Independence Blue Cross (IBX) has offered affordable high-quality health insurance plans to Pennsylvania residents for more than 60 years. IBX is the region’s biggest medical coverage provider and serves the Philadelphia area and Southeastern Pennsylvania. We help you compare Independence Blue Cross health insurance quotes and purchase plans at the lowest possible cost. They are actively participating in the Pa Health Exchange and Open Enrollment.
We proudly represent individual and family medical options and offer coverage at the best available pricing. We'll spend time to review each policy and determine which one best provides the coverage you need. You can easily apply for coverage online from this website. We are also happy to send or email you the application. Free quotes can be obtained from the top portion of this page.
Applications submitted for 2014 effective dates do not require answering any medical questions or providing any details of medical history. For the Pa Marketplace, some of the popular plan options IBX is offering include Personal Choice catastrophic, Personal Choice PPO, Keystone HMO, and PPO Multi-State and Keystone HMO Proactive (Silver, Gold and Platinum Metal plans). Of course, federal tax subsidies could drastically reduce rates for these plans.
The two available types of Keystone HMO policies are “deductible” and “copay." The Blue Cross “deductible” contracts are the HMO $8,000 (introduced in 2012), HMO $5,000, HMO $2,500 and HMO $1,500 plans. “Deductible” plans are the most affordable type of coverage, since the policy-owner incurs a higher out-of-pocket expense on expensive claims. After the deductible, the insured is responsible for 30% of medical expenses, subject to maximum limits. Office visits are covered with a low $30 copay. Outpatient lab tests are covered at 100% and maternity benefits are also included once the deductible has been met.
The Blue Cross “copay” plans are the HMO $20, HMO $15 and HMO $10. “Copay” policies are more expensive since there is no major deductible to meet. Instead of a deductible, a small ($100-$400) copay per day is charged. However, to reduce your expenses, there is a maximum of five copays per admission. This plan is one of the most popular policies in the state and also mirrors many more expensive corporate plans.
Both types of Keystone contracts feature preventative services that are not subject to a deductible. Some of the covered services include mammograms (no referral required), pediatric immunizations, outpatient lab/pathology and routine gyn exams. Routine eye exams are also included (one every two years and subject to a copay). And since there is no waiting period, once the policy is effective, you can begin to use benefits.
Routine primary care and specialist office visits are covered with copays ranging from $10-$50. The “HMO Copay” plans will feature slightly lower copays than the “HMO Deductible” plans. Spinal manipulations and physical/occupational therapy are also covered expenses with copays starting as low as $20. Both HMO options allow one routine eye care exam every two years.
These plans also offer very comprehensive prescription coverage. However the “HMO deductible” plans do not require that you meet a deductible before using RX benefits. Copays range from $10 to $50. However, “HMO Copay” plans have deductibles ranging from $100 to $250 on each of their policies. Out-of-pocket expenses tend to be slightly less on non-generic prescriptions. Both types have a yearly RX maximum of $2,500 per person and $5,000 per family.
Keystone HMO exclusions are typical for standard Pennsylvania health insurance plans and include services not medically necessary, treatment of substance abuse or mental illness, acupuncture, dental care, cosmetic services and private duty nursing. A complete list can be found in the “Benefits Summary.”
There are also five different individual PPO (Personal Choice) policies. Two of the options are Health Savings Account (HSA) plans that offer either a $5,000 or $3,000 deductible option. The coinsurance is a low 0% and 20% respectively, and these are ideal for persons that are self-employed and/or looking for options to pay for health care with tax-free dollars. Small business owners should always consider this type of policy. Or if you are on a limited budget, but want to protect against unforeseen large events, it is a good choice.
Three additional PPO plans (PPO $5000 Deductible, PPO $2,500 Deductible & PPO $30 Copay) are also available. Each of the policies features a $30 copay for office visits and a $50 copay for specialist visits. Preventive benefits, prescription coverage and major medical coverage are all included.
For the international traveler, GeoBlue Travel Medical And International Health coverage is a new coverage that is now available. Previously, this plan was offered on a group basis, but now it can be purchased on a private basis. It will cover policyholders who relocates to another country and also if they travel to a completely different country.
Almost 200 countries would be included in benefits and there would be a listing of participating doctors and related facilities that would be furnished. If only temporary benefits are needed, a special policy is available if you have existing coverage here in the US.
For additional information on any of the plans, please call us at (888) 513 6446. Keystone Plan East policies are a great option to consider.
UPDATE: 10-9-2013 IBX features two HMO "Proactive" options on the Pa Health Insurance Exchange that give Philadelphia-area consumers a low-cost choice. If they choose provider treatment in the least of three available tiers, they pay much less for treatment. Outpatient surgery, for example, could cost as much as 50%-80% less. About half of Blue Cross' physicians and hospitals participate in this specific tier.
The out-of-pocket maximums required by the ACA will still be met. Abington Memorial Hospital is one of the hospitals participating in Tier 1. Area residents can change back to their original plans every year during Open Enrollment.