Benefits Handbook - Chip of Pennsylvania Pennsylvanian Children's Health Insurance Program Help
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The Keystone Plan
How to See a Specialist
Emergency, Urgent and Follow-up Care
Blue Cross 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 child’s primary care physician for a participating Keystone specialist or facility.
  • Take your child to see the specialist within 90 days. Your child’s referral is valid for only 90 days from the date you get it. Your child must still be enrolled in CHIP when the specialist sees him or her.
  • 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 child’s 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 child’s primary care physician.

 
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