Independence is offering the NEW $0 Personal Choice 65 Prime Rx PPO plan to
our beneficiaries in our five-county service area (i.e., Bucks, Chester,
Delaware, Montgomery, and Philadelphia counties). Medicare beneficiaries can
enroll now for January 1, 2020, coverage. Benefits of this product include:
- $0 monthly premium;
- $0 Preferred Provider copay*;
- access to the full PPO network – including 100% of area
hospitals plus coverage when members travel in 37 states and one
territory;
- no Part D deductible and no in-network medical deductible;
- no referrals – less red tape for members to work through;
- prescription drug coverage with a custom formulary.
*Preferred PCPs in the HMO networks are not
necessarily providers in the Personal Choice 65 Prime Rx PPO preferred
tier.
Tiered copayments
There are two in-network levels of copayments for select medical services in
the Personal Choice 65 Prime Rx PPO plan. Providers can verify the appropriate
copayment through the Eligibility and Benefits Inquiry transaction on the
NaviNet® web portal (NaviNet Open).
Medical services will have a “Preferred” or
“Standard” copayment include:
- primary care provider visits
- specialist visits
- inpatient hospital care
- inpatient mental health care
- outpatient surgery
- outpatient hospital observation stays
Medigap plan expansions
In addition to the new Medicare Advantage plan, Independence will modify its
Medigap plan offerings.
- MedigapFreedom: Plan G-HD will be added for individual and
group members.
- MedigapSecurity: Plans D, G, and G-HD will be available if
requested by a group.
ID card samples
See below for sample ID cards of these new plans:
Personal Choice 65 Prime Rx
PPO
MedigapFreedom
Learn more
If you have questions about these new offerings, please call Provider
Services at 1-800-ASK-BLUE (1-800-275-2583).
NaviNet® is a registered trademark of
NantHealth, an independent company.