Keystone Health Plan East Referrals

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Everything you need to know about your health plan

(7 days ago) WEBReferrals You are required to get a referral from your PCP for specialty services. All referrals Keystone Health Plan East subscribers may be eligible to be on a Guest Membership for up to a 12 month period (6 months followed by 6 months upon approval of a renewal request). Dependents may be eligible to be on a Guest Membership for a

https://www.ibx.com/ResourceCenter/Keystone-Health-Plan-East-HMO-Flex-Copay-Sample-Benefit-Booklet-2018.pdf

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Keystone HMO health plans Independence Blue Cross …

(5 days ago) WEBKeystone Health Plan East HMO plans. 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 will pick a primary care …

https://www.ibx.com/find-a-plan/individuals-and-families/ibx-health-plans/health-plans/keystone-hmo-plans

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Everything you need to know about your health plan

(8 days ago) WEBYou have a Keystone Health Plan East HMO health plan, which means you and your covered dependents are required to select a primary care physician, or PCP. Your PCP is the doctor who will treat your general health needs and coordinate your care by providing referrals, when necessary. All network providers are required to provide coverage 24

https://www.ibx.com/ResourceCenter/Keystone-HMO-Bronze-OFFX-2022.pdf

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Referrals - Keystone First

(6 days ago) WEBSelf-referrals. Self-referrals are services you can arrange for yourself without first calling your primary care practitioner (PCP). You must see a Keystone First network provider for these self-referred services. Services that do not need a referral or prior authorization are: Prenatal visits. Routine obstetric (OB) care.

https://www.keystonefirstpa.com/member/eng/benefits/referrals.aspx

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Keystone 65 HMO Health Plans Independence Blue Cross Medicare

(9 days ago) WEBKeystone 65 Focus HMO-POS members have an annual point-of-service maximum that can be used towards out-of-network care, but they'll pay less for in-network care. Please note that the Keystone 65 Focus plan uses a defined network that is a subset of our Keystone 65 HMO network. Choose a primary care physician (PCP).

https://www.ibxmedicare.com/htdocs/custom/welcome/ks65.html

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Section II Referral & Authorization Requirements

(1 days ago) WEBDental Services. Members do not need a referral from their PCP, and can choose to receive dental care from any provider who is part of the dental network. Member inquiries regarding covered dental services should be directed to Keystone First’s Member Services Department at 1-800-521-6860.

https://www.keystonefirstpa.com/pdf/provider/resources/manual-forms/manual/02.pdf

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Keystone Health Plan East - Flexiben

(Just Now) WEBKeystone Health Plan East HMO 4 Summary of Benefits Keystone Health Plan East is a Health Maintenance Organization (HMO). This is a managed care program. Coverage is available when your care is provided or referred by a Keystone primary care physician (PCP). Your Keystone PCP may also refer you to other Keystone providers for care, if …

http://www.flexiben.com/files/images/pdfs/hmo4.pdf

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Summary of Benefits and Coverage (SBC) - DC47

(4 days ago) WEBKeystone Health Plan East HMO 20/40 AFSCME DC 47. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately.

https://dc47.org/wp-content/uploads/2020/10/SBC_KeystoneHealthPlanEastHMO_20_40_AFSCMEDC47.pdf

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Referrals - Keystone First Community HealthChoices

(7 days ago) WEBSelf-referrals. Self-referrals are services you can set up for yourself without first calling your PCP. You must see a Keystone First) Community HealthChoices (CHC) network provider for these self-referred services. Services that do NOT need a referral or prior authorization are: Prenatal visits. Routine obstetric (OB) care.

https://www.keystonefirstchc.com/Participants/eng/getting-care/referrals.aspx

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Find a Doctor, Medicine, or Pharmacy - Keystone First

(1 days ago) WEBCall Member Services at 1-800-521-6860 (TTY 1-800-684-5505) 24 hours a day, 7 days a week. Provider information in the online directory is updated daily Monday through Friday. As a Keystone First member, you have a network of committed health care providers ready to take care of you.

https://www.keystonefirstpa.com/member/eng/find-provider.aspx

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Keystone Health Plan East - ldc-phila-vic.org

(9 days ago) WEBKeystone Health Plan East is a Health Maintenance Organization (HMO). This is a managed care program. (No referral required) 100% Mammogram (No referral required) 100% Nutrition Counseling For Weight Management 6 visits per calendar year 100% Outpatient Laboratory/Pathology 100% Maternity First OB Visit $15 Copayment

https://www.ldc-phila-vic.org/Member-Benefits/upload/878971_-_K_HMO_FLX_CP_.pdf

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Everything you need to know about your health plan

(8 days ago) WEBAll referrals are done electronically, so you can get the care you need as quickly and conveniently as possible. You won’t need a referral for OB/GYN care, mammograms, mental Keystone Health Plan East subscribers may be eligible to be on a Guest Membership for up to a 12 month period (6 months followed by 6 months upon approval …

https://www.ibx.com/ResourceCenter/Keystone-Health-Plan-East-DPOS-Flex-Copay-Sample-Benefit-Booklet-2018.pdf

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Keystone Health Plan East Ref Philly City Foot Doc

(3 days ago) WEBIf you have Keystone Health Plan East as an insurance carrier, you will need a referral from your primary care doctor. If you do not have a PCP, then you can call the number on the back of your card to ask for a referral to see a podiatrist. The group NPI for the practice is: 1912543109. ***Fax number if needed 215-471-0430.

https://www.phillycityfootdoc.com/keystone-health-plan-east-ref

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Find a behavioral health provider - Keystone First

(2 days ago) WEBYou can ask to have a special meeting with Keystone First, your health care providers and your behavioral health plan to talk about the services you get by calling Keystone First Member Services toll free at 1-800-521-6860. Bucks County. 1-877-769-9784. Chester County. 1-866-622-4228. Delaware County. 1-833-577-2682.

https://www.keystonefirstpa.com/provider/bhprovider/index.aspx

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Keystone Counseling Center is now LifeStance Health

(8 days ago) WEB34. Woodstock, GA - 100 Stoneforest Dr. 100 Stoneforest Drive, Suite 230. Woodstock, GA 30189. Phone: 770-603-0123. See Location Detail. Keystone Counseling Center is now a member of the LifeStance Health family of behavioral and mental health providers. All of Keystone Counseling Center can expect the same outstanding care, but with a new …

https://lifestance.com/welcome/keystone-counseling-center/

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Referral submission rules - Independence Blue Cross (IBX)

(6 days ago) WEBIndependence does not accept paper referrals with HMO/POS claims for payment. Any paper referrals submitted will be returned to the issuing provider without payment. Note: Effective for dates of services on or after January 1, 2018, we no longer require any Medicare Advantage HMO members to obtain a referral from their primary care …

https://www.ibx.com/resources/for-providers/claims-and-billing/claims-resources-and-guides/referral-submission-rules

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Keystone HMO Proactive plans Independence Blue Cross (IBX)

(5 days ago) WEBWith a tiered network, Keystone HMO Proactive plans also give you a way to save on your out-of-pocket costs by using certain providers. We’ve grouped our in-network providers into three tiers. Doctors and hospitals that offer high-quality care at a lower cost are in Tier 1 – Preferred. More than half of doctors and hospitals in our network

https://www.ibx.com/find-a-plan/individuals-and-families/ibx-health-plans/health-plans/keystone-hmo-proactive-plans

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Everything you need to know about your health plan

(8 days ago) WEBYou won’t need a referral for OB/GYN care, mammograms, mental health, or routine eye care. You may also check the status of your referral by logging As a Keystone Health Plan East member, certain in-network services and all out-of-network services require preapproval prior to receiving care to ensure that the service you seek is medically

https://www.ibx.com/ResourceCenter/Keystone-HMO-Silver-Proactive-OFFX-2019.pdf

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Join our network - Providers - Keystone First

(5 days ago) WEBContracting. Please email it to [email protected] or fax to 215-863-5472. Keystone First will then email you a contract with instructions for signing and return. Once you receive a signed contract you can begin the credentialing process for practitioners in your practice. Please contact the Keystone First contracting

https://www.keystonefirstpa.com/provider/credentialing/index.aspx

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SAMPLE - Independence Blue Cross (IBX)

(7 days ago) WEBYou have Keystone Health Plan East Direct Point of Service coverage, which means, although you select a primary care physician (PCP), a referral from your PCP is only needed for spinal manipulations, routine X-rays, and physical/occupational therapy. For lab work, you should use the facility recommended by your PCP for the lowest

https://www.ibx.com/ResourceCenter/Keystone-Health-Plan-East-DPOS-Flex-Copay-Sample-Benefit-Booklet-Rev.pdf

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2023 Keystone HMO Proactive health plans - Independence …

(9 days ago) WEBKeystone HMO Silver Proactive Lite: This plan offers a lower premium for those shopping with a tax credit on Pennie. It includes a deductible for Tiers 1 – 3 for some services. *If you are admitted to an in-network hospital from the emergency room, the cost-sharing for inpatient hospital care, including medical care provided by an in-network

https://www.ibx.com/documents/35221/56575/2023-keystone-hmo-proactive-plans.pdf

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Contact us Providers Independence Blue Cross (IBX)

(4 days ago) WEBKeystone First Hours: Mon. – Fri., 8 a.m. – 5 p.m. Nurse on call 24 hours a day 1-800-521-6007: Mental Health/Substance Abuse Magellan Healthcare, Inc. Customer Service and Precertification 24 hours a day, 7 days a week: 1-800-688-1911: For Keystone Health Plan East Members with Caring Foundation benefits 24 hours a day, 7 days a week: 1

https://www.ibx.com/resources/for-providers/contact-us

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