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Keystone First

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1-800-521-6860
TTY: 1-800-684-5505
www.keystonefirstpa.com

Co-Pays*

Ambulance
Per trip $0

Dental care - $1

Inpatient hospital
Per day $3
Maximum with limits $21

Medical centers
Ambulatory surgical center $3 per visit
Federal Qualified Health Center / Regional Health Center $0
Independent medical / surgical center $3 per visit
Short procedure unit $3 per visit

Medical equipment
Purchase Sliding scale
Rental $0

Medical visits
Certified nurse practitioner $0
Chiropractor $1 per visit
Doctor $0
Optometrist $1 per visit
Podiatrist $1 per visit

Outpatient hospital
Per visit $0

Prescriptions
Generic $1
Brand name $3

X-rays
Per service $1

Coordination of Care

Help Getting Care: We work to connect you to the care you need by sending you reminders about important health services, helping you coordinate transportation, referring you to external resources, and scheduling your appointments.

Care Management Programs

Care Management Programs: We provide nurses, social workers, home health navigators and care connectors. Together we help coordinate all the care you need.

Member digital tools

Member Portal and Member Mobile Apps: We make getting the care you need easy by offering a member portal and mobile applications.

Keys to Your Care®: We offer texting, rewards and appointment reminders.

Pregnancy Benefits

Community Baby Showers and Moms to Be programs: We offer extra support for our pregnant moms.

Healthy Kids Programs

4YourKidsCare: We provide families education and information about caring for children when they are sick.

Vision Benefits

Additional Adult Eye Care Benefit: Select diabetic members ages 21 and over can get prescription eyeglasses or contact lenses.

24 Hour Medical Help Line

24/7 Nurse Call Line: Nurses are available on the phone 24 hours a day, 7 days a week.

Urgent Care Benefits

Urgent Care Centers: Urgent medical care when your PCP's office is closed and it is not an emergency.

Healthy Living and Health Education

Community Health Programs: Keystone First partners with many community organizations. We work to bring workshops, screenings and education to where you live.

Gym Memberships: Gym memberships for members at several YMCA and gym locations.

In-home Nutritional Counseling : In-home nutritional counseling available for all members.

Other Benefits

Mission GED Program: Tools and support are offered to further member education.

In-home lab tests: In-home lab and tele retinal testing can be coordinated for select diabetic members.

Member rewards: Earn rewards when you get select health screenings and exams you need.


*Co-pays do not apply to the following: members who are pregnant, members under age 18, members age 18 through 20 who are in foster care, emergency services, or certain drugs for specific diseases. The information about the benefits from each plan was current at the time of printing. Please call the plan directly for the most up-to-date information.