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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
How to See a Specialist
- Get a written referral form which indicates the services
authorized from your primary care physician for a participating
Keystone specialist or facility.
- You must see the specialist within 90 days. Your referral
is valid for only 90 days from the date you get it.
You must still be enrolled in adultBasic when the specialist
sees you.
- Give the form to the specialist or facility before
the services are performed.
- Only services authorized on the referral form and
provided within 90 days from the date of referral will
be covered. You must request another written referral
form from your primary care physician if the specialist
recommends additional treatment.
- Services by non-participating providers require preapproval
by Keystone in addition to the written referral from
your primary care physician.
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