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 via telephone call and/or text message regarding the kit you requested. You may opt out at any time.

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.

Call toll-free 1-877-393-6733 (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.

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：如果您使用繁體文，您可以免費獲得語言援助服務。 請致電 1-800-275-2583 (TTY/TDD: 711).

Y0041_HM_103536_2022 Website last updated: 7/11/2022
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