Independence Blue Cross
The following Independence Blue Cross plans are accepted at Oak Street Health locations.
| Plan Name | Effective Year | Benefit Package |
|---|---|---|
| Keystone 65 Basic Rx (HMO) | 2023 | H3952-056 |
| Keystone 65 Basic Rx (HMO) | 2023 | H3952-055 |
| Keystone 65 Focus Rx (HMO-POS) | 2023 | H3952-054 |
| Keystone 65 Focus Rx (HMO-POS) | 2023 | H3952-053 |
| Keystone 65 Group Medical Only (HMO) | 2023 | H3952-802 |
| Keystone 65 Group Rx (HMO) | 2023 | H3952-804 |
| Keystone 65 Liberty Medical Only (HMO) | 2023 & 2024 | H3952-059 |
| Keystone 65 Preferred Medical Only (HMO) | 2023 | H3952-044 |
| Keystone 65 Preferred Medical Only (HMO) | 2023 | H3952-008 |
| Keystone 65 Preferred Rx (HMO) | 2023 | H3952-045 |
| Keystone 65 Preferred Rx (HMO) | 2023 | H3952-020 |
| Keystone 65 Select Medical Only (HMO) | 2023 | H3952-050 |
| Keystone 65 Select Medical Only (HMO) | 2023 | H3952-048 |
| Keystone 65 Select Rx (HMO) | 2023 | H3952-051 |
| Keystone 65 Select Rx (HMO) | 2023 | H3952-049 |
| Keystone First VIP Choice (HMO D-SNP) | 2023 & 2024 | H4227-001 |
| Personal Choice 65 Elite Rx (PPO) | 2023 & 2024 | H3909-017 |
| Personal Choice 65 Group Medical Only (PPO) | 2023 & 2024 | H3909-801 |
| Personal Choice 65 Group Rx (PPO) | 2023 & 2024 | H3909-802 |
| Personal Choice 65 Medical Only (PPO) | 2023 & 2024 | H3909-007 |
| Personal Choice 65 Prime Rx (PPO) | 2023 & 2024 | H3909-014 |
| Personal Choice 65 Prime Rx (PPO) | 2023 & 2024 | H3909-015 |
| Personal Choice 65 Rx (PPO) | 2023 & 2024 | H3909-009 |
| Personal Choice 65 Rx (PPO) | 2023 & 2024 | H3909-001 |
| Personal Choice 65 Saver Rx (PPO) | 2023 & 2024 | H3909-016 |