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 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 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
- TriCare
- 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
First Health Network
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
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
- Unitedhealthcare Student Resources
- UHC Compass Rose PPO Plan
- We do not participate in the following United Healthcare plans:
- Oxford (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)
- UPMC Employees Advantage Network (PPO and EPO) – Tier 1
- UPMC Employees Out of Area Network
- Panther Gold Advantage Network (For Pitt Employees) – Tier 1
- UPMC Inside Advantage – Tier 1
- MyCare Advantage PPO/EPO – Tier 1
- Tower Network
- We do not participate in the following UPMC plans:
- Partner Network
- Standard Network
- Enhanced Access Network
- Panther Gold Network (For Pitt Employees)
- FEHB Employees
- MyCare Advantage HMO
- 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
AmeriHealth Administrators
AmeriHealth Caritas VIP Care
Devoted Health
Geisinger
Health Partners
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)
Humana (Choicecare Network)
- Humana Gold Plus HMO
- Humana Choice PPO
- Humana Gold Choice PFFS
PA Health and Wellness (Allwell to Wellcare)
- HMO DSNP
- HMO MAPD
- PPO MAPD
- PPO DSNP
Senior 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 (ALL)
- All Plans Tower/UPMC Berks County
Vibra
- Enhanced Complete Coverage PPO
- Essential Coverage PPO
- Advantra
- CHIP
ABH Kids
Capital Cares for Kids
Geisinger
Highmark CHIP
HPP KidzPartners
IBC CHIP
IBC: Keystone HMO CHIP
UHC CHIP
UPMC for Kids
- Medicaid HMO
AmeriHealth Administrators
AmeriHealth Caritas
- Pennsylvania
- Community Health Choices
Geisinger
Health Partners/Jefferson Health Plans
Highmark Wholecare (formerly Gateway Health Plan)
PA Health and Wellness
Point Comfort Underwriters
- Unaccompanied Minors
- Afghan Refugees
UHC Medicaid
UPMC (Community Health Choices)
UPMC for You HMO
- Marketplace/ACA Plans
Capital Blue Cross
- Bronze PPO
- Silver PPO
- Gold PPO
Geisinger
PA Health and Wellness (Ambetter)
UPMC Health Plans
- Premium Network
- Inside Advantage for Individuals (Tier 1 – Gold, Silver, & Bronze)
- Tower Network
- We do not participate in the following UPMC plans:
- Partner Network
- Standard Network
- Select Network
- Hospice
Grane
Bayada
Heartland
Community Hospice
Caring Hospice
Compassus
Holisticare
Reading Physician Groups
The groups listed below have contracts with the above health insurance companies:
Reading Hospital Cardiology - Hamburg
Reading Hospital Cardiology - West Reading
Reading Hospital Cardiology - Suite 100
Reading Hospital Cardiology - Suite 107
Reading Hospital Endocrinology & Diabetes Center Wyomissing
Reading Hospital Hematology Oncology (McGlinn Cancer Institute - Reading Hospital)
Reading Hospital Infectious Disease and Travel Medicine Suite 120
Reading Hospital Neurology Suite 104
Reading Hospital Neurology Suite 210
Reading Hospital Neurology Suite 3020
Reading Hospital Weight Loss Surgery and Wellness Center
Tower Health Medical Group Addiction Medicine - Reading
Tower Health Medical Group Breast Health Center Wyomissing
Tower Health Medical Group Cardiothoracic Surgery - West Reading
Tower Health Medical Group Family Medicine - Bernville
Tower Health Medical Group Family Medicine - Birdsboro
Tower Health Medical Group Family Medicine - Boyertown
Tower Health Medical Group Family Medicine - Elverson
Tower Health Medical Group Family Medicine - Exeter
Tower Health Medical Group Family Medicine - Gateway
Tower Health Medical Group Family Medicine - Hamburg
Tower Health Medical Group Family Medicine - Kenhorst
Tower Health Medical Group Family Medicine - Kutztown
Tower Health Medical Group Family Medicine - Rockland Hall
Tower Health Medical Group Family Medicine - Sinking Spring
Tower Health Medical Group Family Medicine - West Lawn
Tower Health Medical Group Family Medicine - Womelsdorf
Tower Health Medical Group Family Medicine - Wyomissing
Tower Health Medical Group Gynecologic Oncology
Tower Health Medical Group Gynecology - Exeter DeMoss Road
Tower Health Medical Group Internal Medicine - Douglassville
Tower Health Medical Group Internal Medicine - Exeter
Tower Health Medical Group Internal Medicine - Muhlenberg
Tower Health Medical Group Internal Medicine - Wyomissing 1st Floor
Tower Health Medical Group Internal Medicine Residency - Wyomissing
Tower Health Medical Group Maternal Fetal Medicine - West Reading
Tower Health Medical Group Neurosurgery - West Reading
Tower Health Medical Group Obstetrics & Gynecology - Exeter
Tower Health Medical Group Obstetrics & Gynecology - West Reading Suite 245
Tower Health Medical Group Obstetrics & Gynecology - West Reading Suite 380
Tower Health Medical Group Obstetrics & Gynecology - Wyomissing Reed Ave
Tower Health Medical Group Pain Management Wyomissing
Tower Health Medical Group Pediatrics - Wyomissing
Tower Health Medical Group Physical Medicine & Rehabilitation - Wyomissing
Tower Health Medical Group Plastic Surgery
Tower Health Medical Group Surgery - West Reading Suite 305
Tower Health Medical Group Surgery - West Reading Suite 3070
Tower Health Medical Group Urogynecology & Pelvic Health - West Reading
Tower Health Medical Group Vascular Surgical Specialists - West Reading Suite 1070
Tower Health Medical Group Wound Healing and Hyperbaric Medicine - Wyomissing