Frequently Asked Questions

You can always call Member Services at 1-800-521-6860, if you have any questions about your doctor.

To choose or change your PCP or other Health Care Provider, go to Find a Provider. You can find a list of PCPs and providers that are in he Keystone First network. Then call Member Services at 1-800-521-6860 to ask for the change.

Call Member Services at 1-800-521-6860, and ask that a list be sent to you.

Print the list of benefits (PDF).

As a Keystone First Member, you are not responsible to pay for medically needed, covered services. You may, however, be responsible for co-payments.

You can be billed for health care services if one of these situations happens to you:

• A service is provided without prior authorization in cases when prior authorization is required; or
• A service is provided by a provider who is not in the Keystone First network and prior authorization was not given to see the provider; or
• A service provided is not covered by Keystone First and your health care provider told you before you received the service.
• Your health care provider can also bill you for co-pays that were not paid at the time you received the service.

If you get a bill from a health care provider, you should call the health care provider listed on the bill and make sure they have all your insurance information. If you still feel you were billed in error, you should call Keystone First Member Services.

If you or your family has a special need that needs attention, please call Member Services at 1-800-521-6860 and ask to speak with someone in the Special Needs Unit. We are here to help you!

Keystone First works to give you the best quality health care. Take a look at our Quality Improvement Program to learn more!

Please call Member Services at 1-800-521-6860 and ask for a representative.