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
Medical Technology Assessment is Performed by Keystone

How to Get Basic Health Care

• Always call your child’s primary care physician first before you go for medical care (except for conditions requiring emergency services).
• Your child’s primary care physician provides coverage 24 hours a day, 7 days a week.
• Whenever possible, please schedule routine visits well in advance. Always call to cancel an appointment if you cannot make it.

How to See a Specialist

• Call your child’s primary care physician for a referral. He or she must give you a written referral for specific care in order for your child to see a specialist.
• A standing referral may be available to your child if he or she has a life-threatening, degenerative or disabling disease. More information available.
• You may take your female child to any participating obstetrical/gynecological specialist without a referral. This is true whether the visit is for preventive care, routine obstetrical/gynecological care or problem-related obstetrical/gynecological conditions except in the case of treatment for reproductive endocrinology, infertility or gynecologic oncology. More information available.