Southeast Pennsylvania

An Authorized Producer For:

The Independence Blue Cross (An Independent Licensee of the Blue Cross and Blue Shield Association) service area includes: Bucks, Chester, Delaware, Montgomery and Philadelphia counties.

Is your doctor in the Keystone HMO network?
Search the Keystone HMO Provider Directory.

(Online applicants cannot receive monthly invoices
and require ACH premium payment.)

If you wish to apply by mail, choose your plan and follow these easy steps :

1. Print and complete the Keystone application.

2. Include your First Premium Payment. Premium payment for applications can be paid via ACH (Automated Clearing House) or with a check. If you elect to pay electronically by ACH, you must authorize one month's premium by submitting a completed ACH authorization form.  Please include a voided check (for checking account withdrawals) or a deposit slip (for savings account withdrawals) with your application.

If you elect to pay by check, you must make your check out for the amount of three month's premium and the check should be made payable to Keystone Health Plan East. Your initial premium will not be processed until coverage is approved by Independence Blue Cross and accepted by you.

Important: Receipt of your initial payment does not constitute enrollment in this program. Your coverage does not begin until your application has been approved and you have been assigned an Effective Date of Coverage.

3. Return your completed application to:

ATTN: Keystone Individual Insurance
Application Processing Center
PMB 373
256 Eagleview Blvd Ste 200
Exton PA 19341

Please call us toll free 866-680-0951 should you have any questions regarding applying for coverage.