Trusted PCPs Ensure High-Quality, Cost-Efficient Health Care
With Keystone Health Plan Central Health Maintenance Organization (HMO), your employees select a PCP from our large, qualified provider network. PCPs provide treatment, refer members to specialists and hospitals, track feedback from specialists, and file all claims. The end result is a more complete picture of our member’s overall health care experience, which can significantly reduce costs. HMO members have the reliability of our widely recognized BlueCard when travelling.
To be compliant with PPACA regulations our products have Pediatric Vision and Pediatric Dental services embedded.
Our programs include Healthy Rewards which is a program designed with the goal of encouraging your employees to make better health care decisions and become savvy about health care spending.
Keystone (HMO) typically covers the services listed below Physician office visits for illness or injury Preventive care (routine physical exams, select screenings, annual gynecological exams, annual mammograms [women age 40 and over], well baby care, childhood immunizations) Maternity and newborn care Disease management for asthma, diabetes, congestive heart failure and coronary artery disease Lab tests and x-rays Physical, occupational and speech therapy Home health care Skilled nursing facility Hospice care Outpatient and inpatient hospital services Emergency care Medical supplies and equipment Behavioral health services Substance abuse (drug and alcohol treatment)
* Subject to applicable contract terms and exclusions
HMO is issued by Keystone Health Plan® Central, a Capital BlueCross subsidiary.
Service + Innovation + Variety + Flexibility + Value = Capital BlueCross!
We have provided the people of our 21-county service area with maximum value in health insurance products since 1938. Our members in Central Pennsylvania and the Lehigh Valley know of our reputation for excellence in customer service and our commitment to offering a wide variety of easy-to-use, comprehensive and innovative health-care products for employer groups and our members.
Benefits for You
You have our commitment to work hand-in-hand with you to meet and exceed your goals and objectives. In addition to a robust selection of health coverage products - medical, dental, vision, prescription drug and more - we also provide you with the tools you need to help your employees live healthier lives and to make managing your employees' benefits as simple as possible.
Benefits for Your Employees
Not only are we committed to helping you, our employer groups, meet your health coverage goals and objectives, we are also dedicated to your employees. We know how important health care services are to your employees and, of course, their families. To ensure they receive the most appropriate care, we offer many programs and services to help keep them healthy while making the management of their benefits as simple as possible.