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The Keystone Plan
How to See a Specialist
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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

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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