Important information about your new ID card

Register for ibxpress.com
Access benefits information and tools to help Standard Keystone Call the HMO phone number on the back of
you get the most from your health plan at our
your card.
secure member website, ibxpress.com. Displaying 12 digit Member UMI
If you misplace your ID card, you can print
a temporary paper copy or request a new ID
card at ibxpress.com.
It’s easy to register:
SAMPLE
MEMBER
DR BEN FRANKLIN MD
215-555-1212
• New users: UMI123456789101 Visit Logo www.ibxpress.com to remainLAB the Q same on
the date
Rx
your
BIN
IBC
600428 PLAN
Rx PCN 03820000 coverage takes PCP effect $5
SPEC $10
and enter your new member ID ER number $25
DED $1000
to register.
PREV $0
FLEX HMO
VISION
• Current users: Visit www.ibxpress.com on
the date your IBC coverage takes effect
and log in with your current username
and password.
Future IBC Sample ID Card
(issued by Highmark)
Questions about your new ID card?
(13 digit UMI is truncated to 12 digits when the last digit is ‘0’)
Member: See your Primary Care Physician first
for care. Specialist and hospital care require a
referral. For sick/urgent care outside of
Southeastern PA, NJ or DE, please call
1-800-ASK-BLUE (1-800-275-2583) within 48
hours of receiving care. Provider: Call
1-800-676-BLUE (1-800-676-2583) to verify
eligibility and coverage. File claims with your
local Blue Cross®/Blue Shield® Plan. Hospital:
Please call 1-800-ASK-BLUE for admission
notification within 48 hours or next business day
after admission.
Visit www.ibxpress.com for benefit information
Customer Service
1-800-ASK-BLUE
Eligibility/Precertification
1-800-ASK-BLUE
To Locate Out of Area Provider
1-800-810-BLUE
Mental Health/Substance Abuse
1-800-688-1911
Pharmacy Benefits
1-888-678-7012
Keystone Health Plan East and Independence Blue Cross are independent
licensees of the Blue Cross and Blue Shield Association.
Pharmacy Benefits Administrator
Important information
about your new ID card
Independence Blue Cross is an independent licensee of the
Blue Cross and Blue Shield Association.
3121-IBC HMO PCP 2 (10/13) 2013-1238
2013-1238 New ID card insert_HMO_v3.indd 1 10/4/13 3:44 PM

Standard Keystone HMO
SAMPLE
MEMBER
UMI123456789101
Rx BIN 600428
Rx PCN 03820000
DR BEN FRANKLIN MD
215-555-1212
LAB Q
PLAN FLEX HMO
PCP $5
SPEC $10
ER $25
DED $1000
PREV $0
Logo to remain the same
Displaying 12 digit Member UMI
(13 digit UMI is truncated to 12 digits when the last digit is ‘0’)
VISION
Your Independence Blue Cross (IBC) member
ID card is your key to health care coverage
you can count on.
Enclosed are new member ID cards for:
• You (plan subscriber)
• Your spouse (if covered under your plan)
• Your dependent/s (if covered under
your plan)
You and anyone covered under your health
plan are receiving a new ID card — whether or
not you have made any changes to your plan.
You have a new member Visit www.ibxpress.com for benefit ID information number
Member: See your Primary Care Physician first
for care. Specialist and hospital care require a
referral. For sick/urgent care outside of
Southeastern PA, NJ or DE, please call
1-800-ASK-BLUE (1-800-275-2583) within 48
hours of receiving care. Provider: Call
1-800-676-BLUE (1-800-676-2583) to verify
Customer Service
1-800-ASK-BLUE
Your new card is Eligibility/Precertification identical to your current ID
1-800-ASK-BLUE
card, with an important
To Locate Out of Area
new
Providerfeature:
1-800-810-BLUE
Mental Health/Substance Abuse
1-800-688-1911
Member ID number: Pharmacy Benefits You have a new member
1-888-678-7012
ID number, which doctors and hospitals use to
submit claims to IBC for covered services you
receive. Note: The Keystone member Health Plan East and Independence number Blue Cross are independent is now the
licensees of the Blue Cross and Blue Shield Association.
same for each person covered under the plan.
eligibility and coverage. File claims with your
local Blue Cross®/Blue Shield® Plan. Hospital:
Please call 1-800-ASK-BLUE for admission
notification within 48 hours or next business day
after admission.
Pharmacy Benefits Administrator
How to use your ID card
Please destroy your current ID cards and
begin using the new cards on the date your IBC
coverage takes effect. Do not use your current
ID cards after this date. You should also let
your doctor know that you have a new card
when you receive care.
If any information on the enclosed ID card(s)
is incorrect, please call the phone number on
the back of your card.
Other important features of your card
Member name: Each person covered under the
plan has an ID card with his or her own name
printed on it.
Benefit information: Each ID card lists the
plan’s copayments for doctor and specialist
visits and emergency care and the plan’s
deductible amount.
Contact information: There is no change to
the instructions and contact information on
the back of the ID card.
2013-1238 New ID card insert_HMO_v3.indd 2 10/4/13 3:44 PM