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Keystone Point-of-Service

Keystone Point-of-Service (POS) plans offer all the benefits of our quality HMO, plus the freedom to access any physician or hospital without a referral. There are few or no out-of-pocket costs for covered services provided or referred by the primary care physician (PCP). The self-referred care feature of this plan allows members to visit any doctor or hospital. Members share the costs of medical expenses through deductibles and coinsurance.

Features of Keystone Point-of-Service

  • Members choose a PCP from a wide network of more than 20,000 doctors and 100 hospitals.
  • Members obtaining referrals for specialty care receive the maximum benefit level.
  • Care may be received without a referral, subject to deductibles and coinsurance.
  • Preventive care for children and adults is included.
  • Well-being programs, including fitness reimbursement and discounts on alternative services are available at no additional cost.
  • Programs to manage chronic conditions are included.
  • Direct Access OB/GYNSM — no referrals are required to see a network OB/GYN for routine or maternity care.¹
  • NCQA accreditation — Keystone POS has received the highest standard of measurement from NCQA: Excellent.
  • 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 from PCP.