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Independent Health

General Information

Independent Health
Plan Type - iDirect 3
Group # 21650
Customer Service Telephone
(716) 631-8701 or
1-800-501-3439


Summary of Benefits - IH iDirect 3 Plan

 In Network Deductible $5,000/$10,000
 In Network Out of Pocket Maximum $5,000/$10,000
 Routine Physical Exams* $0
 Primary Care Physician Copay $0, after deductible
 Specialist Copay $0, after deductible
 Laboratory Testing $0, after deductible
 Radiology Copay $0, after deductible
 Ambulance Copay $0, after deductible
 Emergency Room Copay $0, after deductible
 Urgent Care Copay $0, after deductible
 Inpatient Copay $0, after deductible
 Inpatient Maternity Copay $0, after deductible
 PT/OT/ST Copay $0, after deductible
 DME $0, after deductible
 Prosthetics & Orthotics $0, after deductible
 Prescription Copay $0, after deductible
 Out of Network Deductible $5,000/$10,000
 Out of Network Coinsurance 30%
 Out of Network Out of Pocket Maximum Unlimited
* - 1 Limited to one per year

Personal Best Debit Card


Independent Health’s personalBest!

This benefit provides another pathway to achieving a healthier lifestyle. With it, you’ll receive a $250 debit card to use toward a variety of health and wellness services. Whether you are in a single plan, or you have a spouse or dependents enrolled under your plan, a total of $250 is available to spend on a fitness club membership or after school activity programs.

For additional information please visit http://independenthealth.com/pbest .

Medicare Coordination and Questions

  • Do you have questions about Medicare for yourself or a family member? Feel free to call Veracity Benefits to assist:
Stephanie Nasso
Benefits Consultant/Medicare Specialist
Northwest Insurance
3960 Harlem Road
Amherst, NY 14226
(716) 256-1751
(716) 839-2529 fax
snasso@nwbcorp.com 

Important Documents & Forms

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View Download
IH Release of Personal Health Information Form  147k v. 2 Oct 2, 2014, 1:46 PM Wasiewicz, Mark
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View Download
IH Benefit Summary Booklet 4 pages  308k v. 2 Oct 2, 2014, 1:46 PM Wasiewicz, Mark
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View Download
IH Enrollment/Change Form  103k v. 2 Oct 2, 2014, 1:46 PM Wasiewicz, Mark
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View Download
IH Sample Explanation of Benefits (EOB) Statement  303k v. 2 Oct 2, 2014, 1:46 PM Wasiewicz, Mark
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View Download
IH Benefit Summary Booklet 101 pages  2593k v. 2 Oct 2, 2014, 1:46 PM Wasiewicz, Mark