Keystone Health Plan East Medicaid is a type of health insurance offered to people in Pennsylvania who are eligible for public assistance. It helps cover medical expenses for individuals and families with low incomes and limited resources. Keystone Health Plan East Medicaid provides access to healthcare services like doctor visits, hospital stays, prescription drugs, and more. With Keystone Health Plan East Medicaid, individuals can get the medical care they need to stay healthy and improve their quality of life.
Keystone Health Plan East: An Overview
Keystone Health Plan East (Keystone) is a managed care organization that provides health coverage to residents of southeastern Pennsylvania. Keystone is a Medicaid and Children’s Health Insurance Program (CHIP) managed care provider. Keystone offers a variety of health plans to meet the needs of its members, including:
- Keystone Mercy Health Plan
- Keystone First
- Keystone Smiles
- Keystone Special Needs Plan (KSNP)
- Keystone STARS
Keystone has a network of over 30,000 providers, including doctors, hospitals, and other health care professionals. Keystone members can access care at any of these providers.
Keystone Health Plan East: An Overview
| Plan Name | Description |
|---|---|
| Keystone Mercy Health Plan | A health plan for adults aged 18 or older who are eligible for Medicaid. |
| Keystone First | A health plan for children aged 0 to 18 who are eligible for Medicaid or CHIP. |
| Keystone Smiles | A dental plan for children aged 0 to 21 who are eligible for Medicaid or CHIP. |
| Keystone Special Needs Plan (KSNP) | A health plan for people with disabilities who are eligible for Medicaid. |
| Keystone STARS | A health plan for people with serious mental illness who are eligible for Medicaid. |
Keystone provides a comprehensive range of services to its members, including:
- Preventive care
- Medical care
- Behavioral health care
- Dental care
- Vision care
- Pharmacy services
- Transportation services
Keystone is committed to providing its members with quality health care. Keystone has a team of dedicated professionals who work to ensure that members receive the care they need to stay healthy.
To learn more about Keystone Health Plan East, please visit their website or call their customer service number.
Keystone Health Plan East Medicaid: A Guide to Services and Eligibility
Keystone Health Plan East, Medicaid offers comprehensive healthcare coverage to eligible individuals and families in Pennsylvania. The program provides a wide range of services, including medical, dental, vision, mental health, and substance abuse treatment. Keystone Health Plan East Medicaid also offers coverage for long-term care services and prescription drugs.
To be eligible for Keystone Health Plan East Medicaid, you must meet certain income and residency requirements. Individuals and families with incomes below certain limits may qualify for coverage. You must also be a resident of Pennsylvania and a U.S. citizen or legal immigrant. For more information and details on eligibility requirements, check the official Keystone Health Plan East website.
Services Provided by Keystone Health Plan East
- Medical Services: Keystone Health Plan East covers a wide range of medical services, including doctor’s visits, hospital stays, surgeries, and emergency care. The program also covers preventive care, such as screenings and immunizations.
- Dental Services: Keystone Health Plan East provides coverage for basic dental services, such as cleanings, fillings, and extractions. The program also covers more extensive dental services, such as root canals and dentures, with prior authorization.
- Vision Services: Keystone Health Plan East offers coverage for comprehensive eye exams and eyeglasses or contact lenses. The program also provides coverage for certain eye surgeries.
- Mental Health Services: Keystone Health Plan East provides coverage for mental health services, such as therapy, counseling, and medication management. The program also covers inpatient and outpatient mental health treatment.
- Substance Abuse Treatment: Keystone Health Plan East provides coverage for substance abuse treatment, including detoxification, counseling, and medication management. The program also covers inpatient and outpatient substance abuse treatment.
- Long-Term Care Services: Keystone Health Plan East provides coverage for long-term care services, such as nursing home care, home health care, and assisted living. The program also covers personal care services, such as bathing, dressing, and eating.
- Prescription Drug Coverage: Keystone Health Plan East provides coverage for prescription drugs. The program covers a wide range of prescription drugs, including generic and brand-name medications.
| Service | Coverage |
|---|---|
| Medical Services | Doctor’s visits, hospital stays, surgeries, emergency care, preventive care |
| Dental Services | Cleanings, fillings, extractions, root canals, dentures (with prior authorization) |
| Vision Services | Eye exams, eyeglasses or contact lenses, certain eye surgeries |
| Mental Health Services | Therapy, counseling, medication management, inpatient and outpatient treatment |
| Substance Abuse Treatment | Detoxification, counseling, medication management, inpatient and outpatient treatment |
| Long-Term Care Services | Nursing home care, home health care, assisted living, personal care services |
| Prescription Drug Coverage | Wide range of prescription drugs, including generic and brand-name medications |
Eligibility Requirements for Keystone Health Plan East
Keystone Health Plan East is a Medicaid health insurance program available to eligible individuals and families in the state of Pennsylvania. To be eligible for Keystone Health Plan East, you must meet certain requirements, including:
- Be a resident of Pennsylvania
- Be a U.S. citizen or a qualified immigrant
- Meet certain income and asset limits
- Not be eligible for other health insurance, such as Medicare or employer-sponsored insurance
Income and Asset Limits
To be eligible for Keystone Health Plan East, your income and assets must fall below certain limits. The limits vary depending on your household size and composition. You can find the current income and asset limits on the Pennsylvania Department of Human Services website.
| Household Size | Income Limit | Asset Limit |
|---|---|---|
| 1 | $1,563 | $2,000 |
| 2 | $2,115 | $3,000 |
| 3 | $2,667 | $4,000 |
| 4 | $3,219 | $5,000 |
| 5 | $3,771 | $6,000 |
| 6 | $4,323 | $7,000 |
| 7 | $4,875 | $8,000 |
| 8 | $5,427 | $9,000 |
If your income or assets exceed the limits, you may still be eligible for Keystone Health Plan East if you meet certain other criteria, such as having a disability or being pregnant.
How to Apply for Keystone Health Plan East
To apply for Keystone Health Plan East, you can:
- Apply online at the Pennsylvania Department of Human Services website
- Call the Pennsylvania Department of Human Services at 1-888-736-2444
- Visit your local County Assistance Office
When you apply for Keystone Health Plan East, you will need to provide information about your income, assets, and household members. You may also need to provide proof of citizenship or immigration status.
Once you have applied for Keystone Health Plan East, your application will be reviewed by the Pennsylvania Department of Human Services. You will be notified of the status of your application within 45 days.
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