Your procedure is over, your stay with us has ended, but now you may have additional paperwork to fill out. We can help. From forms and financial questions to working with Medicare or your insurance provider, Pottstown Hospital is as passionate about assisting patients with what happens after a medical procedure or emergency as with the care that occurs during it. Use the information in this section to help the billing and payment process go smoothly.

Pottstown Hospital, Pottstown Oncology Associates, and Pottstown Obstetrical Associates accept most major insurance providers. Contact Patient Billing at 833-341-5488 if you have questions about accepted insurance providers.

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

Insurance Information 

Commercial

Insurance through your employer

Insurance through your employer

  • 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

  • Cigna
    • ChoiceFund OA Plus
    • Open Access Plus
    • OA Plus
    • ChoiceFund OA Plus with CareLink PPO
    • Choice Fund PPO Network
    • HMO
    • POS
  • Devon
  • First Health Network
  • First Health
  • 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 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 access to choice plus)
- Heritage (unless the member has access to choice plus)
- Erikson Advantage

  • UPMC Health Plans
    • Enhanced Access Network
    • FEHB Employees
    • MyCare Advantage PPO/EPO – Tier 2
    • Panther Gold Advantage Network (For Pitt Employees) – Tier 1
    • Panther Gold Network (For Pitt Employees)
    • Premium Network Plans (PPO and EPO)
    • Tower Network
    • UPMC Employees Advantage Network (PPO and EPO) – Tier 1
    • UPMC Employees Out of Area Network
    • UPMC Inside Advantage – Tier 1
    • UPMC Total Advantage PPO

We do not participate in the following UPMC plans:

- MyCare Advantage HMO
- Partner Network
- Standard Network
- VA CCN (VA Community Care Network) administered by Optum/United Healthcare

CHIP

Children's Health Insurance Program through the state

Children's Health Insurance Program through the state

  • Aetna Better Health Kids
  • Capital Cares for Kids
  • IBC CHIP
  • Keystone HMO CHIP
  • UHC CHIP
  • UPMC for Kids

Marketplace/ACA Plans

Independent insurance plans through the Affordable Care Act

Independent insurance plans through the Affordable Care Act

Capital Blue Cross

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

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

UPMC Health Plans

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

Medicaid HMO

Insurance program through the state for those requiring financial assistance

Insurance program through the state for those requiring financial assistance

  • Aetna Better Health
  • Gateway Health Plan
  • Keystone First (except Tower Health Medical Group/hospital-based clinics, which are out of network)
  • UHC Medicaid
  • UPMC for You
    • Health Choices
    • Community Health Choices

Medicare Advantage

Insurance for people over 65 years of age or with disabilities.

 Insurance for people over 65 years of age or with disabilities

Plans Offering Drug Coverage
  • AARP Medicare
    • Complete HMO
    • Complete Choice PPO
  • Aetna Coventry
    • Advantra Gold PPO (1/1/20 new name - Aetna Medicare Advantra Premier Plus PPO)
    • Advantra Northern Pennsylvania Gold HMO (1/1/20 new name - Aetna Medicare Advantra Gold HMO)
    • Advantra Southeast Prime HMO (1/1/20 new name - Aetna Medicare Advantra Value HMO)
    • Advantra Silver HMO & PPO (1/1/20 new name - Aetna Medicare Advantra Silver HMO & PPO)
    • Advantra Silver Plus HMO & PPO (1/1/20 new name - Aetna Medicare Advanta Silver Plus HMO & PPO)
    • Advantra One PPO (1/1/20 new name - Aetna Medicare Advantra Credit Value PPO)
    • Advantra Basic Medical HMO (1/1/20 new name - Aetna Medicare Advantra Core HMO)
  • Aetna Medicare
    • 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:
 - Not PEBTF HMO

  • Capital Blue Cross Medicare Advantage
    • Blue Journey HMO plans (ALL)
    • Blue Journey PPO plans (ALL)
    • Blue Journey Essential
    • Blue Journey Value
  • Coventry Advantra
    • Gold PPO
    • Silver HMO
    • One PPO
  • 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

We do not participate in the following Keystone 65 plans:
 - Focus

  • Personal Choice 65 Rx PPO
  • 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
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
  • Aetna Coventry
    • Advantra Cares (HMO SNP) -(1/1/20 new name - Aetna Medicare Advantra Cares HMO D-SNP)
  • 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

Behavior Health Organization

Administrator/Payor of behavioral health benefits

Payor     Product Lines
Product Lines Commercial, Medicare
Community Care Behavioral Health (CCBH) Commercial, Medicare, Medicaid
Magellan Commercial
MH Net     Commercial, Medicare
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.)

Understanding Your Financial Responsibility

When you are scheduled for a doctor’s appointment or other test, study or procedure at any of our Pottstown 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 Pottstown 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.