Your benefit coverage level for care provided by Reading Hospital is determined solely by your insurance. Reading Hospital is contracted with many health plans. A list of those plans can be found below.
Our list is not meant to be all-inclusive and is subject to change. Please check with your health plan to verify coverage.
Find out which insurances are in-network for the following:
- Reading Hospital's Tower Health Medical Group
- Reading Hospital-Based Clinics
- Reading Hospital Rehabilitation at Wyomissing
- Reading Hospital Rehabilitation at Wyomissing's Transitional Subacute Unit
- Tower Health at Home
Reading 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
- VA CCN (VA Community Care Network) administered by Optum/United Healthcare
Blue Ridge Health Network
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
Geisinger
Highmark Blue Shield (NOTE: standard tier)
- We do not participate in the following Highmark plans:
- Community Blue Medicare HMO
- My Direct Blue EPO
- Blue High-Performance Network (HPN)
Independence Blue Cross
- Keystone HMO Proactive (Tier 3)
- Keystone HMO/POS/Direct POS
- Personal Choice PPO
- Personal Choice EPO
- Personal Choice Tiered (Tier 2)
- National BlueCard PPO
- IBC HMO Commercial tier 3 Standard
- IBC PPO Commercial
- AmeriHealth PPO & HMO Commercial
- AmeriHealth Comprehensive Major Medical
- Keystone Health Plan Central
- Keystone Health Plan East
- Tower Health PPO
TriCare
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 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
Geisinger
Highmark CHIP
HPP KidzPartners
IBC CHIP
IBC: Keystone HMO CHIP
UHC CHIP
UPMC for Kids
- Marketplace/ACA Plans
Capital Blue Cross
- Bronze PPO
- Silver PPO
- Gold PPO
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 Health Plans
- Tower UPMC Advantage Bronze
- Tower UPMC Advantage Silver
- Tower UPMC Advantage Gold
- Medicaid HMO
AmeriHealth Caritas
- Pennsylvania
- Northeast
- Community Health Choices
Geisinger
Highmark Wholecare (formerly Gateway Health Plan)
Health Partners
Keystone First
PA Health and Wellness
- 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
AmeriHealth Caritas VIP Care
Coventry Advantra
- Gold PPO
- Silver HMO
- One PPO
Devoted Health
Geisinger
Health Partners/Jefferson Health Plans
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)
Highmark Wholecare (formerly Gateway Health Medicare Assured)
- Diamond HMO
- Ruby HMO
Humana (Choicecare Network)
- Humana Gold Plus HMO
- Humana Choice PPO
- Humana Gold Choice PFFS
- Humana Gold Plus (HMO D-SNP)
Independence Blue Cross
- IBC HMO Medicare Basic/Select
- IBC HMO Medicare
- IBC PPO Medicare
- Amerihealth HMO Medicare
Keystone First VIP Choice HMO
Keystone 65
- Basic Rx HMO
- Preferred Rx HMO
- Select Rx HMO
- We do not participate in the following Keystone 65 plans:
- Focus
PA Health and Wellness (Allwell to Wellcare)
- HMO DSNP
- HMO MAPD
- PPO MAPD
- PPO DSNP
Personal Choice 65 Rx PPO
Senior Life
Tricare for Life
United Healthcare
- Unitedhealthcare Dual Complete
- Unitedhealthcare Group Medicare Advantage Plan
- Unitedhealthcare Assisted Living Plan (PPO)
- Unitedhealthcare Nursing Home Plan
United Healthcare
- AARP Medicare Complete
- UHC Dual complete
- UHC Group Medicare Advantage Plans
- UHC Assisted Living Plan (PPO)
- UHC Nursing Home Plan
UPMC for Life
- HMO
- PPO
Vibra
- Enhanced Complete Coverage PPO
- Essential Coverage PPO
Plans without Drug Coverage
Keystone 65
- Preferred Medical Only HMO
- Select Medical Only HMO
- We do not participate in the following Keystone 65 plans:
- Focus
United Healthcare AARP Medicare Complete
Special Needs Plan
- Behavior Health Organization
Payor Product Lines Aetna Commercial, Medicare Community Care Behavioral Health (CCBH) Commercial, Medicare, Medicaid Magellan Commercial Optum Commercial Quest Commercial Please call Customer Service (at the number on the back of your insurance card) to determine your Behavioral Health insurance vendor.)
We also accept Medicare and Medical Assistance.
Reading Hospital will gladly submit a bill to any insurance carrier on your behalf. However, that is not a guarantee that the insurance carrier will pay the claim.
It is important for you to be aware of your benefits and any restrictions that may apply to your specific plan. By being informed about what your health plan covers, you can be assured of receiving the maximum coverage to which you are entitled.
Understanding Your Financial Responsibility
When you are scheduled for a doctor’s appointment or other test, study or procedure at any of our Reading 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 Reading 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. They include 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.