Keystone First VIP Choice
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Coverage by Vista Health Plan, Inc. Independent Licensee of the Blue Cross and Blue Shield Association.
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Keystone First VIP Choice is an HMO-SNP plan with a Medicare contract and a contract with the Pennsylvania Medicaid program. Enrollment in Keystone First VIP Choice depends on contract renewal. This information is not a complete description of benefits. Call Member Services at 1-800-450-1166 (TTY 711), 8 a.m. to 8 p.m., seven days a week, for more information. Out-of-network/non-contracted providers are under no obligation to treat Keystone First VIP Choice members, except in emergency situations. Please call our Member Services number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. You must continue to pay your Medicare Part B premiums, unless otherwise covered by your Pennsylvania Medicaid benefits.
