Reading Hospital's Transitional Subacute Unit (TSU) is contracted in-network with the following health insurance companies:

Insurance Information

Commercial

Insurance through your employer

We accept the following:

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
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

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

Reading Hospital's Transitional Subacute Unit (TSU) is contracted in-network with the following health insurance companies:

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
Basic HMO
Choice HMO
Gold PPO
Premier HMO
Silver HMO & PPO
Standard HMO

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

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 do not participate in the following Aetna plans

Not PEBTF HMO
Capital Blue Cross Medicare Advantage
Blue Journey HMO
Blue Journey 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
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
All Plans Tower/UPMC Berks County
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

 

 

We also accept Medicare.

The TSU 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.