Request Your No-Cost Information Kit

Fill out the form below to receive a free information packet either by email or postal delivery.

By providing Independence Blue Cross (Independence) with your email address, you agree to allow Independence to contact you via email. You may opt out at any time.

By providing Independence with your phone number, you agree to allow Independence to contact you regarding the kit you requested. You may opt out ant any time.

If you are interested in receiving a Keystone 65 Preferred HMO information kit, please call one of our Medicare experts at 1-800-303-0656 TTY/TDD: 711 seven days a week 8 a.m. to 8 p.m. Please note that on weekends and holidays from April 1 through September 30, your call may be sent to voicemail.

Note: Our plans are available to Medicare beneficiaries residing in Bucks, Chester, Delaware, Montgomery and Philadelphia counties in Pennsylvania.

If you are moving into our service area or are requesting information for someone who resides within our service area, please call us at 1-800-303-0656 (TTY/TDD: 711) to request your information kit.

*seven days a week, 8 a.m. to 8 p.m., Monday-Friday. Please note that on weekends and holidays from April 1 through September 30, your call may be sent to voicemail.

Independence Blue Cross offers Medicare Advantage plans with a Medicare contract. Enrollment in Independence Medicare Advantage plans depends on contract renewal.

Independence Blue Cross offers products through its subsidiaries Independence Hospital Indemnity Plan, Keystone Health Plan East and QCC Insurance Company — independent licensees of the Blue Cross and Blue Shield Association.

For MedigapFreedom Individual plans, COVERED PERSON means a Medicare beneficiary who is enrolled in Medicare Part A and Part B, made the appropriate payment in consideration for this Policy, and is eligible for benefits under this Policy.

Independence Blue Cross complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-275-2583 (TTY/TDD: 711). 注意:如果您使用繁體中文,您可以免費獲得語言援助服務. 請致電 1-800-275-2583 TTY/TDD: 711).