Your Benefits

Your Medical Benefits

Keystone First Community HealthChoices (CHC) Participants receive these medical benefits:

• Preventive care/routine care
  • Dental
  • Eye
  • Your Primary Care Provider
  • Special tests for women
  • Copay schedule
• Services when you are sick
  • Your Primary Care Provider
  • 24/7 nurse call line
  • Emergency room
  • Urgent care centers
• Pharmacy (prescription) benefits
  
  • Find a pharmacy
  • Find a medicine
  • Prescription medicine
  • Over-the-counter medicines and vitamins
  • Medicine reimbursement
• Special programs and services
  • Special health programs — care management
  • Quit smoking
  • Pregnancy program — Bright Start
• Benefit limits and services not covered

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

Your Long-Term Services and Supports (LTSS) Benefits

View your Long-Term Services and Supports (LTSS) Benefits

Some Participants also have LTSS.* The Pennsylvania (PA) Department of Human Services (DHS) determines if Participants are eligible for LTSS.

*Not all Participants get LTSS. The PA DHS determines if Participants are eligible for LTSS.

Learn more about your benefits

• Benefits and Services Highlights and How to Get Them (PDF) 
• Participant handbook
• Participant Copayment Schedule (PDF)

Are you also eligible for Medicare D-SNP? Keystone First has a Medicare D-SNP Plan, Keystone First VIP Choice. For more information, please go to www.keystonefirstvipchoice.com.

If you cannot find what you are looking for on our website, please call Participant Services at 1-855-332-0729 (TTY 1-855-235-4976). Our representatives are there to help you 24 hours a day, 7 days a week.