adultBasic - Health Insurance for Adult Pennsylvanians
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The Keystone Plan
How to See a Specialist
Emergency, Urgent and Follow-Up Care
Caring Foundation

How to See a Specialist

How to See a Specialist   |   Direct Access to Obstetrical/Gynecological Care   |   How to Obtain a Standing Referral
How to Have a Referred Specialist Designated as Your Primary Care Physician   |   How to Plan For Hospital Care
Continuity of Care

Direct Access to Obstetrical/Gynecological Care

  • Female members may seek care directly (without a referral from the primary care physician) from a Keystone participating obstetrician or gynecologist for preventive care, routine obstetrical/gynecological care, covered routine maternity care or problem-related obstetrical/gynecological conditions.
  • This does not include specialty care provided by a gynecological oncologist. In order to have benefits for specialty services related to gynecological oncology, a referral from the primary care physician is required. In addition, care provided by any specialist other than a participating obstetrician or gynecologist requires a referral from the primary care physician.

 


 
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