An HMO is a managed care program that provides a wide range of healthcare services through an organized network of physicians and hospitals. You are required to select a primary care physician (PCP), from the Keystone network to guide your care. Referrals from the PCP are required for specialist visits.
Under the HMO plan, most services are paid at 100% with no deductibles or 100% after a small co-payment for physician visits. Referrals from the PCP are required for specialist visits.
For more details, please review the Summary of Benefits and Coverage for the HMO plan. If you live outside of the local, please review the Amerihealth HMO Summary of Benefits and Coverage.