Insurance Information
-
Commercial Plans
-
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:
- Not PEBTF HMO
AmeriHealth Administrators
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 EPOIndependence 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
TriCareUnited 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 AdvantageUPMC 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
-
Aetna Better HealthAmeriHealth Caritas
- Pennsylvania
- Northeast
Highmark Blue Shield Special Care
Gateway Health Plan
Keystone Family Health Plan
UHC Medicaid
UPMC for You
- Health Choices
- Community Health Choices
-
Medicare Advantage
-
Plans Offering Drug CoverageAARP 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
- Choice HMO
- Silver HMO
- Gold PPO
- Premier HMO
- Standard HMO
AmeriHealth Caritas VIP Care
Capital Blue Cross Medicare Advantage
- Blue Journey HMO
Coventry Advantra
- Gold PPO
- Silver HMO
- One PPO
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
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)
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
-
Aetna Better Health KidsCapital Cares for Kids
Highmark CHIP
IBC CHIP
UHC CHIP
UPMC for Kids
-
Marketplace/ACA Plans
-
Capital Blue Cross- Bronze PPO 7350-0-60
- Silver PPO 5000/10/30
- Gold PPO 2000/10/20
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
-
Payor Product Lines Community Care Behavioral Health (CCBH) [through Aetna Better Health, 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 MH Net Commercial, Medicare Quest Commercial Please call Customer Service (at the number on the back of your insurance card) to determine your Behavioral Health insurance vendor.