Emergency, Urgent and Follow-Up Care

What are Emergency Services?   |   What is Urgent Care?
Emergency Services Inside and Outside Keystone’s Service Area   |    Payment for Immediate Care Services   |   Medical Screening Evaluation   |   Follow-Up Care Benefits   |   Auto or Work-Related Accidents

Payment for Immediate Care Services

If you have out-of-area urgent care or emergency services, not provided through the BlueCard program and provided by a non-participating provider, ask the provider to submit the bill to Keystone. Show the provider your ID Card for the necessary information about your plan. For direct billing, the provider should mail the bill to the address below. If direct billing cannot be arranged, send us a letter explaining the reason care was needed and an original itemized bill to the address below:

Keystone Health Plan East
P.O. Box 898815
Camp Hill, PA 17089-8815

	NOTE: It is your responsibility to forward to Keystone any bill you receive for emergency services or out-of-area urgent care provided by a non-participating provider.

Medical Screening Evaluation

Medical screening evaluation services will be covered services when performed in a hospital emergency department to determine whether or not an emergency exists.

Follow-Up Care Benefits

After receiving emergency services, ask the health care provider to notify Keystone of the situation and the condition of the member. If the member’s condition has stabilized and the member can be moved, Keystone may arrange to relocate the member to a participating provider facility to receive continuing care and treatment.

Call your primary care physician if you need more care after getting urgent care.

All follow-up care must be provided or referred by your primary care physician or coordinated through the Caring Foundation.