MedicarePartD.guide

A non-government resource built from CMS public data

Keystone 65 Basic Rx (HMO)

Available to residents of Bucks County, PA for 2026. Contract H3952, plan 055, segment 0.

Plan details

Monthly premium$0.00
Drug deductible$0.00
Plan typeMedicare Advantage
Contract / planH3952-055-0
Offered byIndependence Blue Cross
Parent organizationIndependence Health Group, Inc.
Formulary drugs3,432

CMS star ratings

Overall
4 out of 5 stars for Overall
Health plan (Part C)
4 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
4 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$0.00
Tier 325%
Tier 442%
Tier 533%

Also available in 4 other PA counties