Get care
1-800-303-0656 (TTY/TDD: 711) 8 a.m. - 8 p.m., seven days a week

Plan information

For your convenience, below are important forms and documents to help you easily manage your health coverage.

Summary of Benefits

2025 Summary of Benefits — updated 10/1/2024

 

Call us at 1-877-393-6733 (711 for the speech- and hearing-impaired), 8 a.m. to 8 p.m., seven days a week. However, please note that on weekends and holidays from March 31 through September 30, your call may be sent to voicemail.

Extra Help is available for those who need it most. Find out whether you qualify for Low Income Subsidy.


Evidence of Coverage and Outline of Coverage

The Evidence of Coverage (EOC) is a comprehensive resource guide to your health care coverage. It explains your benefits, premiums, and cost-sharing; conditions and limitations of coverage; and plan rules.

After you've joined the plan, you will receive the Evidence of Coverage in the mail. This is a legal document that should be kept in a safe place.

2025 Evidences of Coverage

 

MedigapFreedom Outlines of Coverage


Annual Notice of Changes

2025 Keystone 65 HMO Annual Notice of Changes (ANOC) – updated 10/1/2024

2025 Personal Choice 65 Annual Notice of Changes (ANOC) – updated 10/1/2024


Star Ratings — updated 10/16/2024

Our Keystone 65 HMO plans were rated 4.5 out of 5 stars, and our Personal Choice 65 PPO plans were rated 4out of 5 stars for 2025.

What is the CMS Star Rating System?

The CMS Star Rating System is designed to improve health care quality and control health care costs. The ratings provide a scorecard on overall plan quality, as well as:

  • Members' compliance with preventive care and screening recommendations
  • Chronic condition management
  • Customer service
  • Access to care

How does the CMS Star Rating System benefit our members?

Our 2025 CMS Star Ratings reflect our ongoing commitment to put our members first. IBX is committed to providing high‐quality Medicare Advantage plans and prescription drug coverage that meets or exceeds all CMS quality benchmarks. To achieve this, we focus on many member initiatives including:

  • Early detection and prevention measures
  • Better customer service
  • Support with chronic condition management
  • Greater access to care

CMS rewards plans that perform well through increased funding to improve their plans. Examples of these product improvements include:

  • Providing more robust supplemental benefits
  • Reducing premiums
  • Decreasing member cost-share

The CMS Star Ratings System rates all health and prescription drug plans each year based on their quality and performance. Medicare Star Ratings help you know how well our plan is doing. You can use these star ratings to compare our plan's performance to other plans.

Y0041_HM_118447_M_2025
Website last updated: 7/2/2025