Reading Hospital-Based Clinics consist of:
Reading Hospital Center for Public Health
Reading Hospital Family Health Care Center (primary care and obstetrical services)
Reading Hospital Internal Medicine Practice
Reading Hospital Occupational Health Services
Reading Hospital Women's Health Clinic
Reading Hospital-Based Clinics are committed to providing affordable, quality healthcare to all patients. We understand that billing and payment for healthcare services can be confusing. Knowing your insurance policy is important for you to receive the maximum benefits for your healthcare services. Your benefit coverage level for care provided by Reading Hospital-Based Clinics is determined solely by your insurance. Reading Hospital-Based Clinics are contracted with many health plans. A list of those plans can be found below.
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.
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:
- PEBTF HMO
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
- 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
Coventry
EHP Significa Network
First Health Network
GeisingerGreat 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
- Blue High-Performance Network (HPN)
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
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 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 (unless the member has Choice or Core)
- Heritage (unless the member has 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
- Prime Care
- Medicaid HMO
AmeriHealth Caritas
- Pennsylvania
- Community Health Choices
Geisinger
Health Partners
Highmark Blue Shield Special Care
Highmark Wholecare (formerly Gateway Health Plan)
Keystone Family Health Plan
PA Health and Wellness
Point Comfort Underwriters
- Unaccompanied Minors
- Afghan Refugees
UHC Medicaid
UPMC for You
- Health Choices
- Community Health Choices
- Medicare Advantage
Plans Offering Drug Coverage
AARP Medicare
- Complete HMO
- Complete Choice PPO
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 Caritas VIP Care
Coventry Advantra
- Gold PPO
- Silver HMO
- One PPO
Devoted Health
Geisinger
Health Partners/Jefferson Health Plans
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
- We do not participate in the following Highmark plans:
- Community Blue Medicare HMO (Signature Plan)
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
PA Health and Wellness
- HMO DSNP
- HMO MAPD
- PPO DSNP
- PPO MAPD
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
- Aetna Medicare Advantra Cares HMO D-SNP
Highmark Wholecare (formerly 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
ABH Kids
Capital Cares for Kids
Geisinger
Highmark CHIP
HPP KidzPartners
IBC CHIP
IBC: Keystone HMO CHIP
UHC CHIP
UPMC for Kids
- Marketplace/ACA Plans
Capital Blue Cross
- Bronze PPO
- Silver PPO
- Gold PPO
Geisinger
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
PA Health and Wellness (Ambetter)
UPMC Health Plans
- Tower UPMC Advantage Bronze
- Tower UPMC Advantage Silver
- Tower UPMC Advantage Gold
- Behavior Health Organization
Payor Product Lines Aetna Commercial, Medicare Community Care Behavioral Health (CCBH) [through 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 Quest Commercial Please call Customer Service (at the number on the back of your insurance card) to determine your Behavioral Health insurance vendor.