone 65

A dual eligible SNP, like Keystone First VIP Choice, is a Medicare Advantage plan specifically for people who are both Medicare and Medicaid beneficiaries. How do I enroll in Medicare? You are automatically enrolled in Medicare when you turn 65 if you receive Social Security or Railroad Retirement Board

payments.

Full Answer

Why choose Keystone 65 Medicare (HMO)?

Medicare awarded our Keystone 65 Medicare (HMO) plan their highest 5-Star rating, earned by only a very few Medicare Advantage plans nationwide. That means you can enroll with confidence in a trusted, top-rated plan that’s doing more than ever to provide you with the best in care and valuable added services.

What is Keystone 65 focus?

One of the distinguishing characteristics of Keystone 65 Focus is the size and scope of its provider network, which allows Independence to offer a value-based alternative to our other Medicare Advantage HMO benefit product offerings.

How do I become eligible for the Keystone 65 focus network?

To be eligible for the Keystone 65 Focus network, at least one practitioner within a practice is required to have admitting privileges (if applicable to your specialty) to a participating hospital in the Keystone 65 Focus network. If you feel the information used to determine your eligibility was incorrect, please contact your network coordinator.

What type of insurance is Keystone HMO?

Keystone 65 Basic Rx (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Independence Health Group, Inc.. Plan ID: H3952-055. Keystone 65 Basic Rx (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Independence Health Group, Inc..

Is Keystone 65 a Medicare plan?

Keystone 65 Preferred Medical-Only HMO and Keystone 65 Preferred Rx HMO are Medicare Advantage HMO (Health Maintenance Organization) plans. With an HMO plan, members choose a family doctor, called a primary care physician (PCP), who provides the services they need.

Is Blue Cross Independence Medicare?

Independence Blue Cross (Independence) offers affordable Medicare Advantage plans in Philadelphia, Bucks, Chester, Delaware, and Montgomery Counties. Compare plan types below to see which one best meets your needs.

What is the most popular Medicare Advantage plan?

AARP/UnitedHealthcare is the most popular Medicare Advantage provider with many enrollees valuing its combination of good ratings, affordable premiums and add-on benefits. For many people, AARP/UnitedHealthcare Medicare Advantage plans fall into the sweet spot for having good benefits at an affordable price.

Is Independence Blue Cross the same as Keystone?

Keystone 65 Focus Rx HMO (Keystone 65 Focus) is an Independence Blue Cross (Independence) Medicare Advantage HMO benefit product.

What is the difference between Medicare Supplement and Medicare Advantage plans?

Medicare Advantage and Medicare Supplement are different types of Medicare coverage. You cannot have both at the same time. Medicare Advantage bundles Part A and B often with Part D and other types of coverage. Medicare Supplement is additional coverage you can buy if you have Original Medicare Part A and B.

How does Medicare work in PA?

You may qualify for Medicare in Pennsylvania if you're a U.S. citizen or a permanent legal resident who has lived in the U.S. for more than five years and one or more of the following applies to you3: You are 65 or older. You have been on Social Security Disability Insurance (SSDI) for two years.

What is the biggest disadvantage of Medicare Advantage?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.

What are the top 3 Medicare Advantage plans?

The Best Medicare Advantage Provider by State Local plans can be high-quality and reasonably priced. Blue Cross Blue Shield, Humana and United Healthcare earn the highest rankings among the national carriers in many states.

Are there disadvantages to a Medicare Advantage plan?

Medicare Advantage offers many benefits to original Medicare, including convenient coverage, multiple plan options, and long-term savings. There are some disadvantages as well, including provider limitations, additional costs, and lack of coverage while traveling.

Is Keystone first HMO or PPO?

We offer Keystone First VIP Choice (HMO-SNP) and Keystone First Community HealthChoices (CHC) as options. Visit the COMPASS website for more information on Community HealthChoices eligibility.

Is Independence Blue Cross different from Blue Cross Blue Shield?

Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.

Which is better PPO or HMO?

HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.

How to contact Medicare about Keystone 65?

If you have Medicare patients who are interested in learning more about Keystone 65 Focus, please have them contact Customer Service toll-free at 1-800-645-3965 (TTY/TDD: 711), 8 a.m. to 8 p.m., seven days a week.

What is Keystone 65?

Keystone 65 Focus Rx HMO (Keystone 65 Focus) is an Independence Blue Cross (Independence) Medicare Advantage HMO benefit product available to eligible members who reside in Philadelphia, Delaware, Montgomery, Bucks, and Chester counties (i.e., the Independence five-county service area). One of the distinguishing characteristics of Keystone 65 Focus is the size and scope of its provider network, which allows Independence to offer a value-based alternative to our other Medicare Advantage HMO benefit product offerings. Members who choose Keystone 65 Focus can enjoy the same benefits as with broader-network Medicare Advantage HMO benefit products, while taking advantage of lower premiums and out-of-pocket costs due to the defined network.

How many practitioners are required to be in the Keystone 65 focus network?

To be eligible for the Keystone 65 Focus network, at least one practitioner within a practice is required to have admitting privileges (if applicable to your specialty) to a participating hospital in the Keystone 65 Focus network. If you feel the information used to determine your eligibility was incorrect, please contact your network coordinator.

How many hospitals are in Keystone 65?

Instead, the Keystone 65 Focus network is a subset of this existing network, consisting of more than 23,000 participating providers and approximately two dozen acute care hospitals primarily located in Philadelphia, Delaware, Montgomery, Bucks, and Chester counties.

Do you have to select a secondary in-network capitation site for Keystone 65?

Once complete, notify your network coordinator. If you are a PCP and one or more of your existing capitation sites are not participating in the Keystone 65 Focus network, you are required to select a secondary in-network capitation site for all members who are enrolled in the new Keystone 65 Focus benefit product.

What are Medicare special needs plans?

Medicare special needs plans (also known as SNPs) are Medicare Advantage plans that are designed for people who have special needs. A dual eligible SNP, like Keystone First VIP Choice, is a Medicare Advantage plan specifically for people who are both Medicare and Medicaid beneficiaries.

How do I enroll in Medicare?

You are automatically enrolled in Medicare when you turn 65 if you receive Social Security or Railroad Retirement Board payments. If you're receiving Social Security benefits or Railroad Retirement Board benefits, you'll receive information in the mail three months before your 65th birthday, explaining your options.

When can I enroll in Medicare?

Medicare limits the times when most beneficiaries can add, change, or drop coverage (known as election or enrollment periods). Generally, beneficiaries who receive both Medicaid and Medicare can add, change, or drop coverage only once during each of the following:

What is a health maintenance organization (HMO)?

An HMO is a type of health plan that uses a network of different health care providers — doctors, dentists, nurse practitioners, pharmacies, and hospitals — to treat members.

What is Medicare Advantage Plan?

A Medicare Advantage plan is a type of Medicare health plan offered by a private insurance company that contracts with Medicare to provide beneficiaries with all of the Part A and Part B benefits. The Centers for Medicare and Medicaid Services (CMS) pay the insurance company to administer these benefits.

How much does Medicare Advantage cost in 2021?

How much does a Medicare Advantage Plan cost? In addition to your monthly part B premium (usually $148.50) you must pay a monthly premium for the services included in the plan.The standard Part B premium amount in 2021 is $148.50.

Is Medicare Advantage lower than Original?

The total cost of the premiums, co-payments and deductibles you pay under a Medicare Advantage plan is often lower than the total costs for coinsurance, co-payments and deductibles in Original Medicare.