adultBasic - Health Insurance for Adult Pennsylvanians
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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

Prescription Drug Discount Program

Prescription drug coverage is not included in your adultBasic coverage except for:

  • medications ordered during an inpatient hospital stay; and
  • diabetic insulin and oral agents, and immunosuppressants when you are not an inpatient.
However, Keystone’s adultBasic does offer all enrolled members the opportunity to purchase prescription medications at a significant discount through its prescription drug discount program.

How to Use the Prescription Drug Discount Program
To take full advantage of the money-saving prescription drug discount program:
  • ask your doctor to prescribe a suitable generic drug if possible;
  • determine if your pharmacy participates in the Keystone network; and
  • present your adultBasic Keystone ID Card to the participating pharmacy. Your pharmacist must process your prescription in order to get the discounted price (If your pharmacy does not participate, you will need to select a participating pharmacy to receive a discount.)

No Fees, No Limits, No Claim Forms
  • There are no limits on how frequently you can use your adultBasic Keystone ID Card for a discount.
  • There are no claim forms to fill out, no waiting for reimbursement.
  • Your savings are automatic and on the spot.
NOTE:
  • The products and services described under the discount drug program are neither offered nor guaranteed under the Caring Foundation and Keystone’s contract with the Commonwealth of Pennsylvania for the adultBasic program, but are made available to all enrollees who are members of the adultBasic program.

  • These products and services are not subject to the adultBasic appeals process. Any disputes regarding these products and services may be subject to the Keystone grievance process.

  • Should a problem arise with any value-added service, please call the Caring Foundation for assistance at 1-800-464-5437.


 
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