Phoenixville Hospital, Surgery Center of the Main Line, and Surgery Center at Limerick accept most major insurance providers. Contact Patient Billing at 484-628-5683 if you have questions about accepted insurance providers.

For a list of insurances contracted in-network by Phoenixville Hospital's Tower Health Medical Group practices, please visit our Tower Health Medical Group, Phoenixville Hospital page.

Phoenixville Hospital has contracts with the following health insurance companies:

Commercial

Aetna

  • Aetna HMO
  • Aetna HMO (Open Access)
  • Aetna HMO / Health Network Only
  • Aetna PEBTF PPO
  • Aetna QPOS
  • Aetna Savings Plus
  • Aetna Select
  • Aetna Signature
  • Aetna Value Performance Network
  • Aetna Voluntary Plans
  • Aetna Whole Health
  • Choice POS, Choice - POS (Aetna HealthFund), Choice POS II, Choice POS II (Aetna HealthFund)
  • Elect Choice EPO
  • Health Network Only & Health Network Option
  • International Medical
  • Managed Choice, Managed Choice - Open Access, Managed Choice POS
  • Mercy Preferred Choice POSII, Mercy Preferred Choice Select, Mercy Preferred Elect Choice EPO
  • Mercy Preferred Managed Choice & Mercy Preferred Open Choice (PPO)
  • Open Access - Elect Choice, Open Access EPO
  • Open Access POS, Open Access EPO Plus (Broad) & Open Access POS II (Broad)
  • Open Choice PPO & Open Choice PPO - Aetna HealthFund
  • Peak Preference Select HNOnly on the Altius Network
  • Preferred - Open Choice PPO, Preferred Choice POS II, Preferred Select
  • Preferred Elect Choice EPO, Preferred Managed Choice
  • Premier Care - Network & Premier Care Network Plus
  • We do not participate in the following Aetna plans:
    • PEBTF HMO

Capital Blue Cross

  • CareConnect – PinnacleHealth ACA Network
  • Comprehensive
  • POS
  • PPO
  • Traditional
  • HMO
  • PPO Choice
  • We do not participate in the following Capital Blue Cross plans:
    • Valley Advantage EPO

Cigna

  • Choice Fund OA Plus
  • Open Access Plus
  • OA Plus
  • Choice Fund OA Plus with Care Link PPO
  • Choice Fund PPO Network
  • HMO
  • POS
  • Great West

Devon

Geisinger

HealthAmerica/Advatra

Highmark (Premier Blue)

Independence Blue Cross

United Healthcare

  • Unitedhealthcare Navigate
  • All Savers
  • Unitedhealthcare Catalyst
  • Unitedhealthcare Choice and Choice Plus
  • Unitedhealthcare Choice Advance and Choice Plus Advance
  • Unitedhealthcare Options PPO plans
  • Unitedhealthcare Oxford  - Choice or Core network Only
  • Unitedhealthcare Tiered Benefit Plans
  • Unitedhealthcare MD-IPA Plan
  • UHC Compass Rose PPO Plan
  • We do not participate in the following United Healthcare plans
    • Oxford (unless the member has Choice or Core network)
    • Heritage (unless the member has access to Choice Plus)
    • Erikson Advantage

UPMC Health Plans

  • Premium Network Plans PPO and EPO Plans
  • UPMC Employees Out of Area PPO Plan
  • UPMC Out of Area Gold
  • UPMC Out of Area Silver
  • UPMC Total Advantage PPO
  • MyCare Advantage PPO Level 2 Providers
  • We do not participate in the following UPMC plans:
    • Partner Network Plans (HMO and EPO Plans)
    • Standard Network Plans (HMO Plans)
    • Partner Network Plans (HMO and EPO Plans)
    • UPMC Business Advantage HMO (Referral Required)
    • UPMC Business Advantage HMO (No Referral)
    • Enhanced Access (HMO and POS Plans)
    • UPMC Employees Advantage (EPO Plans)
    • Panther Gold Advantage HMO (For Pitt Employees)
    • Panther Gold HMO (For Pitt Employees)
    • FEHB Plans
    • UPMC Inside Advantage Level 1 Providers
    • MyCare Advantage HMO Level 1 Providers
    • MyCare Advantage HMO Level 2 Providers
    • MyCare Advantage PPO Level 1 Providers
CHIP

ABH Kids

Capital Cares for Kids

HPP KidzPartners

Geisinger

IBC CHIP

IBC: Keystone HMO CHIP

Keystone HMO CHIP

UHC CHIP

UPMC for Kids

Marketplace/ACA Plans

Capital Blue Cross

  • Bronze PPO 7350-0-60
  • Silver PPO 5000/10/30
  • Gold PPO 2000/10/20

Geisinger

Independence Blue Cross (Tier 1)

  • Keystone HMO Platinum
  • Keystone HMO Gold
  • Keystone HMO Gold Proactive (tiered network plan)
  • Keystone HMO Silver
  • Keystone HMO Silver Proactive (tiered network plan)
  • Keystone HMO Bronze
  • Personal Choice® PPO Platinum
  • Personal Choice PPO Gold
  • Personal Choice PPO Silver
  • Personal Choice PPO Silver Reserve
  • Personal Choice PPO Bronze
  • Personal Choice PPO Bronze Reserve
  • Personal Choice PPO Catastrophic

PA Health and Wellness (Ambetter)

UPMC

Medicaid HMO

Geisinger

Highmark Wholecare (formerly Gateway Health Plan)

Health Partners

Keystone First 

  • Keystone First
  • Keystone First Community Health Choices (CHC)

PA Health and Wellness

Point Comfort Underwriters

  • Unaccompanied Minors
  • Afghan Refugees

UHC Medicaid

UPMC for You

  • Health Choices
  • Community Health Choices
Medicare Advantage

Plans Offering Drug Coverage

AARP Medicare

  • Complete HMO
  • Complete Choice PPO

Aetna

  • Advantra
    • Premier Plus PPO, Gold HMO, Value HMO, Silver HMO & PPO, Silver Plus HMO & PPO, Credit Value PPO, and Core HMO
  • Aetna PEBTF PPO
  • Choice HMO
  • Silver HMO & PPO
  • Gold PPO
  • Premier HMO
  • Standard HMO
  • Basic HMO
  • We do not participate in the following Aetna plans:
    • PEBTF HMO

Cigna

  • True Choice (PPO)
  • True Choice Plus (PPO)
  • Preferred HMO
  • Preferred Plus HMO
  • Preventative Care HMO
  • Total Care HMO
  • Traditions HMO (I)
  • Achieve HMO
  • Advantage HMO
  • We do  not participate in the following Cigna plans:
    • Alliance HMO

Coventry Advantra

  • Gold PPO
  • Silver HMO
  • One PPO

Devoted Health

Geisinger

Health Partners/Jefferson Health Plans

Humana (Choicecare Network)

  • Humana Gold Plus HMO
  • Humana Choice PPO
  • Humana Gold Choice PFFS

Humana Gold Plus (HMO D-SNP)

Highmark Medicare Advantage

  • Freedom Blue PPO
  • Community Blue Medicare PPO (including Signature Plan)
  • Community Blue Medicare PPO Plus – Clinton, Lycoming, Sullivan, and Tioga Counties only
  • We do not participate in the following Highmark plans:
    • Community Blue Medicare HMO (Signature Plan)

Independence Blue Cross

  • IBC HMO Medicare Basic/Select
  • IBC HMO Medicare
  • IBC PPO Medicare
  • Amerihealth HMO Medicare

Keystone 65

  • Basic Rx HMO
  • Preferred Rx HMO
  • Select Rx HMO
  • Focus HMO

Personal Choice 65 Rx PPO

PA Health and Wellness (Allwell to Wellcare)

  • HMO DSNP 
  • HMO MAPD
  • PPO MAPD
  • PPO DSNP 

Tricare for Life

United Healthcare

  • Unitedhealthcare Dual Complete
  • Unitedhealthcare Group Medicare Advantage Plan
  • Unitedhealthcare Assisted Living Plan (PPO)
  • Unitedhealthcare Nursing Home Plan

UPMC for Life

  • HMO
  • PPO

Vibra

  • Enhanced Complete Coverage PPO
  • Essential Coverage PPO

Special Needs Plan

Aetna Coventry

  • Advantra Cares (HMO SNP) -(1/1/20 new name - Aetna Medicare Advantra Cares HMO D-SNP)

Highmark Wholecare (formerly Gateway Health Medicare Assured)

  • Diamond HMO
  • Ruby HMO

Keystone First VIP Choice HMO United Healthcare

  • UHC Dual complete
  • UHC Group Medicare Advantage Plans
  • UHC Assisted Living Plan (PPO)
  • UHC Nursing Home Plan

Understanding Your Financial Responsibility

When you are scheduled for a doctor’s appointment or other test, study, or procedure at any of our Phoenixville Hospital locations, the representative who checks you in will enter information needed for your patient chart, and to help us bill your insurance. At this time, we will:

  • Discuss your portion of the financial responsibility. We will let you know how much your co-pay and deductible will be for the service we will be providing.
  • Discuss any past-due balances you may have with Phoenixville Hospital.
  • Discuss payment options for your co-pay, deductible and any past-due balances.

There are several payment options available to you at the time of registration, including a credit card using our secure card swipe at your point of service registration, or you can pay with a check, money order or cash.

If you cannot pay the patient responsibility portion of your bill, one of our patient financial service representatives will speak to you about options. This may include a partial payment at the time of service and arranging a payment plan.