Health Resources

Blue365^®* — With exclusive discounts and offers on programs and services from leading national companies, Blue365 gives you an easy-to-use valuable resource to save on health-related products and services. For more information click here

Stress Management* — Get a free stress relief audio guide.

Baby BluePrints^®* — Our maternity program is designed to help members be healthy, confident, and comfortable throughout their pregnancy.

*The products and services indicated with an asterisk above are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the plan grievance process.

Keystone 65 HMO and Personal Choice 65^SM PPO members are eligible for the SilverSneakers Fitness Program, designed exclusively for Medicare individuals. Membership in SilverSneakers is offered at no additional cost to members beyond their monthly premium.

Work out when, where and how you want with SilverSneakers

Did you know Keystone 65 HMO and Personal Choice 65^SM PPO members are eligible for SilverSneakers at no additional cost beyond their monthly premium? Designed exclusively for Medicare individuals, Healthways SilverSneakers^® Fitness Program is an exercise program for active older adults. Nearly 2 million SilverSneakers members are already enjoying the health benefits of physical activity, and you can be one of them.

Get fit your way

With SilverSneakers, you get options. Check out all the ways to use this innovative program.

Work out indoors

• More than 13,000 fitness locations
• All basic amenities and SilverSneakers group exercise classes
• Easy enrollment with your SilverSneakers ID card

Go outside with FLEX

If you’re looking for options outside the traditional fitness location, try SilverSneakers FLEX. FLEX offers classes and activities in local neighborhood parks, recreation centers, shopping centers and even at the beach. While participating in FLEX, you can still access the network of SilverSneakers locations across the country. It’s a great way to gather with friends and get fit your way!

Get online support with PACT

PACT, a goal-setting and achievement program sponsored by SilverSneakers, is built on the belief that there is no single best how-to formula for putting your health first. SilverSneakers supports your efforts to find the best way to put your health first by offering commitments that range from visiting the gym to losing weight and eating healthier foods. With PACT Commitment Contracts you have the opportunity to set your goals, determine a framework to help you achieve them and share your success with others.

To find fitness locations, request your SilverSneakers ID card, enroll in FLEX classes or get additional details, visit www.silversneakers.com or call 1-888-423-4632 (TTY: 711), Monday through Friday, 8 a.m. to 8 p.m. EST.

**SilverSneakers is a registered mark of Healthways, Inc., an independent company.

*Class offerings, services, and amenities vary by location.

The Personal Health Visit is a helpful and convenient way to get personalized health advice in a relaxed setting. You can schedule your appointment at any of the following locations: a conveniently located partner center, the Philadelphia Inovalon Member Center or you can request to have a licensed nurse practitioner see you right in your own home. You're eligible to receive the choice of a $50 gift card from an Independence Blue Cross preferred retailer when you complete a Personal Health Visit with no cost to you.

• The visit lasts about an hour and includes a detailed health assessment.
• You can ask the nurse practitioner as many questions as you like.
• Your doctor will receive a summary of the Personal Health Visit.
• We will mail the gift card within 30-60 days of your completed Personal Health Visit.

Why should I schedule a Personal Health Visit?

At Independence Blue Cross, we believe that your good health is the result of good teamwork, so we want to make sure that your doctor has up-to-date information about your health status. Having the results from your Personal Health Visit can be really helpful when your doctor sees you at your next appointment.

This assessment is all about you and your health. Your Medicare Advantage plan will not change in any way because of your health assessment. Your monthly costs will not be affected either. This resource is provided simply as a way to keep your doctors informed so that they can deliver the best care possible.

Independence Blue Cross has contracted with Inovalon, an independent company, to perform Personal Health Visits for Keystone 65 members and Personal Choice 65 members. For more information about the program or to schedule your appointment directly with Inovalon, call toll-free: 1-877-809-9473 (TTY/TDD: 1-866-954-3277) Monday - Friday, 8 a.m.to 7 p.m.

The Personal Health Visit program is only available to current Keystone 65 members and Personal Choice 65 members.

Download Frequently Asked Questions about Personal Health Visits
Y0041_HM_15_28554b Accepted 2/21/2015

Modern medicine allows doctors to offer you a variety of options for your care. The trick is to figure out what makes sense for you. And that's what the condition management program is all about. Registered Nurse Health Coaches are available 24/7 to assist you with managing a chronic condition. To speak with a Health Coach call 1-800-ASK-BLUE (1-800-275-2583), after you provide the requested information, say Health Coach.

In addition to offering access to Health Coaches, condition management provides you with resources that can help you get the information and support you need to make the health decisions that are right for you.*

Condition management provides resources and support for the following:

• asthma
• coronary artery disease (CAD)
• chronic kidney disease
• chronic obstructive pulmonary disease (COPD)
• diabetes
• gastro-esophageal reflux disease (GERD)
• heart failure
• high risk pregnancy
• HIV
• hyperlipidemia
• hypertension
• inflammatory bowel disease
• Maternity Management
• metabolic syndrome
• musculoskeletal pain
• migraine
• peptic ulcer disease

*Condition Management is available at no cost to Keystone 65 HMO and Personal Choice 65^SM PPO members. Please refer to your member materials for the terms, limitations, and exclusions of your health care coverage, or call Customer Service at the number on the back of your medical ID card to find out if you are eligible.

Get ongoing help managing your health

If you are facing a serious illness or medical condition, then case management may be right for you.

Independence case management is a free, confidential program offered to Keystone 65 HMO and Personal Choice 65^SM PPO members. Our case managers, referred to as Health Coaches, are registered nurses and social workers who pair their occupational expertise with knowledge of Independence benefits to offer you support and guidance in dealing with your complex health concerns.

What a Health Coach can do for you

Your Health Coach will work with you, your physicians, and your family to ensure your care is on the right track and you're getting the most out of the covered benefits and resources available to you.

A Health Coach can help you to:

• understand your condition and current health status;
• learn skills to keep yourself as healthy as possible;
• learn about your medications;
• manage your symptoms and side effects of treatments;
• stay on track with your health care provider’s plan of care;
• transition between the hospital and home;
• cope with the emotional impact of your illness or condition;
• navigate the health care system;
• refer you to other plan programs or benefits-related resources available to you such as nutrition counseling or mental health services;
• find support groups and community resources.

Getting started with case management

Most often our Health Coaches will reach out to you by telephone or letter to offer their assistance. This generally happens after you've had a hospital or rehabilitation stay

However, if you feel you need help from a Health Coach about a health-related issue, call 1-800-ASK-BLUE (1-800-275-2583), after you provide the requested information, say Health Coach.

The ibxpress.com member website helps take the guesswork out of making important health decisions. From bee stings to back surgery, referrals to reimbursements, you can find the information you need quickly and easily — experience ibxpress.com for yourself. Register today.

Stay on top of your health with these schedules of recommended well visits, immunizations, and health screenings.

Wellness Guide (age 65+)

Wellness Guide (age 18-64)

Wellness Tools
Online tools help our members manage their health and health care activities.

Health Information with WebMD^®
The power of WebMD makes ibxpress.com your one-stop source for reliable information on variety of health topics.

Keystone 65 HMO and Personal Choice 65^SM PPO members have round-the-clock access to a Health Coach for all of their health related questions and concerns.

Health Coaches are registered nurses who are available to Keystone 65 HMO and Personal Choice 65^SM PPO members to answer your health-related questions and address your concerns.

What a Health Coach can do for you

Available 24/7, year-round, Health Coaches can help you to:

• Understand your diagnosis.
• Educate yourself about your condition.
• Learn to actively manage your health.
• Make lifestyle choices that can reduce your health risks.
• Learn self-care skills and how to follow your treatment plan.
• Prepare for visits and discussions with your doctor.
• Weigh the pros and cons of important decisions using evidence-based information they can provide.
• Address everyday health concerns.

Contact a Health Coach

To reach a Health Coach, call 1-800-ASK-BLUE.

Certain services require preapproval/precertification from Independence Blue Cross (IBC) prior to being performed.

If you or your patient needs services that require preapproval/precertification, please call 1-800-ASK-BLUE. Providers registered with the NaviNet^® web portal may submit requests electronically for services to be rendered at an acute care facility or ambulatory surgical center.

The Care Management and Coordination (CMC) department will evaluate your request and will notify your office once a decision has been reached for those cases that require clinical review. You will be provided with a preapproval/precertification reference number based on the determination of your request. Failure to complete required preapproval/precertification may result in a reduction in payment or nonpayment for the services not preapproved/precertified.

Your office or your patient may appeal our decision or provide additional information to support the request at any time during the evaluation process. Please refer to the CMC section of the Provider Manual for Participating Professional Providers or the Hospital Manual for Participating Hospitals, Ancillary Facilities, and Ancillary Providers for more information.