Benefit Information
Keystone Mercy members receive all of the benefits provided under the Pennsylvania Medical Assistance Program, including:
- Visits to the doctor
- OB/GYN care for women
- Medical care for pregnant women
- Family Planning (through Keystone First)
- Lab & x-ray services
- Hospital services, including emergency services
- Home health services
- Routine eye exams
- Dental exam and cleaning every six months
- Assistance for those needing extra help getting care for illnesses or other special needs
- Foot care
- Physical therapy
- Visits to a chiropractor
- Prescription drugs*
- Over-the-counter medications with a prescription*
- Medical equipment like a wheelchair*
- Member Services help available 24 hours a day, seven days a week
* may not be provided to everyone with an ACCESS card.
Children under 21 get all medically necessary services, such as:
- Prescriptions
- Eye exams and glasses
- All dental care, including braces
- Hearing exams and aids
- Shots (immunizations) and
- Health education
In addition, Keystone Mercy members receive:
- Eye Exams for the entire family
- Eye glasses and/or contacts are only covered for members up to age 21 and for certain medical conditions in members over age 21.
- Vitamins *
- All vitamins for members up to 21 years of age
- Medically necessary vitamins for members over the age of 21
- Special wellness and prevention programs for the entire family
- WeeCare for expecting moms (including a home visit after delivery),
- asthma and diabetes,
- reminders for shots, check-ups
- Breast Cancer Screening, and
- Poison Prevention
*Only for members who receive prescription benefits through Medical Assistance.
 Print the list of benefits
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