Reading Hospital Rehabilitation at Wyomissing is contracted in-network with the following health insurance companies:

Commercial Plans

Insurance through your employer

We participate in the following plans:

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

We do not participate in the following Aetna plans:

Not PEBTF HMO

AmeriHealth Administrators

Capital Blue Cross:

  • CareConnect – PinnacleHealth ACA Network
  • Comprehensive
  • POS
  • PPO
  • Traditional
  • HMO

We do not participate in the following Capital Blue Cross plans:

PPO Choice

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 EPO

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

Keystone Health Plan Central

Keystone Health Plan East

Tower Health PPO

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 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 Advantage

UPMC 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

UPMC Total Advantage PPO

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

VA CCN (VA Community Care Network) administered by Optum/United Healthcare

 

 

CHIP

Children's Health Insurance Program through the state

Plans accepted:

  • Capital Cares for Kids
  • Highmark CHIP
  • IBC CHIP
  • UPMC for Kids

Medicaid HMO

Insurance program through the state for those requiring financial assistance

Plans Offering Drug Coverage

Aetna Better Health

AmeriHealth Caritas

  • Pennsylvania
  • Community Health Choices

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

Marketplace/ACA Plans

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 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

Medicare Advantage

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

Plans Offering Drug Coverage

We accept the following plans:

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
  • 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

Capital Blue Cross Medicare Advantage:

  • Blue Journey HMO
  • Blue Journey PPO

Humana (Choicecare):

  • 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
  • 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

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

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

We do not participate in the following UPMC plans:

  • HMO Premier Rx Western PA
  • HMO Premier Rx Lycoming & Tioga
  • HMO Premier Rx Excela Health

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

United Healthcare:

  • AARP Medicare Complete
  • UHC Dual complete
  • UHC Group Medicare Advantage Plans
  • UHC Assisted Living Plan (PPO)
  • UHC Nursing Home Plan

UPMC for Life Dual
UPMC for Life Options

 

 

We also accept Medicare and Medical Assistance.

Reading Hospital Rehabilitation at Wyomissing will gladly submit a bill to any insurance carrier on your behalf. However, that is not a guarantee that the insurance carrier will pay the claim.

It is important for you to be aware of your benefits and any restrictions that may apply to your specific plan. By being informed about what your health plan covers, you can be assured of receiving the maximum coverage to which you are entitled.

Understanding Your Financial Responsibility

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

Payment and Contacts