The company is a subsidiary of Independence Blue Cross and Blue Cross Blue Shield of Michigan. In 2015, Keystone First was rated among the “top Medicaid plans in Pennsylvania”. Keystone First VIP Choice plan serve dual eligible special needs which is offered to clients on both Medicare and Medicaid.

Keystone Agency Partners is a fast-growing independent insurance agency partnership platform which provides strategic, technology, financial and operational support to reignite an entrepreneurial spirit and support profitable growth within our agency partners.

Keystone First is Pennsylvania’s largest Medical Assistance (Medicaid) managed care health plan serving more than 400,000 Medical Assistance recipients in southeastern Pennsylvania including Bucks, Chester, Delaware, Montgomery, and Philadelphia counties.

We offer Keystone First VIP Choice (HMO-SNP) and Keystone First Community HealthChoices (CHC) as options. Visit the COMPASS website for more information on Community HealthChoices eligibility.

Services provided outside the United States and its territories. Keystone First is not allowed to make payments outside of the United States.

Chiropractic services with a Keystone First network provider after the 24th visit if the member is under the age of 18. Inpatient hospice services. Some specialty dental services. PET and CT scans, MRI, MRA, and nuclear cardiology.

If you lose your Keystone First ID card, call Member Services at 1-800-521-6860 for a new one. Do more online. Lost your ID card? Log on to the member portal to order a new one.

Out-of-network specialists Visits to specialists who are not in the Keystone First network will need to have prior authorization (prior approval) from Keystone First. Your PCP has a special number to call to get prior authorization. Ask your PCP to help you.

The Keystone State Pennsylvania’s essential role in the founding of the United States earned it the nickname, the “Keystone State.” The term “keystone” comes from architecture and refers to the central, wedge-shaped stone in an arch, which holds all the other stones in place.

Ambulance services Non-emergency Covered when medically necessary and with prior authorization. Covered when medically necessary and with prior authorization. Chiropractor Covered with no referral or prior authorization needed for the initial evaluation. Prior authorization is required after the initial evaluation.

Your PCP will treat you for general health needs and refer you to specialists as needed. With a Keystone HMO plan, you will not be covered for care that you receive from doctors or hospitals outside the Keystone Health Plan East network (except for emergency services).

With a Keystone HMO plan from Independence Blue Cross, you can see any doctor or visit any hospital in the Keystone Health Plan East network. You pick a primary care physician (PCP), or family doctor, to coordinate your care. Your PCP will treat you for general health needs and refer you to specialists as needed.

There is a maximum of 5 copays per admission. 2 Keystone HMO Silver and Keystone HMO Bronze are not available for purchase through the Pennsylvania Insurance Exchange (Pennie) and must be purchased through Independence directly.