What is the difference between keystone first and keystone first community healthchoices

As a Keystone First Community HealthChoices (CHC) Participant, you have a network of committed health care providers ready to take care of you. Your providers are your partners in care.

Use the tools below to find health care providers in the Keystone First CHC network.

Find the care you need

• Search for a health care provider.
  Search for a primary care practitioner (PCP), hospital, dental provider, or other health care provider.
• Find a vision provider.
• Service Coordination Entities (PDF).
• Find a behavioral health provider

Find a pharmacy

• Find a pharmacy.
  This tool will help you find a pharmacy that takes Keystone First CHC in your area.

Find a medicine

• Dual-eligible Participants: Please refer to the drug list of your Medicare Part D plan.
  • If you have Keystone First CHC as a secondary coverage, use our list of covered over-the-counter medicines. You can also view the printable version (PDF) here.
  • If you have Keystone First VIP Choice, use our Medicare Part D formulary.
• Medicaid LTSS Participants:

  On January 1, 2020, the Pennsylvania Department of Human Services (DHS) made changes in the way that some medicines are covered. All Pennsylvania Medical Assistance (Medicaid) health plans were required to move to a statewide preferred drug list (PDL). If you have any questions about this change, please call Participant Services at 1-855-332-0729 (TTY 1-855-235-4976).

  • Keystone First CHC Searchable Formulary
  • Keystone First CHC Supplemental Formulary (PDF)
  • Machine-readable formulary (TXT).
  • 90-Day Supply Medication List (PDF)
    Some medicines may be filled for a 90-day supply. Talk with your doctor or pharmacist if you have questions about your medicines.

Have questions?

Call us if you need help with how to use search for a health care provider. We can let you know more about a provider, too. Ask us if you need to know a doctor's:

• Education.
• Medical school training.
• Residency finished.
• Race and/or ethnicity.
• Language services at the office.

Call Participant Services at 1-855-332-0729 (TTY 1-855-235-4976) 24 hours a day, 7 days a week.

Provider data in the online directory is updated daily Monday through Friday.

As a Keystone First Community HealthChoices provider, you are a part of a dedicated network that is ready to meet our participants' health care needs. We'll work with you to ensure that our participants receive access to the quality health care they need.

Our network is designed to provide our participants with integrated care. Find other committed providers like you in the directories below.

Find the care our Participants need

• Search for a health care provider.
  Search for a primary care practitioner (PCP), hospital, or other health care provider. You can also create a personal provider list that you can download or print.
• Service Coordination Entities. (PDF)

Questions?

Call Provider Services at 1-800-521-6007.

If you notice any errors in your information in the directory, please use practice letterhead to fax the information as it should appear to the attention of Provider Services at 1-800-521-6007.

Find a pharmacy

• Find a pharmacy.
  This tool will help you find a pharmacy that takes Keystone First CHC in your area.
• Find a specialty pharmacy (PDF).
  Search for a specialty pharmacy.

Find a medicine

• Dual-eligible Participants: Please refer to the drug list of your Medicare Part D plan.
  • If you have Keystone First CHC as a secondary coverage, use our list of covered over-the-counter medicines.
  • If you have Keystone First VIP Choice, use our Medicare Part D formulary. 
• Medicaid LTSS Participants:

  Effective January 1, 2020, the Pennsylvania Department of Human Services (DHS) implemented a statewide preferred drug list (PDL). Keystone First CHC will follow the DHS PDL for drugs and drug classes that are included on the PDL. AmeriHealth Caritas PA CHC will also cover additional medications that are not on the DHS PDL as a part of our Supplemental Formulary.

  Please use the following links to find additional information on the DHS PDL and the Keystone First CHC Supplemental Formulary:

  • Keystone First CHC searchable formulary
  • Keystone First CHC Supplemental Formulary (PDF)
  • Machine-readable formulary. (TXT)
• Pharmacy formulary addition/deletion/modification request form. (PDF)