The Keystone First VIP Choice (HMO D-SNP) AE-H4227 is available to residents in Pennsylvania, and all Medicare SNPs must provide Medicare additional prescription drug (Part-D) coverage. Redetermination of Medicare prescription drug denial. For 2020, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part Part D benefit. When you answer a few questions, we will get to work finding the appropriate coverage. This is a 4-star Medicare Advantage plan. Whether you are a motorcycle enthusiast with many bikes or have just bought your first motorcycle, we can find the perfect coverage for you. Disclaimer | Contacts Copyright © 2021 Medicare Help, State Health Insurance Assistance Programs SHIP, 2020 Keystone First VIP Choice (HMO D-SNP) H4227-001 Formulary, See the 2020 VISTA Health Plan Inc. Formulary. The formulary, pharmacy network, and/or provider network may change at any time. This site contains links to other internet sites. For individuals, families, and businesses who are looking for insurance coverage and financial services, Keystone offers consultative access to a variety of insurance and investment companies that can provide quality solutions that meet your needs. Call 1-800-450-1166 (TTY/TDD 711), 8 a.m. to 8 p.m., seven days a week for more information. You will receive notice when necessary. Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of . Find out more about the coronavirus and how you can help prevent it. As Pennsylvania's largest Medical Assistance (Medicaid) managed care health plan, Keystone First serves Medical Assistance recipients in Southeastern Pennsylvania including Bucks, Chester, Delaware, Montgomery, and Philadelphia counties. Cleanings. Without getting a referral or services received from out-of-network providers are not typically covered by the plan. Keystone Health Plan East HMO Plans. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums. Independent Licensee of the Blue Cross and Blue Shield Association. The Keystone First VIP Choice (HMO D-SNP) medicare insurance plan offers a $0 premium obligation if you receive a full low-income subsidy (LIS) assistance. 1 dental exam and 1 cleaning, per provider/group, every 180 days (6 months). Keystone First VIP Choice is an HMO-SNP plan with a Medicare contract and a contract with the Pennsylvania Medicaid program. ! A formulary is divided into tiers or levels of coverage based on the type or usage of your medication or benefit categories, according to drug costs. On average, patients who use Zocdoc can search for a Psychiatrist who takes Keystone First insurance, book an appointment, and see the Psychiatrist within 24 hours. Keystone First VIP Choice (HMO SNP) is not responsible for the content of these sites. Includes 2020 approved contracts/plans. cost that you must pay before receiving the drug. Employer sponsored 800 series plans and plans under sanction are excluded. Keystone HMO Children’s Health Insurance Program (CHIP) Questions about COVID-19 and Keystone HMO CHIP coverage? This VISTA Health Plan Inc. plan offers a $35.60 Part D Basic Premium that is below the regional benchmark. Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. (*2020 Plan services will be added when available). Keystone First VIP Choice (HMO D-SNP) is a 2020 Medicare Advantage Special Needs Plan plan by VISTA Health Plan Inc.. We are considered an out-of-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Please call our Member Services number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. Your PCP will serve as your personal doctor to provide all of your basic healthcare services. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. This plan from VISTA Health Plan Inc. works with Medicare to give you significant coverage beyond original Medicare. 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. You pick a primary care physician (PCP), or family doctor, to coordinate your care. To request a quote, simply fill out the form below, choose your product of interest, and submit your request. View 2021 Enrollment Info. Keystone First VIP Choice (HMO D-SNP) is a Local HMO. The Keystone Insurance Group is an independent insurance agency who has the opportunity to search multiple companies for the coverage you need at the price you can afford. Or, call 1‑833‑243‑8258 (TTY 711) for information on the trusted coverage and services available to you. Provides coverage for routine eye exam for patients who needs eye glasses to correct for nearsightedness, farsightedness and presbyopia. Services when you are sick. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from VISTA Health Plan Inc. and not Original Medicare. Thanks Keystone Insurance - customer for life! Claim forms are typically found in your account on the insurance company’s website. You must continue to pay your Medicare Part B premiums, unless otherwise covered by your Pennsylvania Medicaid benefits. All rights reserved. Learn more about plan monthly cost,premimum deductibles,prescription drug coverage, plan ratings, accepted doctors and more. Keystone First members receive the followingmedical benefits: Preventive care/routine care. The Children's Health Insurance Program (CHIP) is a state- and federally-funded health insurance … The Keystone First VIP Choice (HMO D-SNP) AE-H4227 is available to residents in Pennsylvania, and all Medicare SNPs must provide Medicare additional prescription drug (Part-D) coverage. It is important for you to be aware of your benefits and any restrictions that may apply to your specific plan. Every year, Medicare evaluates plans based on a 5-star rating system. My agent is always a quick phone call/email away and I always receive answers to my questions or needs same day. Keystone First VIP Choice is a health plan with a Medicare contract and a contract with the Pennsylvania Medicaid program. Last Update: Wednesday, April 17, 2019 9:52:25 AM. Boat/Watercraft Insurance. You will need your PCPs okay, called a referral. However, that is not a guarantee that the insurance carrier will pay the claim. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. If you have Medicare and get help from Medicaid you can join any Medicare SNP you qualify for or switch plans at any time. Premiums, deductibles, co-pays, drug coverage, and more for Keystone First VIP Choice (HMO), a 2021 Medicare Advantage Plan for beneficiaries in Bucks County, PA | 2021-H4227-001-0 The Part D Total Premium is $35.60. Coverage by Vista Health Plan, Inc. Reliability and support is second to none. PLEASANTON, Calif., Dec. 16, 2020 /PRNewswire/ -- Cowbell Cyber, the industry's first AI-powered cyber insurance provider for small to mid-sized businesses (SMBs), today announced it … A Dual Eligible SNP is for beneficiaries who are eligible for both Medicare and Medicaid. Keep yourself, your family, and your community healthy. (combined amount plus your deductible) You will be in the coverage gap. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Dental. Keystone First VIP Choice (HMO D-SNP) AE-H4227 is a Dual Eligible Special Needs Plan (D-SNP). We appreciate your interest in Keystone Insurance Group, Inc.! 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. Keystone First VIP Choice (HMO D-SNP) is a Local HMO. Please see Terms of Use and Privacy Notice. By being informed about what your health plan covers, you can be assured of receiving the maximum coverage … here. Dental emergencies. Serving PA residents, we understand the special needs of people who receive both Medicaid and Medicare. From the straightforward to the complex, we offer specialized expertise for businesses, individuals, and families. We're dedicated to providing quality insurance products that keep you protected. Details Drug Coverage for the VISTA Health Plan Inc. Keystone First VIP Choice H4227-001 (HMO D-SNP) in Pennsylvania. Our plan offers members an extensive provider network of physicians, specialists, pharmacies and hospitals. The Keystone First VIP Choice (HMO D-SNP) plan has a monthly drug premium of $35.60 and a $435.00 drug deductible. Out-of-network/non-contracted providers are under no obligation to treat Keystone First VIP Choice members, except in emergency situations. 7 days a week, ... Medicare is the federal health insurance program for people who are 65 or older, ... Keystone First: This site contains links to other Internet sites. 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. Copyright © 2013-2020 KEYSTONE FIRST VIP CHOICE. Enrollment in Keystone First VIP Choice depends on contract renewal. Plan Services are 2019 information as reference. In 2020 once you and your plan provider have spent $4020 on covered drugs. You generally are also responsible for paying the Part B premium. One of our helpful agents will then contact you to discuss your needs. Keystone Mercy, First: Medicaid: Coventry: VISION INSURANCE. And the payment is $9.30 for 75% low income subsidy $18.70 for 50% and $28.00 for 25%. Get 2018 Medicare Advantage information on Keystone First VIP Choice (HMO SNP) from VISTA Health Plan Inc.. Enrollment information is now available for our 2021 Dual Eligible Special Needs Plan (D-SNP). This information is not a complete description of benefits. Keystone First VIP Choice (HMO- SNP) This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2020. If you decide to sign up you still retain Original Medicare. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. Your PCP will treat you for general health needs and refer you to specialists as needed. Each tier will have a defined out-of-pocket You can see complete 2020 Keystone First VIP Choice (HMO D-SNP) H4227-001 Formulary Eye. (AKA "donut hole") You will be required to pay 25% for brand-name drugs and 25% on generic drugs unless your plan offers additional coverage. Same-day appointments are often available, you can search for real-time availability of Psychiatrists who accept Keystone First insurance and make an appointment online. Read our Keystone HMO CHIP COVID-19 Alert, and learn more with the CHIP COVID-19 FAQs.For information on care and resources available for COVID-19, visit our COVID-19 site. 2020 information will be added when released. Full service insurance company has always been there for my business needs. Notes: Data are subject to change. This plan is available in PA. The Keystone First VIP Choice (HMO D-SNP) medicare insurance plan offers a $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. Same-day appointments are often available, you can search for real-time availability of Dermatologists who accept Keystone First insurance and make an appointment online. The Centers for Medicare and Medicaid Services (CMS) pay the insurance company to administer these benefits. On average, patients who use Zocdoc can search for a Dermatologist who takes Keystone First insurance, book an appointment, and see the Dermatologist within 24 hours. In 2011, First Keystone hired the insurance actuarial consulting firm Towers Watson to review its financial status including its annual losses and loss adjustment expenses. This VISTA Health Plan Inc. plan does not offer additional coverage through the gap. All Medicare SNPs also provide Medicare additional Part-D drug coverage. Anything can happen to your boat on the water or while it’s stored. And the payment is $8.90 for 75% low income subsidy $17.80 for 50% and $26.70 for 25%. VISTA Health Plan Inc. plan charges a $0.00 Part-C premium. As part of Keystone First CHC, you receive the following dental benefits: Exams. All contracts for 2020 have not been finalized. If you would like to use your insurance for therapy services, please first call the number on the back of your insurance card to verify your coverage and payments for mental health psychotherapy services prior to scheduling an appointment. The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by VISTA Health Plan Inc. above and beyond the standard PDP benefits. If you need special care for a physician specialist, your primary care physician will make the arrangements and tell you where you can go in the network. 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