Frequently Asked Questions
How do you get more information on your Primary Care Practitioner (PCP)? You can always call Member Services at 1-800-521-6860, if you have any questions about your doctor. How can I choose or change my PCP or other health care Provider? To choose or change your PCP or other Health Care Provider, go to Find a Provider. You can find a list of PCPs and providers that are in Keystone Mercy’s network. Then call Member Services at 1-800-521-6860 to ask for the change. How do I get a list of all participating Providers? Call Member Services at 1-800-521-6860, and ask that a list be sent to you. What Services does Keystone Mercy cover? What do I do if I get a bill from a health care provider? As a Keystone Mercy Member, you are not responsible to pay for medically needed, covered services. You may, however, be responsible for co-payments. You can be billed for health care services if one of these situations happens to you:
If you get a bill from a health care provider, you should call the health care provider listed on the bill and make sure they have all your insurance information. If you still feel you were billed in error, you should call Keystone Mercy Member Services. Who can I call if I have Special Needs? If you or your family has a special need that needs attention, please call Member Services at 1-800-521-6860 and ask to speak with someone in the Special Needs Unit. We are here to help you! How do I know Keystone Mercy is providing me with quality care? Keystone Mercy works to give you the best quality health care. Take a look at our Quality Improvement Program to learn more! How can I make suggestions about improving my health care services? Please call Member Services at 1-800-521-6860 and ask for a representative. |

