Your Responsibilities as the Parent/Guardian of a CHIP/Keystone Member

It is Your Resposibility to:   |   Subrogation

It is Your Resposibility to:

1. Know about your child’s benefits and the proper procedures to follow to obtain those benefits. Look through this benefits handbook. Keep it where you can refer to it.
2. Call the Caring Foundation at 1-800-464-5437 if you have trouble understanding anything in this handbook.
3. Make premium payments, if required, on time.
4. Identify your child as a Keystone member before obtaining covered medical services or as a Pennsylvania Blue Shield member before receiving covered dental services.
5. Call the Caring Foundation at 1-800-464-5437 and tell us when there are any changes in your status. For example, please notify us if:
   • you change your address
   • your child begins to receive other health insurance benefits
   • your child becomes eligible for Medicare or Medicaid
   • there are errors on your child’s ID Card(s)
   • you lose your child’s ID Card(s)
6. Communicate, to the extent possible, information participating providers need in order to care for your child.
7. Follow the plans and instructions for your child’s care that you have agreed on with his/her practitioner.
8. Ask questions to assure understanding of the explanations and instructions given.
9. Keep scheduled appointments or give adequate notice of delay or cancellation.
10. Treat others with the same respect and courtesy expected for oneself.

Subrogation

In the event that legal grounds for the recovery of health care costs exist (such as when an illness or injury is caused by the negligence or wrong-doing of another party), Keystone has the right to seek recovery of such costs, unless prohibited by statute or regulation. When requested, the parent of the enrolled child must cooperate with Keystone to provide information, sign necessary documents and take any action necessary to protect and assure the subrogation rights of Keystone.