Insurance Information
We have contracts with the following health insurance companies:
- Commercial Plans
-
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
- 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 Networ
- 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
- Health Net
- 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
- Aetna
- Medicare Plans
-
Insurance for people over 65 years of age or with disabilities
Plans Offering Drug Coverage
- 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 HMO
- Basic HMO
- Choice HMO
- Gold PPO
- Premier HMO
- Silver HMO & PPO
- Standard HMO
We do not participate in the following Aetna plans:
- Not PEBTF HMO- Cigna Health Spring
We do not participate in the following Cigna Health Spring plans:
- Alliance HMO- Health America/ Advantra
- Highmark (Freedom Blue)
- Humana (Choicecare)
- Humana Gold Plus HMO
- Humana Choice PPO
- Humana Gold Choice PFFS
- Humana Gold Plus (HMO D-SNP)
- Independence Blue Cross
- Keystone First
- United Healthcare
- Unitedhealthcare Dual Complete
- Unitedhealthcare Group Medicare Advantage Plan
- Unitedhealthcare Assisted Living Plan (PPO)
- Unitedhealthcare Nursing Home Plan
- United Healthcare AARP Medicare Complete
- UPMC for Life
- HMO & PPO (ALL)
We do not participate in the following UPMC plans:
- HMO Premier Rx Western PA
- HMO Premier Rx Lycoming & Tioga
- HMO Premier Rx Excela Health
- All Plans Tower/UPMC Berks County- Vibra
- Enhanced Complete Coverage PPO
- Essential Coverage PPO
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
- Sunrise Advantage PA (Spartan)
- United Healthcare
- Unitedhealthcare Dual Complete
- Unitedhealthcare Group Medicare Advantage Plan
- Unitedhealthcare Assisted Living Plan (PPO)
- Unitedhealthcare Nursing Home Plan
- UPMC for Life Dual
- UPMC for Life Options
- Aetna Coventry
- CHIP Plans
-
Children's Health Insurance Program through the state
- Aetna Better Health
- UHC CHIP
- UPMC for Kids
- Medicaid Plan
-
Insurance program through the state for those requiring financial assistance
- Aetna Better Health
- Keystone First
- UHC Medicaid
- UPMC For You
- Health Choices
- Community Health Choices
- Marketplace/ACA Plans
-
Independent insurance plans through the Affordable Care Act
- Highmark
- 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
- UPMC Health Plans
- Personal Choice PPO Catastrophic
- Inside Advantage for Individuals (Tier 1 – Gold, Silver, & Bronze)
- Premium Network
- Tower Network
We do not participate in the following UPMC plans:
- Partner Network
- Select Network
- Standard Network