Discontinuation of the adultBasicSM Plan

As you may know, effective February 28, 2011, the Commonwealth of Pennsylvania informed us that they are ending the adultBasic program due to a lack of funding.

Keystone Health Plan East is a vendor to the program and provides adultBasic coverage to individuals in Southeastern Pennsylvania.

After February 28, 2011, members enrolled in the adultBasic program will no longer have health coverage under the program. We will work with members and their physicians on a case-by-case basis to identify the appropriate transition of care plans. We will also provide information to providers about adultBasic members who were precertified for services on or after March 1, 2011.

In addition to our other commercial products, we will be offering these members Special Care, our limited-benefits product for low-income individuals. The Blue Cross and Blue Shield contractors who offer Special Care have agreed to waive the preexisting condition requirement for adultBasic members who enroll directly from adultBasic into Special Care.

If you have questions regarding the discontinuation of the adultBasic program, please contact your Network Coordinator.