Is Keystone Health Plan East Medicaid?

Is Keystone Health Plan East part of Blue Cross?

With a Keystone Health Plan East HMO from Independence Blue Cross, you can see any doctor or visit any hospital in the Keystone Health Plan East network.

You pick a primary care physician (PCP), or family doctor, to coordinate your care..

Does Keystone Health Plan East require referrals?

Primary care visit to treat an injury or illness $10 copayment Not Covered ———–none———– Specialist visit $15 copayment Not Covered PCP referral required.

Does Keystone first cover?

Keystone First covers many prescription medicines and some over-the-counter medicines. * Talk with your health care provider, your pharmacist, or Member Services to find out if a medicine is covered. We make changes and add new medicines to the list of covered medicines from time to time.

Does Keystone first pay for gym memberships?

Great news! Your Keystone First Focus on Fitness gym program is now better than ever. No cost to you. No age limit.

What does keystone first dental cover?

Dental benefits for members over age 21, who are eligible for dental benefits, are eligible for: 1 dental exam and 1 cleaning, every 6 months. Pulpotomies (removal of pulp) for pain relief. Re-cementing of crowns (re-gluing the crown).

Do you need a referral Keystone first?

Keystone First will only pay for services specifically noted and requested by the PCP and covered under the benefit plan. ! Services rendered without a referral will not be covered by Keystone First . ! Specialists cannot refer to other Specialists. Additional specialty services must be coordinated by the PCP. !

Is Keystone First Blue Cross?

Keystone First is a Blue Cross Medical Assistance (Medicaid) managed care health product offered by Vista Health Plan, Inc., an affiliate of Independence Blue Cross, in five Southeastern Pennsylvania counties.

What is Keystone First Community HealthChoices?

Keystone First Community HealthChoices (CHC) is a managed care organization.

Is Keystone part of Independence Blue Cross?

With a Keystone HMO plan from Independence Blue Cross, you can see any doctor or visit any hospital in the Keystone Health Plan East network. You pick a primary care physician (PCP), or family doctor, to coordinate your care. Your PCP will treat you for general health needs and refer you to specialists as needed.

Is Keystone first the same as Keystone Health Plan East?

The plan continued to grow, and in 1996, entered into a partnership with Keystone Health Plan East, the managed care entity of Independence Blue Cross, to form Keystone Mercy Health Plan. … Today, Keystone First serves more than 300,000 Medical Assistance recipients in the five-county Greater Philadelphia area.

What kind of insurance is keystone first?

MedicaidKeystone First is Pennsylvania’s largest Medical Assistance (Medicaid) managed care health plan serving more than 400,000 Medical Assistance recipients in southeastern Pennsylvania including Bucks, Chester, Delaware, Montgomery, and Philadelphia counties.

What is a Tier 1 and Tier 2 Doctor?

Tier 1 usually includes a select network of providers that have agreed to provide services at a lower cost for you and your covered family members. Tier 2 provides you the option to choose a provider from the larger network of contracted PPO providers, but you may pay more out-of-pocket costs.

Can you go to any doctor with HMO?

HMO: Yes, your HMO will not provide coverage if you do not have a PCP. PPO: No, you can receive care from any doctor you choose. But remember, you will pay more if the doctors you choose are not “preferred” providers. … And, some PPOs require that you get a prior approval for certain expensive services, such as MRIs.