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The Keystone Plan
How to Get Basic Health Care | How
to See a Specialist | How
to Deal With a Need For Emergency Medical Care
How
to Get Continuing Care After Emergency Medical Care | What
Medical Services Need Preapproval
Keystone
Participating Providers | How
to Change Your Primary Care Physician or Referred Specialist
Prescription
Drug Discount Program | Interpreter
Services | Other
Important Information About Keystone
How to Get Basic Health Care
- Always call your primary care physician first before
you go for medical care (except for conditions requiring
emergency services).
- Your primary care physician provides coverage 24 hours
a day, 7 days a week.
- Whenever possible, please schedule routine visits
well in advance. Always call to cancel an appointment
if you cannot make it.

How to See a Specialist
- Call your primary care physician for a referral. He
or she must give you a written referral for specific
care in order for you to see a specialist.
- A standing referral may be available to you if you
have a life-threatening, degenerative or disabling disease.
More
information available.
- Female members may visit any participating obstetrical/gynecological
specialist without a referral. This is true whether
the visit is for preventive care, routine obstetrical/gynecological
care or problem-related obstetrical/gynecological conditions
except in the case of treatment for gynecologic oncology.
More information
available
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