Keystone/Amerihealth Health Maintenance Organization
Administered by Independence Blue Cross, the Keystone/AmeriHealth Health Maintenance Organization (HMO) plan requires that you choose and coordinate your care through a network Primary Care Physician (PCP). You must obtain referrals from your PCP if you need to see other network providers. This plan doesn’t provide coverage if you self-refer your care or go outside the HMO network of providers (except for emergency care).
When you use health care providers who are part of the Keystone or AmeriHealth HMO network:
- Preventive care services are covered at 100%.
- Office visits and most outpatient services are covered at 100% after copays.
- Most other services are covered at 90% after a deductible.