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

HPP KidzPartners

UHC CHIP

Medicaid

Geisinger

Health Partners

Highmark Wholecare (formerly Gateway Health Plan)

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