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Register/LoginKeystone Health Plan East HMO
Keystone Health Plan East, our Health Maintenance Organization (HMO), provides a complete range of medical benefits through a select group of doctors and hospitals. Your overall medical needs are coordinated by one family doctor or pediatrician, the primary care physician (PCP). All specialty care needs are referred by your PCP. Our wide network of participating physicians and hospitals in Pennsylvania, New Jersey, and Delaware make the HMO an easy-to-use and cost-effective program for you.
Features of Keystone HMO
- NCQA accreditation — Keystone HMO has received the highest standard of measurement from NCQA: Excellent.
- Choose a PCP from our large network of more than 30,000 doctors and nearly 200 hospitals.
- All referrals for specialty care are coordinated by the PCP.
- Preventive care for children and adults is included.
- Direct Access OB/GYNSM — no referrals are required to see a network OB/GYN for routine or maternity care.¹
- Well-being programs, including fitness reimbursement and discounts on alternative health care services, are available at no additional cost.
- Enhanced programs to control and manage chronic conditions are included.
- Comprehensive benefits are provided for students and travelers out of the area. Learn more about Guest Membership.
- The Blue Cross® and Blue Shield® symbols on member ID cards are recognized worldwide.
1 Non-routine care provided by reproductive endocrinologists/infertility specialists and gynecologic oncologists continues to require a referral form from your PCP.