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Y0041_HM_109098_2023
Website last updated 5/9/2023

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.

The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

OptumRx is an Optum® company – an independent company that provides home delivery, specialty, and infusion pharmacy services.

Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on January 1, 2022, and from time to time during the year.

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).