Reading Hospital Endocrinology & Diabetes Center - Wyomissing

Insurance Accepted

Please note: our list is not meant to be all-inclusive and is subject to change. Please check with your health plan to verify coverage.

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

• Blue High Performance EPO
• National BlueCard PPO
• Keystone Health Plan East
• Keystone HMO Proactive
• Keystone HMO
• Keystone POS/Direct POS
• Personal Choice EPO
• Personal Choice PPO
• Temple University TUHS PHO Plan
• PennCare Network
• Redeemer Health PPO CorePlus
• 1199C Keystone HMO/POS
• Redeemer Health EPO Core
• Temple Care Plan/Advantage Plan
• CHOP Preferred Care Plan/CDHP

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

Capital Blue Cross

• Capital Blue Cross Medicare Advantage HMO and PPO

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)

• Diamond HMO
• Ruby HMO

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

CHIP

ABH Kids

Capital Cares for Kids

Geisinger

Highmark CHIP

IBC CHIP

Jefferson Health Plans CHIP (formerly HPP KidzPartners)

UHC CHIP

UPMC for Kids

Medicaid

AmeriHealth Administrators

AmeriHealth Caritas

• Pennsylvania
• Community Health Choices

Geisinger

Highmark Wholecare (formerly Gateway Health Plan)

Jefferson Health Plans EverWell (formerly Health Partners Plans Medicaid)

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