Keystone VIP Choice
Coverage by Vista Health Plan, Inc. Independent Licensee of the Blue Cross and Blue Shield Association.
Keystone VIP Choice (HMO SNP) is a HMO-SNP plan with a Medicare contract and a contract with the Pennsylvania Medicaid program. Enrollment in Keystone VIP Choice (HMO SNP) depends on contract renewal. This plan is available to anyone who has both Medical Assistance from the State and Medicare. The benefit information provided is a brief summary, not a complete description of benefits.
For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/copayments/coinsurance may change on January 1 of each year. The formulary, pharmacy network and/or provider network may change at any time. You will receive notice when necessary. You must continue to pay your Medicare Part B premiums, unless otherwise covered by your Pennsylvania Medicaid benefits. Premiums, copays, co-insurance and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.