Tower Health Hospital-Based Clinics consist of:

Reading Hospital Center for Public Health
Reading Hospital Children's Health Center
Reading Hospital Family Health Care Center (primary care and obstetrical services)
Reading Hospital Internal Medicine Practice
Reading Hospital Occupational Health Services
Reading Hospital Women's Health Clinic

Tower Health Hospital-Based Clinics are committed to providing affordable, quality healthcare to all patients. We understand that billing and payment for healthcare services can be confusing. Knowing your insurance policy is important for you to receive the maximum benefits for your healthcare services. Your benefit coverage level for care provided by Tower Health Hospital-Based Clinics is determined solely by your insurance. Tower Health Hospital-Based Clinics are contracted with many health plans. A list of those plans can be found below.

Please note: our list is not meant to be all-inclusive and is subject to change. Please check with your health plan to verify coverage.

Insurance Information

Commercial Plans

Insurance through your employer

Aetna

  • Aetna HMO
  • Aetna HMO (Open Access)
  • Aetna HMO / Health Network Only
  • 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 and Peak Preference Select HNOption 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
  • PPO Choice
  • Traditional
  • HMO
  • We do not participate in the following Capital Blue Cross plans:
    • Valley Advantage EPO

Cigna

  • ChoiceFund OA Plus
  • Open Access Plus
  • OA Plus
  • ChoiceFund OA Plus with CareLink PPO
  • Choice Fund PPO Network
  • HMO
  • POS

Coventry

EHP Significa Network

First Health Network

Great West

HealthAmerica/Health Assurance

Highmark Blue Shield (NOTE: standard tier)

  • We do not participate in the following Highmark plans:
    • Community Blue Medicare HMO
    • My Direct Blue EPO

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

Lehigh Valley Health Network Plan

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 Tiered Benefit Plans
  • Unitedhealthcare MD-IPA Plan
  • Unitedhealthcare Student Resources
  • UHC Compass Rose PPO Plan
  • We do not participate in the following United Healthcare plans: 
    •  Oxford (unless the member has access to choice plus)
    •  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
  • 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
    •  Prime Care

Medicaid HMO

Insurance program through the state for those requiring financial assistance

AmeriHealth Caritas

  • Pennsylvania
  • Community Health Choices

Health Partners

Highmark Blue Shield Special Care

Highmark Wholecare (formally Gateway Health Plan)

Keystone Family Health Plan

UHC Medicaid

UPMC for You

  • Health Choices
  • Community Health Choices

Medicare Advantage 

Insurance for people over 65 years of age or with disabilities

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

Capital Blue Cross Medicare Advantage

  • Blue Journey HMO

Coventry Advantra

  • Gold PPO
  • Silver HMO
  • One PPO

Health Partners

Humana (Choicecare)

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

Highmark Medicare Advantage

  • Freedom Blue PPO
  • Community Blue Medicare PPO
  • 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

Personal Choice 65 Rx PPO

United Healthcare

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

UPMC for Life

  • HMO
  • PPO
Plans without Drug Coverage

Keystone 65

  • Preferred Medical Only HMO
  • Select Medical Only HMO

United Healthcare AARP Medicare Complete

Special Needs Plans

Aetna Coventry

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

Highmark Wholecare (formally Gateway Health Medicare Assured)

  • Diamond HMO
  • Ruby HMO

Keystone First VIP Choice HMO

United Healthcare

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

CHIP

Children's Health Insurance Program through the state

Aetna Better Health Kids

Capital Cares for Kids

Highmark CHIP

HPP KidzPartners

IBC CHIP

UHC CHIP

UPMC for Kids

Marketplace/ACA Plans

Independent insurance plans through the Affordable Care Act

Capital Blue Cross

  • Bronze PPO
  • Silver PPO
  • Gold PPO

Independence Blue Cross (Tier 3)

  • 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

UPMC Health Plans

  • Tower UPMC Advantage Bronze
  • Tower UPMC Advantage Silver
  • Tower UPMC Advantage Gold

Behavior Health Organization 

Administrator/Payor of behavioral health benefits

Payor Product Lines
Community Care Behavioral Health (CCBH) [through AmeriHealth Caritas, Gateway, or UHC Community Plan] Medicaid through Berks, Chester, York, and Adams Counties ONLY
Community Care Behavioral Health (CCBH) [through UPMC] Commercial, CHIP, Medicare, Medicaid
Magellan Commercial
Quest Commercial

Please call Customer Service (at the number on the back of your insurance card) to determine your Behavioral Health insurance vendor.