Tower Health Medical Group Orthopaedics - Phoenixville

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 QPOS
• Aetna Whole Health
• Aetna Select
• Aetna Value Performance Network
• Aetna Voluntary Plans
• Aetna Savings Plus
• Aetna HMO
• Aetna HMO (Open Access)
• Aetna HMO / Health Network Only
• International Medical
• Premier Care - Network & Premier Care Network Plus
• Choice POS, Choice - POS (Aetna HealthFund), Choice POS II, Choice POS II (Aetna HealthFund)
• Elect Choice EPO
• Health Network Only & Health Network Option
• Open Access - Elect Choice, Open Access EPO
• Open Access POS, Open Access EPO Plus (Broad) & Open Access POS II (Broad)
• 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 Choice PPO & Open Choice PPO - Aetna HealthFund
• Preferred - Open Choice PPO, Preferred Choice POS II, Preferred Select
• Preferred Elect Choice EPO, Preferred Managed Choice
• Peak Preference Select HNOnly on the Altius Network
• We do not participate in the following Aetna plans:
  • Not 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

Geisinger

HealthAmerica/Advatra

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)
  • Choice Blue PPO

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

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
• 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
• 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

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

Capital Blue Cross

• Capital Blue Cross Medicare Advantage HMO and PPO

Cigna Medicare/Cigna HealthSpring

• True Choice (PPO)
• True Choice Plus (PPO)
• Preferred HMO
• Preferred Plus HMO
• Preventative Care HMO
• Total Care HMO
• Traditions HMO (I)
• Achieve HMO
• Advantage HMO
• We do  not participate in the following Cigna plans:
  • Alliance HMO

Devoted Health

Geisinger

Health America/ Advantra

Health Partners/Jefferson Health Plans

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)
  • My Direct Blue EPO
    • Blue High-Performance Network (HPN)

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

Independence Blue Cross

Keystone 65

• Basic Rx HMO
• Preferred Rx HMO
• Select Rx HMO
• Focus HMO

Keystone First VIP Choice HMO

PA Health and Wellness (Allwell to Wellcare)

• HMO DSNP
• HMO MAPD
• PPO MAPD
• PPO DSNP 

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

Jefferson Health Plans CHIP (formerly HPP KidzPartners)

UHC CHIP

Medicaid

Geisinger

Highmark Wholecare (formerly Gateway Health Plan)

Jefferson Health Plans EverWell (formerly Health Partners Plans Medicaid)

Keystone First 

• Keystone First
• Keystone First Community Health Choices (CHC)

PA Health and Wellness

Point Comfort Underwriters

• Unaccompanied Minors
• Afghan Refugees

UHC Medicaid

UPMC Health Plans

• UPMC (Community Health Choices)
• UPMC for You HMO

Marketplace/ACA Plans

Geisinger

Highmark

• My Direct Blue EPO (Gold, Silver, and Bronze Silver)
• My Blue Access PPO (Gold, Silver, and Bronze Silver)

Independence Blue Cross (Tier 1)

PA Health and Wellness (Ambetter)

UPMC

Hospice

Compassionate Care Hospice

Crossroads Hospice

Seasons Hospice