Insurance Information

We have contracts with the following health insurance companies: 

Commercial

Insurance through your employer

  • 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

  • First Health Network
  • AmeriHealth Administrators
  • Cigna 
    • ChoiceFund OA Plus
    • Open Access Plus
    • OA Plus
    • ChoiceFund OA Plus with CareLink PPO
    • Choice Fund PPO Network
    • HMO
    • POS
  • 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
- 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
  • 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)
    • 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

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

  • Aetna Coventry
    • Advantra Gold PPO
    • Advantra Northern Pennsylvania Gold HMO
    • Advantra Southeast Prime HMO
    • Advantra Silver HMO & PPO
    • Advantra Silver Plus HMO & PPO
    • Advantra One PPO
    • Advantra Basic Medical HMO
  • Aetna Medicare
    • Aetna PEBTF PPO
    • Basic HMO
    • Choice HMO
    • Gold PPO
    • Premier HMO
    • Silver HMO & PPO
    • Standard HMO
  • AmeriHealth Administrators
  • AmeriHealth Caritas VIP Care
  • Capital Blue Cross Medicare Advantage
    • Blue Journey HMO plans (ALL)
    • Blue Journey PPO plans (ALL)
    • Blue Journey Essential
    • Blue Journey Value
  • Medicare (Advantra)
  • 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)

  • Medicare Advantage
  • 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

CHIP

Children's Health Insurance Program through the state

  • Aetna Better Health Kids
  • Capital Cares for Kids
  • Highmark CHIP
  • IBC CHIP
  • UHC CHIP
  • UPMC for Kids

Medicaid HMO

Insurance program through the state for those requiring financial assistance

  • Aetna Better Health
  • AmeriHealth Administrators
  • AmeriHealth Caritas 
    •   Pennsylvania
    •   Northeast
  • Gateway Health Plan
  • UHC Medicaid
  • UPMC (Community Health Choices)
  • UPMC for You HMO

Marketplace/ACA Plans

Independent insurance plans through the Affordable Care Act

  • 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