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.

For more information, view a summary of benefits for Keystone [2016-2017 plan year] or AmeriHealth [2016-2017 plan year]. Find in-network providers using the Independence Provider Finder.