Yes, all physicians, hospitals, and ancillary providers from the Keystone Health Plan East HMO network are assigned a tier; however, certain services have the same cost-sharing for all benefit tier levels and therefore are not affected by the provider tier.
Services that have the same cost-sharing across all tiers include, but are not limited to, the following:
- preventive care
- urgent care
- physical, occupational, and speech therapy
- mental health
Provider specialties that exclusively provide services that do not have tiered benefit differentials have been defaulted to Tier 3 – Standard Benefit Level.
Learn more about Keystone HMO Proactive plans.