Monday, May 16, 2022

Is Keystone First Medicare Or Medicaid

Don't Miss

Who Is Eligible For Medicare

Keystone First VIP Choice (HMO-SNP) | OTC | Login | Catalog

Turning 65? Medicare is the federal government’s health insurance program. It is also known as original Medicare. Medicare provides medical and health-related services to:

  • People age 65 and older.
  • People of any age who are qualified as disabled.
  • People of any age who have Lou Gehrig’s disease .

Preventative Health Products At No Cost To You

Welcome to your 2022 Over-the-Counter Benefit, administered by Fieldtex. We hope that you enjoy the selection of products and the convenience of the service. The OTC Benefit is designed to give you access through your health plan to preventative health products that you are already using at no additional cost to you. For ordering assistance, please call 1-844-981-1614 Monday – Friday 8 am – 5 pm, Saturday from 9 am – 5 pm and Sunday from 10 am – to 5 pm.

For any other questions, please contact Keystone First VIP Choice Member Services at: 1-800-450-1166 8 am – 8 pm, 7 days a week.

The Covid-19 crisis has presented challenges that have negatively impacted the current supply chain and workforce. Our team is working hard to get you your OTC items, however we are experiencing a labor shortage and an abnormally high number of out-of-stock items. These hurdles are unfortunately resulting in longer than usual order delivery times. We thank you for your continued support and patience, and apologize for any inconvenience this may cause.

If you exceed your available benefit allowance when placing an order, that order will not be processed. Be sure to stay within your available balance when ordering.

Keystone First VIP Choice is an HMO-SNP plan with a Medicare contract and a contract with the Pennsylvania Medicaid program. Enrollment in Keystone First VIP Choice depends on contract renewal.

Does Chop Take My Insurance

Children’s Hospital of Philadelphia, its affiliated physician groups and its Home Care department have agreements with the list of insurance plans provided in the alphabetical list on this page. Each of these agreements is different, covering varying levels of healthcare services provided by the Hospital and the following CHOP entities. You will see these entities mentioned in the list of insurance plans.

  • Childrens Surgical Associates, Ltd
  • Childrens Surgical Associates of New Jersey, Inc.
  • Care Network NJ
  • Childrens Anesthesiology Associates, Ltd.
  • Childrens Anesthesiology Associates of New Jersey, Inc.
  • Childrens Health Care Associates, Inc.
  • Childrens Health Care Associates of New Jersey
  • Radiology Associates of Childrens Hospital, Inc.
  • Childrens Radiology Associates of New Jersey, PC
  • See the

    Some of the insurance plans listed below cover the full scope of services provided by the Hospital, its affiliated physician groups and its Home Care department. Others cover a smaller selection of services. If you are not sure if the healthcare services provided to your child will be covered by your insurance plan, please contact your insurance provider to find out what is covered or call our Pre-Visit Financial Counseling Hotline at 1-800-664-7855 for additional information.

    Recommended Reading: Is The Medicare Helpline Legit

    Accepted Health Insurance Plans

    Fox Chase Cancer Center accepts virtually all area insurance plans. A list of some of the insurance plans we accept is included below.

    • Aetna
    • Aetna USHC Elect Choice Open Access
    • Aetna USHC Golden Choice
    • Aetna USHC HMO Open Access
    • Aetna USHC Managed Choice
    • Aetna USHC Managed Choice Open Access
    • Aetna USHC Open Choice
  • AmeriHealth Caritas MA Managed Care Plan
  • AmeriHealth Commercial/Medicare Plans
  • Blue Cross BlueCard PPO
  • Blue Cross Capital
  • Blue Cross Empire
  • Blue Cross other out of area
  • Blue Cross/Blue Shield Delaware
  • Blue Cross Independence
  • Blue Cross Special Care **Limited benefits. Please call financial counseling
  • Blue Choice
  • Blue Choice
  • Canadian Medical Network
  • Geisinger Health Plan Gold
  • Health Assurance
  • Health Partners Medicaid Managed Care
  • Health Partners Medicare
  • HealthCare Payors Coalition of NJ
  • Healthy Womens Medicare FFS
  • Horizon
  • Horizon BC/BS of New Jersey Traditional
  • Horizon BC/BS of NJPPO
  • Horizon Direct Access
  • Horizon Blue Cross Blue Shield of New Jersey
  • Humana Choice
  • Keystone First Medicaid Managed Care
  • Keystone Point of service
  • Local 25
  • One HealthPlan of PA POS
  • One HealthPlan of PA PPO
  • Operating Engineers Local 025
  • Oxford Freedom HMO
  • Oxford Freedom Plan PPO
  • Oxford Freedom Plan Select
  • Oxford Freedom Point of Service
  • Oxford Liberty
  • Oxford Liberty Point of Service
  • Oxford Liberty HMO
  • Oxford Liberty Plan PPO
  • PEBTF
  • Personal Choice
  • Personal Choice 65
  • Private Healthcare Systems. Inc.
  • Preferred Healthcare PPO
  • Contact Your Local State Health Insurance Assistance Program

    About Us

    Based on the information you provided, you do not appear to be eligible for Medicare cost-saving programs.

    Each state offers a State Health Insurance Assistance Program , partly funded by the federal government, to give you free counseling and assistance. A SHIP counselor may be available by phone or in person.

    Visit www.shiptacenter.org to find your local SHIP office.

    Recommended Reading: Does Medicare Part C Cover

    Does Keystone First Cover Ambulance

    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.

    Is Your Insurance Accepted At Grand View

    Some of the insurance plans listed below cover the full scope of services provided by the healthcare system, affiliated physician groups and home care department. Others cover a smaller selection of services. If you are not sure if the healthcare services provided to you will be covered by your insurance plan, please contact your insurance provider to find out what is covered.

    Also Check: When Am I Eligible For Medicare Benefits

    Don’t Miss: How To Sign Up For Aetna Medicare Advantage

    How Much Are Implants For Teeth

    In general, however, single dental implants cost $1,500 to $2,000 per implant . Not per procedurebut per implant . Some patients are only going to need a single implant , whereas others will need several because theyre missing multiple teeth . Note that this is only the cost of the dental implant itself.

    Sweet Richard

    You May Like: Does Medicare Cover Ct Scans

    Keystone First Vip Choice Provides:

    Know your options for Medicare open enrollment
    • $0 copay for Medicare-covered dental and vision benefits.
    • Coverage for inpatient hospital care, as well as skilled nursing facility and home health care coverage.
    • A large network of doctors, hospitals, specialists, and pharmacies.
    • Preventive services to help you stay healthy.
    • Wellness education, including smoking cessation and a nurse hotline.
    • Great service and personal attention.

    Don’t Miss: Does Medicare Pay For Physical Therapy After Knee Surgery

    Insurance Plans Participating With Chop

    Please know that plans may be added or deleted at times, and that health plan acceptance may vary by provider. If you don’t see your plan here or you want to check participation status, please call your insurance company to find out whether or not it considers CHOP and its providers to be in-network. CHOP and its affiliated providers work with many health insurance plans located outside of the Philadelphia area, including Medical Assistance Plans, to arrange for coverage on an individual basis.

    • Choice POS, Choice POS II, Elect Choice
    • Open Access, Health Fund, Health Network, Health Network Option
    • HMO, Managed Choice, Open Choice PPO, QPOS, Select
    • Open Access Aetna Select, US Access, Traditional Choice
    • Chickering Group, Signature Administrators
    • Savings Plus Managed Choice – Pennsylvania Locations Only
    • Saving Plus Managed Choice – New Jersey Locations Only
  • Aetna Better Health Kids – PA member at PA sites and providers only
  • Aetna Better Health – PA members at PA sites and providers only
  • Americas Choice Network
  • AmeriHealth
  • AmeriHealth HMO
  • AmeriHealth 65
  • AmeriHealth Caritas – PA members at PA sites and providers only
  • AmeriHealth Caritas Community Health Choices PA members at PA sites and providers only
  • AtlantiCare – CHOP Home Care does not participate
  • Healthpartners Vs Keystone First: Which Is Best

    HealthPartners is a charitable health care provider and health insurance corporation located in Bloomington, Minnesota, USA. It has been offering care, coverage, research, and education to its members since 1957. Initially, it was founded as Group Health, a consumer-governed non-profit health plan. But in 1992, Group Health combined with MedCenters Health Plan to form HealthPartners. Later in 2013, it merged with Park Nicollet Health Services to become the most recent HealthPartners.

    Keystone First is medical assistance managed health care plan provider that primarily focuses on Medicaid and Medicare. Founded in 1982, its headquarter is situated in southeastern Pennsylvania. Keystone mostly serves the low-income residents of Bucks, Chester, Delaware, Montgomery, Philadelphia, etc. Currently, it serves more than 400,000 customers in these areas.

    Recommended Reading: Can I Sign Up For Medicare Part B Online

    Recommended Reading: Does Medicare Pay For Maintenance Chiropractic Care

    How Popular Are Medicare Advantage Plans In Pennsylvania

    About 40 percent of Medicare beneficiaries are enrolled in a Medicare Advantage plan across the state of Pennsylvania. This compares to 36 percent in the entire United States, which means Pennsylvania is slightly above average in terms of Medicare Advantage enrollment. The graphic below gives you a glimpse of how this breaks down by county, according to July 2020 data from the Centers for Medicare & Medicaid Services :

    County

    Also Check: Is It Better To Have Medicare Or Medicaid

    Keystone 65 Basic Rxphiladelphia County Pa 2022 Medicare Advantage Plan

    Keystone Care in Wyndmoor, PA (Pennsylvania)

    This page contains editorial content that is not endorsed or approved by Independence Blue Cross. This is not a solicitation of insurance.

    Insured By:Independence Blue Cross

    Keystone 65 Basic Rx is a 2022 Medicare Advantage HMO plan, from Independence Blue Cross, thats available to Medicare beneficiaries living in Philadelphia County, Pennsylvania.

    You May Like: Can I Have Medicare Part B Without Part A

    More About New Jersey Advantage Plan Enrollment

    When you are getting closer to the retirement time, there are a lot of questions that may come up. Sometimes, it can be difficult to understand everything that is happening around you, what pros and cons are in every action you decide on taking regarding your retirement.

    For instance, one of the parts that you really need to take into consideration when youre heading into retirement is connected to Medicare. Youre wondering what you should do, which part is more suitable for your needs because there are multiple: Part A, Part B and Part D and Medicare Advantage.

    It depends what you want to choose you can opt for one part that is more traditional, like Part A, B, etc. or you can choose the Medicare Advantage option. But before deciding on any of this, you need to know more details in order to make the proper decision for your life. So, keep on reading!

    What Is Medicare Advantage?

    It is an alternative health insurance route that provides prescription and medical coverage it is also referred to as Part C plan. Furthermore, this is all done by insurance companies that are private. Medicare Advantage has to be paid monthly, but it consolidates all your insurance in one single policy.

    So, this is slightly different from the rest of the health insurances that ask you to pay for every single medical service you get. Moreover, in order to get Medicare Advantage, it is needed to sign up to Part A and Part B.

    Type of Plans

    Are You Eligible for Medicare Advantage?

    • Pros
    • Cons

    Keystone First Vip Choice Medicare Advantage Special Needs Plan Members May Now Access Dedicateds Primary Care Centers In Mayfair North Philadelphia Olney And West Philadelphia

    Philadelphia, Pa.

    Keystone First VIP Choice, a Blue Cross Medicare Advantage Special Needs Plan for dual-eligibles in Southeastern Pennsylvania, is pleased to announce an agreement with Dedicated Senior Medical Center , a network of high-touch primary care medical practices committed to bringing superior care to low-to-moderate income seniors.

    Dedicated is a wholly-owned subsidiary of ChenMed, which opened four new centers in Philadelphia this past summer in Olney, North Philadelphia, Mayfair and West Philadelphia. Physician-led, ChenMed operates more than 50 centers in seven states all situated in communities with the greatest need for excellent primary care. This aligns with Keystone First VIP Choices desire to provide the highest quality benefits for its members.

    Dedicated adheres to the ChenMed approach to high-touch care for Medicare-eligible seniors that, according to the September 2018 American Journal of Managed Care, reduces hospital admissions by 50 percent, decreases health care costs by 28 percent, and improves patient use of preventive medications by up to 41 percent. The peer-reviewed journal report shows that Dedicated helps Medicare Advantage customers, including those with major and multiple chronic conditions, enjoy more healthy days than Medicare Advantage customers served by standard medical practices.

    The physicians at Dedicated centers detect and manage high-risk diseases while also providing preventive care and services, including:

    Read Also: What Is Blue Cross Blue Shield Medicare Advantage

    What Is A Medicare Advantage Special Needs Plan

    Medicare is a health insurance program run by the federal government. It is also known as Original Medicare. It provides medical and health-related services to:

    • People age 65 and older.
    • People of any age who are qualified as disabled.
    • People of any age who have kidney disease, including end-stage renal disease , that requires dialysis or a transplant.
    • People of any age who have Lou Gehrigs disease .

    Medicare is made up of four parts: Part A, Part B, Part C, and Part D.

    Part A is hospital coverage. It helps cover the costs of being in the hospital as an inpatient, as well as long-term hospitalization. Most people automatically get Part A at no monthly cost.

    Part B is medical coverage. It helps cover your doctor visits and outpatient care as well as some preventive services that help maintain your health. Medicare Part B has a monthly premium. Once you meet a certain amount of spending, known as your deductible, Part B generally covers about 80% of your costs for Medicare-approved services.

    Part C is also known as a Medicare Advantage Plan. Part C is provided by plans like Keystone First VIP Choice that have been approved by the Centers for Medicare and Medicaid Services and have contracts with Medicare to cover medical and hospitalization care for their members. They can also offer extra benefits that original Medicare doesnt cover, such as hearing, dental and vision services.

    Also Check: Does Medicare Cover Dexcom G5

    Healthy Families Safe Communities

    Five Key Policy Topics From the Updated Manual on State Payment of Medicare Premiums

    Together, Keystone First and our providers are committed to advocating health and safety in the communities we serve. We designed Healthy Families, Safe Communities as a resource center for members and providers. Learn more about our initiatives for issues like gun safety, teen dating violence and food insecurity:

    Also Check: How To Purchase Medicare Insurance

    Keystone First Members Receive The Following Medical Benefits:

    • Special health programs care coordination Care for your children EPSDT Quit smoking Childrens Art Program Pregnancy program Bright Start

    * Not everyone is eligible for these services. Please call Member Services to find out if you are eligible.

    If you cannot find what you are looking for on our website, please call Member Services at 1-800-521-6860. Our representatives are there to help you 24 hours a day, 7 days a week.

    Connect with us on social media

    This site contains links to other Internet sites. Keystone First is not responsible for the content of these sites. Please see Terms of Use and Privacy Notice.

    Read Also: What Is The Best Medicare Advantage Plan In Arizona

    Does Pa Medicaid Cover Dentures

    Tom Corbett has reduced the coverage for 2 million adult Medicaid patients to basic dental care. The changes have eliminated coverage for root canals and periodontal disease work, and limited the number of dentures a patient can receive. The plan now covers little more than cleanings, fillings and extractions.

    You May Like: What Medicare Supplement Covers Dental

    What Does Pa Medical Assistance Cover

    All Medicaid programs are required to provide coverage for hospital services, screenings and diagnostics, nursing facilities, home health, doctor visits, lab/x-ray tests, birth centers and family planning, and non-emergency medical transportation, but some states add additional benefits, like dental

    Cons To Medicare Advantage Plans

    Community HealthChoices: Info Sessions Scheduled on New ...

    You value choosing your own providers. Medicare Advantage plans in Pennsylvania keep costs down by contracting with a carefully selected network of approved providers. Sometimes these networks can be very narrow, and if you already have a physician you like, you may have to choose a new one. If you want to see a provider whos not in your plans network, you could end up paying for all of your care out of pocket.

    You dont like following the rules. Medicare Advantage plans usually come with other restrictions besides mandating what providers you can see. For example, if you want to see a specialist, you will likely have to get a referral from a primary care provider first. Also, for certain services or prescription drugs, you may need to get special permission from your plan.

    You May Like: How Much Copay For Medicare

    All 2021 Plans Include In

    Philadelphia October 1, 2020 Independence Blue Cross announced its 2021 Medicare Advantage offerings today, which include in-network COVID-19 coverage for testing and treatment and three zero-premium plans Keystone 65 Basic Rx HMO, Keystone 65 Focus Rx HMO-POS, and Personal Choice 65SM Prime Rx PPO. Those choosing an Independence plan will not need referrals and will have no medical or prescription deductibles.

    This year has been unlike any other weve experienced, but we have adapted quickly at Independence to support the needs of our members and the community, said Dr. Heidi Syropoulos, medical director for Government Markets at Independence Blue Cross.

    Our 2021 Medicare offerings demonstrate how committed we are to their needs during this changing and uncertain time. The new COVID-19 coverage was specifically built into our plans so that members know that they will continue to have zero-dollar copayments if they are admitted to an in-network hospital due to the virus or if they need antibody or antigen testing after the Public Health Emergency is lifted.

    Other benefits offered by Independence during Medicares Annual Enrollment Period, taking place October 15 through December 7, include:

    Independence will continue to offer other high-quality Medicare Advantage plans, including Keystone 65 Select HMO, Keystone 65 Preferred HMO, and Personal Choice 65SM PPO.

    Archives

    Also Check: Who Must Enroll In Medicare

    More articles

    Popular Articles