Insurance Accepted by Phoenixville Medical Group

Tower Health Medical Group is committed to providing affordable, quality healthcare to all patients. We understand the 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 Medical Group is determined solely by your insurance. Tower Health Medical Group is contracted with many health plans. A list of those plans can be found below.

Commercial

Aetna

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

Geisinger

HealthAmerica/Advatra

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

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
We do not participate in the following United Healthcare plans:
- Oxford (unless the member has Choice or Core)
- 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

Medicare Advantage

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

Devoted Health

Geisinger

Health America/ Advantra

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)
- My Direct Blue EPO
  - Blue High-Performance Network (HPN)

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

Independence Blue Cross

Keystone 65

Basic Rx HMO
Preferred Rx HMO
Select Rx HMO
Focus HMO

Keystone First VIP Choice HMO

PA Health and Wellness (Allwell to Wellcare)

HMO DSNP
HMO MAPD
PPO MAPD
PPO DSNP

United Healthcare

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

UPMC for Life

HMO & PPO (ALL)
All Plans Tower/UPMC Berks County

Vibra

Enhanced Complete Coverage PPO
Essential Coverage PPO

CHIP

ABH Kids

Capital Cares for Kids

Geisinger

HPP KidzPartners

IBC: Keystone HMO CHIP

UHC CHIP

Medicaid HMO

Geisinger

Health Partners

Highmark Wholecare (formerly Gateway Health Plan)

Keystone First

Keystone First
Keystone First Community Health Choices (CHC)

PA Health and Wellness

Point Comfort Underwriters

Unaccompanied Minors
Afghan Refugees

UHC Medicaid

UPMC Health Plans

UPMC (Community Health Choices)
UPMC for You HMO

Marketplace/ACA Plans

Geisinger

Highmark

My Direct Blue EPO (Gold, Silver, and Bronze Silver)
My Blue Access PPO (Gold, Silver, and Bronze Silver)

Independence Blue Cross (Tier 1)

PA Health and Wellness (Ambetter)

UPMC

Hospice

Compassionate Care Hospice

Crossroads Hospice

Seasons Hospice

Phoenixville Physician Groups

The groups listed below have contracts with the above health insurance companies: