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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
Keystone Participating Providers
All medical services must be received from Keystone participating
providers unless preapproved by Keystone, or except in
cases requiring emergency services. Use your provider
directory to find out more about the individual providers,
including hospitals and primary care physicians and referred
specialists and their affiliated hospitals. It includes
a foreign language index to help you locate a provider
who is fluent in a particular language. The directory
also lists whether the provider is accepting new patients.
If you need a provider directory, call the Caring Foundation
at 1-800-464-5437. You can also find a doctor with the
online
provider directory.
How to Change Your Primary Care Physician
or Referred Specialist
Primary Care Physician
You may change your primary care physician by calling a
Caring Foundation member services representative at 1-800-464-5437.
The change will be effective on the first of the month following
your phone call. You will receive a new Keystone ID Card.
Remember to have your medical records transferred to the
new physician.
Referred Specialist
You may change the referred specialist to whom you have
been referred by your primary care physician or for whom
you have a standing referral. To do so, ask your primary
care physician to recommend another referred specialist
before services are performed. Remember that only services
authorized on the referral form will be covered.
If the participating status of a referred specialist
you regularly visit changes, you will be notified to select
another referred specialist.
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