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Keystone First is a medical assistance (Medicaid and Medicare) managed care health plan based in southeastern Pennsylvania. Keystone focuses on low-income residents in southeastern Pennsylvania counties including, Bucks, Chester, Delaware, Montgomery, and Philadelphia. The healthcare provider currently serves over 400,000 residents in the area. [1]
Health Partners Plans was founded in 1984 and is one of the few hospital-owned health maintenance organizations. The organization had been owned jointly by Jefferson Health, Einstein Healthcare Network and Temple University Health System, but Jefferson Health became the sole owner of Health Partners Plans in November 2021.
Pam Laye, supervisor of Outreach and Enrollment at Keystone Health, answers some frequently asked questions about insurance enrollment
This model is an example of a closed-panel HMO, meaning that contracted physicians may only see HMO patients. Previously this type of HMO was common, although currently it is nearly inactive. [7] In the group model, the HMO does not employ the physicians directly, but contracts with a multi-specialty physician group practice. Individual ...
This year, open enrollment for public health insurance plans begins Nov. 1, 2024, and closes on Jan. 15, 2025. During the open enrollment period, Americans have the option to enroll, renew, or ...
An HMO Point-of-Service (HMO-POS) plan is a type of HMO plan. With an HMO-POS plan, an individual must choose a PCP, but they can use out-of-network services at a higher cost, similar to a PPO plan.
Independence Blue Cross (Independence) is a health insurer based in Philadelphia, Pennsylvania, in the United States. [1] Independence is the largest health insurer in the Philadelphia area, serving people in the region and seven million nationwide.
Walmart was one of the first companies to do so, offering $4 generics starting in 2006. New ... "Health insurance companies are always going to need a PBM." In 2024, the PBM business was the ...