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
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 Child’s Primary Care Physician or Referred Specialist
Primary Care Physician
You may change your child’s 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. Your child will receive a new Keystone ID Card. Remember to have your child’s medical records transferred to the new physician.
Referred Specialist
You may change the referred specialist to whom your child has been referred by your child’s primary care physician or for whom you have a standing referral. To do so, ask your child’s 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 your child regularly visits changes, you will be notified to select another referred specialist.
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