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Independence Blue Cross / Keystone Health Plan East Guidelines for Submission of New Business 250 Employees *This form must be submitted with ALL IBC/Keystone New Business Group Name Effective Date
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How to fill out independence blue cross keystone

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How to fill out Independence Blue Cross Keystone:

01
Visit the Independence Blue Cross website or contact their customer service to obtain the necessary forms for Keystone enrollment.
02
Carefully review the enrollment form and provide accurate personal information, including your name, address, and contact details.
03
Fill in your employment information, including your employer's name and address, if applicable.
04
Provide information about any other health insurance coverage you may have, as this may affect your eligibility for Keystone.
05
Determine which plan option you are interested in and indicate your selection on the enrollment form.
06
If you have any dependents, ensure to include their information and indicate whether they are applying for coverage as well.
07
If required, provide any additional documentation or verification of eligibility, such as proof of income or citizenship status.
08
Double-check that all the information provided is accurate and complete before submitting the enrollment form.
09
Follow the instructions for submitting your enrollment form, whether it be online, by mail, or in person.
10
Keep copies of all the documents submitted for your records.

Who needs Independence Blue Cross Keystone:

01
Individuals who do not have access to employer-sponsored health insurance and are looking for individual or family coverage.
02
Residents of the designated service area who are eligible for Medicaid or the Children's Health Insurance Program (CHIP).
03
Employees of small businesses that offer Keystone as their health insurance option.
04
Individuals who prefer a health insurance option with a wide network of doctors and hospitals within the Keystone network.
05
Those seeking a variety of plan options and the flexibility to choose the coverage that best suits their needs.
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Independence Blue Cross Keystone is a health insurance plan offered by Independence Blue Cross specifically for Keystone Health Plan East members.
All members enrolled in the Keystone Health Plan East are required to file Independence Blue Cross Keystone.
Independence Blue Cross Keystone can be filled out online through the Independence Blue Cross member portal or by contacting customer service for assistance.
The purpose of Independence Blue Cross Keystone is to provide additional coverage and benefits to members of the Keystone Health Plan East.
Independence Blue Cross Keystone may require information such as personal details, health history, and any changes in coverage needs.
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